Thatâs good - they have deferred it. I would hate for them to lose out completely
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Good read that.
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⊠and more tales of selfish fuckcunts
(from BBC live feed)
Parties with DJs and bouncy castles reported in Manchester
Parties with DJs, fireworks, and bouncy castles were among 660 house and street gatherings reported to have taken place in Greater Manchester last weekend.
Another 122 groups of people playing sport were also reported to police.
Famous faces from across the region - including England footballers Marcus Rashford and Steph Houghton, Coronation Street actor Daniel Brocklebank and Happy Mondays singer Shaun Ryder - appeared in a video to urge people to stay inside.
âIâm pleading with you all to please stay at home and stay isolated,â said Brocklebank, who plays Billy Mayhew in the long-running soap. England captain Houghton said: âIf your mates are asking for a game of football please say no.â
Great Manchester Chief Constable Ian Hopkins warned officers will use legislative powers on those who break the rules over Easter weekend.
Fucking hell.
Are they ever going to leave that woman alone?
If find it all a bit sinister, if Iâm honest.
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When I was younger, much younger, I used to work in Gateway (THAT long ago) and we used to get travellers come into the shop. One lot peeâd over all the fresh meat (itâs all wrapped off course) so it had to be thrown out. The bins that the meat was thrown into was, coincidentally, emptied overnight and not by the binmen!!
Maybe these people are trying the same thingâŠ
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This might not be too easy to spin awayâŠ
It makes it very real. Poor bastard.
Like pap, I also had an appointment at the hospital today. The two nurses who were treating me and two other patients had only just been given some PPE. And they showed it to us. It was shit. It looked like it had been made by some kids at home. One of them had been working at another hospital yesterday and was saying that the staff there were wearing their PPE for 3-4 days which means that itâs no good and that you should be changing it a few times a day. They seemed almost resigned to getting infected.
For some reason I canât upload the photo I took. Something about low memory.
Sorry, but is anyone else confused about these figures:
England reports 765 new coronavirus deaths
NHS England has recorded 765 new deaths in hospital from coronavirus.
It said that 140 of them occurred yesterday, while 568 took place between 1 April and 7 April.
The remaining 57 deaths took place in March, including two on 19 March and one on 16 March.
I was assuming that deaths were from the previous 24 hours, not random deaths collected and classified as Covid19 deaths from the past x weeks - or is this due to the inability to conclude quickly that a death is from Covid19?
I donât understand the benefit of âworking onâ ventilators and sharing designs if were supposedly only days away from our peak?
Will these have any value in our âfightâ or are we expecting a longer peak or multiple peaks?
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I would assume this may be why we havenât gone out of our way to say weâre woefully short of ventilators. However - there is a chance that if it gets worse we may need to procure them quickly, this should enable us to do that.
Purely a guess though.
An explanation:
On its own the latest figure of 765 newly-announced deaths from coronavirus does not tell the full story.
So far NHS England has announced 7,248 deaths in hospitals, but its daily updates also revise previous daysâ figures.
This can happen as people who have died are confirmed as testing positive for Covid-19, âas more post-mortem tests are processed and data from them are validatedâ.
This chart shows all the hospital deaths in England announced so far by the date the patients died.
The figures towards the end are likely to rise as more deaths on these dates are announced
So here are the death figures by day:
A long read.
Very detailed (& scary) at the end re incubating & oxygenation
My pal was IN NYC getting his delayed cancertrial infusion
Stay the Course.
Predictive models rely on inputs of different data points weighted for relative importance and, as the data points change and become more or less valid, the outputs of the models change. Sometimes dramatically. One of the more referenced predictive models developed by one of the most brilliant minds in medicine, Chris Murray, is from The Institute for Health Metrics and Evaluation at the University of Washington: covid19.healthdata.org. You can go into the model and compare states and countries and see what the discordance between actual and predicted needed resources is; ICU beds, ventilators, etc. Will you have enough people and stuff to treat the severely ill or not. Truth be told, there are lots of predictive models and the results vary widely.
There was a lot of press that over last two days that the model had shown that there may have been some âflatteningâ of the curve. Flattening the curve means that we hope to keep the new number of ill COVID 19 patients less that than the availability of healthcare resources. You will notice that the most important weighted variables in this model are date of stay at home order, when educational facilities where closed, non-essential services closed and when travel was limited. Whether you believe the number or not, none of them say this is over.
Physical Distancing- The single most important thing any citizen can do to fight this horrible scourge. No more than 4 people together outside of a household and 6 feet apart. Do not stop, do not let up, do not give in, if the models show improvement, it is because of this. Let up and we can easily go back fast.
Testing. Itâs coming along. There is more and more of it available and we should soon have a blood test to tell if you have already had it.
Hydroxychloroquin, antimalarial, and rheumatologic drug. There is no evidence to support its use in treating COVID 19 and it is not a benign drug. The FDA allows off-label use and there are clinical trials. Again, no evidence to support use.
Ibuprofen and COVID 19. Article published in the Lancet hypothesized that an enzyme increased by ibuprofen could aggravate symptoms of COIVD 19. Hypothesized = no evidence.
Masking in public. Theoretically keeps coughs and sneezes from projecting as far and limits spread. Be careful as a surgical mask or any homemade mask in no way, at all, can protect you. It MAY protect others. If it gives people any false sense of security and we let up on the 6 feet rule or it is irritating and we touch our face more without washing our hands, we will have done far more worse than good. Just be careful please.
The more patients I treat, the more I hate this virus. It is brutal, it is capricious and unpredictable, a patient is fine one minute than trying to die the next. Pulmonary and hemodynamic pathophysiology truisms seem not to apply.
Another clinical vignette
Healthy 47-year-old man suffering at home for 7 days, was improving, took a turn or the worse. Came in by ambulance with very low oxygen levels (72%, normal > 92%) and obvious respiratory distress and needed to be put on a ventilator. Picture the most out of breath you have ever been X 3 gasping like a gold fish out of the water. Getting a patient on a vent is something every emergency doctor has done myriad times and most can do it blindfolded. COVID is way different though because intubating (putting in the breathing tube) can cause the virus to become an aerosol making the whole room filled with COVID 19 mist. So, the patient sits in the stretcher goldfishing as we prepare ourselves and our equipment. Maybe 10 minutes but 10 minutes is a long time to be awake, gasping thinking you are going to die. Total body PPE; space suit, bring in the equipment, get ready. Normally, we would want to get the patients oxygen level as high as possible before doing this because the process requires making him unconscious and paralyzed to put the tube it. During that time, he canât breathe. Normally, if anything goes wrong for any reason after we have paralyzed the patient, we can breathe for them with a mask before the tube goes it. Not here because of the aerosol. After the tube goes in, you also use a bag but not here because of the deadly aerosol. We begin. Low oxygen level, medicines take a few minutes to work, oxygen level goes lower and lower, open the patients mouth to clear his airway. Normally a little spit or mucous, maybe some blood. Something about COVID. The mucous looks like Elmerâs glue, is hard to suction, stringy, almost gooey. Oxygen level is near zero, heart rate begins to slow down, tube goes in, lots of Elmerâs glue funneling out, hook him up to one of the precious ventilators and oxygen level begins to very slowly come up, heart rate comes up. Then down. The Elmerâs glue. Change the setting on the precious ventilator so the more pressure stays in the lungs and pushes the glue and finally, his oxygen level increases. Now we take off the PPE very carefully so that 1. We donât infect ourselves with COVID and 2. We need to reuse it because PPE is just as precious.
I finished training 25 years ago, I have intubated thousands of patients, this is different
You do not want this. Young healthy people get this and die. We need time to figure this out and only you can give us time. Social distancing, stay at home, wash your hands. Do your part.
Onward,
Rich
#sciencematters #stayathome #COVID19 #washyourhands
Raab doesnât seem very impressive. Dodged a bullet there.
The weirdest thing is I used to thing heâd be decent, I even believe I put him forward as a potential decent leader previously in this site.
Last year I went to a surgery with him with a friend as he is in one of our neighbouring constituencies, to discuss Brexit. He was incredibly unimpressive - considering he has degrees from both Oxford and Cambridge he kept trotting out the same lines. I also recently met our new MP at the local Mayorâs Ball, Dr Ben Spencer. He was the same. He couldnât answer the simplest question without returning to the vey basic Government lines heâd been fed. It seems to be the way politics is going.