COVID-19 (2): Turns out it's going to be pretty bad actually

I still don’t believe Trump has a friend.

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Here is a pretty good overview of the Apple/Google joint tracing project for Covid 19.

https://techcrunch.com/2020/04/10/apple-and-google-are-launching-a-joint-covid-19-tracing-tool/

Calling shenanigans on Trump having a friend.

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Old racist white pseudo rich guy in New York

This seems like the anti fan thing in Korea. I for one love fans and open windows.

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This seems to be a key to most semi realistic plans for getting things moving again. See the recent Vox article and Fridays Weeds podcast.

Listen to Fridays Weeds. Some plans assume 20M tests/day to monitor and trace.

+1, that sounds made up or maybe it’s a very regional thing.

Focus on the sax.

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This was a systematic effort by the administration to pursue charges against foreign-born researchers in order to intimidate some into leaving. It was effective, they got some guy at the University of Florida to go back to China. He went on to invent the test that costs like $10 and works in 4 hours. Thank goodness we don’t have him here!

Most of these cases in the past were handled with slaps on the wrist at the school level.

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This is flawed. There’s no way the fatality rate in NYC is .73%. Maybe it would be if everyone was getting proper treatment, but virtually nobody is. It’s probably going to be measured at 4-5% on cases to date and estimated based on unofficial cases would be lower - maybe 1.5 to 2%.

Too many people waiting for vents or dying at home. I have a feeling one conclusion is going to be that rationing healthcare so that everyone gets a little is worse than giving some people the best care possible and turning others away.

Like I’m making up numbers but if you normally have one doctor to 10 vents, get patients on a vent as soon as it’s needed, and monitor closely, maybe you save 8/10. But if it’s one doctor to 50 vents and people are waiting too long to be vented, maybe it’s 10/50. I have a feeling experts will eventually conclude that the optimal move is to have the docs handle the 10, make sure young/healthy people don’t wait, and let nurses or non-specialized doctors handle the other 40. Maybe you can save 8/10 and 4/40 that way or something.

It just seems like NYC is more focused on avoiding the panic induced by flat out denying care to people, and on avoiding the emotional trauma of knowing your loved one doesn’t/didn’t have a chance due to overrun hospitals.

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Update for the situation in the Netherlands, we are clearly over the peak. This is a graph with presumed and confirmed COVID-19 icu admissions. Ignore the green, as they are preliminary numbers.

We are still almost locked down and most (or all measures) will remain in place for the rest of the month. One of the key measures before the rules can be relaxed A little bit is the moment when total icu admissions is back under the 1000 and there is some regained sense of normalcy in the health care system.

Summary of the measures:

  • all schools are closed except for children with parents in essential professions who are not able to organize care between themselves
  • all gyms, restaurants, bars, museums, zoos, entertainment parks, etc are closed
  • contact professions (hairdressers, tattoo shops, sex workers, etc) are not allowed to service people
  • all public gatherings are banned. Some exceptions apply for religious services where a maximum of 30 people applies, and the distancing norm of 1.5m must be respected
  • everybody who can work from home must do so
  • ban on all public gatherings
  • social distancing norm of 1.5m must be respected everywhere between people who are not from the same household
  • everybody who has a symptom of a cold or a fever must self quarantine, except in health care, where this applies for people with a symptom of a cold AND a fever
  • if someone has a symptom of a cold AND a fever, their entire household must self quarantine
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I just went 6 weeks and 3 days with no meat, and cut it down to maybe 5% of my diet the week prior. In that 7.5 weeks or so, I’ve lost over 18 lbs, and feel healthier. Today I ate a ribeye and it was delicious. We have some leftovers, so I’ll eat more tomorrow or Tuesday and hit the weights hard, then resume a vegetarian diet.

I love, love, love meat. A good steak, anything Mexican, a breakfast burrito with chorizo… That said, I highly recommend going to ~6 days a week vegetarian. It’s so easy IMO, I expected to be jonesing and I wasn’t at all. 95% of the meat I ate before was ho hum. I don’t need the run of the mill chicken dishes, sandwiches, or mediocre takeout. Saving it for when it’s really good still lets me enjoy it, and I don’t miss it at all the rest of the time.

Edited to add: I’ve been dieting in various ways, trying to lose weight for around 18 years. I’ve done meal replacement bars/shakes, unhealthy calorie deficits, boringly repetetive meals, diet pills, prepared meals, skipping meals, six small meals, paleo, low carb, low fat, cleanses, crash diets, you name it. This is by far the easiest thing I’ve done. It’s the first time I genuinely believe it’ll be easy to continue and sustain something.

I’m 50-80 pounds from < 12% bodyfat. I’ll be shocked if I’m not there in under a year.

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What kind of stuff are you generally eating? I guess maybe @me in a health thread or something so this doesn’t become an aids derail.

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This weekend I heard two stories from family - one in rural NY and one in Las Vegas about healthcare workers being laid off by hospital systems due to lack of demand. The claim was hospitals in little-impacted areas like these are pretty much empty with no elective surgeries and lockdowns, so staff have to be furloughed.

This seems insane to me, and could be fake news, but I can tell it is driving a narrative in some places that lockdowns should be lifted in these areas since they just aren’t having the same kind of experience as places like NYC.

Anyone else hearing stuff like this? I tell them that empty hospitals are a good thing, but I’m sensing a shift in sensibilities.

It’s not fake at all. Hospital demand is way down - even in affected areas. Not everyone can work in the ICU and patients are putting everything else down. Some hospitals are probably going to want a bailout to stay open.

I have a family member who is an ER doc in Boston. Pay was recently cut 10-15% (presumably due to the loss of the profitable stuff).

People dying at home is a big number, but they are excluded from the death count that I used for the estimate. If Germany treats confirmed cases more effectively than the U.S., that would certainly make the estimate too high. On the other hand, if German infections have been sicker for a longer period of time, that would push in the other direction.

Also, the German data reported an IFR of 0.37%, not 0.73%.