Recruiting Forum Football Talk II

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#125,432
#125,432
He wasn't terrible for a true freshman. Injured last year.

Who knows. But we have a filled up QB room. I'd imagine he has better options elsewhere.
 
#125,435
#125,435
SLICKYINC said:
NYC had over 700 deaths daily before CV-19, seems like they just attribute those to CV-19 now..
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Yeah, my wife and I have been talking about what the numbers of deaths by cause were before Covid-19 vs. what those number of deaths were during the run up. I honestly think that the numbers are being inflated.

I think there are hot spots and things should be different for those areas but the rest of the country needs to get back after it before we further damage our economy but we also need to be wary of areas of growth in cases and new forming hot spots.
 
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#125,436
#125,436
I’ve said it before, but I think the driving factor on how a city/town opens up should be based on total population and population density. This shouldn’t be a national or state level approach, because the dynamics of the rate of spread are vastly different in a big city vs your normal town.

I think this has been proven with where you are seeing the outbreak hotspots and which places are reaching operating capacity at hospitals. In the US (outside of New Orleans) there hasn’t been a smaller city reach any sort of healthcare system overload or severe outbreak. I think this says the majority of cities/towns can open back up with a limit on large gatherings.
 
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#125,438
#125,438
cHiZzLeVOL said:
The last part I suppose is the biggest thing. Can you be reinfected. It’ll be interesting to see that study. You would hope with such a slowly mutating virus that you wouldn’t have to worry about reinfection.
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I'm afraid that is a question for which there is not yet a known answer
 
#125,440
#125,440
itsme said:
Yeah, my wife and I have been talking about what the numbers of deaths by cause were before Covid-19 vs. what those number of deaths were during the run up. I honestly think that the numbers are being inflated.

I think there are hot spots and things should be different for those areas but the rest of the country needs to get back after it before we further damage our economy but we also need to be wary of areas of growth in cases and new forming hot spots.
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Another way to spin it is that coronavirus is saving lives
 
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#125,443
#125,443
Kristy* said:
What about this one? SECDEF: Majority of Roosevelt sailors with COVID-19 are asymptomatic

“What we’ve found of the 600 or so that have been infected, what’s disconcerting is a majority of those, 350 plus, are asymptomatic,” Esper said in an interview with the “Today Show” on Thursday. “So it has revealed a new dynamic of this virus that it can be carried by normal, healthy people who have no idea whatsoever that they are carrying it.”

More than half tested are asymptomatic.
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That's the frustrating reality of this, and is why I've been wearing an N95 mask and eye protection for my entire shift for the last few months. It is an alternate reality where nothing works and nothing makes any clinical sense. We've had patients present complaining only of worsening depression requesting psychiatric evaluation, only to crash and get intubated due to what turns out to be COVID a few hours later. A patient with a couple weeks of worsening cough/fever/shortness of breath - and family members living in the same household who tested positive for COVID - who had bilateral multifocal pneumonias, all the right serum lab abnormalities and died after testing negative multiple times as a COVID-negative death.
It turns everything you ever learned about hypoxia and ventilator management on its head. People with oxygen saturations of <80% can be chatting on cellphones. I think that the decreased ventilator usage in NY is at least in part due to behavior change by physicians, as the initial forecasts were likely based on an "early intubation" strategy with a trigger based on oxygen saturation and oxygen requirement. That has significantly changed in the last few weeks, and more people are being given high-flow nasal cannula oxygen or CPAP/BIPAP with a more permissive view of hypoxia and a focus on avoiding excessive fluids or high CPAP pressures. HFNC and CPAP were initially avoided due to increased risk of aerosolization, but that risk can be mitigated by staying in full PPE all the time, and some people can avoid intubation/mechanical ventilation using this strategy.
The nasal swabs are universally awful in terms of false negatives - the Chinese have published data that show ~65% sensitivity (positive test if disease is present) for nasopharyngeal swabs compared to CT and clinical diagnosis. That has been my experience. The tests themselves are great if virus is present at a certain threshold level in the sample - that's how they're validated, and they have to have >95% sensitivity (most are higher than this). The problem is that you have to get a threshold level of virus on the swab to come up with a positive result. You can sample perfectly and still come up with nothing, even in someone critically ill with COVID. It's unclear why this is the case.
I had high hopes for widespread antibody testing to clear things up, (and am personally curious about my status) but thus far, the test characteristics here seem underwhelming as well. Hopefully, a reliable, reproducible test will eventually emerge, but as of now, this is looking more like another confusing mess that doesn't move us forward much, if at all.
We've been locked down here in CA since mid-March. Our rate of growth has significantly decreased, but we're still seeing positives frequently. I have to assume that's due to continued asymptomatic spread, as people have become hypervigilant about avoiding anyone who looks like they could even harbor a thought about being sick. Now the South Koreans are talking about reinfections/reactivation in previously recovered patients. Sigh.
TL;DR version. Squirrely virus is VERY squirrely. We are still feeling our way toward optimal management strategies and have only reasonable theories of underlying pathophysiology of both more severe disease and reasons behind testing challenges. Humbling. Frustrating.
 
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#125,444
#125,444
nicksjuzunk said:
Nicksjuzunk has been marked “casualty” by New York State in the 2020 Covid-19 pandemic

View attachment 271947
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On that note, RIP Brian Dennehy. Shame a two time Tony winner has Tommy Boy as the first reference.

Edit: Natural causes...not Covid per family.
 
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#125,449
#125,449
sutro said:
That's the frustrating reality of this, and is why I've been wearing an N95 mask and eye protection for my entire shift for the last few months. It is an alternate reality where nothing works and nothing makes any clinical sense. We've had patients present complaining only of worsening depression requesting psychiatric evaluation, only to crash and get intubated due to what turns out to be COVID a few hours later. A patient with a couple weeks of worsening cough/fever/shortness of breath - and family members living in the same household who tested positive for COVID - who had bilateral multifocal pneumonias, all the right serum lab abnormalities and died after testing negative multiple times as a COVID-negative death.
It turns everything you ever learned about hypoxia and ventilator management on its head. People with oxygen saturations of <80% can be chatting on cellphones. I think that the decreased ventilator usage in NY is at least in part due to behavior change by physicians, as the initial forecasts were likely based on an "early intubation" strategy with a trigger based on oxygen saturation and oxygen requirement. That has significantly changed in the last few weeks, and more people are being given high-flow nasal cannula oxygen or CPAP/BIPAP with a more permissive view of hypoxia and a focus on avoiding excessive fluids or high CPAP pressures. HFNC and CPAP were initially avoided due to increased risk of aerosolization, but that risk can be mitigated by staying in full PPE all the time, and some people can avoid intubation/mechanical ventilation using this strategy.
The nasal swabs are universally awful in terms of false negatives - the Chinese have published data that show ~65% sensitivity (positive test if disease is present) for nasopharyngeal swabs compared to CT and clinical diagnosis. That has been my experience. The tests themselves are great if virus is present at a certain threshold level in the sample - that's how they're validated, and they have to have >95% sensitivity (most are higher than this). The problem is that you have to get a threshold level of virus on the swab to come up with a positive result. You can sample perfectly and still come up with nothing, even in someone critically ill with COVID. It's unclear why this is the case.
I had high hopes for widespread antibody testing to clear things up, (and am personally curious about my status) but thus far, the test characteristics here seem underwhelming as well. Hopefully, a reliable, reproducible test will eventually emerge, but as of now, this is looking more like another confusing mess that doesn't move us forward much, if at all.
We've been locked down here in CA since mid-March. Our rate of growth has significantly decreased, but we're still seeing positives frequently. I have to assume that's due to continued asymptomatic spread, as people have become hypervigilant about avoiding anyone who looks like they could even harbor a thought about being sick. Now the South Koreans are talking about reinfections/reactivation in previously recovered patients. Sigh.
TL;DR version. Squirrely virus is VERY squirrely. We are still feeling our way toward optimal management strategies and have only reasonable theories of underlying pathophysiology of both more severe disease and reasons behind testing challenges. Humbling. Frustrating.
Click to expand...
You bring up something it has been on my mind over the last 35 years. A family member was in a condition where he was put on long-term intubated ventilator therapy.it seemed to me while it was going on that the lungs were being inflated far more than one does in a normal resting breathing cycle.( Has cause me nightmares ever since) To make a very long story short he essentially died from having burst blood vessels in his lungs. In my opinion, ventilator therapy is far from being an exact science.
 
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