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  • Originally posted by StarTrekDoc View Post
    This doesn't appear to have household spread ongoing which is important to see as dead-end infections from a point of contact. ie R0 is doing relatively okay at this time. Hopefully Omicron doesn't change that. College students all return this week in full force so holding our collective breath..
    Wouldn't it be better for society as a whole if Omicron was much more infectious but much more milder and it ran through our population quickly? It seems like that's about our only hope to end this as it's becoming clear that vaccines, mask mandates, travel bans, etc. aren't going to do it.

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    • Originally posted by jacoavlu View Post
      how long until unboosted are lumped with unvaccinated? i would guess we’re getting close
      and it has begun

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      • Originally posted by CordMcNally View Post

        Wouldn't it be better for society as a whole if Omicron was much more infectious but much more milder and it ran through our population quickly? It seems like that's about our only hope to end this as it's becoming clear that vaccines, mask mandates, travel bans, etc. aren't going to do it.
        Absolutely would be awesome to have it mutate to equal our current daycare snot coronavirus.

        Sooner the better.

        Trying not to off another couple hundred thousand Americans would be nice while we're waiting for nature to work her magic.

        ​​​​

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        • Recently crossed 800k confirmed deaths in the US. The real number is likely higher, but still quite a morbid statistic. & still only 60% of American adults fully vax with 2 dose...

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          • Originally posted by StarTrekDoc View Post

            Absolutely would be awesome to have it mutate to equal our current daycare snot coronavirus.

            Sooner the better.

            Trying not to off another couple hundred thousand Americans would be nice while we're waiting for nature to work her magic.

            ​​​​

            To get an early sense of what the heavily mutated Omicron variant has in store for the United States, look no further than Cornell University in Ithaca, N.Y.

            An explosion of likely Omicron cases at Cornell shows what's next for the U.S.

            One week, 10 times more spread. I don't think we have an appreciation of how quickly it will spread. At the same time, the wishes for less severe illness looks like your wish is coming true. We will know by New Years Eve. Happy New Years, just in case.



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            • Originally posted by xraygoggles View Post
              Recently crossed 800k confirmed deaths in the US. The real number is likely higher, but still quite a morbid statistic. & still only 60% of American adults fully vax with 2 dose...
              It has certainly taken many lives but I don't think we really know how many. I know for a fact that one of the hospital systems we cover is calling a death due to Covid if they test positive for Covid at death, even if the death was entirely unrelated, for example MVA. As I understand it there are financial incentives for the hospital if you call it a Covid death. If true, this incentive is making the data murky.

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              • I got my Covid booster a couple days ago and it has been miserable. Shaking chills the first night. Prominent muscle pain that is persisting. Even my eyeballs hurt for awhile. Any theory as to why some people get these side affects and others don't have any? I got my initial Pfizer shot around a year ago, I thought my immune response would be minimal at this point. This is how I reacted after the second dose a year ago but not the first. I presume I still have fairly strong immunity to the virus after a year or my side effects would be less severe.

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                • Originally posted by K82 View Post

                  It has certainly taken many lives but I don't think we really know how many. I know for a fact that one of the hospital systems we cover is calling a death due to Covid if they test positive for Covid at death, even if the death was entirely unrelated, for example MVA. As I understand it there are financial incentives for the hospital if you call it a Covid death. If true, this incentive is making the data murky.
                  There are no financial incentives for coding Covid. You must be trolling or have no idea what you are talking about. I’m signing these death certificates. I don’t get no bonus nor does the hospital. Good god just stop. Globally we are grossly under reporting deaths from this.

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                  • Originally posted by Bellescamp View Post

                    There are no financial incentives for coding Covid. You must be trolling or have no idea what you are talking about. I’m signing these death certificates. I don’t get no bonus nor does the hospital. Good god just stop. Globally we are grossly under reporting deaths from this.
                    There certainly are financial incentives for coding Covid, here is a reference to that in USA Today:



                    That article doesn't address coding deaths as related to Covid but there is additional Medicare reimbursement for Covid. If there is no financial incentive, why would a hospital system code a death as Covid when it was not the primary cause of the death?

                    Anyway, sorry to offend you, certainly not intended. I didn't think it was a controversial post. There have been a ton of patients that have sadly died as a result of this miserable disease. As to how many, I don't think we will ever really know. Does it really make any difference if its 800K, 1 million or 500K? It's too many.
                    Last edited by K82; 12-17-2021, 11:02 AM.

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                    • Originally posted by K82 View Post

                      Certainly not trolling. I apologize if I offended in any way. I had heard that there were increased federal funds related to Covid positive related deaths but I don't know that for sure, as I stated in my post. If there is no financial incentive to label them Covid deaths, than why would any facility code a death unrelated to Covid as a Covid death? This I know has been occurring.
                      Say “I’ve never filled out a death certificate” without saying “I’ve never filled out a death certificate.”

                      This preposterous line of thought was touted by Covid deniers basically since the beginning of the pandemic, and as the excess death numbers will easily show, we actually probably underestimated the number of covid deaths.

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                      • Originally posted by StarTrekDoc View Post
                        So back to medical: It's now three weeks since holiday and we have seen only a small blip upwards covid in the county. Typically 300-500 per day over the preceeding months and now off the 1 week post peak for 800-1000 to 500-700 range.

                        This doesn't appear to have household spread ongoing which is important to see as dead-end infections from a point of contact. ie R0 is doing relatively okay at this time. Hopefully Omicron doesn't change that. College students all return this week in full force so holding our collective breath..
                        I don’t usually post in this thread, but this thought, only two days ago, looks ironic from here. We are on the threshold of the largest wave we have yet seen in this country. Omicron will soon be everywhere. NYC is the bellwether for massive spread as it was in the initial outbreak. We are seeing tremendous increases in cases, positive tests. Exponential spread with something this contagious is going to be FAST. The only question now is that of severity.
                        My Youtube channel: https://www.youtube.com/channel/UCFF...MwBiAAKd5N8qPg

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                        • Originally posted by Antares View Post

                          I don’t usually post in this thread, but this thought, only two days ago, looks ironic from here. We are on the threshold of the largest wave we have yet seen in this country. Omicron will soon be everywhere. NYC is the bellwether for massive spread as it was in the initial outbreak. We are seeing tremendous increases in cases, positive tests. Exponential spread with something this contagious is going to be FAST. The only question now is that of severity.
                          And both the mRNA vaccines are only 1/3 or less effective with neutralizing antibodies against Omicron with the 2 dose schedule. And you really need the 3rd dose to get the immunity.

                          Yet I see less than 1/3 of my eligible patients and staff get the booster shot. Something tells me that this is not going to end well. And I have a former worker who refused to take any vaccine now in a small hospital ICU with COVID pneumonia. The two larger health systems refused to give her monoclonal Ab because, according to her hubby, she had pneumonia. And yet, while calling him to express our wishes for a recovery he was nattering on and on about how people who took vaccines will have heart issues in 5 years.

                          Talk about total denial and obliviousness to the immediate danger on hand.

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                          • Originally posted by Antares View Post

                            I don’t usually post in this thread, but this thought, only two days ago, looks ironic from here. We are on the threshold of the largest wave we have yet seen in this country. Omicron will soon be everywhere. NYC is the bellwether for massive spread as it was in the initial outbreak. We are seeing tremendous increases in cases, positive tests. Exponential spread with something this contagious is going to be FAST. The only question now is that of severity.
                            The good news is that South African deaths and hospitalizations are incredibly low compared to their other waves so we'll see. One would have thought we would already be seeing large increases there at this point if it was going to get a lot worse with respect to those outcomes.

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                            • Originally posted by K82 View Post

                              There certainly are financial incentives for coding Covid, here is a reference to that in USA Today:



                              That article doesn't address coding deaths as related to Covid but there is additional Medicare reimbursement for Covid. If there is no financial incentive, why would a hospital system code a death as Covid when it was not the primary cause of the death?

                              Anyway, sorry to offend you, certainly not intended. I didn't think it was a controversial post. There have been a ton of patients that have sadly died as a result of this miserable disease. As to how many, I don't think we will ever really know. Does it really make any difference if its 800K, 1 million or 500K? It's too many.
                              The hospital death certificates are the flash reporting system to CDC. There is a check and balance. Each county coroner reviews and makes the official determination.
                              Yes, originally there was some documented what I call confusion. Did the motorcycle accident victim have Covid. Yes. Data accuracy is always subject to error. I am pretty certain some “natural causes” were accelerated by Covid and unreported and not tested. Imperfect data, use what we have. Any individual has zero incentive to falsify data.
                              Ridiculous to claim financial incentives.
                              Physicians, hospitals, states and CDC have only made changes intended to improve consistency and accuracy.
                              Data from South Africa? We are speculating on their process. I accept it as best available. Zero evidence of manipulating data with one political exception.

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                              • Originally posted by MaxPower View Post

                                Say “I’ve never filled out a death certificate” without saying “I’ve never filled out a death certificate.”

                                This preposterous line of thought was touted by Covid deniers basically since the beginning of the pandemic, and as the excess death numbers will easily show, we actually probably underestimated the number of covid deaths.
                                You are absolutely correct, I don't fill out death certificates in my specialty of practice. I am in leadership roles at one of the facilities my group covers. I know what I have been told regarding this issue from administration. How widespread this practice is I have no idea.

                                I am certainly not a Covid denier, I see the havoc its causing in my practice daily. I am saying that the Covid death data is inaccurate. I am not suggesting that physicians are falsifying data for personal financial gain, I think the data is getting muddled further up the chain. My assumption that there must be money involved somewhere is only a logical guess, that part I don't have direct knowledge of.

                                Again, I'm sorry to have touched off a firestorm, not my intent. I honestly didn't think that post would be controversial, I assumed more of you would be aware of this.

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