3 Cases of Coronavirus Confirmed in MD

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

For most people it’s a cold. Calm down.

For 20% of people it's not. That's a lot of people.

Cite?

I just saw this letter from Italian doctors in Milan posted today. They are letting colleagues in other areas know what their experience has been.

They say 10% of their patients are needing intensive care, intubation and ventilators.

https://mailchi.mp/esicm/the-future-of-haemodynamic-monitoring-first-webinar-of-the-year-1009715

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 Cecconi Prof. Antonio Pesenti Prof. Giacomo Grasselli
President elect, ESICM University of Milan University of Milan
Humanitas University, Milan

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why aren't we doing telework and closing schools in the DMV? It's like people are closing their eyes and ears and trying to wish this away. If something isn't done immediately our health care system will be overrun. And don't tell me this is just a cold. They don't shut down the economy of China for a cold. It's like we're saying we're fine with thousands dying.

No one at my federal agency can telework. It's not as easy as you're making it out to be.

Yeah. We can't all telework. I can but like 80% of the staff where I work can't.

80% of the staff at the agency where I telework can, but the procedures restrict it to agreed upon days. So for example, you get to telework on Mondays. It takes 3 forms to telework and multiple signatures and we won't be able to turn on a dime to expand telework unless they loosen the bureaucracy of it all. And that isn't happening.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Just a cold, nothing to see here: Italy says it's had 41 new COVID-19 deaths in just 24 hours

https://www.euronews.com/2020/03/05/two-more-people-die-from-covid-19-in-france-says-the-country-s-health-ministry?fbclid=IwAR3VYJV97bi8rwK9zxZXsjA4SrLXlkxpyURmYvMy0Nwyz-8oXXMJfzQMIv4

All elderly with pre existing health conditions

where does it say that?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why aren't we doing telework and closing schools in the DMV? It's like people are closing their eyes and ears and trying to wish this away. If something isn't done immediately our health care system will be overrun. And don't tell me this is just a cold. They don't shut down the economy of China for a cold. It's like we're saying we're fine with thousands dying.

Close schools prematurely? What do you want parents to do who can't telework if schools close? Are you so privileged and in a bubble that you can only think of telework ready jobs? Forget the white collar jobs where one cannot telework like my husband's civil engineering job who has to show up at a construction site daily. What do you want the blue collar workers to do?

You're right. Better to have a plague on our hands than tell the IHOP waitress she can't come to work.

Priorities!

[Anonymous]

Anonymous wrote:

Anonymous wrote:Just a cold, nothing to see here: Italy says it's had 41 new COVID-19 deaths in just 24 hours

https://www.euronews.com/2020/03/05/two-more-people-die-from-covid-19-in-france-says-the-country-s-health-ministry?fbclid=IwAR3VYJV97bi8rwK9zxZXsjA4SrLXlkxpyURmYvMy0Nwyz-8oXXMJfzQMIv4

All elderly with pre existing health conditions

There are elderly people with pre-existing conditions in the DMV, some still working and some are retired.

[Anonymous]

They aren't all elderly. There are 40 and 50 year olds in intensive care, fighting for their lives. Yes, the 80 year olds have the highest mortality rate.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why’d he mention Moco schools? Where r these cases?

Bethesda

Do you know that? How?

DP. Bethesda, Rockville, or Chevy Chase seem like reasonable guesses.

Can we not guess during a situation like this?

For most people it’s a cold. Calm down.

That is right, 20% hospitalization rate
For 20% of people it's not. That's a lot of people.

Cite?

If 80% of cases are mild, then that means 20% of cases are not mild. It's just math.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why aren't we doing telework and closing schools in the DMV? It's like people are closing their eyes and ears and trying to wish this away. If something isn't done immediately our health care system will be overrun. And don't tell me this is just a cold. They don't shut down the economy of China for a cold. It's like we're saying we're fine with thousands dying.

We should be teleworking. I'm not sure what the government is waiting for. I'm guessing a large chunk of government employees take the metro. Why would they want people on crowded metro cars at this point. Let people telework at least for the next month until they have a better sense of how wide spread this is. The federal government's response has been slow on all fronts, basically passing up the window of opportunity for containment. We can fully shut down the government for a month for a wall that will never be built, but we can't authorize telework to stop deaths and our healthcare system from being overwhelmed? Tell government employees to telework and limit social contact, and focus our resources on testing retirement homes and having plans to help those most vulnerable.

You know there are several huge agencies that have no one who can telework, right? Don't generalize about what the federal government writ large can do.

This is not all or nothing. They should tell those who can telework to telework.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why’d he mention Moco schools? Where r these cases?

Bethesda

Do you know that? How?

DP. Bethesda, Rockville, or Chevy Chase seem like reasonable guesses.

Can we not guess during a situation like this?

For most people it’s a cold. Calm down.

For 20% of people it's not. That's a lot of people.

Cite?

If 80% of cases are mild, then that means 20% of cases are not mild. It's just math.

Again, cite.

It's like, on literally every single public health website. 80% of cases are "mild" aka not requiring medical care/ hospitalization/ no pneumonia (not "mild" like... you don't know you're sick, but "mild" like a case of seasonal flu where you're just stuck in bed for 3-4 days with a fever and a cough and then you're good to go) . 20% develop into something requiring more medical care.

Have you actually had influenza? It’s not 3-4 days. If mild cases of covid19 are akin to influenza then it’s not good. Imagine your household too ill to cook, care for the kids, walk the dog, go to the market. It’s really not good.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Hopefully they were cautious after returning home from overseas location.

Doesn’t matter.

They were on a plane, so everyone on that plane was potentially exposed.

They used the restroom at the airport.

They went grocery shopping. Etc.

So did everyone else on the plane.

they've been walking around town since 2/20 and just got tested on 3/3.

[Anonymous]

Anonymous wrote:They aren't all elderly. There are 40 and 50 year olds in intensive care, fighting for their lives. Yes, the 80 year olds have the highest mortality rate.

Reading DCUM it's apparent that most people on this site are in their 30s and DGAF about people 40s and up. They also don't seem to realize that even if most 30-40 year olds who have serious complications don't die, they almost certainly will if the hospitals are overwhelmed and all the ventilators are taken. When your significant other is drowning in their lung fluid and you can't get a hospital bed talk tell us then about how telework and closing schools was such a terrible idea.

[Anonymous]

Anonymous wrote:They should be directing that those who CAN telework, do so!

+1

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why’d he mention Moco schools? Where r these cases?

Bethesda

Do you know that? How?

DP. Bethesda, Rockville, or Chevy Chase seem like reasonable guesses.

Can we not guess during a situation like this?

For most people it’s a cold. Calm down.

For 20% of people it's not. That's a lot of people.

Cite?

If 80% of cases are mild, then that means 20% of cases are not mild. It's just math.

Again, cite.

It's like, on literally every single public health website. 80% of cases are "mild" aka not requiring medical care/ hospitalization/ no pneumonia (not "mild" like... you don't know you're sick, but "mild" like a case of seasonal flu where you're just stuck in bed for 3-4 days with a fever and a cough and then you're good to go) . 20% develop into something requiring more medical care.

Have you actually had influenza? It’s not 3-4 days. If mild cases of covid19 are akin to influenza then it’s not good. Imagine your household too ill to cook, care for the kids, walk the dog, go to the market. It’s really not good.

And the mild CoVID are mild/no pneumonia. A COVID case can be classified as mild if the pneumonia is mild.

[Anonymous]

Do we know if anyone is being tested in VA? In Fairfax County?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why aren't we doing telework and closing schools in the DMV? It's like people are closing their eyes and ears and trying to wish this away. If something isn't done immediately our health care system will be overrun. And don't tell me this is just a cold. They don't shut down the economy of China for a cold. It's like we're saying we're fine with thousands dying.

We should be teleworking. I'm not sure what the government is waiting for. I'm guessing a large chunk of government employees take the metro. Why would they want people on crowded metro cars at this point. Let people telework at least for the next month until they have a better sense of how wide spread this is. The federal government's response has been slow on all fronts, basically passing up the window of opportunity for containment. We can fully shut down the government for a month for a wall that will never be built, but we can't authorize telework to stop deaths and our healthcare system from being overwhelmed? Tell government employees to telework and limit social contact, and focus our resources on testing retirement homes and having plans to help those most vulnerable.

We’ll get right on that ma’am (or sir)!

I know the government won't get right on that. They can't even make usable test kits available to medical personnel. Minimizing the spread where we can means there would be more resources to help in areas where we can't, but carry on with your sarcasm.