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ymgve
Jan 2, 2004


:dukedog:
Offensive Clock

Pyrtanis posted:

Re: Vaccine Chat, I've seen some people on my fb talking about how they're waiting to get the Moderna vaccine, because they don't trust the Pfizer one to be kept cold enough.

if you get side effects, does that mean it was kept cold enough and is effective?

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Rutibex
Sep 9, 2001

by Fluffdaddy

Pyrtanis posted:

Re: Vaccine Chat, I've seen some people on my fb talking about how they're waiting to get the Moderna vaccine, because they don't trust the Pfizer one to be kept cold enough.

just take whatever vaccines you can get your hands on. do both if you can

Fenarisk
Oct 27, 2005

So far every patient today is talking about their big family gatherings :smith:

Largest so far is 28 people!

Pyrtanis
Jun 30, 2007

The ghosts of our glories are gray-bearded guides
Fun Shoe

Rutibex posted:

just take whatever vaccines you can get your hands on. do both if you can

yeah, I'm a filthy murcan up here in Canada so idk when I can get it, but you can bet your rear end as soon as I can I will, I miss animal volunteering :c

The Modern Leper
Dec 25, 2008

You must be a masochist

Fluffy Bunnies posted:

I just gotta point out, again, that not everybody has delivery like this. I don't have: grubhub, instacart, amazon fresh(? I think that's the amazon one?), doordash, or any of that stuff. The nearest whole foods for me is like 80 miles away. If you got'em you should use'em when you can though.

Caught in the maelstrom of the conversation. Was not saying that was the answer. The guy I was responding to seemed to believe that all they sell are 50 gallon barrels of powdered mac and cheese.

Fluffy Bunnies
Jan 10, 2009

Fenarisk posted:

So far every patient today is talking about their big family gatherings :smith:

Largest so far is 28 people!

I was the only house on my street that didn't have out-of-area car license plates in their driveway. The current rate of infection in this county is 1 in 4.25 positive tests.


The Modern Leper posted:

Caught in the maelstrom of the conversation. Was not saying that was the answer. The guy I was responding to seemed to believe that all they sell are 50 gallon barrels of powdered mac and cheese.

Ah yeah I got lost in it. Sorry about that!

Pinche Rudo
Feb 8, 2005

Someone do the gently caress yeah spread it meme but with Santa's face

zer0spunk
Nov 6, 2000

devil never even lived
has casino goon posted in here lately, hope he's alright

Sanctum
Feb 14, 2005

Property was their religion
A church for one
So what's going on here, North+South Dakota all of a sudden doing really good with the covid? :thunk:



One theory is that actual cases are much higher than reported, with a huge number of asymptomatic cases, and that this drop could be due to those areas spreading covid to the point they're reaching herd immunity. With 10% of the total state as confirmed cases that doesn't seem so wild, unreported cases could easily be 5x that. Now consider that you have 2 populations, people strictly adhering to CDC guidelines and then people taking any level of risks. They may have reached the point of herd immunity among the population that has been ignoring quarantine.

Sanctum
Feb 14, 2005

Property was their religion
A church for one
Those 2 states do have the highest reported cases per capita. North Dakota and South Dakota are the worst states in the worst country at managing covid. :toot:

champagne posting
Apr 5, 2006

YOU ARE A BRAIN
IN A BUNKER

Sanctum posted:

So what's going on here, North+South Dakota all of a sudden doing really good with the covid? :thunk:



One theory is that actual cases are much higher than reported, with a huge number of asymptomatic cases, and that this drop could be due to those areas spreading covid to the point they're reaching herd immunity. With 10% of the total state as confirmed cases that doesn't seem so wild, unreported cases could easily be 5x that. Now consider that you have 2 populations, people strictly adhering to CDC guidelines and then people taking any level of risks. They may have reached the point of herd immunity among the population that has been ignoring quarantine.

I think a more interesting number to look at is positives per 1000 tests, if such is available. If not available cases per capita is also nice.

nishi koichi
Feb 16, 2007

everyone feels that way and gives up.
that's how they get away with it.
none of the stores around here do delivery or curbside if you’re paying with snap. not even for groceries on snap and delivery fees on debit. it’s hosed and they do not care

Pinche Rudo
Feb 8, 2005

Don't you need a really high percentage of the population to get infected for herd immunity to work? Like 70%?

champagne posting
Apr 5, 2006

YOU ARE A BRAIN
IN A BUNKER

Pinche Rudo posted:

Don't you need a really high percentage of the population to get infected for herd immunity to work? Like 70%?

I imagine you'd need somewhere in the high 90s seeing how infections coronavirus is.

Delta-Wye
Sep 29, 2005

Riptor posted:

how does this comment even remotely relate to that tweet

The tweet says "They did nasal swabs after 1st dose and showed reduction of asymptomatic infections, reflecting impact on blocking transmission. Very encouraging!". My read of the same data is NOT very encouraging, and I think experts agree. Dr. Griffin is pretty stoked about the vaccines because he's excited his patients will stop dying from severe Covid and that looks very likely. This is a good thing! However, he doesn't seem to think we can hit herd immunity with the mRNA vaccines and is a bit concerned pending additional data.

It seems totally germane, not sure what your confusion is all about.

https://www.youtube.com/watch?v=-XPInyUqp9I&t=1302s

Scarodactyl
Oct 22, 2015


It seems a bit inane since a) even though asymptomatic infection is possible we don't know what transmission is like, which is likely reduced vs a naive infection and b) that was after the first dose, not the full course.

Lazyhound
Mar 1, 2004

A squid eating dough in a polyethylene bag is fast and bulbous—got me?

zer0spunk posted:

has casino goon posted in here lately, hope he's alright

This made me realize the COVID-and-lung-cancer goon hasn’t posted in three weeks. :/

Sanctum
Feb 14, 2005

Property was their religion
A church for one

Pinche Rudo posted:

Don't you need a really high percentage of the population to get infected for herd immunity to work? Like 70%?
70-90% according to virology experts. I would lean towards 90% on that.

The drop in new cases could be a number of other things. Officials fudging the numbers. The entire Dakota populace suddenly deciding that "I'm republican and I ain't afraid of no virus" is a stupid gimmick to die for. Since they have the most covid cases anywhere, hitting herd immunity seems plausible to me. Task failed successfully?

Things are getting bad in california. My county is nearly at ICU capacity because they were sending patients up from SoCal.

gay picnic defence
Oct 5, 2009


I'M CONCERNED ABOUT A NUMBER OF THINGS

Sanctum posted:

70-90% according to virology experts. I would lean towards 90% on that.

The drop in new cases could be a number of other things. Officials fudging the numbers. The entire Dakota populace suddenly deciding that "I'm republican and I ain't afraid of no virus" is a stupid gimmick to die for. Since they have the most covid cases anywhere, hitting herd immunity seems plausible to me. Task failed successfully?

Things are getting bad in california. My county is nearly at ICU capacity because they were sending patients up from SoCal.

It’s probably a combination of factors. A significant section of the state having really high infection rates, another significant part of the state taking it seriously and doing everything in their power to not catch it, increased awareness as most people there probably know someone who has died from it by now are all pretty plausible.

I think with ‘herd immunity’ thing, while I don’t think it’s possible to eliminate the virus by getting most of the population infected it does make sense that there would be an at least temporary fall in infection rates.

slinkimalinki
Jan 17, 2010

Sanctum posted:

70-90% according to virology experts. I would lean towards 90% on that.

The drop in new cases could be a number of other things. Officials fudging the numbers. The entire Dakota populace suddenly deciding that "I'm republican and I ain't afraid of no virus" is a stupid gimmick to die for. Since they have the most covid cases anywhere, hitting herd immunity seems plausible to me. Task failed successfully?

Things are getting bad in california. My county is nearly at ICU capacity because they were sending patients up from SoCal.

I thought herd immunity had literally never happened without a vaccine?

wa27
Jan 15, 2007

Pretty much every state (and the US as a whole) has seen huge spikes followed by a downward slope. Why is it so surprising that the Dakotas are following that pattern?

Castaign
Apr 4, 2011

And now I knew that while my body sat safe in the cheerful little church, he had been hunting my soul in the Court of the Dragon.

slinkimalinki posted:

I thought herd immunity had literally never happened without a vaccine?

My understanding is that it is theoretically possible without a vaccine (assuming immunity after infection is long lasting), but that it would require cataclysmic levels of infection and death. Here's an article that seems to do a pretty good job laying out what herd immunity means and what it would take to achieve it:

https://www.lung.org/blog/understan...0is%20possible.

So, yeah. If around a quarter billion Americans got infected rapidly, we might be able to attain herd immunity.

Delta-Wye
Sep 29, 2005

slinkimalinki posted:

I thought herd immunity had literally never happened without a vaccine?

It's not so much "herd immunity" as much as it's no longer an immunologically naive population.

7of7
Jul 1, 2008

wa27 posted:

Pretty much every state (and the US as a whole) has seen huge spikes followed by a downward slope. Why is it so surprising that the Dakotas are following that pattern?

Frankly it has been surprising when it happened in other states as well. Especially considering many previous states and countries that followed the pattern have extremely questionable governments (Florida, Texas) that have certainly been shown to be inclined to doctor the statistics.

It will be interesting to read about the suspected causes of these spike patterns if they ever come out of places with real contact tracing and healthcare systems like Korea. It's really hard to believe that suddenly people in these states are taking the virus seriously and following precautions given everything we've seen about peoples' responses so far.

One thought is that the spikes are driven by large events which trigger several smaller events within particular relatively isolated groups (eg meat packing plant workers and their families or residents of large shared buildings) rather than being driven by uniform spread across the entire population as you would imagine when you see some of those "how viruses spread" animations. Once everyone at the plant is infected and all of their families are infected maybe they just stop spreading it at the required level to maintain the spike because they aren't contacting other groups that much.

terrorist ambulance
Nov 5, 2009
Yeah it seems to me it could just be that the highest risk / most careless people are "burned over"; you don't have herd immunity in the broader community, but all the people who insist on coughing on each other at church daily already had it and aren't getting sick again

Pure speculation obviously

Pyrtanis
Jun 30, 2007

The ghosts of our glories are gray-bearded guides
Fun Shoe
Man, I guess the lockdown on air travel from the UK was too little, too late.

quote:

The province’s associate chief medical officer of health said today that the cases are a couple from Durham Region, just east of Toronto, with no known travel history, exposure or high-risk contacts.

Sanctum
Feb 14, 2005

Property was their religion
A church for one

Delta-Wye posted:

It's not so much "herd immunity" as much as it's no longer an immunologically naive population.
Yeah I guess I forget that herd immunity means you reach so large a proportion of the population that's immune to the virus relative to the R0. When the virus cannot spread because so many people are immune, no new cases.

This was a decrease in new case numbers and I'm making too much of it.

Snowglobe of Doom
Mar 30, 2012

sucks to be right

Boiled Water posted:

I think a more interesting number to look at is positives per 1000 tests, if such is available. If not available cases per capita is also nice.

Yeah you can't use the raw number of reported infections and the fact that they're trending upwards or downwards as an accurate indication of how the viral spread is actually performing if the testing regime is total garbage, which is clearly is in the Dakotas.

Here's some current graphs of their percentage of positive tests:

https://www.mayoclinic.org/coronavirus-covid-19/map/north-dakota

https://www.mayoclinic.org/coronavirus-covid-19/map/south-dakota

The positive test rate for North Dakota is pretty much hitting the average for the entire country (so not great but not completely awful) but South Dakota's positive test rate of 26.34% is absolute garbage and a really clear indication that their testing is amazingly inadequate and is missing a huge number of the actual infections.



Also keep in mind that half the states are underreporting or just plain not reporting at all over the Christmas break so the last week's worth of data is junk and shouldn't be used as an indicator of the country's overall pandemic trends.

Snowglobe of Doom
Mar 30, 2012

sucks to be right
Also don't forget that South Dakota's governor actually thinks that mask mandates make the virus spread faster:

https://twitter.com/govkristinoem/status/1341136712861401091
:negative:



E

Sanctum posted:

Things are getting bad in california. My county is nearly at ICU capacity because they were sending patients up from SoCal.

It would be a really bad time to get in a car crash or have a heart attack if you're in California

https://twitter.com/NYTNational/status/1342822999737696260
https://twitter.com/CBSNews/status/1342918039193460736

Patients are waiting up to 8 hours in ambulances before they can be admitted to ER:
https://www.oregonlive.com/coronavi...?outputType=amp

Snowglobe of Doom fucked around with this message at 09:20 on Dec 27, 2020

gay picnic defence
Oct 5, 2009


I'M CONCERNED ABOUT A NUMBER OF THINGS
Did the health system in other states get to the point California’s has and no one had enough fucks to give to report on it, or is California the worst it’s been in the US?

Thranguy
Apr 21, 2010


Deceitful and black-hearted, perhaps we are. But we would never go against the Code. Well, perhaps for good reasons. But mostly never.

gay picnic defence posted:

Did the health system in other states get to the point California’s has and no one had enough fucks to give to report on it, or is California the worst it’s been in the US?

New York did, at the beginning. Right now California and Tennessee are in the worst shape in the US, but the death cultists in TN have been able to obscure the data on ICU capacity there.

Snowglobe of Doom
Mar 30, 2012

sucks to be right
I'm pretty sure that NYC never got quite as bad as LA is right now.

Don't forget that they were flying in hospital crews from around the country to help back then, this time every state is being stretched thin and there's no help coming from anywhere else.

zgrowler2
Oct 29, 2011

HOW DOES THE IPHONE APP WORK?? I WILL SPAM ENDLESSLY EVERYWHERE AND DISREGARD ANY REPLIES
Friend in my quarantine bubble went to visit her dad in a nursing home the day after Christmas. Dad tested positive for roni the next day. Friend was masked and at a distance during the visit, her mom did not maintain distance from the dad and dad was assuredly contagious since he's symptomatic and positive now. Mom and friend had a long car ride back from the home. Mom's already had the roni once a month or more ago, unknown what her capacity as an infection vector is. We had prolonged unmasked contact with friend that same day.

Friend's bugging the gently caress out, getting tested tomorrow. I'm strongly leaning towards calling in to work until I know what her test results are as the last thing I want to do is spread anything to my coworkers. I'm too emotionally burnt out from other poo poo going on to be mad at friend for going to a nursing home. I'm just disappointed.

Idiot Kicker
Jun 13, 2007
I had to lie to people in my home state and say I couldn't go there because I didn't have the time off. Their fault for going to a big ol maskless church

Halloween Liker
Oct 31, 2020

by Fluffdaddy
We have a phone app and every place we go to we have to scan their QR sticker for contact tracing.

Apart from that life is normal.

Halloween Liker fucked around with this message at 03:22 on Dec 28, 2020

hydrocarbonenema
Mar 4, 2017

Fun Shoe
Worked two twelve hour shifts in the ICU this weekend, just got off at 7pm. I’m a critical care MD in a moderately large east coast city/region. I’ve posted here a few times. Covid is on the upswing here.

20-25 patients in my unit with transfers and stuff, 15 with covid, 12 on the ventilator, 3 on high flow. 4 died over the weekend. Families had to look through the door window as they passed, some were trying to get their attention one last time pounding on the door. very haunting but I’ve seen a lot of it.. I like to think that the patients were comfortable, but it’s bad on the families - watching your mom/dad/brother die through a window in an icu is a memory that is going to stay in a large number of people and families consciousness for a long time. Humans know, innately, that they are supposed to be with their people when they die. It is an extreme psychic wound to be away, outside a door, when it happens. I was always thought that it’s the right thing to go and hold someone’s hand when they die if they don’t have anyone else, so I’ve done that over the years, sometimes a nurse does it but I don’t force it on anyone. I don’t know these people other than being their doctor and it hurts me not to be there with them.

I have an extremely hard emotional shell and it’s tough to watch people die alone. It’s brutal and inhuman. For some reason I chose to talk about it on this forum.

Aoi
Sep 12, 2017

Perpetually a Pain.
Thank you for doing so. The least we can do, after all, is listen.

Gone Fashing
Aug 4, 2004

KEEP POSTIN
I'M STILL LAFFIN

hydrocarbonenema posted:

Worked two twelve hour shifts in the ICU this weekend, just got off at 7pm. I’m a critical care MD in a moderately large east coast city/region. I’ve posted here a few times. Covid is on the upswing here.

20-25 patients in my unit with transfers and stuff, 15 with covid, 12 on the ventilator, 3 on high flow. 4 died over the weekend. Families had to look through the door window as they passed, some were trying to get their attention one last time pounding on the door. very haunting but I’ve seen a lot of it.. I like to think that the patients were comfortable, but it’s bad on the families - watching your mom/dad/brother die through a window in an icu is a memory that is going to stay in a large number of people and families consciousness for a long time. Humans know, innately, that they are supposed to be with their people when they die. It is an extreme psychic wound to be away, outside a door, when it happens. I was always thought that it’s the right thing to go and hold someone’s hand when they die if they don’t have anyone else, so I’ve done that over the years, sometimes a nurse does it but I don’t force it on anyone. I don’t know these people other than being their doctor and it hurts me not to be there with them.

I have an extremely hard emotional shell and it’s tough to watch people die alone. It’s brutal and inhuman. For some reason I chose to talk about it on this forum.

thanks for posting and thank you for the work you do.

Konstantin
Jun 20, 2005
And the Lord said, "Look, they are one people, and they have all one language; and this is only the beginning of what they will do; nothing that they propose to do will now be impossible for them.

zgrowler2 posted:

Friend in my quarantine bubble went to visit her dad in a nursing home the day after Christmas. Dad tested positive for roni the next day. Friend was masked and at a distance during the visit, her mom did not maintain distance from the dad and dad was assuredly contagious since he's symptomatic and positive now. Mom and friend had a long car ride back from the home. Mom's already had the roni once a month or more ago, unknown what her capacity as an infection vector is. We had prolonged unmasked contact with friend that same day.

Friend's bugging the gently caress out, getting tested tomorrow. I'm strongly leaning towards calling in to work until I know what her test results are as the last thing I want to do is spread anything to my coworkers. I'm too emotionally burnt out from other poo poo going on to be mad at friend for going to a nursing home. I'm just disappointed.

You'll be fine. Even if Friend caught the virus, her viral load was miniscule at that time so she shouldn't be able to spread it to you. I would advise your friend to quarantine another day or two before getting tested, it can take 3-5 days from exposure for there to be enough virus present to register a positive on tests.

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Smashing Link
Jul 8, 2003

I'll keep chucking bombs at you til you fall off that ledge!
Grimey Drawer
Got the Moderna today. So far so good. Less soreness than my last flu shot.

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