Neverending Covid-19 Coronavirus

Indymisanthrope said:
It's a lot to figure out for something that needs to be distributed as widely as this. This may not be something we will end up being able to show up at CVS and ask for at a moment's notice. And the more hoops people have to jump through to get it scheduled, the slower the rollout will be, and the number of people who follow through on it will be smaller.
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The two big pharmacy chains (CVS and Walgreens) are likely developing this capacity for in store. They do have the capacity to care for and store a large number of injectable pharmaceuticals because that's part of their pharmacy benefits manager service. I wouldn't be too surprised if the big guys figure this out--at least for the sites with large population densities.
 
nolalady said:
The two big pharmacy chains (CVS and Walgreens) are likely developing this capacity for in store. They do have the capacity to care for and store a large number of injectable pharmaceuticals because that's part of their pharmacy benefits manager service. I wouldn't be too surprised if the big guys figure this out--at least for the sites with large population densities.
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Getting the equipment on-site will only be half the battle (assuming there are enough units available to sell -- I smell a bidding war for freezers). The logistics of rifling through the thing every time somebody wanders in off the street is going to be a big limitation until more stability data comes in. Once that occurs, that should alleviate some of the strictest concerns about the thaw/refreeze cycle.
 
wokeupnew said:
Are we expecting all vaccines needing to be kept cool at super low conditions? or just this particular one
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Doesn’t sound like it:
www.fiercepharma.com

Amid cold chain blues, Pfizer looks to powder vaccine formula in 2021: report

Pfizer on Monday revealed stellar early results from its | Promising news Monday on the efficacy of Pfizer and BioNTech's vaccine candidate was met with concerns over access given the shot's stringent cold chain storage requirements. But the drugmaker is already weighing a solution in the form...
www.fiercepharma.com www.fiercepharma.com
 
I got a message from employee health yesterday afternoon right when I was headed out the door to take my dog to the vet - I didn't call them back yet, I will today.

It seems that I was exposed to someone that had The Corona.

With the numbers climbing like they are - I'm not surprised. It won't be long till this wipes out hospital staff and then we have to still work while being positive - as is happening in the less staffed rural areas already.
 
RenegadeMonster said:
www.technologyreview.com

One in five covid-19 patients are diagnosed with a mental illness within three months

Anxiety disorders, insomnia, and dementia were the most common diagnoses.
www.technologyreview.com www.technologyreview.com

As if we didn't have enough post-COVID side effects already.
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From the article:

They found that the likelihood of a covid-19 patient being diagnosed with a mental health issue for the first time was twice that of those with other conditions. Anxiety disorders, insomnia, and dementia were the most common diagnoses.

Additionally, people with a pre-existing mental health condition—specifically attention deficit hyperactivity disorder, bipolar disorder, depression, or schizophrenia—were 65% more likely to be diagnosed with covid-19.

And from the study itself:
The HR was greatest for anxiety disorders, insomnia, and dementia. We observed similar findings, although with smaller HRs, when relapses and new diagnoses were measured. The incidence of any psychiatric diagnosis in the 14 to 90 days after COVID-19 diagnosis was 18·1% (95% CI 17·6–18·6), including 5·8% (5·2–6·4) that were a first diagnosis. The incidence of a first diagnosis of dementia in the 14 to 90 days after COVID-19 diagnosis was 1·6% (95% CI 1·2–2·1) in people older than 65 years. A psychiatric diagnosis in the previous year was associated with a higher incidence of COVID-19 diagnosis (relative risk 1·65, 95% CI 1·59–1·71; p<0·0001). This risk was independent of known physical health risk factors for COVID-19, but we cannot exclude possible residual confounding by socioeconomic factors.

For me, the most important line in this is "we cannot exclude possible residual confounding by socioeconomic factors". I am leaning heavily towards this being something that happens to occur with the incidence of substantial enough Covid symptoms as to get a test (concurrence) but not necessarily the reason that they are being diagnosed with a mental health condition later (causality). I think that the reason that these people are getting more MH diagnoses is because people are getting more MH diagnoses, and is not linked to covid. Consider this study that states that MH diagnoses have been on the rise even before covid:

Even before COVID-19, the prevalence of mental illness among adults was increasing. In 2017-2018, 19% of adults experienced a mental illness, an increase of 1.5 million people over last year’s dataset
www.mhanational.org

The State of Mental Health in America

Mental Health America's annual State of Mental Health Report ranks all 50 states and the District of Columbia based on several mental health and access measures.
www.mhanational.org www.mhanational.org

And if you go further down, it talks about Covid implications:

The number of people looking for help with anxiety and depression has skyrocketed. From January to September 2020, 315,220 people took the anxiety screen, a 93 percent increase over the 2019 total number of anxiety screens. 534,784 people took the depression screen, a 62 percent increase over the 2019 total number of depression screens.
The number of people screening with moderate to severe symptoms of depression and anxiety has continued to increase throughout 2020 and remains higher than rates prior to COVID-19. In September 2020, the rate of moderate to severe anxiety peaked, with over 8 in 10 people who took an anxiety screen scoring with moderate to severe symptoms. Over 8 in 10 people who took a depression screen have scored with symptoms of moderate to severe depression consistently since the beginning of the pandemic in March 2020.

So, don't get too excited about this one. It just so happens there is a lot of anxiety and depression out there, especially in a population going through a pandemic.
 
LeeVing said:
I got a message from employee health yesterday afternoon right when I was headed out the door to take my dog to the vet - I didn't call them back yet, I will today.

It seems that I was exposed to someone that had The Corona.

With the numbers climbing like they are - I'm not surprised. It won't be long till this wipes out hospital staff and then we have to still work while being positive - as is happening in the less staffed rural areas already.
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false alarm - we had a Covid positive patient on the floor this week - when the results of her test came up positive we started the process to move her to the Covid unit. She decided to leave against medical advice (young girl / asymptomatic).

As the unit clerk it is my job to discharge patients from the system when they leave - and that's what they use to call staff - anyone that gets in or changes something in the chart.

I only came maybe 10 feet from her as she was walking out.

I'm sure some of my co-workers were exposed before she was tested - we all wear masks all the time, but not everyone wears eye protection - and not all patients are willing to put on masks when we enter a room.

It's really just a matter of time before all bedside hospital staff get exposed. Most will be asymptomatic, but some will get very sick.
 
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LeeVing said:
false alarm - we had a Covid positive patient on the floor this week - when the results of her test came up positive we started the process to move her to the Covid unit. She decided to leave against medical advice (young girl / asymptomatic).

As the unit clerk it is my job to discharge patients from the system when they leave - and that's what they use to call staff - anyone that gets in or changes something in the chart.

I only came maybe 10 feet from her as she was walking out.

I'm sure some of my co-workers were exposed before she was tested - we all wear masks all the time, but not everyone wears eye protection - and not all patients are willing to put on masks when we enter a room.

It's really just a matter of time before all bedside hospital staff get exposed. Most will be asymptomatic, but some will get very sick.
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Glad you are okay.
 
LeeVing said:
false alarm - we had a Covid positive patient on the floor this week - when the results of her test came up positive we started the process to move her to the Covid unit. She decided to leave against medical advice (young girl / asymptomatic).

As the unit clerk it is my job to discharge patients from the system when they leave - and that's what they use to call staff - anyone that gets in or changes something in the chart.

I only came maybe 10 feet from her as she was walking out.

I'm sure some of my co-workers were exposed before she was tested - we all wear masks all the time, but not everyone wears eye protection - and not all patients are willing to put on masks when we enter a room.

It's really just a matter of time before all bedside hospital staff get exposed. Most will be asymptomatic, but some will get very sick.
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Happy you're ok!

We had our own scare 2 weeks ago. My wife got a call from the public health contact tracers. She did an exam on an asymptomatic patient - a health care worker waiting for their routine biweekly test results, that ended up being positive.

I was stressed about it, since her exams are very close (my wife is an optometrist). But she wears N95's all the time and the patient herself was masked. Public health wasn't too worried either and nobody had to isolate because the safety protocols were followed.

We knew this was bound to happen, but it's stressful when you're actually faced with it. My wife's two employees were worried and got tested too, and they were negative as well. They were wearing surgical masks but were not in such close contact with the patient.

Anyway, seems like the masks worked.
 
Oregon is regressing back to take-out only for restaurants and bars - limiting people in grocery stores.

Churches are limited to 25 people.



About time. We hit our record cases yesterday of just over 1200...which isn't as bad as other states, but would only go up from there without these restrictions.

The measures include:

Limiting social get-togethers (indoors and outdoors) to no more than six people, total, from no more than two households.
Limiting restaurants and bars to take-out only.
Closing gyms and fitness organizations.
Closing indoor recreational facilities, museums, indoor entertainment activities, and indoor pools and sports courts.
Closing outdoor recreational facilities, zoos, gardens, aquariums, outdoor entertainment activities, and outdoor pools.
Limiting grocery stores and pharmacies to a maximum of 75% capacity and encouraging curbside pick-up.
Limiting retail stores and retail malls (indoor and outdoor) to a maximum of 75% capacity and encouraging curbside pick-up.
Closing venues that host or facilitate indoor or outdoor events.
Limiting faith-based organizations to a maximum of 25 people indoors or 50 people outdoors.
Requiring all businesses to mandate work-from-home to the greatest extent possible and closing offices to the public.
Prohibiting indoor visiting in long-term care facilities.
 
LeeVing said:
Oregon is regressing back to take-out only for restaurants and bars - limiting people in grocery stores.

Churches are limited to 25 people.



About time. We hit our record cases yesterday of just over 1200...which isn't as bad as other states, but would only go up from there without these restrictions.

The measures include:

Limiting social get-togethers (indoors and outdoors) to no more than six people, total, from no more than two households.
Limiting restaurants and bars to take-out only.
Closing gyms and fitness organizations.
Closing indoor recreational facilities, museums, indoor entertainment activities, and indoor pools and sports courts.
Closing outdoor recreational facilities, zoos, gardens, aquariums, outdoor entertainment activities, and outdoor pools.
Limiting grocery stores and pharmacies to a maximum of 75% capacity and encouraging curbside pick-up.
Limiting retail stores and retail malls (indoor and outdoor) to a maximum of 75% capacity and encouraging curbside pick-up.
Closing venues that host or facilitate indoor or outdoor events.
Limiting faith-based organizations to a maximum of 25 people indoors or 50 people outdoors.
Requiring all businesses to mandate work-from-home to the greatest extent possible and closing offices to the public.
Prohibiting indoor visiting in long-term care facilities.
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It's about time.

Last night we checked in with our family in Seattle and decided even if we're all very cautious people, coming up there for Thanksgiving isn't in the cards. I'm pretty bummed; we're relatively cautious and haven't done much "normal" stuff even as the state's opened up, so Thanksgiving with family seemed like a well-deserved little treat.

Conversely, we still have plans to fly to Florida Christmas week (my wife lost her grandmother last Boxing Day, so we want to be there for my mother in-law, who has spent the last year or so living in g-ma's home), and I'm freakin' terrified.
 
LeeVing said:
Oregon is regressing back to take-out only for restaurants and bars - limiting people in grocery stores.

Churches are limited to 25 people.



About time. We hit our record cases yesterday of just over 1200...which isn't as bad as other states, but would only go up from there without these restrictions.

The measures include:

Limiting social get-togethers (indoors and outdoors) to no more than six people, total, from no more than two households.
Limiting restaurants and bars to take-out only.
Closing gyms and fitness organizations.
Closing indoor recreational facilities, museums, indoor entertainment activities, and indoor pools and sports courts.
Closing outdoor recreational facilities, zoos, gardens, aquariums, outdoor entertainment activities, and outdoor pools.
Limiting grocery stores and pharmacies to a maximum of 75% capacity and encouraging curbside pick-up.
Limiting retail stores and retail malls (indoor and outdoor) to a maximum of 75% capacity and encouraging curbside pick-up.
Closing venues that host or facilitate indoor or outdoor events.
Limiting faith-based organizations to a maximum of 25 people indoors or 50 people outdoors.
Requiring all businesses to mandate work-from-home to the greatest extent possible and closing offices to the public.
Prohibiting indoor visiting in long-term care facilities.
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I wish PA would do this— too bad it’s been insanely politicized here, well I guess like everywhere.
 
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