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Monday, March 23, 2020

Mailvox: notes from the frontlines

A nurse-practitioner from the Midwest:
The hotline for this medical system has been receiving 1500 to 2000 calls per day. It is the job of the various Providers to respond to these calls with a general medical prognosis and directions based on the symptoms the patient has described over the phone. Coronavirus has very specific symptoms and unless those symptoms are present it is unlikely the person has it. If they do have that list of specific symptoms, the patient is then told that they "likely have COVID19 and to continue to quarantine themselves for at least 14 days, and if symptoms get worse to go to the ER." These patients are NOT being actually tested, nor recorded officially.

This specific medical system is big enough that they have developed their own, internal test for the Coronavirus, however patients are not actually tested unless they have to symptoms sufficiently severe to place them in to Tier 1/ER/ICU levels of care. Such symptoms would be a either a very high fever or problems breathing. Medical Professionals who have been exposed to the Coronavirus are also being tested. The phone system is a fairly effective way of dealing with patients at the volumes that medical professionals are needing to wade through them.

The main takeaways from what I have overhead and know is that Coronavirus cases that aren't severe aren't being tested, so what effect this will have on the reported numbers, I'm not sure. Also, that larger hospital and medical systems have developed the tests internally, so whether or not the CDC/HHS or any other Federal agency acquires them in bulk isn't as urgent as it is being portrayed.
A medical security officer, also in the Midwest:
I went into the EOC and suggested that they push the idea up that since there are literally HUNDREDS of vacant restaurants all over, that they rent them for a song (using eminent domain or even Trump's emergency declaration) and institute drive-through testing like they have in Korea... Literally powerwash them, slap your signs over theirs and use the drive-through and mic hookups already in place...

The lady who I told, who is a senior nurse and emergency response director, paused, thought for a few seconds and said "Well, that could work, but there's so much more we have to do than just driving through, we have to take temperatures etc"

All I could think was, "bitch, that's what the WINDOW is for!  Have a tent by the lane, have them rub the stupid thing on their own forehead!  Jesus, use your goddamn imagination!"

We're fucking doomed... And it's due to the same stupidity I saw in the senior leadership in the Army that led me to leave...
A nurse in the Southwest:
I can confirm that ED nurses have been instructed to forgo masks. In our particular situation, I believe that it is mostly due to supply issues. People off the street have come in and stolen boxes of masks that we usually leave sitting around and non-clinical people have come onto the unit and taken them as well. Nevertheless, it is frustrating because, prior to now, we have all worn masks on a regular basis during flu season.

The real idiocy is that our N-95 masks, for which we were all fitted upon hire into the ED, have been slated for provider-use only. We nurses do not have any, yet we are the people that go face-to-face more often than any other. However, there are some options, less than ideal, being made available. I am not completely sympathetic to these decisions but the supply matter has hit us hard and I have some understanding of the motives behind them.
A doctor from the South:
I am a medical doctor and I believe both my wife and I have contracted corona. We were unable to test for it because it was unavailable given the strict guidelines in place at the time. One of the things I noticed on a pathology report I saw from a patient in China are these so-called thick mucous secretions in the lungs . This reminded me of what happens to an asthmatic's lungs when they are having an attack. For asthmatics, they die because they cannot oxygenate their bodies because there is so much mucous in their lungs.

I thought, why not treat these lung symptoms from corona  the way you would for an asthmatic .The reason for the mucous shouldn't matter.  One of those ways is to use a medication called albuterol which you nebulize and give yourself a breathing treatment several times a day if necessary.

I had been listening to my wife's lungs for several day,s and on one day I noticed a decrease in breath sounds in one of her lobes along with some wheezing. This is an indication that mucous was plugging up the bronchiole. A worrisome sign and a harbinger of pneumonia potentially coming. I started her on two treatments a day which immediately caused the mucous to break up. We knew this because she started coughing it up. One day later, her lungs were clear and there was no wheezing. I did it to myself just as a preventive measure one time a day. We continued this for about a week before stopping it. It appears we have recovered from the infection.
A retired nursing director from the South:
The corona virus has exasperated the shortage of nurses.  Many of them are mothers and now that schools and daycare are closed they must stay home to take care of their children.  The state medical system is now short hundreds of nurses. Observation – this is what happens when you have to have two parents working in order to be average middle class, no margin.  Not only have we leaned our supply system with no inventory buffer, but we have done the same to our labor pool. 

Labels: ,

99 Comments:

Blogger Gettimothy March 23, 2020 8:11 AM  

Good stuff. Thank you.

That albutrol loiks like a good thing to have on hand. A quick search leads me to infer that it is prescription only.


Any contrary info from the ilk will be appreciated

Blogger Matthew T March 23, 2020 8:22 AM  

My hospital pharmacist told me an albuterol (called salbutamol here in Canada) shortage is looming. Also, we are not allowed to give nebulized medications in-hospital because it generates aerosols which can spread the virus. But MDIs are felt to be just (or almost) as effective.

Blogger Matthew T March 23, 2020 8:23 AM  

Guys albuterol is just the blue puffer that you see everyone with asthma has. At least here in Canada it is blue, dunno about the US.

Blogger Colonel Blimp March 23, 2020 8:25 AM  

It is prescription Gettimothy. I have two at the ready beforehand. I was a former asthatic that gets bronchitis from time to time and i just assumed id use it if i caught the damm thing.

Blogger Mr.MantraMan March 23, 2020 8:25 AM  

Thank you for posting this especially the part from the doctor. Beats the hell out reading Cerno, good reporter and all but reporting is basically entraining yourself in an OODA not of your control.

Anyway I'm passing the word along, instead of the usual DOOOOOOOM.

Blogger JACIII March 23, 2020 8:27 AM  

Lack of imagination is a big problem within the medical community in this scenario. They have become hidebound and married to SOP. It's not all their own fault as they, institutionally, have been litigated into this mindset.
The very idea that the FDA would run a "study" on the malaria drugs in the middle of a burgeoning plague rather than, "Try it if your patient can use it and get back to us" is all the evidence you need of that.
The influence of admin/HR in day to day medical decisions is also rearing it's ugly head.

Blogger Rek. March 23, 2020 8:39 AM  

What about Eucalyptus essential oil diffusion for those who don't have access to Albuterol? Or other essential oils which can help with breathing and expectoration?

Blogger Haus frau March 23, 2020 8:42 AM  

Albuterol is wonderful. My husband is asthmatic and has made a huge effort to stock up on all that we can for himself and family. Progressive RX ships meds out of India and will refill scripts that are years old. Our order was held up in customs for 2 weeks with the chaos going on but eventually made it through fine.

Blogger Guitar Man March 23, 2020 8:54 AM  

Regarding the albuterol, Is it safe to assume that taking any cough suppression during this outbreak is not recommended? If your lungs are trying to clear this out, let them.

Blogger Johnny March 23, 2020 8:55 AM  

Asama is a symptom actually. I have an apparent allergy, probably to a fungus, that can cause my lungs to tighten up. Apparently not lethal but unpleasant. After going to an emergency room once owing to the problem I keep an albuterol around, use it maybe twice a year. Lingering lung congestion can damage your lungs. Best avoided.

This whole CoronaVirus thing has been a study in how badly governments function. Our government or the Chinese government developed the virus or its precursor, and then the Chinese government, to its great disgrace, let the disease once released, spread for two months before acting.

And now there is the matter of this medication used for malaria being useful with the CoronaVirus. For some reason there is a logic to it and the idea has been around since the beginning of the year. And only now are the governments acting on it, despite a developing pandemic. And note that the first people to test the possibility are small scale lightly funded guys. It is all reminiscent of Bill Gates and Steven Jobs taking down IBM as the major computer company. IBM, big as a government, thus as lumbering as a government.

Blogger MDN March 23, 2020 8:57 AM  

Am I missing something here? The case mortality in the US is currently down to 1.3% (458 Deaths / 35,070 Known Cases). 98% of known, yet unresolved cases are considered mild.

If there are even as low as 10x the amount of actual infections per known case, which seems virtually certain if not an extremely conservative estimate, the estimated mortality rate is on par with the flu.

Blogger Section 8A March 23, 2020 9:10 AM  

Can confirm. I have a relative who is a nurse at Mt. Sinai hospital in Manhattan. The nonsense "leaders" aren't letting desk / admitting staff to wear gowns or masks. They made them take them off. People are coming it to get 'tested', and it's chaotic. Add in the power grab by DiBlah and Cuomo and you get a toxic brew.

Blogger Oswald March 23, 2020 9:12 AM  

Until the bodies start piling up like cord wood, this isn't going to change. The medical system has been built on a system of billing. They go slow at every stage. Probably so they can determine each patient's insurance billing potential. They have subdivided their systems into specialties so much that it would take bodies piling up to get them to move as one unit. They have no incentive to change their practices, because they are making so much money at it. To get such a system to just start doing tests through a drive thru without figuring out how insurance is going to pay for it is an impossible thought to owners of these "nonprofits."

Blogger TruthsGotMyBack March 23, 2020 9:22 AM  

Here in Vancouver, the city is currently considered a hotbed of coronu, with 10 deaths, and over 400 cases. The local news claims the emergency departments are overflowing with cases, taxing resources and gutting crucial supplies.

So I went to visit those emergency rooms at both big downtown hospitals yesterday morning, and it was complete crickets. A few patients milling around, no new patients arriving... I told the greeters I have a friend with a broken arm that is too freaked out by the news reports to come in. He said my buddy was being ridiculous, and that it hasn’t been much busier than that all week.

Like many situations in life, they try to scare you into not discovering the truth. Fear not, because
#virusesarebullshit

Blogger borsabil March 23, 2020 9:23 AM  

The salbutamol will open the airways but if you're mainly using it to treat sputum plugs, and not bronchial constriction, you're as well to use saline nebs. Same effect minus the tachycardia, not a great thing if you're old and sick. Unless you have some underlying COPD or asthma, which it sounds like his wife may have.


I can 100% confirm regarding the testing. This seems to be accepted practice in all western nations. In China they've been testing everyone, due to lack of manufacturing capacity, supply constraints have meant very restrictive testing criteria almost everywhere else. I read the Chinese at the height of their outbreak were testing 200,000 a day. Here in Australia we've tested 110,000 total (over 2 months), and we're one of the highest testing nations per capita. The wife is an ICU nurse and in my current job I'm in fairly regular contact with potential Corona victims. I have a sore throat and being a hypochondriac I requested a test. Despite meeting the criteria for testing I was turned down flat. Ah well if the dark mistress comes for me it would have been nice to know for sure.

Coming back from the 'testing centre' today, a disused office front where I was being asked to wait in line with masked coofers, I stopped for a coffee. We're in stage 2 restrictions at the mo, they've shut down the pubs, churches, restaurants etc, but you can still get a takeaway coffee from cafes. Big dude outside slumped on the pavement in tears. Overcoming my usual borderline autism I asked him what was wrong? He'd just been laid off, the government mandate had meant the closure of the sit in dining for the cafe and so as the chef he was surplus. Mortgage to pay, wife & kids, no prospect of work for 6 months minimum. There's millions of stories like this, and it fucking sucks. Corona better be the masked death or there will be blood on the streets from destroying so many lives for a bad flu.

Blogger swiftfoxmark2 March 23, 2020 9:28 AM  

Albuterol is also very cheap. You just need the nublizer to go with it and you're golden.

Blogger Brett baker March 23, 2020 9:29 AM  

Maybe a new emergency declaration that allows doctors to try new treatments with the patient's permission? And any lawyer and family who sue the doctors get executed immediately.

Blogger Silent Draco March 23, 2020 9:30 AM  

Vignettes like these are a big help in making good decisions. Outcomes depend on how you respond to that strain of flu or covid. The doctor in the South had a good summary of intelligent tratment. I'm just floored by the extent of "brass hat" mentality getting in the way. Maybe shift the administrators from pushing papers to taking patient information and symptoms, then shuffle those papers.

Blogger Doktor Jeep March 23, 2020 9:32 AM  

Death by stupidity.
What does our host say about civilization and it's rating based on being able to keep people alive?
And from my perspective, said Civilization reached this point under democracy. But muh democracy was supposed to prevent all this!
Are we going to need strongmen to go into these boards and tell them what to do or else? Is that really what it takes?
Or are these boards staffed with people following orders to murder patients under the guise of burocracy and ignorance? For years I watched conservatism fail for begging and pleading to the left: " but that will kill jooooobbbs! But that will make more students drop ouuuut! But that will increase criiiiiime!" As if all the left needed was to be educated and they would stop doing damage if only we had enough free speech to tell them.
Or maybe we reached new depths of evil, were fatal decisions are reached without directive, where the hospital lead secretly thinks in his head "well that idea might actually save people, but these people are kulaks and we need less of them, so I'm going to dismiss that idea".

Blogger Maremma Bear March 23, 2020 9:32 AM  

One of our daughters is an ER Nurse here in Madison, WI. They went without masks for a couple days (as being reported here), and then instituted protocols for pre-admittance, admittance, and treatment. Separation starts on the phone and outside, prior to entering the building. Now all wear mask, face shield, gown, and depending on where they're at, gloves. If a facility runs out of masks, will wear a PAPR hood. She's very satisfied with their protocols.

Blogger Calvin809 March 23, 2020 9:38 AM  

I thought I read something a while ago in the Lancet maybe that the steroid inhalers should not be used because they suppress the immune system and didn't work well with SARS or MERS.

Blogger Johnny March 23, 2020 9:47 AM  

The thing with doctors is that they are very vulnerable to being sued. Staying with an approved therapy is their security blanket. Do something original, like the off label use of a drug, and they are apt to end up in a court room watching their career and assets slip away. Meanwhile the approval process is heavily slanted toward marketing high cost products. And so we got high cost medicine.

The percent of people who die of the CoronaVirus flu is all over the place. But it is real alright. As best I can recall, it went through an assisted living facility in Washington State and killed off about a third. A situation where they could count with perfection the number of people who caught the disease. What seems to be true is that it is around ten times more lethal than the ordinary flu, and that is only if the not common ICU units are available. Lacking that it is maybe thirty times more lethal. Still, 97% of everybody will live through it in most places, but the public at large isn't ready to put up with that level of death, and so we get this economic disruption.

Blogger Johnny B March 23, 2020 9:50 AM  

Thank you Vox. Great info.

Blogger Johnny March 23, 2020 9:55 AM  

Italy had a lot of Chinese workers and was very slow to respond. Thus in really bad shape. So, think the stuff below isn't happening?

From Euronews.com:

The Italian army has once more been called on to help transport the dead from hospitals in the northern town of BERGAMO to crematoriums in nearby towns and cities.

Local funeral homes are overwhelmed by the number of fatalities from Covid-19. The military vehicles bearing the coffins are a chilling testament to the death toll resulting from the virus, and the town's mayor thinks the numbers may have been underestimated.

"There is a very wide gap, which is confirmed by the concrete experience of so many families who have elderly people who are dying either at home or in hospices," explained Giorgio Gori.

"There is a noticeable number of people who are dying due to the virus. I say this because the main cause of death is pneumonia, and some are unaccounted for, and not are registered as victims of the virus, because nobody tested these elderly people either before or after their death."
According to the mayor's office, 400 people died in Bergamo and neighbouring towns last week - that's four times the number who died the same week the previous year - yet only 91 of them had tested positive for the virus.

Blogger borsabil March 23, 2020 9:56 AM  

"Lack of imagination is a big problem within the medical community in this scenario. They have become hidebound and married to SOP. It's not all their own fault as they, institutionally, have been litigated into this mindset."

This is nonsense. Administering regular nebulised ventolin or saline nebs to treat sputum plugs IS SOP in critical care. As would throwing whatever antivirals you have on hand into the mix.

I go from OMG! we're all gonna DIE! when I watch too much TV to thinking this is being massively overblown, when I take a deep breath and really think about what the reported mortality rates are actually telling us. The problem is that the testing is so minimal and patchy it's hard to get a handle on it. Italy is reporting a mortality rate pushing 9%, four times worse than the Spanish flu, whereas the Germans and South Koreans are reporting a mortality rate of 0.1%, which matches a bad seasonal flu outbreak. Best guess is that the pandemic is so bad in Italy there are likely hundreds of thousands infected at this point and their testing is only confined to the acute cases who rock up to hospitals. The real story here is why the fuck did the Italian government allow tens of thousands of Chinese migrant workers to descend on their country in January and February and then encourage 'hug a Chinaman' events to score woke points? It's unbelievable how stupid and negligent they've been. The media will not report on this for obvious reasons.

Shut the fucking borders. Trace and isolate when outbreaks occur. Encourage and promote social distancing, wearing face masks in public and hand washing. If you have to lockdown do it quickly and confine to where the outbreaks are actually occurring. Test, test and test again, the more the better. Wake up feeling a bit tired, test. Have a headache? Test. Feeling tip top and hunky dory? Test. This isn't rocket science. Instead we're indulging in mass panic and destroying our economies which will lead to the deaths of WAY more people than Corona.

On a lighter note a group of American boomer tourists were found in the Barossa Valley wine region in South Australia complaining of fever and coofing. They were supposed to be self isolating but, you know, being boomers they wanted to go on a wine tour. Turns out they all had Corona-Chan and have been passing it on to all and sundry. South Australia have now closed their borders with the rest of us as a result. I can imagine them currently complaining about how their vacations have been completely ruined and the poor state of the free hospital rooms they've been given compared to back home.

Blogger J Van Stry March 23, 2020 10:01 AM  

I used albuterol when I had it, because I have asthma and I have that in the house (along with an artificial steroid inhaler that I use every day regardless).
Normally I use my albuterol inhaler once a month, at most, as the steroids keep things under control. While I was sick, I was using it several times a day.
so yeah, I think that doc has a solution. But don't tell the CDC, I'm sure they won't like it. NIH you know.

Blogger jeffinjapan March 23, 2020 10:05 AM  

The US medical system is built to enrich the insurance companies and a few specialists like the plastic surgeon and dermatologist. Now that we’re faced with a legitimate medical emergency, their incompetence is on display for us all.

Blogger Stilicho March 23, 2020 10:14 AM  

I am so beyond done with China. Before this, I wanted to bring manufacturing home and impose high tariffs on all their goods. Other than that, I was content to let them go to hell in their own handbasket if they left us alone.

Clearly, they cannot be trusted to leave us alone. I don't care if this started as bat soup or an engineered virus which they spilled all over themselves (more likely). I want all trade and interaction with China that can be stopped, stopped. No more "donations" to US individuals or organizations. No Chinese investment in US companies. No chinese ownership of any property in US. All such existing assets to be confiscated to help offset the costs of fighting the Chinese virus (and economic disruptions).

synophiles claim the chinese are inward looking and mostly focused on china. Let's make that true instead of an academic pipe dream.

Made in China delenda est.

Blogger Laughingdog March 23, 2020 10:20 AM  

Albuterol inhalers are not the same thing as nebulizers. An inhaler probably won't help you much.

Blogger Scuzzaman March 23, 2020 10:25 AM  

The long-term risk profile of a population under the governance of a single centralised power rises steeply over time.

Because it is exceedingly rare that people who live distributed across thousands of miles, in different geographies, climates, cultures, and etc, will all simultaneously make the same mistake.

It takes a very big government to achieve THAT.

Blogger Doug Cranmer March 23, 2020 10:27 AM  

TruthsGotMyBack wrote:Like many situations in life, they try to scare you into not discovering the truth. Fear not, because

#virusesarebullshit


I live in Vancouver and have seen nothing in the news like "emergency departments are overflowing with cases, taxing resources and gutting crucial supplies" . Just checked the local news again now and still nothing at all like that. So someone is fake.

And what we are seeing in Spain and Italy is a week out for us here almost surely. That does not take someone else to tell me that.

Blogger God Emperor Memes March 23, 2020 10:29 AM  

The amount of nationalistic and openly anti-Chinese sentiment in Sydney at present is incredible. People are becoming amazingly red-pilled by all of this, with nearly everyone I know saying China must be severely punished for this, and that we should have no economic dealings with them at all.

Blogger Ominous Cowherd March 23, 2020 10:33 AM  

MDN wrote:Am I missing something here? The case mortality in the US is currently down to 1.3% (458 Deaths / 35,070 Known Cases). 98% of known, yet unresolved cases are considered mild.
You are missing that the number of infected is increasing exponentially, doubling every two to six days. The people who died today got it at least two or three doublings back. The actual deaths/cases number is four to eight times (today's deaths)/(today's cases).

Blogger kurt9 March 23, 2020 10:33 AM  

I got sick and had asthma for two weeks. It sucked. I have not had asthma for over ten years since I got rid of it doing ALA chelation for two years in '09-11. I am fine now. Since i don't have any meds for it, I drank lots of green tea and took green tea extract. Tea is good for reducing asthma in the absence of any meds.

Buy lots of green tea and green tea extract supplements. It will help you if you get the asthma response. You do NOT want to go to any doctor or clinic right now. You only go to these if you really think you are going to die.

Blogger kurt9 March 23, 2020 10:35 AM  

Two international pharmacies that do not need prescriptions:

www.unitedpharamcies.md
www.alldaychemist.com

Blogger sammibandit March 23, 2020 10:35 AM  

The blue inhaler is marketed as Ventolin in Canada but it is albuterol. That's the rescue inhaler. The nebulizer is a seperate tool and I'm not sure if it's OTC.

The red inhaler is for maintenance and is marketed as Symbicort.

Blogger Arthur Isaac March 23, 2020 10:39 AM  

Heading for the bunker, don't bother knocking.

Blogger Sicilian Switchblade March 23, 2020 10:48 AM  

" Corona better be the masked death or there will be blood on the streets from destroying so many lives for a bad flu."

I'm fairly certain there will be more people die from the distress of losing their livelihood/business or the constant fear machine of media outlets than will actually die of the virus.

I'm thankful my occupation is considered "essential," If electricity goes down problems ensue in this modern world. Of course, liquor stores have also been deemed essential (per executive order released by the governor yesterday.)

I pray that those working in restaurant/tavern type business find a way to get by. These jobs and don't pay a ton of money anyway, regardless of that, when your income goes from X to zero it has an impact.

I'm still taking all the precautions I normally take. I keep non perishables, a fair amount of ammo, spare fuel for the generator and vehicles. Having lived without major medical insurance for the last decade and half, one realizes how much the maintenance of one's health supersedes the crisis management of surgeries and pills so many have become reliant on.

I believe there may be some real positives to this whole thing for those who were looking to be more vigilant with their health, self sufficiency and personal protection. When they make it through, they will be stronger and more clear headed about needs vs. wants.

Of course there will be many who also spiral into despair over this, but that's something I can't fix.

Blogger sammibandit March 23, 2020 10:50 AM  

My friend has Cystic Fibrosis. To dislodge mucous her mom would rhythmically pound on her back while my friend slumped over. Hot showers and steaming the face over a simmering pot were also used. She just received a double lung transplant (8 mo ago) I'm happy to report.

Blogger John Rockwell March 23, 2020 10:51 AM  

Scuzzaman wrote:The long-term risk profile of a population under the governance of a single centralised power rises steeply over time.

Because it is exceedingly rare that people who live distributed across thousands of miles, in different geographies, climates, cultures, and etc, will all simultaneously make the same mistake.

It takes a very big government to achieve THAT.


Bill Gates and his masters have been pushing the beast system utilizing the Coronavirus as their excuse:
https://www.reddit.com/r/Coronavirus/comments/fksnbf/im_bill_gates_cochair_of_the_bill_melinda_gates/


Everyone micro-chipped(by which they participate in society) and having a digital tattoo that indicates whether they are vaccinated or not.

Blogger Joeplanet March 23, 2020 10:52 AM  

Stilicho wrote:I am so beyond done with China. Before this, I wanted to bring manufacturing home and impose high tariffs on all their goods. Other than that, I was content to let them go to hell in their own handbasket if they left us alone.

Clearly, they cannot be trusted to leave us alone. I don't care if this started as bat soup or an engineered virus which they spilled all over themselves (more likely). I want all trade and interaction with China that can be stopped, stopped. No more "donations" to US individuals or organizations. No Chinese investment in US companies. No chinese ownership of any property in US. All such existing assets to be confiscated to help offset the costs of fighting the Chinese virus (and economic disruptions).

synophiles claim the chinese are inward looking and mostly focused on china. Let's make that true instead of an academic pipe dream.

Made in China delenda est.


I second this. I want all ties and partnerships cut with China. They are a mortal enemy and should be treated as such. I would begin the stripping of assets and should they open their fucking bat holes in protest, see how they like a Rod From God or some such demonstration. Whatever the modern equivalent to shoving Fat Man and Little Boy up their tailpipe right now is what I am talking about.

Blogger anne March 23, 2020 11:06 AM  

My grandfather's go-to treatment for mucous-related lung and sinus issues is what we affectionately call "steaming your head."

Boil a pot of water, take it off the heat, park your head over the bowl, drape a towel over all of it, and stay there for 10-20 mins. Breathe as deeply as you can.

Perhaps not as effective as albuterol, but still helpful. And available without a prescription.

Blogger Duke Norfolk March 23, 2020 11:11 AM  

@41 And deportations, lots of deportations.

Blogger Joe Smith March 23, 2020 11:12 AM  

You say that, but you literally have no idea how many people are infected. No one does. No one will ever know, either, because there's not enough testing going on. "Doubling every two to six days" is a completely unsupported claim. Just a model prediction with a million built in assumptions. We'll see if you end up being accidentally correct, but I doubt it.

Blogger Kingly Gift March 23, 2020 11:17 AM  

If a coming recession prevents Trump from being re-elected, I can't imagine that a general sense of nativism on both sides of the political isle will not be bolstered by this Pandemic. The fragility of the liberal global order is so obvious. Even if the virus runs it's course with better results than expected, the fragility of globalism will leave a deep impression on most people. At least I hope so.

Blogger doctrev March 23, 2020 11:23 AM  

Joeplanet wrote:

I second this. I want all ties and partnerships cut with China. They are a mortal enemy and should be treated as such. I would begin the stripping of assets and should they open their fucking bat holes in protest, see how they like a Rod From God or some such demonstration. Whatever the modern equivalent to shoving Fat Man and Little Boy up their tailpipe right now is what I am talking about.



Jail the Bloomberg types, seize anything owned by Chinese corporations, and start deporting their nationals (with time to sell their personal assets). That might actually be the soft option compared to what millions of Americans will be ready to do to Chinese people once they hit the unemployment lines.

Blogger Doug Cranmer March 23, 2020 11:33 AM  

God Emperor Memes wrote:People are becoming amazingly red-pilled by all of this, with nearly everyone I know saying China must be severely punished for this, ...

As someone posted here, just seize all their assets. Everything. Business and personal. It would be in the hundreds of billions and can be used to help pay for what this is going to cost us.

Blogger ar10308 March 23, 2020 11:33 AM  

While I certainly echo a good amount of enmity towards China, it would do well to remind everyone just (((who))) actually spent the last 6 decades undermining the American nation on a demographic, financial and moral level.

Why is our money supply so owned by China? Because They sold it to the Chinese.

Why are so many of our jobs in China?
Because They shipped them there.

Why are so many Chinese in America?
Because they imported them.

And now that America is left as a husk of its former self, they were planning to escape to China. However, the Chinese decided early on that wasn't going to be an option for them. So, now they need to get Americans to hate China. Just like they tried to do with Russia.

Blogger 1LLoyd March 23, 2020 11:40 AM  

AFAIK, it is a prescription drug in the US. But it has been easy to get at my age (60). If your doctor is sympathetic, there should be no problem getting one. And they don't spoil, so you use it when you need it.

Blogger furor kek tonicus ( The Surprised Pig hadn't had any idea he tasted this good ) March 23, 2020 11:43 AM  

39. sammibandit March 23, 2020 10:50 AM
To dislodge mucous her mom would rhythmically pound on her back while my friend slumped over. Hot showers and steaming the face over a simmering pot were also used.



more lateral thinking:
1 - sinus rinses. you can buy a device for this, or you can just inhale water out of the palm of your hand or use an eye dropper.

2 - hot shower; you're going to inhale a lot of aerosolized water droplets, that will help to loosen the mucus.

3 - inversion; whether a table or simply elevating your hips above your head, using Gravity to help drain your lungs instead of fighting it will make a big difference. especially given how thick the mucus is reported to be in the bad cases.

i'd be leery of hanging from a bar as i would expect expectorating mucus to induce coughing. you might hurt yourself getting off the bar. and you might not want to use an inversion table without someone spotting you.

Blogger furor kek tonicus ( The Surprised Pig hadn't had any idea he tasted this good ) March 23, 2020 11:52 AM  

41. Joeplanet March 23, 2020 10:52 AM
I second this. I want all ties and partnerships cut with China.



oh, come now.

no countries which both have McDonald's have ever waged war on each other.

we can't have you doubting the Scientific Diplomatic Magic of McDonald's.

Blogger Ominous Cowherd March 23, 2020 11:59 AM  

Doug Cranmer wrote:I live in Vancouver and have seen nothing in the news like "emergency departments are overflowing with cases, taxing resources and gutting crucial supplies" . Just checked the local news again now and still nothing at all like that. So someone is fake.
Have you visited an ER and looked for yourself? Go in and look around.
Sicilian Switchblade wrote:I'm fairly certain there will be more people die from the distress of losing their livelihood/business or the constant fear machine of media outlets than will actually die of the virus.
If the shutdowns are effective, that will be the case. That will be a good thing.

Blogger Ominous Cowherd March 23, 2020 12:03 PM  

Doug Cranmer wrote:I live in Vancouver and have seen nothing in the news like "emergency departments are overflowing with cases, taxing resources and gutting crucial supplies" . Just checked the local news again now and still nothing at all like that.
Is Canada nearing the end of the fiscal year, and just not taking any new cases of anything, because budget?
Don't get sick near the end of the fiscal year.

Blogger Bernard Brandt March 23, 2020 12:19 PM  

I second the opinion of @15 (Borsabil) as regards the effectiveness of a nebulizer. My brother was diagnosed with Stage IV lung cancer at a hospital which I believe had the ER at which the first Covid-19 patient reached LaLa Land, and at the same time. He developed mucus congestion in the lower part of his lungs, and the rest of the symptoms as well of the Wu-Flu, so he started using a nebulizer first with saline, and later with Albuterol (when his doctors started prescribing it for him)

Those with nebulizers might want to make use of them, even with saline.

I note also in the Johns Hopkins collection of data and treatments for the Chinese Commie flu, they suggest the use of C-PAP as a substitute for a respirator if/when respirators become unavailable.

Quinine sulfate is the generic of the anti-viral being proposed by the God-Emperor. It is also less expensive, and probably more readily available.

Finally, it looks like the powers-that-be are planning on maintaining lockdown for at least three months. Those whose jobs are considered 'unessential' may want to plan accordingly. Those with the funds to do so might want to help family members who have such jobs. I flung an extra few thousand as an early wedding present to my step-daughter and her fiance, who do restaurant work (or did) in NOLA, and who had to postpone their wedding as a result of the lockdown.

Finally, kudos to VD for hosting a bunch of smart people here, who are using both their noodles and their OODA loops to provide solutions to the Corona-chan problem.

Blogger sammibandit March 23, 2020 12:22 PM  

Thanks to you fine folks for chronicling this stuff and sending it in. One thing I noticed in history is a scarcity of chroniclers who record things as they happen. Thanks also to our host for publishing these anonymously. Thanks to Spacebunny who's done translation and transcription work--the behind the scenes stuff that is often unsung. This is a tremendous group effort. And foremost, thanks to Our Lord for giving these talents.

Blogger Tallawampus March 23, 2020 12:23 PM  

Albuterol relaxes the smooth muscle in the lungs to help with wheezing. Doesn't do anything for mucus. Inhaler vs nebulizer are just two different delivery methods to get it into the lungs. They are recommending wearing N95 and full protective gear if using nebulizers for china virus patients, so be careful.

Also, as per cystic fibrosis patients, to get mucus out of the lungs/bronchioles/bronchi you're better off doing CPT https://www.cff.org/Life-With-CF/Treatments-and-Therapies/Airway-Clearance/Chest-Physical-Therapy/ and hot showers to breath in moisture. NOT albuterol.

Also, pneumonia patients do NOT cough up mucus from their lungs as they are recovering. I'm dubious of the medical knowledge of "a Doctor from the South".

But I'm a pediatrician who vaccinates kids so my medical knowledge is suspect too.

Blogger Jack Amok March 23, 2020 12:27 PM  

I live in Vancouver and have seen nothing in the news like "
emergency departments are overflowing with cases, taxing resources and gutting crucial supplies"
. Just checked the local news again now and still nothing at all like that. So someone is fake.


Agreed. Fake troll who just registered his account is identified.

Here's what's being reported in the Puget Sound:

As of Saturday morning, the [CHI Franciscan Hospital] system has 122 total intensive care beds and reported them at 90% capacity. About eight days’ supply of personal protective equipment were available for use. Conservation measures for that gear are in place.

The hospital system was treating 28 confirmed and 91 suspected COVID-19 patients across its [eight] facilities... “Is it more full this year than last year? It’s not,” Ragsdale said of the hospital system’s capacity on Friday. “People who don’t need to be in the hospital are staying away.”

The hospital system, which serves Pierce, Kitsap and South King counties, postponed all elective procedures early last week. It made virtual sessions with health care providers free with a special code, and has performed more than 1,400 COVID-19 screenings virtually. Visits to the hospital are allowed only for special circumstances.


90% capacity on ICU beds already, and confirmed cases are still going. That's the danger.

Blogger urthshu March 23, 2020 12:28 PM  

>"Am I missing something here? The case mortality in the US is currently down to 1.3% (458 Deaths / 35,070 Known Cases). 98% of known, yet unresolved cases are considered mild."

Possibly. We're currently notifying contacts of known infected persons from the date of the emergence of symptoms forward, then offering tests to those who self identify as having symptoms themselves. There's a fair chance we're missing quite a few

Blogger Sterling Pilgrim March 23, 2020 12:40 PM  

My wife has been told to reuse masks and for nurses to wear level one masks instead of the level three they should be wearing. She’s probably goi g to buy some out of pocket because the hospital admins is holding them back because they think everywhere will be exactly like northern Italy. I understand NYC and Seattle, etc could peak that way, but not every region in the us will see those numbers, just as not all of Italy has.

Wife’s superiors are inept, one was in Florida vacationing most of March, and the nurses are terrified due to lack of leadership. It’s gonna come down to individual acts of intelligence to ouch back against the idiocy brought about by decades of comfort.

Blogger OvergrownHobbit March 23, 2020 12:43 PM  

@15 Mentioned "saline nebs" as a useful treatment that w/no drug-related side effects.

The nebulizer is the non-prescription device. Amazon sells them, and your local Walgreens, etc. probably does as well

Here's a how-to: PLEASE pay attention to the cleaning warnings.

https://www.wisegeek.com/how-do-i-use-saline-in-a-nebulizer.htm

@Sammibandit - TL'DR wet towels heated in microwave, wrapped in dry towels and applied to chest or back for 5 minutes. Repeat 3-4 times every five hrs.

Link to full quote/description:

http://voxday.blogspot.com/2020/03/coronavirus-and-medication.html#c3163957919951176940

HTH

Blogger Chicken fried lice March 23, 2020 12:59 PM  

I have the blue puffer and a Flovent Diskus (fluticasone propianate). Every year or two I get bronchitis. Hacking away with a dry cough for a week sucks. Doctor prescribes these inhalers plus antibiotics and it takes care of it in a couple days.

Looks like covid is similar to my past experience.

Blogger Nihil Dicit March 23, 2020 1:18 PM  

Not only have we leaned our supply system with no inventory buffer, but we have done the same to our labor pool.

This is what results when you run everything like a widget factory, prizing efficiency and operating at near max capacity above all else.

Blogger Matthew T March 23, 2020 1:28 PM  

Yeah. I am ER physician, and my last couple of shifts have been dead, evidently no one wants to go to the hospital these days. But who knows if that will last.

Blogger Silly but True March 23, 2020 1:34 PM  

A clinic that’s satellite to the large hospital chain is next to Walgreens. They were using the Walgreens parking to do drive-through service because the clinic was set for park and walk whereas Walgreens has a parking lot to facilitate a queue. Their operations tent was in the clinic parking lot and there were people in masks and hazmat suits ferrying between it and the drive-through stop.

Blogger sammibandit March 23, 2020 1:49 PM  

Thanks muchly. I was legit wondering what singletons could do without a helper.

Blogger Ominous Cowherd March 23, 2020 1:55 PM  

Joe Smith wrote:You say that, but you literally have no idea how many people are infected. No one does. No one will ever know, either, because there's not enough testing going on. "Doubling every two to six days" is a completely unsupported claim.
OK, Joe. Get back to us when you have better numbers.
In the mean time, we'll have to get along with the numbers we have.

Blogger sammibandit March 23, 2020 1:57 PM  

Thanks, Doctor! The correction is much appreciated.

Blogger Akulkis March 23, 2020 2:22 PM  

"That albutrol loiks like a good thing to have on hand. A quick search leads me to infer that it is prescription only."


Yes it is, and Yes, it is.

If you don't have asthma, COPD, or emphysema, good look convincing a doc to presecribe you some just for the hell of it.

Blogger Akulkis March 23, 2020 2:33 PM  

"Regarding the albuterol, Is it safe to assume that taking any cough suppression during this outbreak is not recommended? If your lungs are trying to clear this out, let them."

Correct. I have asthma. When I have bad lung congestion, I take a guaifenesin tablet to thin out the mucus so it's easier to cough up (Guaifenesin dissolves into mucus and drags water with it. Dollar Tree's 15 ct 400mg tablets/bottle is the cheapest.)

Mucinex is literally 10x more expensive, all so that you can take 1200mg time release 2x per day rather than 400 m a max of 6x per day.

Blogger Akulkis March 23, 2020 2:36 PM  

By the way, Albuterol does NOT loosen up mucus. It causes constricted muscles around the bronchial passages to relax, thus enlarging the airways. With the airways larger, you can get enough air in your lungs to cough the stuff out.

If you don't have such a problem, you just need an expectorant like guaifenesin, which is MUCH MUCH cheaper, it's over the counter, and widely available.

Blogger Jack Amok March 23, 2020 3:00 PM  

"Doubling every two to six days" is a completely unsupported claim.

No, dumbass, it is not. If you pay attention, what's doubling every 2 to 6 days are the number of people with bad enough symptoms to be tested, and that number absolutely is doubling.

That doesn't count the people without symptoms bad enough to get tested you say? Who cares? What matters are the people showing up sick enough to be hospitalized, and that number is growing quickly. Kung Flu deaths have been doubling every six days around here. Does it really matter what the denominator is when the numerator keeps growing like that?

Blogger Gettimothy March 23, 2020 3:34 PM  

@70 thank you. Brand names mucinex and robitussen have it

Blogger TiredPoorHungry March 23, 2020 3:42 PM  

"The reason for the mucous shouldn't matter. One of those ways is to use a medication called albuterol which you nebulize and give yourself a breathing treatment several times a day if necessary."

Confirmed...2 months ago, I woke up coughing and I couldn't get it out creating a real panic. Took 1 pill and I was fine.

Blogger TiredPoorHungry March 23, 2020 3:53 PM  

My twin brother and I went to Hawaii back in Sept. 2019. My brother was displaying the symptoms of Covid 19. My bro was coughing into his shirt to keep from infecting others in our family. Later when we were at Pearl Harbor amongst all the Japanese who were celebrating their former victory, He started coughing into the happy celebrants. We bowed up and went into our deadly prefight pouncing while humming Ho Ho HO! We were fast as lightning...

Blogger Silly but True March 23, 2020 4:00 PM  

As he starts his 40th series of pretrial hearings before US military tribunal with a fifth different judge, who knew Khalid Sheikh Mohammed would be the most prescient of all:
“social distancing;”
“mouth & throat cleansing;”
“inversion therapy;

I mean, there’s probably easier paths to get such benefits, and probably don’t include all the rectal feedings.

Blogger Ominous Cowherd March 23, 2020 4:25 PM  

Jack Amok wrote:If you pay attention, what's doubling every 2 to 6 days are the number of people with bad enough symptoms to be tested, and that number absolutely is doubling.
I'm guessing that's strongly correlated to the number infected. Until Joe Smith comes up with better numbers, those are the numbers we have.

Blogger Joe Smith March 23, 2020 4:31 PM  

@71 Go ahead and panic. It doesn't bother me. But the claim is unsupported. You have no idea how many people are infected, or how many have recovered, and only a loose grasp on how many have died. If you think that equates to reliable statistics, you're an idiot. Obviously yes it matters what the denominator is. What a stupid comment.

Taking sensible precautions is laudable. Running around with your hair on fire and telling everyone the sky is falling is not.

Blogger TaurianVita March 23, 2020 4:41 PM  

And let's not forget the undeclared war that China has been waging on Middle America in the form of Fentanyl production/smuggling. That has killed more Americans then 10x Covid19. MFers need to go down...

Joeplanet wrote:Stilicho wrote:I am so beyond done with China. Before this, I wanted to bring manufacturing home and impose high tariffs on all their goods. Other than that, I was content to let them go to hell in their own handbasket if they left us alone.

Clearly, they cannot be trusted to leave us alone. I don't care if this started as bat soup or an engineered virus which they spilled all over themselves (more likely). I want all trade and interaction with China that can be stopped, stopped. No more "donations" to US individuals or organizations. No Chinese investment in US companies. No chinese ownership of any property in US. All such existing assets to be confiscated to help offset the costs of fighting the Chinese virus (and economic disruptions).

synophiles claim the chinese are inward looking and mostly focused on china. Let's make that true instead of an academic pipe dream.

Made in China delenda est.


I second this. I want all ties and partnerships cut with China. They are a mortal enemy and should be treated as such. I would begin the stripping of assets and should they open their fucking bat holes in protest, see how they like a Rod From God or some such demonstration. Whatever the modern equivalent to shoving Fat Man and Little Boy up their tailpipe right now is what I am talking about.

Blogger Unknownsailor March 23, 2020 4:51 PM  

Jack Amok wrote:"Doubling every two to six days" is a completely unsupported claim.

No, dumbass, it is not. If you pay attention, what's doubling every 2 to 6 days are the number of people with bad enough symptoms to be tested, and that number absolutely is doubling.

That doesn't count the people without symptoms bad enough to get tested you say? Who cares? What matters are the people showing up sick enough to be hospitalized, and that number is growing quickly. Kung Flu deaths have been doubling every six days around here. Does it really matter what the denominator is when the numerator keeps growing like that?

Yes, it does matter, because the spread stops (and the shelter in place protocols can stop) when herd immunity is reached, 70% of the population with anti-bodies. Because we are only testing those with severe symptoms, we have no bloody idea when that 70% figure is reached.
The Italy death numbers are over inflated, any death where Covid-19 tests show positive are counted in the corona-chan column. Heart attack due to advanced cardiovascular disease, but also Covid-19 positive? Corona-chan death.

Blogger Reader March 23, 2020 5:01 PM  

Good info here. Regarding the albuterol, I have several boxes, the nebulizer, and tubing from a relative's previous illness. The boxes have an expiration date of 2005. I am fine, thank God, but should things get desperate, does anyone know if these very old packets of albuterol would be effective? Thanks.

Blogger Doug Cranmer March 23, 2020 5:38 PM  

Ominous Cowherd wrote:Have you visited an ER and looked for yourself? Go in and look around.

You said, "The local news claims the emergency departments are overflowing with cases, taxing resources and gutting crucial supplies."

It claims nothing of the sort. You're lying.

Blogger Zeroh Tollrants March 23, 2020 5:40 PM  

Both the small ventolin rescue inhaler and the nebulizer machine and small plastic vials of Albuterol are prescription based, but tbh, I have always told my GP whenever I see them (kinda rarely) tht I need a new nebulizer, the vials and a rescue inhaler because my asthma has popped up again.
They always give me new scripts. Very easy drugs to get. Or rather, they were. No idea right now. My husband has a standing appointment for every two months to refill a prescription. No show means no prescription. He called this a.m. and said he didn't feel well enough to come to the office, they said next appt April 23rd. That's too far away and wtf would you want a 74 yr old man with a bad heart and lungs with a cold to COME SIT IN YOUR OFFICE FOR TWO HOURS, WITH A ROOM FULL OF SIMILARLY HEALTHY SENIOR CITIZENS?;?
Write scripts that can be picked up at the front desk by relatives, you absolute morons!!!

Blogger Zeroh Tollrants March 23, 2020 5:44 PM  

Albuterol works by opening narrowing bronchial tubes.
While essential oils might lubricate the passages, they wouldn't do that. I would think a hot water steam, my answer as an asthmatic to a no drug situation would be better. Also, Guafenesin, the expectorant in cough syrup like Robitussin DM, (and tons of other cold meds) work very well to bust up and help you cough up thick lung funk. I'd buy some if you can, just in case.
Just search for that ingredient.

Blogger Zeroh Tollrants March 23, 2020 5:45 PM  

I'd say so. EXPECTORANT not SUPPRESSANT.

Blogger Zeroh Tollrants March 23, 2020 5:54 PM  

ASK AROUND IF YOU THINK YOU NEED A NEBULIZER AND LIQUID VIALS OF ALBUTEROL!!
Pediatricians prescribe both at the drop of a hat and tons of your friends, family and local community likely have a nebulizer in a closed and an unused box of the vials. I've used ones that were 5 and 6 years old before and had no problem, just make sure each part of the attachable tubes and plastic let's are new (everyone on oxygen has the necessary plastic tubing as well,), or disinfected really well.
Also, also- OXYGEN. The number of old people who likely have excess oxygen delivered to their homes surely would be willing to share a bottle or two for someone in true distress. Along with the Albuterol, a great combo.

Blogger FP March 23, 2020 5:58 PM  

@71 So why has it taken so long to double? Its clearly been going around the world for the past 3+ months depending on what data you believe from China.

Denninger on CDC facts:
http://market-ticker.org/akcs-www?post=238608

Blogger Zeroh Tollrants March 23, 2020 5:59 PM  

My entire business is 100% reliant on the importation of steel coils, fasteners and polycarbonate sheets from Chinese and S Korean mills.
It was already suffering in December, but has gone into complete free fall since.
21 yrs, wiped out in 3 mos.

Blogger Tom Bridgeland March 23, 2020 6:04 PM  

Small city hospital ER where I work in IL is pretty quiet. We've had a few covid patients but no mass numbers. Supposed to be 5 in the whole county. We can test now, but with 4-5 day turn-around, so pts with cold symptoms are on isolation until results return. Some PPE shortages but not critical yet.
The hospital has created a whole new unit just for covid pts but so far it is unoccupied, and they are reopening an old ICU unit, so for right now we are ahead of the curve. Next few weeks will be interesting.
I signed up to man the covid unit, so it'll be bunny suits and helmets for 12 hours straight.

Blogger Jack Amok March 23, 2020 9:10 PM  

If you think that equates to reliable statistics, you're an idiot

I'm not the one relying on assumptions about how many people have it and don't know it. You claim I don't know anything, but you're the one making shit up to support your argument. However reliable the statistics I'm using are, they are at least real numbers and not some shit you pulled out of your ass to fit your preferred conclusion.


Taking sensible precautions is laudable. Running around with your hair on fire and telling everyone the sky is falling is not.

It really astonishes me the number of people who treat a relatively brief disruption to their routine as "people panicking" or "running around with their hair on fire." Are their brains really so inflexible that they cannot tolerate a change in routine without lashing out with their own ludicrous over-reactions? If you're not emotionally competent enough to handle the idea there may actually a serious problem without panicking, don't assume the rest of us are as weak kneed as you.

Blogger RedJack March 23, 2020 10:09 PM  

@79 Started talking with a local cop friend of mine. He said the fentenyl from China is not coming in. Opiod prices are going up, and supply is drying up. He is worried that there are going to be a lot of dope sick people running around looking to score drugs, mixed with a bunch of Team Blue people who just bought guns.

Fun times.

Right now, my plant has been named "essential", so we can run. How long? Don't know. Guys are begging me for answers, and I don't have any. Neither does corporate.

While I am not a flu denier, I keep asking how long can we shut down the world? At some point, the chain of civilization shuts down.

Had a non CV19 Doc appointment today. Doc confirmed they are being told to not use masks for "normal" situations. However, an admitting nurse to the practice had signs posted that if you have ANY respiratory symptoms you would not be allowed in. Some clusters in Iowa, but few serious cases. Honestly, no one testing the mild cases. Doc said she really believes that for every confirmed case there are a lot more floating around.

Blogger Akulkis March 23, 2020 11:16 PM  

"I thought I read something a while ago in the Lancet maybe that the steroid inhalers should not be used because they suppress the immune system and didn't work well with SARS or MERS."

True. In fact, suppressing the immune system is exactly WHY doctors prescribe inhaled steroids (on the order of micrograms) for patients with asthma.

Specifically, steroids suppress inflammation of tissues, which is the immune system's response to foreign DNA.

Blogger PH March 23, 2020 11:16 PM  

In S Korea the mortality rate from Corona is 0.7%.

Blogger Akulkis March 23, 2020 11:25 PM  

"Albuterol inhalers are not the same thing as nebulizers. An inhaler probably won't help you much."

True. Not enough water. Just a refrigerant as a carrier, which vaporizes as soon as it comes out the sprayer and the pressure drops to ambient air pressure.

Blogger Jack Amok March 23, 2020 11:42 PM  

Specifically, steroids suppress inflammation of tissues, which is the immune system's response to foreign DNA.

True, but one of the dangers of Kung Flu is massive inflammation damaging organ tissue. 4 of the first 22 deaths in WA State were listed with cardiomypathy as the primary cause of death, but further investigation indicated that likely was the result of a "drastic immune response" triggered by the virus. One out of three of the nursing home COVID patients developed cardiomyopathy during the infection. UW researches are trying to figure out what's going on.

Another reason to "flatten the curve" : we'll learn more about dealing with it every week.

Blogger RC March 24, 2020 12:11 AM  

Zeroh,

As a fellow entrepreneur, I am sorry to hear that your business is suffering. I hope it's recoverable but, if not, get back up in the morning and go again. I've experienced spectacular, very public failure and it's not fatal or permanent, but it's very challenging for sure.

Blogger Servant March 24, 2020 12:49 AM  

These reports out of Italy remind me of Geraldo reporting Katrina.

Blogger John Bosch March 24, 2020 2:35 AM  

I can confirm that the hospital in White Rock is also quiet (even the cafeteria that they've converted into a testing centre).

Most of the deaths in BC so far were from the North Van care home, and most if not all of the active cases are in isolation at home. The hospitals are quiet because cases, confirmed and suspected, are being told to isolate, stay home and away from other patients unless they're showing severe symptoms. Like your friend, everyone else is scared of catching it and staying away.

The news is partially helpful here - stay away from the hospitals unless you actually need help, keep capacity available if/when the SHTF. Surrey Memorial supposedly has it tough now.

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