Coronavirus (No politics)

Just curious but....As of Monday, the number of cases in Italy was 31,506 with the number of deaths at 2,503. Unless there is something wrong with my calculator, that is a death rate of 7.944519 percent. Why such a high rate in Italy, more old folks??? :cool:
That's probably part of it. There could be a strong selection bias, as well, if only the moderate- to severely-ill are getting tested.
 
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Update: I went to the Dr today and once I passed all the nonconrona tests they came in and asked me if I wanted tested for Covid-19 which I said I did. Man they went almost full hazmat and made me leave out the back door afterwards. I had to walk all the way around the building. Ultimate walk of shame.
 
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Update: I went to the Dr today and once I passed all the nonconrona tests they came in and asked me if I wanted tested for Covid-19 which I said I did. Man they went almost full hazmat and made me leave out the back door afterwards. I had to walk all the way around the building. Ultimate walk of shame.

Hope you feel better. Just know you’re not the only one.
 
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I noticed that as well. I can’t find an accurate account of critical care cases at This point. I know we have zero at the medical center where I work. Last week I knew of three cases at UTMC but none in ICU.

COVID-19 – Update from our colleagues in Northern Italy - ESICM

10% in Northern italy.

"
Milan, 4 March 2020
Dear friends,
At this moment in time, we believe it is important to share our first impressions and what we have learned in the first ten days of the COVID-19 outbreak.
We have seen a very high number of ICU admissions, almost entirely due to severe hypoxic respiratory failure requiring mechanical ventilation.
The surge can be important during an outbreak and cluster containment has to be in place to slow down virus transmission.
We are seeing a high percentage of positive cases being admitted to our Intensive Care Units, in the range of 10% of all positive patients.
We wish to convey a strong message: Get ready!
We also want to share with you some key points from our experience:

  • Get ready now – with your ICU’s networks – to define your contingency plan in the event of an outbreak in your community
  • Don’t work “in silo”. Coordinate with your hospital management and other healthcare professionals to prepare your response
  • Make sure your hospital management and procurement office have a protocol in place about which personal protection equipment (PPE) to stock and re-stock
  • Make sure your staff is trained in donning and doffing procedures
  • Use education, training and simulation as much as possible
  • Identify early hospitals that can manage the initial surge in a safe way
  • Increase your total ICU capacity
  • Get ready to prepare ICU areas where to cohort COVID-19 + patients – in every hospital if necessary
  • Put in place a triage protocol to identify suspected cases, test them and direct them to the right cohort
  • Make sure you set clear goals for care with the patients and their families early on

With our best regards
Prof. Maurizio CecconiProf. Antonio PesentiProf. Giacomo GrasselliPresident elect, ESICMUniversity of MilanUniversity of MilanHumanitas University, Milan
"
 
Update: I went to the Dr today and once I passed all the nonconrona tests they came in and asked me if I wanted tested for Covid-19 which I said I did. Man they went almost full hazmat and made me leave out the back door afterwards. I had to walk all the way around the building. Ultimate walk of shame.
Hope and pray you feel better, and it's negative.
 
That's no longer the case. We sent 5 tests today, symptoms of fever and cough without other identifiable source. None had history of travel to high-risk areas or known exposure.

As the testing has just really become accessible to the masses this week, I would expect to see a huge ballooning (probably exponential) in the number of cases by week end.
These are kids getting tested?
 
Update: I went to the Dr today and once I passed all the nonconrona tests they came in and asked me if I wanted tested for Covid-19 which I said I did. Man they went almost full hazmat and made me leave out the back door afterwards. I had to walk all the way around the building. Ultimate walk of shame.
Yeah, that's now required of any healthcare personnel with direct patient contact and those performing specimen collection or "aerosol-generating procedures" from patients with symptoms of fever and cough/resp symptoms. It is scaring the heck out of our little kids!
 
Update: I went to the Dr today and once I passed all the nonconrona tests they came in and asked me if I wanted tested for Covid-19 which I said I did. Man they went almost full hazmat and made me leave out the back door afterwards. I had to walk all the way around the building. Ultimate walk of shame.
How are you feeling now? Same/worse? What day is it of your sickness?
 
In generalities only: I don't know of any area children hospitalized with suspected CV19.
Thank goodness. I got word that someone who was exposed to it went into Oak Ridge yesterday while showing symptoms and potentially exposing quite a few people. Careless people are going to cause a big outbreak in this area.
 
COVID-19 – Update from our colleagues in Northern Italy - ESICM

10% in Northern italy.

"
Milan, 4 March 2020
Dear friends,
At this moment in time, we believe it is important to share our first impressions and what we have learned in the first ten days of the COVID-19 outbreak.
We have seen a very high number of ICU admissions, almost entirely due to severe hypoxic respiratory failure requiring mechanical ventilation.
The surge can be important during an outbreak and cluster containment has to be in place to slow down virus transmission.
We are seeing a high percentage of positive cases being admitted to our Intensive Care Units, in the range of 10% of all positive patients.
We wish to convey a strong message: Get ready!
We also want to share with you some key points from our experience:

  • Get ready now – with your ICU’s networks – to define your contingency plan in the event of an outbreak in your community
  • Don’t work “in silo”. Coordinate with your hospital management and other healthcare professionals to prepare your response
  • Make sure your hospital management and procurement office have a protocol in place about which personal protection equipment (PPE) to stock and re-stock
  • Make sure your staff is trained in donning and doffing procedures
  • Use education, training and simulation as much as possible
  • Identify early hospitals that can manage the initial surge in a safe way
  • Increase your total ICU capacity
  • Get ready to prepare ICU areas where to cohort COVID-19 + patients – in every hospital if necessary
  • Put in place a triage protocol to identify suspected cases, test them and direct them to the right cohort
  • Make sure you set clear goals for care with the patients and their families early on

With our best regards
Prof. Maurizio CecconiProf. Antonio PesentiProf. Giacomo GrasselliPresident elect, ESICMUniversity of MilanUniversity of MilanHumanitas University, Milan
"
I should say ICU cases in the US. Italy was still hugging and kissing Chinese people well after the outbreak. Actually being so PC they caused it to kill more people
 
Nationalized healthcare

They have more ICU beds and ventilators per patient than the US. Don’t kid yourself that our system is somehow better prepared for this than they are. By available resources we are lagging. We did get a few more weeks to hopefully mitigate some of our shortcomings.


Having said that, I have read Northern Italy does have a higher population of 50+ year olds. Plus, smoking is still very much a cultural norm. Considering it’s a respiratory infection, that is not a good mix.
 
I should say ICU cases in the US. Italy was still hugging and kissing Chinese people well after the outbreak. Actually being so PC they caused it to kill more people

I didn't realize you meant US cases. I don't know of any good information out there at this time given the low sample size of confirmed cases.

What data do you base Italy's PC policies on as a factor for their outbreak? I don't remember the process myself but this article claims that the US closed borders after Italy...

Italy Banned Flights From China Before America - It Didn’t Work
 
My wife is a nurse in an elective surgery unit. Today a woman came in for an unnecessary procedure, lied about all of her recent medical history, had a high fever, bad cough for over a week, etc. You could say she checked a lot of boxes. She wasn’t my wife’s patient, but at one point was in the same room when the woman coughed, as well as being within 6 ft multiple times. So they are now waiting for the results of her test to see if she has the Virus. If she does have the virus it is likely that my wife will be placed in a in home 14 day quarantine, along with everyone else exposed to this selfish beeyotch, who knowingly did this. You could say that everyone is beyond pissed about this.
 
Yeah, that's now required of any healthcare personnel with direct patient contact and those performing specimen collection or "aerosol-generating procedures" from patients with symptoms of fever and cough/resp symptoms. It is scaring the heck out of our little kids!

Can the kiddos favorite little stuffed comfort toy be disinfected and bagged, so it’s now in “protective gear” as well?
 
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