Posted on 05/12/2020 5:35:05 PM PDT by RaceBannon
new thread
Corona Virus Daily Thread #52 COVID-19 5/12/2020
I'll be stripping, showering, washing clothes and disinfecting shoes, light switches, door handles, whatever I've brought in and wherever I've walked. All it takes is one viron.
Kate Middleton is said to be the only royal to go out. The elderly family members are staying home. Just Harry, well, he’s dumped his responsibilities. William is being kept safe from CV. Liz is at Windsor with Phillip and no longer making public appearances or taking visitors. The family is not hiring any new staff to keep CV away.
That only works if no one and no deliveries are let in. All it takes is one piece of contaminated mail or one non symptomatic child visiting grandma and they’ve got it again.
Many are making more on unemployment than going back to work.
The official presentation of the Space Force Flag in the Oval Office. Sorry, it looks straight out of fictional tv Star Trek.
No way can they keep that small bubble. The first time one of that group sneaks out to see their mistress or goes to hang out at the local gathering place (NZ’s version of 3 times a day trips to Walmart), goes to work or they don’t handle an infected delivery properly, they come back and infect two households.
Pulmcrit_ag12:27p
My anecdote of the day, had patient present who has lupus and is on plaquenil. Nasal swabs negative x3. Now intubated and tracheal aspirate sample is positive. Clearly has severe disease. Has been on 200mg bid plaquenil since 2017.
another one
“had 6 patients so far on HCQ at baseline who came in with moderate to severe COVID-19. 3 did fine, just some O2 via NC and home in a few days, 1 needed HFNC, 2 got tubed with 1 recovering and 1 dying.
So I have no conclusions whatsoever to draw from that lol”
Bet up to 10% will have seen the benefit of homeschooling and continue to do so in the fall.
some good news in texas
21 edit
alf8311:48aAG
Texas Pharmacy Board Backs Down on Coronavirus Medicine Restrictions
The Texas pharmacy board changed its guidance so that physicians are no longer required to provide a written diagnosis when prescribing hydroxychloroquine for coronavirus patients.
oronavirus outbreak
American FedEx pilot imprisoned for breaking quarantine order in Singapore
Brian Dugan Yeargan sentenced to four weeks in prison after leaving hotel room for three hours to buy masks and thermometer
https://www.theguardian.com/world/2020/may/15/fedex-pilot-arrest-singapore-brian-dugan-yeargan
China Threatens ‘Severe Consequences’ for Tom Cotton, Dan Crenshaw, Missouri AG - https://pjmedia.com/news-and-politics/tyler-o-neil/2020/05/14/china-threatens-severe-consequences-for-tom-cotton-dan-crenshaw-missouri-ag-n392438
With sheriffs and district attorneys opening defying enforcement of state stay-at-home orders, the Governor is quickly losing control of his statewide public health order. - https://www.ncspin.com/governor-losing-control-of-stay-at-home-order
Remy: Surfin’ USA (Beach Boys Lockdown Parody) - (video) - https://reason.com/video/remy-surfin-usa-beach-boys-lockdown-parody/
The ‘Just Stay Home’ Message Will Backfire
We need less extreme and more nuanced recommendations for navigating life during the pandemic. - https://www.theatlantic.com/ideas/archive/2020/05/just-stay-home-message-will-backfire/611623/
Biden Cuts Hole In Mask So He Can Still Sniff People’s Hair - https://babylonbee.com/news/biden-cuts-holes-in-medical-mask-so-he-can-still-sniff-people
‘Contact Tracing’ Jobs Create Terrifying Army of Karens - https://pjmedia.com/culture/megan-fox/2020/05/14/contact-tracing-jobs-create-terrifying-army-of-karens-n391962
Fetal Pediatr Pathol. 2020 May 13:1-6. doi: 10.1080/15513815.2020.1761491. [Epub ahead of print]
Fatal Eosinophilic Myocarditis in a Healthy 17-Year-Old Male with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2c).
Craver R1,2, Huber S2,3, Sandomirsky M3, McKenna D3, Schieffelin J4,5, Finger L6,7.
Author information
Abstract
Background: Cardiac damage is frequently referred to in patients with SARS-CoV-2, is usually diagnosed by enzyme elevations, and is generally thought to be due to underlying coronary artery disease. There are references to cardiomyopathies accompanying coronavirus, but there has been no histologic confirmation.Case report: A previously healthy 17-year male old presented in full cardiac arrest to the emergency department after a 2 day history of headache, dizziness, nausea and vomiting. Autopsy demonstrated an enlarged flabby heart with eosinophilic myocarditis. There was no interstitial pneumonia or diffuse alveolar damage. Postmortem nasopharyngeal swabs detected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) known to cause coronavirus disease 2019 (COVID-19). No other cause for the eosinophilic myocarditis was elucidated.Conclusion: Like other viruses, SARS-CoV-2 may be associated with fulminant myocarditis.
Am J Physiol Lung Cell Mol Physiol. 2020 May 13. doi: 10.1152/ajplung.00144.2020. [Epub ahead of print]
Treatment of COVID-19 exacerbated asthma: should systemic corticosteroids be used?
Kumar K1, Hinks TS2, Singanayagam A1.
Abstract
Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 infection is a new rapidly spreading infectious disease. Current guidance from the World Health Organisation (WHO) highlights asthmatics as a high-risk group for severe illness from COVID-19. Viruses are common triggers of asthma exacerbations and the current SARS-CoV-2 pandemic raises several questions regarding the optimum management strategies. Here, we discuss the contentious issue of whether the mainstay therapies systemic corticosteroids should be used in the routine management of COVID-19-associated asthma exacerbations. Recent guidance from the WHO has advised against the use of corticosteroids if COVID-19 is suspected due to concerns that these agents may impair protective innate anti-viral immune responses. This may not be appropriate in the unique case of asthma exacerbation, a syndrome associated with augmented type 2 inflammation, a disease feature that is known to directly inhibit anti-viral immunity. Corticosteroids, through their suppressive effects on type 2 inflammation, are thus likely to restore impaired anti-viral immunity in asthma and, in contrast to non-asthmatic subjects, have beneficial clinical effects in the context of SARS-CoV-2 infection
https://doi.org/10.1152/ajplung.00144.2020
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