Link. @mjtsai promised me these were better but I’ve tried and tried and I hate iOS 13 text editing. The i8 is too small for pinch and I don’t think I’ll ever get the timing right.
“Disbanding the unit exacerbated a trend that was already prevalent after two years of Trump – an exodus of skilled and experienced officials who knew what they were doing”
Link. Trump loyalists took over. The Atlantic has re ent article with details.
Critical Care for the Non-ICU Clinician.
Link. You too can run a vent. A guided collection of their usual teaching materials. It’s wrong level of detail, if I’m operating a vent it’s going to have to be a LOT simpler.
COVID-19 ToolBOX
Link. Resource site. Personal site. I think I know by who.
Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings – NIOSH Workplace Safety and Health Topic
Link. Some very good material here.
“In three to four weeks, there will be a major shortage of chemical reagents for coronavirus testing, the result of limited production capacity, compounded by the collapse of global supply chains when the epidemic closed down manufacturing in China for we
Link. We will need governors to act where Trump cannot.
“Dr. Birx, they think, is more willing to be patient with the president’s interruptions and theorizing about medicine.”
Link. NYT relatively sympathetic to Dr Birx peculiar comments.
Sweden’s COVID approach is … odd.
Link. I thought it was “herd immunity”, but it sounds less coherent than that. Seems to be coming from their public health agency.
Denmark: “government covering 75 to 90 percent of all worker salaries over the next three months, provided that companies refrain from layoffs.”
Link. UK similar.
“About 80% of people who get sick will have milder symptoms and won’t need much medical care”
Link. This framing is technically true but widely misinterpreted. That 80% is a spectrum including people with weeks of misery, an even longer recovery process, and some residual lung damage.
IHME US and state hospital resource projections (U Washington)
Link. At least for Minnesota more optimistic than some.
“nucleic acid tests used in China were accurate at identifying positive cases of the coronavirus only 30%-50% of the time.”
Link. Even here false negatives are common. Bronchoalveolar lavage is gold standard. I think false positive less common. One reason why testing prior to hospitalization may not be wise.
[toread] “If they didn’t have the coronavirus before coming to our hospital, they probably do now”
Link. EDs aren’t healthy places in good times.
COVID myocarditis
Link. This is a really nasty bugger.
“Mardi Gras celebrations in New Orleans on February 25 contributed to the spike in cases”
Link. Social distancing easier in Minnesota.
“we need to be prepared to do multiple periods of social distancing”
Link. President Biden would help a lot.
“CPT symmetry says that any physical system made of particles that moves forwards in time will obey the same laws as the identical physical system made of antiparticles, reflected in a mirror, that moves backwards in time”
Link. Physics 201.
What To Do if You Are Sick | CDC
Link. This is getting detailed. Important to know it exists. Healthcare systems are promoting this.
The Virosphere.
Link. Trillions of “species”
“wearing the same pajama bottoms for days because it is too hard to change out of them, too hard to stay that long on his feet, too cold outside the sheets and blankets he huddles beneath”
Link. Athletic, 56, not hospitalized.
[toread] “Of the 49 positive SARS-COV-2 results, 11 (22.4%) also had a co-infection”
Link. Lots of COVID coinfection. Presumably alters severity of disease.
[toread] #200 COVID-19 Update with Paul Sax MD – The Curbsiders
Link. Been looking forward to this. Show notes at link.
“aged cartilage cells from patients with osteoarthritis and found that after a low dosage of Yamanaka factors the cells no longer secreted the inflammatory factors that provoke the disease”
Link. Wow. Reversing cellular aging
“young women should be required to register with the Selective Service System”
Link. Absolutely.
India abruptly discovers COVID.
Link. I thought they’d continue to ignore it. No way they have only 500 cases.
The COVID Tracking Project – Homepage
Link. This is where we find % tests that are positive by state.
“Why do some British people not like Donald Trump?”
Link. Fine writing turned to a noble cause.
Astronaut tips for managing quarantine.
Link. Best guide I’ve seen.
Simplenote incorporates tags into search
Link. Finally!
How Trump corrupted the executive branch.
Link. Legislative branch was corrupted long ago. Pre-COVID, but explains today. Trump’s genius for corruption must never be underestimated.
Fauci’s end nears.
Link. He’s a savvy operator, willing to flatter Trump, but he may not be corrupt enough. Also, he was definitely laughing.
“Colorado joined 21 other states that have repealed the death penalty”
Link. We need some good news.
Chinese medical supplies: air freight collapse and stupidity
Link. Mostly Trumpian stupidity
“Late last month all the enterprises breeding wild animals were shut down permanently, markets have been forbidden to sell them, and even eating them has been banned”
Link. I didn’t know China had closed the wet markets. Also did not know about “jinbu”.
Fox “network seems more and more like an asylum in the firm control of its inmates.”
Link. Knives out for Lachlan Murdoch.
“beloved 13″ MacBook Air—the only computer I would put above the SE/30″
Link. Impeccable judgment.
“Officials have learned that the president craves a constant diet of flattery, which they serve up during daily televised briefings”
Link. This is brutal.
“All health-care workers are expected to wear regular surgical masks for all patient interactions, to use gloves and proper hand hygiene, and to disinfect all surfaces in between patient consults”
Link. We are not doing that in MN or VHA.
“On everything that involves the coronavirus Donald Trump’s public statements have been unreliable. And that is why today we announce that we are shifting our coverage of the President to an emergency setting.”
Link. Stop covering the pressers. Instead cover the actions resulting.
Bill Weld exits
Link. “small “Never Trump” movement of Republicans, meanwhile, has recently been more focused on supporting the Democratic candidacy of former Vice President Joseph R. Biden”
“Only a small minority of people panic under threat, research shows. Far more don’t take the threat seriously enough.”
Link. Panic is less common than most think.
“Americans never returned to the common drinking cup, outlawed during the crisis and previously common in schools, offices and railway cars; they frowned on public spitting.”
Link. At one time we thought the Spanish Flu went relatively unnoticed. That history was incomplete.
“Yet we don’t have a single test licensed in the U.S. In China, in South Korea, and in Europe, those tests are used. The manufacturer for this rapid test is producing a million a day. It’s there. But in the name of protecting the public, the FDA has mov
Link. Much better review than I expected. His name is familiar to me…
Britain’s plan for economic survival
Link. Staying alive.
“80 percent chance the final number will be anywhere between 19,000 and 1.2 million, according to these estimates”
Link. Nobody know how bad COVID will be
Supply Chains and the Coronavirus.
Link. This was widely predicted.
Italy’s covid: low fertility, longevity, grandparent caregivers.
Link.
“Newsom estimated that more than half of California’s population—25.5 million people—will likely contract the novel coronavirus within the next eight weeks”
Link.
UW Medicine COVID-19 – sharing what they learn in real time
Link. Every hospital needs this.
“In settings where face masks are not available, [health-care providers] might use homemade masks (e.g., bandana, scarf) for care of patients with COVID-19″
Link. MAGA.