[COVID-19 April] I've licked things I might not ordinarily have licked

The Something Awful Forums > Discussion > C-SPAM > [COVID-19 April] I've licked things I might not ordinarily have licked

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Crusader: Apr 11, 2002

# ¿ Apr 1, 2020 01:08

Adbot: ADBOT LOVES YOU

# ¿ May 16, 2024 07:48

Crusader: Apr 11, 2002

https://www.youtube.com/watch?v=-kgIOWvrssA

# ¿ Apr 1, 2020 01:13

Crusader: Apr 11, 2002

Korean Boomhauer posted:

aaaag earthquake here

uh where

edit: nm guess you mean the same idaho one

# ¿ Apr 1, 2020 01:54

Crusader: Apr 11, 2002

https://twitter.com/idgeosurvey/status/1245147908912996352?s=21

# ¿ Apr 1, 2020 02:11

Crusader: Apr 11, 2002

Goon Boots posted:

https://twitter.com/freeRwe/status/1245167055315169281

my uncle works at special ops and he says the virus

# ¿ Apr 1, 2020 04:17

Crusader: Apr 11, 2002

# ¿ Apr 1, 2020 13:27

Crusader: Apr 11, 2002

magiccarpet posted:

https://www.youtube.com/watch?v=qzhPzHhnFl0

was literally the next thing i was gonna post, hah

# ¿ Apr 1, 2020 13:33

Crusader: Apr 11, 2002

https://twitter.com/moorejh/status/1245344220342358018

confirms what was already strongly suspected or proven by other means:

quote:

Here we provide a detailed virological analysis of nine cases, providing proof of active virus replication in upper respiratory tract tissues. Pharyngeal virus shedding was very high during the first week of symptoms (peak at 7.11 � 108 RNA copies per throat swab, day 4). Infectious virus was readily isolated from throat- and lung-derived samples, but not from stool samples, in spite of high virus RNA concentration. Blood and urine never yielded virus. Active replication in the throat was confirmed by viral replicative RNA intermediates in throat samples. Sequence-distinct virus populations were consistently detected in throat and lung samples from the same patient, proving independent replication. Shedding of viral RNA from sputum outlasted the end of symptoms. Seroconversion occurred after 7 days in 50% of patients (14 days in all), but was not followed by a rapid decline in viral load. COVID-19 can present as a mild upper respiratory tract illness. Active virus replication in the upper respiratory tract puts the prospects of COVID-19 containment in perspective.

# ¿ Apr 1, 2020 14:45

Crusader: Apr 11, 2002

https://twitter.com/mattdpearce/status/1245360284597809152

# ¿ Apr 1, 2020 15:40

Crusader: Apr 11, 2002

Mokelumne Trekka posted:

Well I was skeptical at first to be honest, but we are only 850 deaths away from hitting 5,000 by tonight and that confirms the 3 day doubling rate...

So perhaps it will be 10,000 by Saturday night.

that's been my assumption

# ¿ Apr 1, 2020 17:31

Crusader: Apr 11, 2002

MadJackal posted:

Where�d the thread title come from? I want to steal it later.

this i think

https://www.youtube.com/watch?v=9WUDGURif9A

# ¿ Apr 1, 2020 17:52

Crusader: Apr 11, 2002

WarEternal posted:

https://mobile.twitter.com/TierneyODea/status/1245379911713525760

Lmao these people trying to bend over backwards to make excuses for Musk. That's ALSO not a ventilator. My dad died of pulmonary fibrosis so I know what a fuckin ventilator looks like.

"Non-invasive" right there on the text of the loving page. Why did the "NYCHealthSystem" Twitter promote this when they're loving CPAPs? Feel like I'm losing my mind.

government gotta fellate billionaires for pretending to care about the rest of us

# ¿ Apr 1, 2020 17:56

Crusader: Apr 11, 2002

Plinkey posted:

https://twitter.com/DrBillFisher/status/1245415106835513344

oof.

# ¿ Apr 1, 2020 20:25

Crusader: Apr 11, 2002

Pussy Quipped posted:

How come the US is the only place where kids are dying.

we live in hellworld op

# ¿ Apr 1, 2020 20:42

Crusader: Apr 11, 2002

somnambulist posted:

I was discharged from the hospital after being there for 5 days. I tested positive for Covid 19 , I was super sick for 2 weeks prior to going to hospital, I was trying to ride it out (I�m 35 , no health conditions) but I finally went to the ER and I had pneumonia in both lungs.

I�m resting at home again, I�m still loving scared and I�m not sure if I can just lay down in the same bed I was sick in. poo poo sucks guys,

feel better!!

# ¿ Apr 1, 2020 22:42

Crusader: Apr 11, 2002

https://twitter.com/DavidLat/status/1245419225721733122

and https://www.law.com/nationallawjour...=20200301181002

quote:

During the week that he was intubated and having a ventilator do his breathing for him, he said, he was �pretty much totally out of it.� Doctors and nurses heavily sedated him for the week, he said, and at the same time administered to him one drug therapy after another. In fact, he said Tuesday�while noting that he�s now read various recent news articles about him�he was given more medications than had been previously known.

�In the end,� he said, �I ended up receiving an IL-6 inhibitor called Kevzara, a combo of the antimalarial drug called hydroxychloroquine and the antibiotic called azithromycin, an IL-6 inhibitor called Tocilizumab, an IL-6 inhibitor called Clazakizumab, and an antiviral called Remdesivir.�

But asked whether the NYU Langone physicians have told him that the drug therapies employed had helped him turn the corner and survive, Lat said that they hadn�t said that�because they themselves don�t know.

# ¿ Apr 1, 2020 23:14

Crusader: Apr 11, 2002

# ¿ Apr 1, 2020 23:24

Crusader: Apr 11, 2002

Apraxin posted:

A reporter asks about domestic violence concerns.

�Mexican violence?� Trump asks.

�Domestic violence,� the reporter clarifies.

jesu christo

# ¿ Apr 2, 2020 00:21

Crusader: Apr 11, 2002

https://twitter.com/drilbot_neo/status/1245447156963696645?s=21

# ¿ Apr 2, 2020 00:23

Crusader: Apr 11, 2002

# ¿ Apr 2, 2020 01:07

Crusader: Apr 11, 2002

gently caress You And Diebold posted:

https://twitter.com/NYTScience/status/1245473173166084097
Sudden onset crack ping

the people it kills get up and kill

# ¿ Apr 2, 2020 09:43

Crusader: Apr 11, 2002

pelosi will save us with a salt cap repeal

# ¿ Apr 2, 2020 13:48

Crusader: Apr 11, 2002

this is a great time for insane charts

# ¿ Apr 2, 2020 14:09

Crusader: Apr 11, 2002

Woofer posted:

Yes yes

Thanks for pointing it out on Twitter.

I am sure he will be best now.

#bebest #wheresmelanie

# ¿ Apr 2, 2020 14:12

Crusader: Apr 11, 2002

dude trying to be the t-shirt

# ¿ Apr 2, 2020 15:34

Crusader: Apr 11, 2002

JAY ZERO SUM GAME posted:

there are seriously just about constant sirens outside. I had kinda noticed more in that last week or so (hard to say, you don�t really notice or remember them normally), but seriously today, it�s every couple of minutes I can hear one

windows are open today, like most days.

queens

same in manhattan :\

# ¿ Apr 2, 2020 16:17

Crusader: Apr 11, 2002

FogHelmut posted:

The interesting thing is that its really just a couple of guys with thousands of guns, and not like millions of individuals with one gun each.

oh poo poo its doomguy

# ¿ Apr 2, 2020 18:13

Crusader: Apr 11, 2002

Lawman 0 posted:

https://twitter.com/WeWuzBoomers/status/1245778891647651843

*crack* *ping*

# ¿ Apr 2, 2020 19:37

Crusader: Apr 11, 2002

Agean90 posted:

Yeah everyones either in the verge of a mental breakdown are suffering from cognitive dissonance that they're not, it own

# ¿ Apr 2, 2020 20:09

Crusader: Apr 11, 2002

florida fully committed to death crew

https://twitter.com/mattdpearce/status/1245791216987303937?s=21

# ¿ Apr 2, 2020 20:15

Crusader: Apr 11, 2002

Raiad posted:

a whole lot of stupid loving people are gonna have to learn what "exponential growth" means the hard way, huh

"huh, my 'not as bad as other kinds of death' post keeps having to be revised upwards... oh well!"

# ¿ Apr 2, 2020 20:42

Crusader: Apr 11, 2002

becoming more and more difficult to believe that america will survive until the end of april

# ¿ Apr 2, 2020 20:56

Crusader: Apr 11, 2002

comedyblissoption posted:

https://twitter.com/BreakingNews/status/1245812997492281344
edit: beaten lol

he should not have remembered sailor

# ¿ Apr 2, 2020 21:46

Crusader: Apr 11, 2002

hahaha christ

https://twitter.com/farmedjoy/status/1245786698145058816

# ¿ Apr 2, 2020 23:48

Crusader: Apr 11, 2002

OhFunny posted:

https://bnonews.com/index.php/2020/04/the-latest-coronavirus-cases/

The USA has crossed 6,000 total deaths according to BNO's tracker.

we'll be over 10k sometime on saturday i assume

# ¿ Apr 3, 2020 00:35

Crusader: Apr 11, 2002

wow presdient trampl

https://twitter.com/Emily_Baum/status/1245875443309228032

quote:

Two months before the novel coronavirus probably began spreading in Wuhan, China, the Trump administration ended a $200-million pandemic early-warning program aimed at training scientists in China and other countries to detect and respond to such a threat.

The project, launched by the U.S. Agency for International Development in 2009, identified 1,200 different viruses that had the potential to erupt into pandemics, including more than 160 novel coronaviruses. The initiative, called PREDICT, also trained and supported staff in 60 foreign laboratories � including the Wuhan lab that identified SARS-CoV-2, the new coronavirus that causes COVID-19.

Field work ceased when the funding ran out in September, and organizations that worked on the PREDICT program laid off dozens of scientists and analysts, said Peter Daszak, president of EcoHealth Alliance, a key player in the program.

# ¿ Apr 3, 2020 01:57

Crusader: Apr 11, 2002

MadJackal posted:

Day 12

�I will continue using military metaphors. We are at war with this virus.�

The greetings this morning were grim.

�Stay safe� has become the aloha of intra-Resident conversations. I heard that twice before reaching the front doors of the hospital just after sunrise.

�How was the night?� is the standard greeting to the two Residents just finishing their 12 hour Night Float shift. These are the two young MDs left to put out fires across half the hospital�s two hundred or so beds.

�We had the longest Code ever. Took an hour. We went through maybe 20 epi�s.�

Epinephrine is only given to people with either pulseless electrical activity or those who are asystolic � flatliners. (Once again, Hollywood has lied to you. You don�t put the paddles on anyone with a monitor next to them going BEEEEEEEEEEEEEP.) The ACLS guidelines say you push those every 3-5 minutes.

The Ok, We Tried alarm should have gone off about 3-4 epi�s in. Not 20.

�Was it a young guy?� �No, It was James.�

I curse a little louder than I mean to. I walk out of the room and wash my hands even though I�m sure I hadn�t touched anything.

James is- was a nurse at my hospital. He was maybe in his early 50s. Every Resident loved him because he was tough and always fought for his patients. He was a nice guy and a pleasure to work with. But he was fierce. He�d seek us out during Rounds, stare us down and make sure we put in orders for his patients ASAP. We all respected him.

I knew he was on a vent as of the night before with settings that looked, well, dire, but it�s still a shock.

The night team leaves. I start mindlessly updating the cheat sheet summary of our 16 patients. I�m on autopilot at this point. 13 are COVID cases. COVID cases are, unfortunately, very easy to manage. You put in orders for medications that you�re pretty sure don�t work, you note how bad their oxygen saturation is on nasal cannula (NC) or nonrebreather (NRB), and you gown up and see the worst cases / people you think might need to be intubated in the near future.

The first Rapid Response comes at 7:40AM. I reach the door (of course it�s a COVID room, that�s all we have left) and realize I left my N95 at home. I�m not entering that room. I flippantly tell the interns to access the situation and head to pick up a new mask at the Command Center.

The nice nursing admin lady hands me a paper bag with a new N95. She tells me to sign for it in the binder just outside the door. Despite my autopilot brain, I joke, �Oh we�re on the honor system? You know I�m just going to sign �John Smith� in the binder right?� She laughs and says it�s ok I left my N95 at home.

I pick up my mask and sign John Smith in the binder.

Just because I�m in shock doesn�t mean I can pass up a joke like that.

I head back up to the Rapid. I get a debrief that this was narrow complex ventricular tachycardia in the 200s. They pushed metoprolol (wrong decision) and adenosine (right decision). I go talk to the very bright and hardworking intern on my team. I explain that in situations like this where the patient is otherwise hemodynamically stable, metoprolol isn�t going to do enough to slow the heart rate. You�ve got to reset the circuit breaker. I asked who the attending was in the room.

There was no attending. The intern had to make the call.

I left my interns to the wolves when I walked off in a huff to go get a new mask.

My autopilot brain goes over how lovely I am of a senior Resident. When YOU were an intern, at least your seniors never walked away from a Rapid.

As I walk back to the call room to barricade myself behind a door for an hour or so, I come upon a nurse meeting where the news of James� passing was being announced. I honestly don�t remember a single word of it. I do remember the occasional sobs coming from these amazing nurses.

Then there�s a Rapid and a COVID is intubated.

Table Rounds.

Then there�s a Rapid and a COVID is intubated.

I�m getting good at assessing whether or not a hypoxic COVID patient will get tubed and if we have time to get them upstairs before they crash.

Go me.

�

�The world breaks everyone and afterward many are strong at the broken places.�

I don�t think my fellow Residents or I will break in the near-future. Maybe, maybe not. A few of us are close though, including myself. Feels like it�s just over the horizon.

It�s what follows that quote which worries me.

�But those that will not break it kills. It kills the very good and the very gentle and the very brave impartially. If you are none of these you can be sure it will kill you too but there will be no special hurry.�

James never broke. He was good, and gentle and brave and he was killed.