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Boatswain2PA

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Boatswain2PA last won the day on September 6

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  1. https://www.foxnews.com/health/coronavirus-mask-use-younger-generations-cdc Mask use is increasing, but still lags in one demographic. Darn boomers....oh, wait.... This is good news. In my area I would say mask use is much lower than this.
  2. But facts dont trump the intense feelings and emotions todays leftists have. Folks like [2 other posters] think they are liberals, because they have been told they are liberal by their professors and the media they consume. But they are not liberals at all. They are intolerant, ILliberal leftists. They cannot stand people who think differently than they do. You and I are far more liberal, in the classical sense, than today's leftists who use the term liberal.
  3. I dont think so. I think it is the natural course of the disease. I see the same thing in the ED with people presenting mild/moderately I'll, send them home and they get better, then decompensate a week or so later.
  4. Which is why I have said it's going to magically get better between Nov 3rd and Jan 20th. The disease itself wont. But the national hysteria will drop because the media will stop/change their reporting on it.
  5. Defending a populations right to revolt, or in this case his defense of freedom, is not the same as justifying the actions of the small group of nutcases who planned on kidnapping the governor. One can understand, and agree with, the reason behind their grievances without agreeing that it is time to start kidnapping elected officials. Just like one can agree that policing in America is out of control and needs drastic changes (starting with changing qualified immunity, demilitarization, etc) without agreeing that burning down neighborhoods is a good idea. My question ("Is there any amount of freedom you would not surrender to achieve safety?") wasnt about moving goalposts, but rather about identifying a major difference in ideology between the right and the left. The right chooses freedom over safety, while the left chooses safety over freedom. This generalization applies to our covid response, derivs the nationalization of our healthcare, gun control debate, social security, etc. If they weren't idjits they wouldnt have done what they appear to have done. They deserve to be in prison for a long time. Too bad few people say the same thing about the left wing extremists who are driving the urban rioting. By most non-crazy-left-wing accounts Rittenhouse was a kid who went to the riots to play "Army medic", was attacked by multiple people (some of whom were armed and fired at him), causing Rittenhouse to run for his life, and eventually forced to use deadly force to save his life. He does not appear to be the vigilante that much of the news (not surprisingly) painted him as.
  6. no, it doesnt. In no way did he defend those nutcases. He brought up a different subject. Is there ANY amount of freedom you would NOT surrender in order to "stay safe"?
  7. I believe in diversification. I've read somewhere that wealthy people have multiple independent income streams, and as I have applied that to my life we have become more wealthy. Applying that to your situation, maybe consider not a healthcare focused MBA that would probably have little use outside of healthcare, but rather a more broad traditional MBA that would allow you to expand outside of healthcare. It is nice to have the income from healthcare while you create/expand businesses totally unrelated to healthcare. Just something to think about. Good luck!
  8. Worse yet, some have strong negative emotions anytime they are confronted with an opinion discordant with their own beliefs, and since they have no capacity for processing those negative emotions, they act out in socially abhorrent ways (such as serial downvoting/sniping we see a few folks doing here). If enough of these folks come together we get the rioting that we have seen lately.
  9. I'm sure they (the non-obese previously no comorbidities critically ill with covid) are out there, but they are extremely rare. Would what matter? I wasn't trying to get into the ethical dilemma of whose life is more valuable. As in most things in ethics, there are multiple correct ways to view them. However if the R0 is such that we will not be able to contain it until we reach herd immunity or have a vaccine, then these folks are going to get critically ill no matter what. It's just a matter of how many at a time.
  10. So you have a lot of young, not-obese people on vents? That's news to me. We are full, and all regional tertiary centers are full, with covid on vents, but almost all are obese/polymorbid. I haven't admitted a non-obese with no comorbids to the ICU yet.
  11. Agree 100%. We flattened the curve while we learned how to get more people to survive it, and that will lead to a reduced mortality. I think that is what we sold the public on though. But other than improved therapeutics or a vaccine, I think the AUC is going to remain mostly inevitable, and it's going to be very large. It's been obvious to me that it's an airborne disease, and the R0 value is very high. This site says it's somewhere between 4.7 and 6.6 https://sarahwestall.com/covid-19-has-much-higher-r0-value-than-originally-reported/). Our distancing/masking efforts can reduce the R0, but we have obviously lost containment of the virus and with an R0 value like that I think it's safe to say that "we are all going to get it eventually!" (and by "all", I mean until we reach effective herd immunity).
  12. Yeah, that's always nice! I think it's more likely that people #1) took illness, and therefore death, more in stride as a part of life, and therefore #2) the media didn't sensationalize/hyperbolize the pandemic. As noted in the OP, the media would barely report news about the pandemic. There wasn't the sensational daily "death clock" to stir up fears (righteous fears or not). Maybe it was also because the news of the pandemic had to compete with other more sensational news coming from the war, similar to what happened with the Spanish Flu an WWI (Although the Wilson administration trampled the first amendment by actively silencing reporting of the pandemic, and the media went along with him on this...the opposite of what we are seeing today). There were ERs, but people usually had to pay for their care (with insurance typically covering catastrophic incidences). If you went to the ED for a boo-boo, you paid cash for your visit. I"m sure that kept a lot of stupid stuff out.
  13. What have we done to change the AUC? You think masks/distancing are changing the AUC? ENORMOUS amounts, especially in the critically ill (which is unusual compared to other diseases). But I don't see how that changes the AUC (which generally represents the # of infected, which is mostly about changing the R0 value). Nothing is EVER proven in science my friend. Meanwhile lots of us are "pushing" unproven meds to the non-critically ill. And almost all of the non-geriatric are pan-morbid/obese, right? That is certainly what the risk factors are....
  14. https://nypost.com/2020/05/16/why-life-went-on-as-normal-during-the-killer-pandemic-of-1969/ As of today, about 1.15 million have died of SARS-COV-19. Some quotes from the article "But schools were not shut down nationwide, other than a few dozen because of too many sick teachers. Face masks weren’t required or even common. Though Woodstock was not held during the peak months of the H3N2 pandemic (the first wave ended by early March 1969, and it didn’t flare up again until November of that year), the festival went ahead when the virus was still active and had no known cure." "Both pandemics didn’t spare the rich and famous — Hitchcock actress Tallulah Bankhead and former CIA Director Allen Dulles succumbed to H3N2, while COVID-19 has taken the lives of singer-songwriter John Prine and playwright Terrence McNally, among others. President Lyndon Johnson and Vice President Hubert Humphrey both fell ill from H3N2 and recovered...." " “It was like the pandemic hadn’t even happened if you look for it in history books,” he said. “I am still shocked at how differently people addressed — or maybe even ignored it — in 1968 compared to 2020.” The virus rarely made front-page news. A 1968 story in the Associated Press warned that deaths caused by the Hong Kong flu “more than doubled across the nation in the third week of December.” But the story was buried on Page 24. The New York Post didn’t publish any stories about the pandemic in 1968, and in 1969, coverage was mostly minor, like reports of newly married couples delaying honeymoons because of the virus and the Yonkers police force calling in sick with the Hong Kong flu during wage negotiations.... It may seem like the world responded to the 1968 pandemic with a shrug of indifference, but the different approaches may be down to a generational divide......being taught as a child of the ’60s that “getting viruses ultimately strengthened one’s immune system. One of my most vivid memories is of a chickenpox party. The idea was that you should get it and get it over with when you are young.” Even with those relaxed ideas about viruses, the Hong Kong flu caught the world by surprise. It was different from previous pandemics because of how fast it spread, thanks largely to increased international air travel. Much of our current thinking about infectious diseases in the modern era changed because of the SARS outbreak of 2003, which “scared the hell out of many people,” said Poling. “It’s the first time I recall people wearing masks and trying to distance themselves from others, particularly in situations where someone might cough or sneeze.”.... But the differences between how the world responded to two pandemics, separated by 50 years, is more complicated than any single explanation. “If I were 48 in 1968, I would have most likely served in World War II,” said Moir. “I would have had a little brother who served in Korea, and possibly might have a son or daughter fighting in Vietnam.” Death, he said, was a bigger and in some ways more accepted part of American life." This last paragraph strikes me tonight as I got off a shift where I saw two young adults who came to the ED with what could most accurately called "boo-boos". One guy had his thumb, hand, and distal forearm wrapped in thick kerlex and ace bandage for a "bad" thumb laceration that bled so much that this mid-twenty year old adult male with full beard told me that he "got weak and a little dizzy from the blood loss." After unwrapping enough dressing to cure a mummy, I found a boo-boo. Literally, a 1 cm boo-boo that, once I got past the patient's extreme response to minimal stimulation, I was able to apply a tiny big of dermabond to and sent home. Then it happened again. A patient nicked the little bit of skin next to her thumbnail with a paring knife and was demanding sutures. Why would 400,000 people went to a concert in the middle of a pandemic 50 years ago, but people come to the ED for boo-boo's today?
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