Official OSA COVID-19/Corona Virus Thread

[chuter]

Something else to think about, more info to throw into the mess:
https://www.americanthinker.com/blo..._errors_being_classified_as_covid_deaths.html

An excerpt:

.....
With thousands of new ventilators arriving at hospitals, some made in China and others made in automobile factories, the odds of instrument failures from manufacturing issues and errors by poorly trained operators are greatly increased. Normally, the death rate for patients on ventilators is 40% to 50%. New York City hospitals are currently reporting an 80% death rate on ventilators. Can this difference be entirely attributable to the virus? That is highly doubtful. Having also investigated patient deaths while being treated on ventilators, I can attest that many are caused by instrument failure and operator error.

The normally high incidence of medical errors, many resulting in malpractice lawsuits, is exacerbated by the pandemic crisis. With the urgent requirement for additional medical equipment, doctors, nurses, and medical technicians, combined with the compressed time for adequate training, the number of errors should be significantly increasing. It will be interesting to see if this is reflected in the statistics or if it mysteriously declines like the rate of heart disease deaths this year.

Increased incentive to misdiagnose is provided by Medicare, which pays hospitals an additional $13,000 for each COVID-19 patient and an additional $39,000 per COVID-19 patient on a ventilator. Physicians are being officially coached in writing by HHS on how to fill out death certificates indicating the COVID virus as the cause of death with no physical evidence required.

 

[ZGXtreme]

Something else to think about, more info to throw into the mess:
https://www.americanthinker.com/blo..._errors_being_classified_as_covid_deaths.html

An excerpt:

There’s discussion among MD’s in the COVID thread on M4C regarding information that the vents may actually be doing more harm than good Not something I can chime in on as that’s about as outside of my lane as it gets but the concerns about it exist (regardless of vent manufacturer).

 

[tRidiot]

There’s discussion among MD’s in the COVID thread on M4C regarding information that the vents may actually be doing more harm than good Not something I can chime in on as that’s about as outside of my lane as it gets but the concerns about it exist (regardless of vent manufacturer).

Very true, we may have been treating this all wrong from the beginning, IF some of the theories going around now turn out to be right.

That isn't malpractice, or stupid or bad doctors, it's just an unknown disease and it takes time to develop treatments, or even understamd what exactly is happening.

 

[O4L]

There’s discussion among MD’s in the COVID thread on M4C regarding information that the vents may actually be doing more harm than good Not something I can chime in on as that’s about as outside of my lane as it gets but the concerns about it exist (regardless of vent manufacturer).

I've heard the same thing in a few places now.

 

[MacFromOK]

That isn't malpractice, or stupid or bad doctors, it's just an unknown disease and it takes time to develop treatments, or even understamd what exactly is happening.

Indeed. If symptom A responds favorably to treatment B for decades, who'da thunk it would suddenly be different now. :/

 

[tRidiot]

Indeed. If symptom A responds favorably to treatment B for decades, who'da thunk it would suddenly be different now. :/

I'll put it this way...

Pulmonology/Critical Care medicine is its own specialty. That's not a coincidence, it is an extremely difficult and complicated field. Of all the numerous Pulm/CC specialists I have worked with, every one of them was incredibly smart, almost all of them were a good bit 'weird', and most of them were actually pretty arrogant and/or jackasses. That's not to belittle them, but it takes a special type of doc to choose that specialty, and the training and everyday high-level care they give is so crazy, I think most of them forget that the rest of the docs in the hospital are not uber-specialists like they are. They're some of the most capable docs I've ever worked with, but there seems to be a tendency to really think other docs are morons because we're not on the same level they are - and maybe they're right, I don't know. It's like the difference between a theoretical physicist and the local high school chemistry teacher.

So when I hear some people on the street talking smack (and I do) about, "How hard can it be?" I really have to bite my tongue.

Let's get it straight... I'm no genius. I'm no expert. But I have a lot of experience in emergency fields. I spent 7 years as a field paramedic and I spent 8 years as an ER doc flying solo in busy rural ERs - where you still get plenty of bad shite (car wrecks, farming accidents, fireworks/explosives, gunshots/stabbings/various trauma, and tons and TONS of old people with competing/confounding problems like renal failure and CHF, heart attacks, COPD, pneumonia, sepsis, etc.,) but have limited staff, extremely limited equipment and have to cover the whole hospital at night including the ICU and labor & delivery because you're the only doc in the hospital. So emergencies and people crashing and burning doesn't really rattle me - I can handle most of that stuff, and honestly, when the s**t hits the fan, I actually do better than alot of people because I don't panic or freeze, I just do what needs to be done and then deal with the disbelief and mental trauma later - or not at all, lol. I taught American Heart Association Advanced Cardiac Life Support and Pediatric Advanced Life Support to hundreds (maybe thousands?) of other providers like Pediatric Cardiology fellows, Anesthesiologists and such at places like Duke University, University of North Carolina, East Carolina University School of Medicine, Wake Forest, etc. Also taught all the paramedics at Wake County EMS (Raleigh, NC), one of the best and most progressive prehospital systems in the entire country. So I'm pretty confident in my ability to handle emergencies.

And these Pulmonary/Critical Care docs make me look (and feel) like I'm fingerpainting and using blunted scissors.

Just sayin'. These guys and gals are good. I mean, they are GOOD. So when they're doing it wrong for this long, it's not a knock on them, it's a really, really incredibly tough scenario.

Maybe that provides a little bit of perspective for some folks who don't have a lot of experience in the field. Or maybe it came across as tooting my horn, which I really am not trying to do. I'm just saying, my hat is off to these folks on the front line, as I am certainly not (any more) and what they're doing is crazy hard. I can't imagine how hard it must be now to be starting to learn we may have been going about this the wrong way from the get-go and seeing how many people died because of it.

Damn, ok, I'll STFU now.

 

[TerryMiller]

Seen on FOX News website a while ago. An interview with Gov. Stitt as to why Oklahoma didn't have a stay-in-place declaration. Hopefully, this link will bring up the right video. Oklahoma is one of only 8 states or so without such an order.

Your thoughts, please.

Gov. Stitt On Oklahoma Not Having a Stay-in-Place order.

 

[tRidiot]

I think a lot of what he said makes sense in terms of we don't really NEED a shelter in place order here. As far as 'leading the nation' in antibody testing, I'm going to withhold judgement.

 

[JD8]

I know one doc in Tulsa who bought 2000 tests from China. He is getting results I absolutely would NOT trust my life on. One person whom has tested positive 3 times via nasal swab and using his blood tests has shown up both positive and negative and then their spouse (whom was also sick a week after them) whom has tested negative several times.

I have a feeling a LOT of these 'negative' tests we're getting aren't very accurate.

I'll put it this way...

Pulmonology/Critical Care medicine is its own specialty. That's not a coincidence, it is an extremely difficult and complicated field. Of all the numerous Pulm/CC specialists I have worked with, every one of them was incredibly smart, almost all of them were a good bit 'weird', and most of them were actually pretty arrogant and/or jackasses. That's not to belittle them, but it takes a special type of doc to choose that specialty, and the training and everyday high-level care they give is so crazy, I think most of them forget that the rest of the docs in the hospital are not uber-specialists like they are. They're some of the most capable docs I've ever worked with, but there seems to be a tendency to really think other docs are morons because we're not on the same level they are - and maybe they're right, I don't know. It's like the difference between a theoretical physicist and the local high school chemistry teacher.

So when I hear some people on the street talking smack (and I do) about, "How hard can it be?" I really have to bite my tongue.

Let's get it straight... I'm no genius. I'm no expert. But I have a lot of experience in emergency fields. I spent 7 years as a field paramedic and I spent 8 years as an ER doc flying solo in busy rural ERs - where you still get plenty of bad shite (car wrecks, farming accidents, fireworks/explosives, gunshots/stabbings/various trauma, and tons and TONS of old people with competing/confounding problems like renal failure and CHF, heart attacks, COPD, pneumonia, sepsis, etc.,) but have limited staff, extremely limited equipment and have to cover the whole hospital at night including the ICU and labor & delivery because you're the only doc in the hospital. So emergencies and people crashing and burning doesn't really rattle me - I can handle most of that stuff, and honestly, when the s**t hits the fan, I actually do better than alot of people because I don't panic or freeze, I just do what needs to be done and then deal with the disbelief and mental trauma later - or not at all, lol. I taught American Heart Association Advanced Cardiac Life Support and Pediatric Advanced Life Support to hundreds (maybe thousands?) of other providers like Pediatric Cardiology fellows, Anesthesiologists and such at places like Duke University, University of North Carolina, East Carolina University School of Medicine, Wake Forest, etc. Also taught all the paramedics at Wake County EMS (Raleigh, NC), one of the best and most progressive prehospital systems in the entire country. So I'm pretty confident in my ability to handle emergencies.

And these Pulmonary/Critical Care docs make me look (and feel) like I'm fingerpainting and using blunted scissors.

Just sayin'. These guys and gals are good. I mean, they are GOOD. So when they're doing it wrong for this long, it's not a knock on them, it's a really, really incredibly tough scenario.

Maybe that provides a little bit of perspective for some folks who don't have a lot of experience in the field. Or maybe it came across as tooting my horn, which I really am not trying to do. I'm just saying, my hat is off to these folks on the front line, as I am certainly not (any more) and what they're doing is crazy hard. I can't imagine how hard it must be now to be starting to learn we may have been going about this the wrong way from the get-go and seeing how many people died because of it.

Damn, ok, I'll STFU now.

I think this was posted in another thread, and it's going around the doc and nursing circles here. What do you think of this?

http://web.archive.org/web/20200405...ht-have-finally-found-its-secret-91182386efcb

 

[tRidiot]

I think this was posted in another thread, and it's going around the doc and nursing circles here. What do you think of this?

http://web.archive.org/web/20200405...ht-have-finally-found-its-secret-91182386efcb

Yes, that is what I was talking about. I think actually the positive results with hydroxychloroquine spurred them to look into why it was working and find out more about the actual mechanism of what is happening with this virus.

I can't verify the data in that article, but I can vouch that the science is sound, IF the data is correct. That's about as far as I'm willing to commit to it.