Posted on 04/13/2020 2:28:12 PM PDT by RaceBannon
new thread starting 4-13-2020
MA
Nearly Half Of Coronavirus Deaths In Mass. Are From Long Term Care Facilities
By Cheryl Fiandaca
April 14, 2020 at 6:43 pm
EASTON (CBS) — Mary Frederickson’s family is heartbroken. The 80-year-old is alone and quarantined at Southeast Rehabilitation and Skilled Care Center in Easton....
As of Tuesday, in Massachusetts, 3,907 residents and staff in long term care facilities homes tested positive for the coronavirus and 444 residents have died, which is nearly half of the state’s total COVID-19 deaths.
FRANCE
143,303 cases (103,573 + 39,730 in nursing homes) and 15,729 deaths including 5,497 new cases in the last 24 hours
https://www.santepubliquefrance.fr/maladies-et-traumatismes/maladies-et-infections-respiratoires/infection-a-coronavirus/articles/infection-au-nouveau-coronavirus-sars-cov-2-covid-19-france-et-monde
Tocilizumab in COVID-19 Patient with Acute Respiratory Distress Syndrome and Cytokine Release Syndrome
Treatment and Outcomes
Patient was admitted to regular medical floor and started on azithromycin and hydroxychloroquine for total of 5 days. He was initially on 4 L NCL. After 2 days of admission his clinical condition deteriorated and he required ICU admission. He was intubated and started on phenylephrine and vasopressin for circulatory shock. He was diagnosed with cytokine release storm and was given one dose of 400 mg tocilizumab and methyl prednisone 60 mg daily for 6 days. After 2 days of tocilizumab, he was weaned off all pressors. Also, his CRP and ferritin dropped from 21.3 mg/dl and >100,000 ng/dl on day of ICU admission to 17.9 mg/dl and 1793 ng/dl after 2 days respectively. He was extubated after 12 days of tocilizumab treatment and transferred to regular medical floor on 4 L NCL.
Lessons Learned
Cytokine release storm (CRS) in patient with COVID-19 is critical and can take place very rapidly after COVID-19 diagnosis. Tocilizumab is a monoclonal antibody against IL-6 that can be used in COVID-19 ARDS patients with CRS. Tocilizumab can improve oxygenation and hemodynamic stability in COVID-19 patient with CRS.
https://resident360.nejm.org/posts/19148
Gov. Edwards Issues Statement as Louisiana Surpasses 1,000 COVID-19 Deaths
April 14, 2020
Gov. John Bel Edwards issued the following statement as Louisiana’s death toll from COVID-19 surpassed 1,000 on Tuesday. At the state’s noon update, the Louisiana Department of Health reported 129 additional deaths, bringing the death total to 1,013. Not every death reported Tuesday occurred within 24 hours, as reporting to the state may take several days.
Gov. Edwards said:
“Today’s death count is the largest we have reported in a single day since this COVID-19 outbreak started and it brings the number of Louisianans we have lost to more than 1,000. That’s 1,013 people who are someone’s mother, father, sister, or brother or child or aunt or uncle. They are our neighbors, friends and coworkers. They are more than just a number on a report or graph, and as our fellow Louisianans, we all grieve alongside their families.
Our analysis shows that most deaths come 11.2 days after the onset of symptoms, which is why we must look at long-term data and trends. It is also why it is incumbent upon our people to follow the Stay at Home order, because just as the positive things we do now will save lives in the future, the negative things we do could threaten lives as well.”
For information and updates on COVID-19, Louisianans can visit coronavirus.la.gov and text LACOVID to 67283.
https://gov.louisiana.gov/index.cfm/newsroom/detail/2461
NJ
68824 positive
2805 deaths
https://www.nj.gov/health/
TX
14,624 Cases Reported
318 Fatalities Estimated*
2,580 Patients Recovered
https://txdshs.maps.arcgis.com/apps/opsdashboard/index.html#/ed483ecd702b4298ab01e8b9cafc8b83
SD
COVID-19 IN SOUTH DAKOTA
Number of Cases 988
Ever Hospitalized* 45
Deaths** 6
Recovered 261
https://doh.sd.gov/news/Coronavirus.aspx
AL
CONFIRMED CASES 3,811
TOTAL TESTED 33,050
REPORTED DEATHS 105
DIED FROM ILLNESS 73
https://alpublichealth.maps.arcgis.com/apps/opsdashboard/index.html#/6d2771faa9da4a2786a509d82c8cf0f7
We’d never eat that much rice, but if push comes to shove, then food is food.
Sounds wonderful....check in and give us an update on your bread, please.
I’m a little jelly...kidding...envious.
Rut roh.....
Sweden’s Coronavirus Approach Is Starting To Look Like A Mistake
https://www.freerepublic.com/focus/f-bloggers/3833523/posts
Scripture tells us what we need to know to make it to heaven and the key is Jesus and His atoning death on our place.
ITALY
Coronavirus in Italy, 162,488 positive cases and 21,067 deaths. Intensive care, -2.3%.
In Italy, since the beginning of the Coronavirus epidemic, at least 162,488 people have contracted the Sars-CoV-2 virus (2,972 more than yesterday, when they had risen by 3,153 units: growth today is 1.9%). Of these, 21,067 died (+602, + 2.9%: 566 had been yesterday) and 37,130 (+1695, + 4.8%) were discharged. Currently the positive subjects of which there is certainty are 104,291 (the bill rises to 162,488 - as mentioned above - if in the calculation there are also the dead and the cured, ie counting all the people who have been found positive to the virus since the beginning of the epidemic). The data were provided by the Civil Protection.
There are 28,011 hospitalized patients with symptoms; 3186 are in intensive care (-74, -2.3%: yesterday the decrease had been 83 beds, and this is a very important figure), while 73,094 are in fiduciary home isolation.
Yes, I have in my packet I want that drug . I still need to work on getting printouts to back up why I want stuff
Wow, the FBs on the thread cheering Sweden on
btw, note this quote
” We have one patient who was given Tocilizumab before intubation and was discharged in the next day from MICU but after that guideline changed , mainly due to the cost of the medication. And yes patient was on 5000 unit of heparin BID.”
My family is instructed that I dont give a damn about the cost of medication or if insurance will pay. Just do it.
States with “fewer people and lots of room.” Trump
Will open up soon(er).
And WHO under investigation. Trump.
Time to open up!!!!
Tocilizumab (Actemra) is a biologic medication currently approved to treat adults with moderately to severely active rheumatoid arthritis (RA), adults with giant cell arteritis (GCA), and children ages two and above with Polyarticular Juvenile Idiopathic Arthritis (PJIA) or Systemic Juvenile Idiopathic Arthritis (SJIA). Biologic medications are proteins designed by humans that affect the immune system. Tocilizumab blocks the inflammatory protein IL-6. This improves joint pain and swelling from arthritis and other symptoms caused by inflammation.
https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Treatments/Tocilizumab-Actemra
So if you have psoriasis...you perhaps already have an IL-6 problem
For over 25 years, IL-6 has been associated with the pathogenesis of psoriasis
https://www.sciencedirect.com/science/article/pii/S0022202X16327701
Direct Labs does have an il-6 test but it takes 2 weeks to get the results..so not much use if you think you might have covid-19
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