COVID-19: Chapter 4 - OPEN FOR BUSINESS

I had a doctor tell me to take Vitamin D supplements a while back.

Omg. Talking to my sis-in-law who is HR at the memory care place. 30/90 dead. -
Another 30 positive as of last testing about a week and a half ago

State just started counting them April 15 so several of their deaths not counted.

If she gets sick w covid she has to take PTO.

They finally got reasonable PPE supply late April along with access to some level of testing. Staff only if they can get sick. Because she has been involved w patient care due to short staffing, she can get one from one of the free testing centers.

This is Ohio.

They are seeing the pulse ox thing. They just got one to try and triage who is likely having a big problem. People with really low sats are acting normal then dying the next day.

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https://twitter.com/mattyglesias/status/1259607681733734401?s=21

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Will be watching 60 mins tomorrow. Is the project canceled because they partner w lab in China and we are BLAME CHINER!!! ?

So remember when conservatives wanted people on welfare to get tested for drugs to receive assistance?

Well, the derps seem really upset that Merced county might require covid testing to receive assistance. I have no idea if this is real, but itā€™s circulating in the derposphere:

In before some hedge fund owns every bottle of Vitamin D for sale on the internet.

So do we have to pretend to be sad if Pence dies?

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Is it really surprising most people have no idea how the American healthcare system works? If they did, they would beyond themselves.

Instead they buy into ridiculous conspiracies like this one which are trivially easy to debunk. It is sad and unfortunate. Our collective ignorance keeps all of hostage to those calling the shots and the people who are the most ignorant are the ones who are most adamant they are informed.

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Donā€™t be ridiculous. No way.

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I just found out about this yesterday but conspiracy unite!

That is a bat on the back of a 2020 US Quarter? Is it real? I donā€™t care. It is amazing either way.

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What? No. Of course not.

Iā€™m sure we could build a mass isolation room, but nurses in hospitals that donā€™t suck typically only take 2 critical care patients per shift. So there would be a lot of people coming into a 20 person negative pressure chamber. BTW, we have been doing all our procedures in bulk since the started. If we are intubating we set up for an arterial and central line at the same time so the docs only go in once. Nurses do all their care in one shot, and I usually go in with them so we only open the door once.

Awake patients very often refuse to stay proned for any length of time. They have to be sedated, often to the point where we have to protect their airway by intubating them. Still people who tolerate it seem to have good outcomes based on what Iā€™ve been reading

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Before Washington locked down I made a post super happy that a rush hour ferry was virtually empty. Today, while we are still locked down on a Sunday evening the ferry is jam packed. I quit. We deserve all the bad things coming.

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We are going to learn the precise amount of time it takes from mass exposure to mass deaths. We have isolated Motherā€™s Day as an event. It should show up in weeks plus so we can really have a good time line of how stupid the totality of the US is.

I have gotten many reports of restaurants being flooded. I had two next door neighbors throwing parties yesterday, one today.

I donā€™t know what the number of days between exposure and death are, but check back in six weeks and see if we do not have some really strong data.

2.2 We suggest that adults aged 19ā€“50 yr require at least 600 IU/d of vitamin D to maximize bone health and muscle function. It is unknown whether 600 IU/d is enough to provide all the potential nonskeletal health benefits associated with vitamin D. However, to raise the blood level of 25(OH)D consistently above 30 ng/ml may require at least 1500ā€“2000 IU/d of vitamin D

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How high are you going on the high flow nasal canula patients? Iā€™ve heard of some people saying that their institutions wonā€™t go higher than 25 L because they are worried about aerosolization. But others seem to YOLO it up and will go up to like 60.

I wouldnā€™t be sad if he was fucking assassinated.

I will skip down the streets if he dies from COVID after downplaying its significance and causing untold harm through his influence.

All of our rooms are negative pressure to some extent. The ones designed for it were made to treat Ebola measles and TB. They far exceed cdc (lol cdc still having credibility) recommendations for those diseases. We will take patients up to 60L in those rooms. In our regular rooms that were converted to negative pressure for this we arenā€™t allowed to go above 30L. We still wonā€™t use BiPAP except as a last ditch effort to prevent re-intubating a patient.

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I take 5000 IU a day and n=1, but I have found it successful in turning back colds and flu on multiple occasions. I donā€™t know how long it takes to raise blood levels, but I donā€™t think 5-14 days indoors would crash your level. Donā€™t come@me but i think there is a strong correlation between lower vitamin D levels in winter and flu.

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Yes itā€™s real, they make 5 different ones a year in that series and that was the first one this year. Quite the timing.