COVID-19

Valpodoc85

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Daughter lives in Copenhagen. They are shutting it all down all Public offices closed all businesses are being asked to close all bars and clubs asked to voluntarily close Not to use public transport unless have to travel. Things there changed overnight This will be here soon
 

ACamp1900

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Daughter lives in Copenhagen. They are shutting it all down all Public offices closed all businesses are being asked to close all bars and clubs asked to voluntarily close Not to use public transport unless have to travel. Things there changed overnight This will be here soon

Yeah,... we are business as usual but training for an overnight change. Youth baseball moving forward as normal, everything... etc... There are currently no confirmed cases of COVID in El Paso,... I have to think all the above changes overnight once there are.
 

Irishnuke

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Not panicking here, but I also feel like blowing it off like it's nothing is irresponsible and stupid. Watched the Joe Rogan podcast. I'm betting deaths here will be in the hundreds soon and thousands not too far after that. I'd love to be wrong about it.
 

Irish YJ

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I'll be introducing my mother to grocery delivery this weekend. She's 75 with underlying conditions, not to mention not even 6 months off radiation treatment for lung and breast cancer. I told her to keep her ass home. Her silly ass sister came by her house today after gong out shopping, and it pissed me off.

I'll be getting my groceries delivered too lol...
 

NorthDakota

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I'll be introducing my mother to grocery delivery this weekend. She's 75 with underlying conditions, not to mention not even 6 months off radiation treatment for lung and breast cancer. I told her to keep her ass home. Her silly ass sister came by her house today after gong out shopping, and it pissed me off.

I'll be getting my groceries delivered too lol...

Your mother is a saint and deserves the finer things in life if she's anything like my grandma who is about that age.
 

Henges24

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People are starting to freak out at work. Had one employee get sent home by medical because they had a cough.
 

FightingIrishLover7

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Not panicking here, but I also feel like blowing it off like it's nothing is irresponsible and stupid. Watched the Joe Rogan podcast. I'm betting deaths here will be in the hundreds soon and thousands not too far after that. I'd love to be wrong about it.

I bet the influenza fatalities will be in the thousands too.

Have we been irresponsible with regards to that virus?
 

PerthDomer

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This virus is deadlier and more contagious than influenza. As evidenced by Italy our medical system will be overwhelmed contributing not just to coronavirus deaths but deaths in all other serious illnesses. So yea, it's worse than the flu.
 

Ndaccountant

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I bet the influenza fatalities will be in the thousands too.

Have we been irresponsible with regards to that virus?

People are not taking actions because the death rate with medical treatment is so high for COVID-19. They are taking actions because they simply cannot give everyone treatment at the same time, along with everyone else that has something wrong (influenza, strokes, heart attacks, etc).

This doctor did a fantastic job of summing it up:

As an ICU doctor, I am not interested that much in pandemics. My focus is on the patient in front of me and how they will manage. ICU care is a team game and apart from me, critically ill patients require materials and people to create a chance at survival. This has been a bad flu season, and we have a steady diet of sick flu patients, all seemingly unvaccinated, that have kept up our steady ECMO business.

...........................................


If we assume a 1% hospital admission rate, that would correspond to roughly 300,000 patients admitted to hospitals. If we assume 25% of those admitted patients end up in an ICU, that corresponds to 75,000 patients.

According to the American Hospital Association annual survey in 2015, the U.S. had 4,862 acute care registered hospitals and 94,837 ICU beds with a 68% ICU occupancy rate. My own experience is that ICU occupancy rate is more than 80% but let's assume 70% occupancy. If we assume the total number of ICU beds in the U.S. is 100,000, this corresponds to an available bed rate of 30,000. This means 45,000 patients over and above the available ICU bed rate.

This is obviously a national view. The view locally could be drastically different. At this point, the only thing the medical community believes is that the reproductive number – the number of secondary infections generated from one infected individual – is
understood to be between 2 and 2.5 for COVID-19, higher than for influenza. The rate of critical care patients for COVID-19 is also higher.

So, given the lack of spare beds in ICU's around the country, I think taking actions to prevent spread is reasonable. God forbid that you our a loved one has a medical need (COVID-19, car accident, stroke, whatever) needing a bed and you don't have one. That's the problem they are trying to avoid.


https://www.medpagetoday.com/hospitalbasedmedicine/generalhospitalpractice/84845
 

Irish YJ

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Your mother is a saint and deserves the finer things in life if she's anything like my grandma who is about that age.

She's a saint in a lot of ways, but a huge pain in the ass in others lol..... If anything, she's like Saint Francis. Even going through 2 years of treatments, she still won't miss a day feeding the birds, squirrels, possums, and the two feral cats she adopted/captured as kittens lol.. She even leaves food out for the foxes and coyotes which pisses the neighbors off. Over Christmas, I ran to the store for her one night, and came back to find a big ass coyote feasting on the turkey carcass in the front yard.

Not worried about myself, and my young friends and family, but scared to death when it comes to her, and several of her sisters which I am very fond of. My 92 year old aunt who I took with us to the beach/Naples last year, simply refuses to stay home from Church which she visits at least 3 times a week.
 

Legacy

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The two Medical Centers on the eastside of Lake Washington are Evergreen and Overlake with bed capacity of 318 and 349 respectively. Overlake has 32 ICU beds and, since I have not found numbers for Evergreen's, it's reasonable to assume Evergreen's is the same - a total of 64 ICU beds for the eastside of the Seattle metro area. Not all are medical units. Their counts may include Trauma, Cardiac, possibly Burn or Neuro units.

Medical ICU bed with isolation rooms equipped with negative pressure usually make up 10% of ICU bed capacity. So let's say the two Medical Centers may have 6 or 7 isolation rooms with rooms with negative pressure HVAC systems to contain respiratory droplet infection spread.

Staff - these type of isolation rooms in ICUs have increased labor-intensive work, entering a room, putting on protective gear, transferring any new equipment/supplies/meds with a RN dedicated to that patient with perhaps another much less severe, but critical. The hospital has gone into emergency mode, transferring patients to lower level of care or to other hospitals. These critical care nursing positions require specialized training and certifications. Hospitals may contract with agencies for critical care nurses if they cannot fill the positions locally. Prior to the epidemic Evergreen was advertising for more critical care nurses.

To complicate things, hospital staff may have been sent home to self-quarantine for two weeks due to exposure without appropriate protective equipment to coronavirus patients previously, increasing shortages. Reports are that hospitals do not have enough of the n95 respirator masks that protect against the small particles of viruses. In past outbreaks like SARS or in other areas with COVID-19, many HC professionals from EMTs to physicians have sickened and some have died.

As Oahu noted, this has been a bad flu season, filling beds in a hospital already. Existing patients in both hospitals may have been transferred to other Seattle area hospitals to open up beds and undoubtedly Evergreen and Overlake diverting ambulances from their ERs to other hospitals.

With the eastside hospitals transferring patients to other area hospitals, those too may be having significant increases in occupied beds and undergoing staffing shortages. HC workers with pre-existing pulmonary conditions like asthma would have to take extra precautions to reduce their exposure - or stay at home.

It probably goes without saying that as ICUs fill up as well as hospitals reaching their bed capacity, patients who are admitted remain in the ER.

The cities that the two medical centers - Overlake in Bellevue and Evergreen in Kirkland - have a total population of 220,000. That does not include any of the other cities on that side.
th
Worth reposting to see the impact on a community with emphasis on the types of the category of ICU beds (Medical, Surgical/Trauma, Cardiac, Burn, Neuro) that comprise the total as well as those percent that have isolation rooms with negative pressure.
 
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arrowryan

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The biggest Woj bomb of all time

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">The NBA has suspended the season.</p>— Adrian Wojnarowski (@wojespn) <a href="https://twitter.com/wojespn/status/1237914166285008896?ref_src=twsrc%5Etfw">March 12, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Jazz center Rudy Gobert tested positive for Coronavirus.<br><br>NBA has suspended its season. <a href="https://t.co/YPV1SVj2gp">pic.twitter.com/YPV1SVj2gp</a></p>— Adam Schefter (@AdamSchefter) <a href="https://twitter.com/AdamSchefter/status/1237915393974468610?ref_src=twsrc%5Etfw">March 12, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
 

arrowryan

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The biggest Woj bomb of all time

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">The NBA has suspended the season.</p>— Adrian Wojnarowski (@wojespn) <a href="https://twitter.com/wojespn/status/1237914166285008896?ref_src=twsrc%5Etfw">March 12, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Jazz center Rudy Gobert tested positive for Coronavirus.<br><br>NBA has suspended its season. <a href="https://t.co/YPV1SVj2gp">pic.twitter.com/YPV1SVj2gp</a></p>— Adam Schefter (@AdamSchefter) <a href="https://twitter.com/AdamSchefter/status/1237915393974468610?ref_src=twsrc%5Etfw">March 12, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

Rudy touching every recorder before leaving an interview two days ago

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Videos that aged incredibly poorly: <a href="https://t.co/TvipABcgPh">pic.twitter.com/TvipABcgPh</a></p>— Barstool Sports (@barstoolsports) <a href="https://twitter.com/barstoolsports/status/1237913680169312261?ref_src=twsrc%5Etfw">March 12, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
 

FDNYIrish1

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I’m no tin foil hat wearing conspiracy nut, but there is some type of biological attack going on here. There is a underlying sinister feeling to this whole mess
 

arrowryan

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I’m no tin foil hat wearing conspiracy nut, but there is some type of biological attack going on here. There is a underlying sinister feeling to this whole mess

Joe Rogan had someone on his podcast today and they talked about this. He said they can basically tell where viruses come from and old it is (like a carbon copy). He later went on to say that is more than likely came from an animal and spread to a human in November.
 

BobbyMac

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I’m no tin foil hat wearing conspiracy nut, but there is some type of biological attack going on here. There is a underlying sinister feeling to this whole mess

And the original epicenter was Kirkland WA, home of Costco... the store where people are lining up all across the country to horde virus laced toilet paper.
 

FDNYIrish1

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And the original epicenter was Kirkland WA, home of Costco... the store where people are lining up all across the country to horde virus laced toilet paper.

All I’m saying is that Jenny couldn’t take out Forrest with her AIDS but he gets covid19????
 

NDRock

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Joe Rogan had someone on his podcast today and they talked about this. He said they can basically tell where viruses come from and old it is (like a carbon copy). He later went on to say that is more than likely came from an animal and spread to a human in November.

As good as humans have become at destruction, Mother Nature and Father Time still have us beat.
 

NDRock

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And the original epicenter was Kirkland WA, home of Costco... the store where people are lining up all across the country to horde virus laced toilet paper.

My city came pretty close to being hit early. We have the headquarters of Life Care, which owns the facility in Kirkland. There had recently been some travel of employees between there and here. They say all tested negative.
 

Riddickulous

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<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Dow futures for the last ~4 hours. The steep drop begins at 9:00 pm Eastern, 49 minutes ago. <a href="https://t.co/axJ6omoLS9">pic.twitter.com/axJ6omoLS9</a></p>— Sam Wang (@SamWangPhD) <a href="https://twitter.com/SamWangPhD/status/1237918618580586497?ref_src=twsrc%5Etfw">March 12, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

This is gonna be really bad
 
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