Coronavirus - the killer flu that will wipe us out? (Vol. 7)

Coronavirus - the killer flu that will wipe us out? (Vol. 7)

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Zoobeef

6,004 posts

158 months

Sunday 12th July 2020
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gottans said:
Zoobeef said:
gottans said:
I think this really unfair on the NHS. If you think it is so bad I assume you have private insurance and will never darken the door of your local NHS doctor, dentist or hospital.

I don't pretend it is perfect but your comments are uncalled for.
I have private insurance, just a shame the NHS has stepped in with them also.

I also paid for a private baby scan so I could be there if it was bad news at the first one.
The NHS cannot adapt, stuck in its ways "protecting" itself.
Well good for you, you have a choice, as I said earlier I don't pretend the NHS is perfect and can improve but slating it because of something you didn't like when you have a choice seems sour grapes.
Shall we see if I could go for a private knee op? The answer is most probably a no, down to the NHS.

anonymous-user

54 months

Sunday 12th July 2020
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Zoobeef said:
Unlike you that at the first time of trouble shut up and told all your staff to find new jobs ive never stopped working. Thankfully the world need me more than it needs you.
I'm not sure what you are talking about. My business and role has been operational throughout. Are you having a go for using the furlough scheme?

Anyway, still waiting for an answer. I'm angry the NHS is in a state too. But I don't claim to have a crystal ball to say that the NHS would be in a better state now, had it turned a blind eye to covid.

Perhaps any docs on the thread can pitch in.

Robertj21a

16,476 posts

105 months

Sunday 12th July 2020
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Alucidnation said:
I don’t think for one minute it was working as well as it could/should have.

As I have said before, there are/were too many stupid people that were thinking it didn’t apply to them or wouldn’t affect them.
Many of them seem to be posting on PH.....

Zoobeef

6,004 posts

158 months

Sunday 12th July 2020
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sambucket said:
I'm not sure what you are talking about. My business and role has been operational throughout. Are you having a go for using the furlough scheme?

Anyway, still waiting for an answer. I'm angry the NHS is in a state too. But I don't claim to have a crystal ball to say that the NHS would be in a better state now, had it turned a blind eye to covid.

Perhaps any docs on the thread can pitch in.
Well unless you've just put yourself in another web of bks you said back in March that you had told all your staff to look for other jobs as we would be locked down for the year.
I imagine you've deleted the post now given that's your trend.

otolith

56,035 posts

204 months

Sunday 12th July 2020
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grumbledoak said:
i4got said:
We don't need to argue about masks any more. The BBC have just had an Oxford professor on to say there is clear evidence that masks reduce the spread of CV. Only problem is that her speciality is sociology.
Yes, but Oxford. You can't question her views. Shut up and obey!
This, presumably.

https://www.ox.ac.uk/news/2020-07-08-oxford-covid-...

Which reports this piece of work;

https://royalsociety.org/-/media/policy/projects/s...


bitchstewie

51,113 posts

210 months

Sunday 12th July 2020
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[redacted]

smashing

1,613 posts

161 months

Sunday 12th July 2020
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Alucidnation said:
I don’t think for one minute it was working as well as it could/should have.

As I have said before, there are/were too many stupid people that were thinking it didn’t apply to them or wouldn’t affect them.
And yet we have been continuously told that overall compliance was much much higher than anticipated or modelled

anonymous-user

54 months

Sunday 12th July 2020
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[redacted]

WatchfulEye

500 posts

128 months

Sunday 12th July 2020
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sambucket said:
Can someone translate this chart for me. Does this mean everything above the line was wasted?

It's showing where the constraints on capacity are. It also shows the amount of extra capacity which can be released by various policies.

Lime green shows where the normal capacity limitations lie (i.e. lack of nursing staff for critical care, and lack of beds for normal wards).

The different colours represent different policies to increase capacity. E.g. cancelling elective cases frees up beds, and staff.

The eventual demand on critical care is shown as exceeding the capacity of the staff and beds - even after maximum interventions to increase this capacity.

In contrast, on the general wards, the main limiting factor was beds - which was more than adequately addressed by cancelling elective work.

There have been plenty of soundbites on the news that the NHS was not overwhelmed - maybe not on the general wards. I would disagree that ICUs were not overwhelmed. There may have been enough ventilators; but general strain on the staff, particularly the nursing staff and junior doctors was very obvious; and this study shows this.

Edit:
Yes - your assessment is correct. Critical care is normally very well staffed with senior doctors. The limiting factor is nurses - and at baseline level of capacity, the nursing limitiation would barely have managed 10% of the covid-induced demand.

Edited by WatchfulEye on Sunday 12th July 16:54

loafer123

15,429 posts

215 months

Sunday 12th July 2020
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All operations still require a two week isolation beforehand, and so many are turning down operations.

My daughter (who, incidentally, is going to Medical School in September) was offered a long awaited operation on her wrist if she would isolate in her room for two weeks before and two weeks after.

No way is that a sensible proposition, simply from a mental health perspective, let alone anything else. To all intents and purposes, a meaningful proportion of the NHS remains shut.

randytusk

1,895 posts

226 months

Sunday 12th July 2020
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I don't work on the COVID frontline. Our team has been tasked with providing acute eyecare during the lockdown. It has been utterly punishing and relentless for us - 12 hour straight shifts with minimal breaks. Meanwhile, most of the Docs in the hospital have been rotated out to frontline COVID care.

I do believe that the measures have worked - the lockdown measures and the changes to staff rations have helped massively.

The well publicised case of the British Pilot illustrates how much care and expertise is required to get just ONE critical individual on the road to recovery - the time and resources are astronomical - multiply that by the tens and hundreds and you can quickly see how bad things can get if the numbers of the critically infected skyrocket.

The Spanish serology provides some very interesting insights on seroprevalence, herd immunity and asymptomatic cases....

https://www.thelancet.com/journals/lancet/article/...


edit ... All patients wishing to undergo surgery are asked to isolate (notionally 2 weeks) prior to any surgery. This is not only to cover concerns regarding infecting medical staff and premises, but also to address the issue of adverse outcomes ( largely unknown at present).I couldn't find anyone willing to perform surgery for one of my cataract patients during lockdown, NHS or Private, UK or Europe wide.



Edited by randytusk on Sunday 12th July 17:29

rover 623gsi

5,230 posts

161 months

Sunday 12th July 2020
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new positive tests and deaths

Sunday 12 July - 650 / 21
Sunday 5 July - 516 / 22
Sunday 28 June - 814 / 36
Sunday 21 June - 1,103 / 43
Sunday 14 June - 1,368 / 36
Sunday 7 June - 1,198 / 77

hospital admissions continue to fall
https://coronavirus-staging.data.gov.uk/healthcare...

I suspect that a large chunk of the increase in positive tests is caused by increased testing and very localised clusters. I would like the govt to get the message out there (remind people?) that the vast majority of people who get coronavirus do not suffer serious symptoms

Edited by rover 623gsi on Sunday 12th July 17:23

anonymous-user

54 months

Sunday 12th July 2020
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[redacted]

vaud

50,426 posts

155 months

Sunday 12th July 2020
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Expat16 said:
Florida hit 15300 new cases today
US will be quarantined for 2020...

Robertj21a

16,476 posts

105 months

Sunday 12th July 2020
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Expat16 said:
Florida hit 15300 new cases today
Not a problem, Trump knows how to solve it..
.....

anonymous-user

54 months

Sunday 12th July 2020
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[redacted]

grumbledoak

31,532 posts

233 months

Sunday 12th July 2020
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Expat16 said:
Florida hit 15300 new cases today
Cases don't matter. Young people getting infected is "herd immunity in the making". Only hospitalizations and deaths matter.

anonymous-user

54 months

Sunday 12th July 2020
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[redacted]

vaud

50,426 posts

155 months

Sunday 12th July 2020
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grumbledoak said:
Cases don't matter. Young people getting infected is "herd immunity in the making". Only hospitalizations and deaths matter.
Well given the demographic in Florida you are going to get plenty of hospitalizations and deaths, sadly.

grumbledoak

31,532 posts

233 months

Sunday 12th July 2020
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vaud said:
Well given the demographic in Florida you are going to get plenty of hospitalizations and deaths, sadly.
Possibly frown There is maybe the beginnings of a rise in the last three days here
https://www.worldometers.info/coronavirus/usa/flor...
but I wouldn't try to draw any conclusions from that.

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