Medical Discussion of Coronavirus

[StarTrekDoc]

We CAN choose to walk and chew gum together. We chose not to.

There is a middle ground and a playbook already successfully in place.--healthcare systems

Most healthcare centers have been operating as well as they can with minimal outbreaks despite serving it's community and most have simple universal masking as its policy.

[Dusn]

https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916

We don’t know what the long term health outcomes of this will be. 78% of covid+ patients had cardiac inflammation on MRI irrespective of severity of illness. Asymptomatic young patients have also had cardiac inflammation. A massive increase of cardiac arrhythmias in the future will also the security and future of younger generations.

It’s also not about avoiding every single case. It’s about avoiding the cases that could be easily avoided with masks and by closing very high risk business and events, such as bars, in order to protect other lower risk businesses from having to shut down when we get completely overwhelmed. Partial public health measures now will help the long term economy.

[CordMcNally]

"Flu season is coming up! Many people every year, sometimes over 100,000, and despite the Vaccine, die from the Flu. Are we going to close down our Country? No, we have learned to live with it, just like we are learning to live with Covid, in most populations far less lethal!!!"

I thought he/she was talking about people in this thread. And I still suspect they were but they haven't directly addressed it yet.

[StarTrekDoc]

I thought he/she was talking about people in this thread. And I still suspect they were but they haven't directly addressed it yet.

The response was within context of the conversation of our President's return home and remarks of it not letting it dominate our lives and many people supporting such views to an extreme on the other end.

There is a middle ground and all sides need to get there for us all move forward.

Edit. Back to Medical question. Is there a taper rec on the dexa protocol or abbreviated duration? Some actions yesterday do make me wonder if steroids have some influence and if it's the steroids contributing to some of it.

I've had some patients really affected but more experience with prednisone than dexa.

[Tim]

Who is the “we” or the “person” with the wisdom and power that could have 100% implemented these solutions?
“The only reason we're struggling is the patchwork way its being handled and the large contingent of people that absolutely refuse to do anything, and the intermixing of all risk groups, etc...”
The world is a patchwork. That is reality. There wasn’t even agreement on the definition of pandemic or travel restrictions or quarantine let alone. Certainly the “scientific” community was divided, or at least WHO and CDC were in a fog.
https://www.google.com/amp/s/mobile..../idINKBN1ZX1H3
https://www.sciencemag.org/news/2020...p-fiasco-japan

Hindsight is great. I still don’t think the science has found its own agreement.
Moderna has slowed it’s phase 3 testing. Why?
https://www.google.com/amp/s/www.cnb...s-sources.html

Cooperation and participation are difficult in a patchwork.
The point is the only reason is the reality of the world as it exists, that’s the problem. Blame who you want.

100% agree that wearing a mask is a minor inconvenience. Bluntly, it’s pretty stupid to make it an issue but I am not sure execution will cure stupidity.

[fatlittlepig]

Where I live I routinely see people wearing masks while walking solo or with their significant other outdoors (non crowded situations) Nothing wrong with that but it honestly strikes me as kind of odd.

[CordMcNally]

The response was within context of the conversation of our President's return home and remarks of it not letting it dominate our lives and many people supporting such views to an extreme on the other end.

There is a middle ground and all sides need to get there for us all move forward.

Edit. Back to Medical question. Is there a taper rec on the dexa protocol or abbreviated duration? Some actions yesterday do make me wonder if steroids have some influence and if it's the steroids contributing to some of it.

I've had some patients really affected but more experience with prednisone than dexa.

I guess that's the difficult part about forums is we can't get all the context. I figured they would have specifically put Trump or the President in there if that's what they were referring to but you're right about the middle ground.

[Tim]

Where I live I routinely see people wearing masks while walking solo or with their significant other outdoors (non crowded situations) Nothing wrong with that but it honestly strikes me as kind of odd.

First exposure to widespread masks was Tokyo. But that has been going on for decades. I personally felt odd the first few times wearing a mask into stores. That was prior to any of the political orders. New experience.

[Lordosis]

Where I live I routinely see people wearing masks while walking solo or with their significant other outdoors (non crowded situations) Nothing wrong with that but it honestly strikes me as kind of odd.

Or driving alone in a car. That is a real head scratcher.

[Random1]

Has there been any evidence that in asian countries like China or Japan have a lower rate of spread because of wearing masks, because it appears to more universally accepted

[Rando]

We in no way have only those two choices, that is the fear based political options.

You're right, but ultimately all solutions are going to be some balance between these two choices. I have mixed feelings about a "central level of control", it really depends on what you're talking about. Nate Silver has observed that the pandemic is actually a bunch of regional or local epidemics, all with their own features. What makes sense in one area won't in another, so to me governors and mayors need to be calling the shots for their own regions. Are there things the federal government could have done to make things work better - sure, especially in the area of messaging and possibly supplies, but I disagree with those calling for federal one size fits all solutions.

[artemis]

Or driving alone in a car. That is a real head scratcher.

I do that on occasion, and it's not a head-scratcher. I do it when I'm going from Location #1 (where I need to wear a mask) to Location #2 (where I need to wear a mask) and the drive is fairly short. It's just easier to just keep the mask on than to take it off and then re-don it.

[uptoolate]

I do that on occasion, and it's not a head-scratcher. I do it when I'm going from Location #1 (where I need to wear a mask) to Location #2 (where I need to wear a mask) and the drive is fairly short. It's just easier to just keep the mask on than to take it off and then re-don it.

Yes definitely true and if you are someone who wears glasses, the removal of one's mask is fraught with danger for the glasses as the around the ear loop masks tend to get under the arms of the glasses and fling them off if the mask is removed without care. Sometimes easier to just suffer the mask.

Also although I try to get my mask off asap when outside and alone, I can understand people who wear them in such circumstances as it seems that some of the people who do not wear masks also feel the need to get into other's space and one never knows when they are going to encounter such a person. Last week I was at my 85-year-old mother's home cutting the grass and doing a few things around her house. My sister and her beau arrived and he got out of the car and gave my mother a hug in the driveway (they hadn't been there in a month and were just on their way to the nearby airport). Neither had masks on and I'm sure my mother was taken by surprise and too polite to escape. She has essentially quarantined since March. She is a lifelong asthmatic with significant COPD. He had returned from Florida in May and was just heading out to British Colombia. There may be no cure for stupid but one should make every effort not to inflict it on others.

[Jaqen Haghar MD]

https://jamanetwork.com/journals/jam...rticle/2768916

We don’t know what the long term health outcomes of this will be. 78% of covid+ patients had cardiac inflammation on MRI irrespective of severity of illness. Asymptomatic young patients have also had cardiac inflammation. A massive increase of cardiac arrhythmias in the future will also the security and future of younger generations.

It’s also not about avoiding every single case. It’s about avoiding the cases that could be easily avoided with masks and by closing very high risk business and events, such as bars, in order to protect other lower risk businesses from having to shut down when we get completely overwhelmed. Partial public health measures now will help the long term economy.

What percentage of regular coronavirus and other common respiratory viruses get some cardiac inflammation? We don’t really know. We didn’t MRI them. What percentage of mild viral myocarditis go on to have lifelong problems with arrhythmias? I actually don’t know. So thus far, predictions that there will be massive numbers of arrhythmias from Covid seem to be premature.

When you live in areas that are very hard hit from Covid and look around, what do you see? Massive death tolls? Overwhelmed health systems? This is what you see in the media. In reality you see empty hospitals, and a large number of people with cold symptoms getting better. You also see mile-long lines for the food bank, social unrest, increased crime, and increased economic desperation that will now go one for a long time.

We should not have followed the Asian or European lockdown models for dealing with this. We should have created an aggressive, novel, organized WW2 style effort to deal with this from the very beginning. With an emphasis on protecting vulnerable populations, and keeping low risk groups active and productive.

[Lordosis]

I do that on occasion, and it's not a head-scratcher. I do it when I'm going from Location #1 (where I need to wear a mask) to Location #2 (where I need to wear a mask) and the drive is fairly short. It's just easier to just keep the mask on than to take it off and then re-don it.

I guess. I look for any opportunity to take it off. Even if brief.