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Thread: Coronavirus thread

  1. #3341
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    Quote Originally Posted by Nephrology View Post
    It depends on what they mean by "kits." There process of testing for COVID19 requires a number of individual reagents of which Abbott would be well poised to develop some of. However, as @pangloss pointed out earlier, one reagent they are very short on are the actual testing swabs themselves, as one of the major manufacturers of these swabs was was based out of Italy.

    So it could be helpful depending on what they're making and where they're sending it too. That is why everyone is looking for the federal government to coordinate things and why everyone is mad they are coming up short. Without some kind of centralized attack plan, it's like a soccer game with 6 year olds - everyone is mobbing the ball.
    Thanks for the context.

    I did some further poking around, and apparently these kits are only for use in a whiz bang testing device... of which only 175 exist in the largest hospitals and labs. Iím sure they are doing a full-court press to build more machines.
    Ken

    BBI: ...Ēyou better not forget the safe word because shit's about to get weirdĒ...

  2. #3342
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    Quote Originally Posted by Grey View Post
    If you can run 2 people on a single vent and it works, why are you trying to break out supplies that you may not be able to utilize later because you went to a single vent per person? NY is facing a shortage, they are trying to make their resources go as far as possible while still having some in reserve because they know a massive wave is coming.
    Fine with me to stretch it out that way...if it works...does it? What are the risks?

  3. #3343
    Quote Originally Posted by Redhat View Post
    Good info, so how are they calculating the required number of 30k?
    From my post: "Short version all the models they have from CDC etc for peak wave of people needing medical intervention suggest they will need that many vents."

    There were a few others they mentioned specifically doing projections but CDC name was only one I recognized & recall.

    You can find Cuomo's conferences on ABC7NY & many other YouTube channels.

  4. #3344
    STAFF Nephrology's Avatar
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    Quote Originally Posted by Redhat View Post
    Fine with me to stretch it out that way...if it works...does it? What are the risks?
    Risks are per above - basically, you need patients who are effectively identical in their need for mechanical ventilation, which can change over time. Too much PEEP/tidal volume can cause barotrauma, too little and you won't effectively oxygenate the patient. Probably other considerations that I am not aware of as well.

  5. #3345
    Site Supporter RoyGBiv's Avatar
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    [ramble]
    Been working supply base to source PPE past few weeks. Some success, some fail. Biggest problem is logistics. I can find supply, but the first hopeful news (still verifying) I heard on being able to move things in bulk with a booked schedule was less than an hour ago.

    Been able to move some stuff and help some folks on a small scale, but my frustration on cargo limits (and stories of shipments gone missing) had my anxiety boiling. 10 days ago an express package took 5 days. Today it's taking 10 days. Too long! Lost my shit earlier in the week and started making calls and shaking trees.

    Got in touch with <redacted>.gov 2 days ago through an old colleague. Working on getting integrated with their process. I was surprised that I was being asked intelligent questions and there were already boots on the ground doing source quals. Blood pressure down 30 points, but still high.

    Got a note this morning with an offer to spend $1M on masks for donation to NYC. No pressure.

    Feels like we are on our own for Vents. When every bent of media and POTUS is still calling it some version of "Chinese Virus", there are limits to what they will be willing to do for you. Working some angles but not very hopeful. Praying for GM and others to pull off a win. I have family in NYC and they are rightly afraid.

    I know we have some pilots here... If anyone has the ability to fly an aircraft capable of reaching Shanghai, I'd like to get a basic cost analysis for that. Aircraft, fuel, fees, crew, and all the other stuff I don't know to ask. I can handle export/import. Ideally, something with minimum cargo capacity of a 20' container, about 30 CBM. I need a backup plan if air cargo doesn't work.

    Down about 8 pounds now. Not hungry, force myself to eat at least 2 meals/day. Hydration pretty good, but fell off the wagon yesterday. Climbing back on. Still exercising. Spend a lot of time on the phone pacing with frustration. Check in here when I can... I sure would like to see better news, but thanks for the reality at least. I'd feel better if I could drive over there to pick stuff up.

    Was pacing my yard yesterday and had a thought. At least i could go in the yard or take a walk. Imagine all the folks in Asia that can't leave their small apartments filled with family. Then I thought about Manhattan and Chicago. And the kid at Kroger that's going to pick my to go order tomorrow (hopefully tomorrow).

    Thanks for listening... Time to eat something. Stay safe.


    Corey... thinking of you. Wishing you strength. [/ramble]
    "No free man shall ever be debarred the use of arms." - Thomas Jefferson, Virginia Constitution, Draft 1, 1776

  6. #3346
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    Quote Originally Posted by ccmdfd View Post
    Just received from one of our national Pulmonary societies.

    begin message:

    Urgent Help Needed in NYC Intensive Care Units

    Hospital systems in New York City are overwhelmed with patients suffering poor COVID-19 prognoses who require intensive and urgent care. The situation is dire ó the city is running low on ICU-trained physicians.

    If you are an ICU-trained physician outside of New York City and can volunteer to support this worsening situation before it affects other areas, please contact Dr. Doreen Addrizzo-Harris at Doreen.addrizzo@nyulangone.org. New York State Governor Andrew Cuomo can provide same-day approval on all credentialing and licensing, provided that you are board certified in critical care and have a valid driverís license from another state.

    Thank you for lending your skills and support to colleagues and patients in grave need.
    @Redhat regardless of how many vents they have they are useless without the skilled personnel to run them. Keeping someone alive on a vent is not a plug and play test.

    Even if you have enough skilled people you need enough PPE to keep them safe while doing it.

    You were a CATM guy so letís put this in perspective.

    You have 50 belt feds for base defense. Each needs a crew of 2. You have 70 airmen but only 50 know how to run a belt fed and you are in a CBRNE environment with only 30 sets of MOPP gear ... so 50 guns becomes 15 effective gun crews.
    Last edited by HCM; 03-27-2020 at 02:39 PM.

  7. #3347
    STAFF Nephrology's Avatar
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    Quote Originally Posted by RoyGBiv View Post
    [ramble]
    Been working supply base to source PPE past few weeks. Some success, some fail. Biggest problem is logistics. I can find supply, but the first hopeful news (still verifying) I heard on being able to move things in bulk with a booked schedule was less than an hour ago.

    Been able to move some stuff and help some folks on a small scale, but my frustration on cargo limits (and stories of shipments gone missing) had my anxiety boiling. 10 days ago an express package took 5 days. Today it's taking 10 days. Too long! Lost my shit earlier in the week and started making calls and shaking trees.

    Got in touch with <redacted>.gov 2 days ago through an old colleague. Working on getting integrated with their process. I was surprised that I was being asked intelligent questions and there were already boots on the ground doing source quals. Blood pressure down 30 points, but still high.

    Got a note this morning with an offer to spend $1M on masks for donation to NYC. No pressure.

    Feels like we are on our own for Vents. When every bent of media and POTUS is still calling it some version of "Chinese Virus", there are limits to what they will be willing to do for you. Working some angles but not very hopeful. Praying for GM and others to pull off a win. I have family in NYC and they are rightly afraid.

    I know we have some pilots here... If anyone has the ability to fly an aircraft capable of reaching Shanghai, I'd like to get a basic cost analysis for that. Aircraft, fuel, fees, crew, and all the other stuff I don't know to ask. I can handle export/import. Ideally, something with minimum cargo capacity of a 20' container, about 30 CBM. I need a backup plan if air cargo doesn't work.

    Down about 8 pounds now. Not hungry, force myself to eat at least 2 meals/day. Hydration pretty good, but fell off the wagon yesterday. Climbing back on. Still exercising. Spend a lot of time on the phone pacing with frustration. Check in here when I can... I sure would like to see better news, but thanks for the reality at least. I'd feel better if I could drive over there to pick stuff up.

    Was pacing my yard yesterday and had a thought. At least i could go in the yard or take a walk. Imagine all the folks in Asia that can't leave their small apartments filled with family. Then I thought about Manhattan and Chicago. And the kid at Kroger that's going to pick my to go order tomorrow (hopefully tomorrow).

    Thanks for listening... Time to eat something. Stay safe.


    Corey... thinking of you. Wishing you strength. [/ramble]
    Really appreciate the hard work you are doing. Please take care of yourself!

    For what it's worth, I have someone in the Colo Dept. of Public Health you could get in touch with re: PPE, but as a disclaimer I only have this person's info because I tried helping another friend to sell PPE to our system. They haven't heard back yet. A little frustrated.

  8. #3348
    Site Supporter RoyGBiv's Avatar
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    Quote Originally Posted by Nephrology View Post
    Really appreciate the hard work you are doing. Please take care of yourself!

    For what it's worth, I have someone in the Colo Dept. of Public Health you could get in touch with re: PPE, but as a disclaimer I only have this person's info because I tried helping another friend to sell PPE to our system. They haven't heard back yet. A little frustrated.
    Once I can confirm I can deliver bulk cargo I'll follow up with you.. Thanks.
    "No free man shall ever be debarred the use of arms." - Thomas Jefferson, Virginia Constitution, Draft 1, 1776

  9. #3349
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    Quote Originally Posted by HCM View Post
    @Redhat regardless of how many vents they have they are useless without the skilled personnel to run them. Keeping someone alive on a vent is not a plug and play test.

    Even if you have enough skilled people you need enough PPE to keep them safe while doing it.

    You were a CATM guy so letís put this in perspective.

    You have 50 belt feds for base defense. Each needs a crew of 2. You have 70 airmen but only 50 know how to run a belt fed and you are in a CBRNE environment with only 30 sets of MOPP gear ... so 50 guns becomes 15 effective gun crews.
    Thanks for the break down, but not needed in this case...wife's in the med field.

    Current hot topic seems to be vents so that's all I hear about...not much mention in the MSM about people to run them.

  10. #3350
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    Quote Originally Posted by Redhat View Post
    Thanks for the break down, but not needed in this case...wife's in the med field.

    Current hot topic seems to be vents so that's all I hear about...not much mention in the MSM about people to run them.
    It is relevant to the discussion on vents though. As Iím sure your wife can tell you, not every doctor or nurse is qualified to run people on a vent and as Iím sure you know from your military leadership time staffing burn out etc. are all factors so maintaining one person on duty at all times requires more than one person.

    Weíre not hearing about it Because it doesnít make as good a soundbite.
    .

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