COVID-19: Chapter 5 - BACK TO SCHOOL

IME, medical futility was never used on someone coming in undifferentiated. It was used on people who we knew were going to die no matter what, which you obviously wouldn’t be able to tell in the field.

Never had a covid patient code and be discharged from the hospital either. There’s lots of things I feel guilty about from my experiences with covid, that isn’t one of them. That was a straight up staff safety issue.

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I’ve had a couple code and eventually walk away. We even had one put DNR by the ethics committee over the objection of family after coding twice make it to an LTAC. Weird shit happens occasionally, but the occasional miracle doesn’t make forcing these patients to be dnr wrong.

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Nothing to add other than you and CN are two of my favorite posters here and we’re lucky to have you

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Great. Now I have a million dollars. Adios.

https://twitter.com/FriedsonAndrew/status/1302591878957862912?s=19

So what happens if they don’t press the button? Was the dude just going to pick it up and give it to someone else anyway? They just keep the button until pressed?

Karma for Djoko and his tourney/party this summer that spread the virus:

https://twitter.com/benrothenberg/status/1302705449188417541?s=21

Hate to see it

I believe they got to keep it for a week. Not sure what happens if you don’t press it, but I think it was assumed that you wouldn’t be affected when the next person pressed the button.

From Steven Millman:

September 6th COVID Fact Check – Is it the case that the Sturgis rally was not a super spreader event like we were all worried about because there have been only ~300 cases traced to the rally?

FALSE: The Sturgis rally has created a massive increase in infections, but due to the high mobility of the rally goers and limited contract tracing, it may never be clear just how large the impact has really been.

It’s important to understand when thinking about this claim that the numbers being reported are contact traced and confirmed cases and that VERY FEW cases are being traced. The true number is much, MUCH larger but can only be inferred from available data. In order to understand how much larger the impact has been JUST in South Dakota, consider the following data.

On August 16th, the last day of the Sturgis rally, there were 10,274 TOTAL confirmed cases of COVID-19 in South Dakota since the pandemic began six months ago. In just the last three weeks, there have been an additional 4,835 cases - an increase of about 47%. For the two months prior to Sturgis, South Dakota was averaging about 50 new cases per day. Since the rally, South Dakota has averaged about 230 per day – a 460% increase.

For more perspective, if the rally had not occurred and the rate of new cases remained stable, the number of confirmed cases in South Dakota would likely be about 11,325 instead of today’s actual count of 15,109. The excess confirmed cases one might reasonably attribute to the Sturgis rally in South Dakota is therefore about 3,785 SO FAR.

Lest one conclude that this is a function of increased testing and not spread, while the level of testing has increased slightly it has been well below the rate of increase in new confirmed cases. In the three weeks prior to the rally there were 21,484 tests given in South Dakota compared to 25,133 in the three weeks after. That’s a 17% increase in testing compared to a 246% increase in confirmed cases in that same time period. We also see this play out as expected in the case positivity rates (confirmed cases as a percent of tests performed) which is a commonly used metric for understanding community spread. At the time of the rally, the case positivity rate was about 9%, which is still fairly high compared to the desired rate of less than 5%. Over the last week, case positivity in South Dakota has hovered around a very dangerous 22%.

Taken together, these data paint a rather incontrovertible picture that the Sturgis rally was indeed a super-spreader event in South Dakota, and suggest that the rally-goers further spread the virus to many other locations across the US, in particular in nearby states such as North Dakota, Montana, and Iowa as you can see in the attached graphic.

Be safe, wear a mask, and don’t attend events with 400,000 people and no social distancing. Hard to believe that last part merits a reminder.

Data are drawn from Johns Hopkins University’s COVID tracking project and Worldometer. As always, don’t forget I’m not a medical professional or epidemiologist. I’m a professional statistician with too much on my mind.

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In Los Angeles you would call the police and they would shut it down. Not sure what to do if you’re in a place where that’s allowed, except maybe move.

Place near me just lost their liquor license for doing that.

The implication is the ‘person you don’t know’ is the previous possessor of the button.

I’d be shocked if Serling didn’t write that. No one in TV history covered morals better than him.

Yeah, I think it’s time to set aside concerns about calling on people with guns to solve problems that don’t need guns. They won’t use them at an establishment like that. If there are state or city mandates against gatherings like that, call the non-emergency line and report them so they get stripped of their liquor license.

If he’s just going to pick up the magic button and give to someone you don’t even know either way, then I think it actually makes doing the right thing even tougher.

Yeah, that’s what I’m wondering about. Button keeps getting passed from person to person whether they push it or not, right?

Here’s the wiki

It wasn’t as old as I thought.

Also, link is messed to. Copy and paste it.

I’ve seen every episode of The Twilight Zone probably dozens of times, but I don’t remember this one so I can’t give further color. I know the plot is intended to say ‘you’re next’. The person might have been told they have it for a week, but no one’s ever made it the full week. Serling was really dark on the future of humanity and tried to use these as parables to try to make people stop being awful.

Edit @Fatboy8: This was from the 1980s version of The Twilight Zone, which is why I didn’t remember it. It wasn’t written by Serling, so consider me shocked. It was inspired by a short story by Richard Matheson, who wrote 14 episodes of the original The Twilight Zone and had a couple of other short stories adapted into episodes.

That didn’t link the way you thought it did, but it’s somehow appropriate.

Thanks. I really like The Twilight Zone, but I’ve only seen a few episodes. I’ll try to watch this one when I have a chance.