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SARS CoV-2 coronavirus / Covid-19 (No tin foil hat silliness please)

Dumbstar

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ECG possibly overkill if she’s young/otherwise healthy but you’d have to be thinking about a CXR by now. Is she still coughing? Does she have a fever?
Never had a fever, just occasional mild temperature (less than 37c). Hardly any coughing. Main complain of pain in the centre of chest and pins and needles in arms and legs/fatigue. No breathing problems though had the covid tight chest feeling in the early days. Now it's just pain in the middle which has been there since day 1.

I'll call the GP on Monday to arrange a check up.
 

Drawfull

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Unhelpful headlines in the MSM are starting to bug me.

New story on Guardian: Needs an 'a' before coronavirus

Revealed: UK ministers were warned last year of risks of coronavirus pandemic

Needs an 'a' before coronavirus regardless of its validity.

It's just one of many. Are the media doing the right thing or?

(disclosure, Tory reading Guardian as I prefer it to the more right-wing press. I pay for access to the Telegraph, but theit site is shite)
 

unchanged_lineup

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When my allergy to dust was not yet diagnosed this was a common occurrence for me. Would start with sinus congestion for a couple of weeks and then migrate to my chest for at least 4-6 more, sometimes as many as 8. Even getting a cold would trigger a similar response.

Now that it's under control a cold lasts for three days. They're almost fun, I suspect due to the sheer novelty.
How did you get it under control? I'm allergic to dust too but I'm kinda resigned always being blocked up.
 

One Night Only

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Unhelpful headlines in the MSM are starting to bug me.

New story on Guardian: Needs an 'a' before coronavirus

Revealed: UK ministers were warned last year of risks of coronavirus pandemic

Needs an 'a' before coronavirus regardless of its validity.

It's just one of many. Are the media doing the right thing or?

(disclosure, Tory reading Guardian as I prefer it to the more right-wing press. I pay for access to the Telegraph, but theit site is shite)
They're shite man, they're just going for a sensational headline every time to get people to buy their bullshit.

I've already moaned once in here about the state of journalism so won't go on about it again too much. The coronavirus just brought more attention to it, it's been the same for all journalism for a while.
 

Dr. Dwayne

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How did you get it under control? I'm allergic to dust too but I'm kinda resigned always being blocked up.
I got the scratch test for environmental allergies done and dust was the only one the generated a response. Once that was sorted I got prescribed a nasal spray as below:

Well, I still have the allergy but I use a nasal spray daily that keeps my sinuses from overreacting and setting off the chain of histamine reactions. I prefer Omnairis (ciclesonide) but can use Nasonex (mometasone) in a pinch, though I find the Nasonex burns a little.
 

FlawlessThaw

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Unhelpful headlines in the MSM are starting to bug me.

New story on Guardian: Needs an 'a' before coronavirus

Revealed: UK ministers were warned last year of risks of coronavirus pandemic

Needs an 'a' before coronavirus regardless of its validity.

It's just one of many. Are the media doing the right thing or?

(disclosure, Tory reading Guardian as I prefer it to the more right-wing press. I pay for access to the Telegraph, but theit site is shite)
Are the media doing the right thing or on what? Making grammatical errors? In your example yeah sure it's not right. Bit of a small hill to die on when you compare to the lionisation of Johnson.
 

Pogue Mahone

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Never had a fever, just occasional mild temperature (less than 37c). Hardly any coughing. Main complain of pain in the centre of chest and pins and needles in arms and legs/fatigue. No breathing problems though had the covid tight chest feeling in the early days. Now it's just pain in the middle which has been there since day 1.

I'll call the GP on Monday to arrange a check up.
Less than 37C isn’t a fever. If her temp has stayed that low the whole time she almost certainly doesn’t have covid. Which is good news! Worth seeing your GP anyway. It’s an odd picture. I wonder if she’s feeling very anxious about this whole thing? Lots of people are. Hope she feels better soon.
 

unchanged_lineup

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Well, I still have the allergy but I use a nasal spray daily that keeps my sinuses from overreacting and setting off the chain of histamine reactions. I prefer Omnairis (ciclesonide) but can use Nasonex (mometasone) in a pinch, though I find the Nasonex burns a little.
I have one, but it says a side effect is lowered immunity which is not really so good at the moment.....
 

Handré1990

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Don’t know if it’s been posted, but apparently the University in Trondheim, Norway (NTNU) has developed a new method of testing for the covid-19 virus. They are confident they can test 100 000 people every day, and up to half a million at a stretch. The Institute of clinical and molecular medicine and the Institute of chemical processing technology are behind the invention.

Don’t have the time to translate at the moment, perhaps some other Norwegians can, or else I’ll do it later.

Link: https://www.nrk.no/viten/ntnu-metode-er-avgjorende_-na-skal-sa-a-si-alle-koronatestes-1.14991827

Edit: Apparently this was done a few weeks ago, but they’ve enough equipment to start testing on a large scale from the 1st of May.

Link in English:https://norwegianscitechnews.com/20...etic-balls-to-150000-covid-19-tests-per-week/
 
Last edited:

do.ob

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Unhelpful headlines in the MSM are starting to bug me.

New story on Guardian: Needs an 'a' before coronavirus

Revealed: UK ministers were warned last year of risks of coronavirus pandemic

Needs an 'a' before coronavirus regardless of its validity.

It's just one of many. Are the media doing the right thing or?

(disclosure, Tory reading Guardian as I prefer it to the more right-wing press. I pay for access to the Telegraph, but theit site is shite)
What's wrong with the headline? They even included a scan of the warning?! And how is it unhelpful? Other than politically for the goverment.
 

Anustart89

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I think that anyone working in the field is reluctant to put people on ventilators, since the weaning process is an absolute bitch. It's a tough decision though.

How long do you leave someone with a saturation of 80-85% despite treating them with 100% oxygen on a high flow nasal cannula in a semi-prone position before accepting that they won't turn it around? I reckon a few will turn it around if you refrain from intubating for a day or two longer than you normally would, but some will also get kidney failure (among other organ failures) from sustained hypoxia, so how do you predict who's likely to turn it around without mechanical ventilation and who won't? That's the main issue and something that we won't get an answer to until we retrospectively analyse the outcomes for mechanically ventilated/non-ventilated patients, if we ever do that.
 

Dumbstar

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Less than 37C isn’t a fever. If her temp has stayed that low the whole time she almost certainly doesn’t have covid. Which is good news! Worth seeing your GP anyway. It’s an odd picture. I wonder if she’s feeling very anxious about this whole thing? Lots of people are. Hope she feels better soon.
Not having a fever doesn't preclude not having covid though. That's just one of the 30+ symptoms that keep being discovered. It's just one she hasn't hit. She passed it on to the wife who did get the dry cough, tight chest, some breathing problems, pins and needles in the legs and arms, fatigue, etc.

After 7 weeks none of us are anxious anymore. I've exhausted my panic levels, now it's just acceptance as long as we stay well clear of pneumonia.
 

Skills

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Never had a fever, just occasional mild temperature (less than 37c). Hardly any coughing. Main complain of pain in the centre of chest and pins and needles in arms and legs/fatigue. No breathing problems though had the covid tight chest feeling in the early days. Now it's just pain in the middle which has been there since day 1.

I'll call the GP on Monday to arrange a check up.
That's the symptom I had for a good 3 weeks. It's weird, I wrote it off for anxiety after about a week. And then all of a sudden when it went away, I realised there was actually something wrong with me - it felt like I'd only just breathed again properly in 3 weeks. Never had a fever, and though I did have a bit of a cough at the start - it wasn't persistent.
 

Cardboard elk

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Don’t know if it’s been posted, but apparently the University in Trondheim, Norway (NTNU) has developed a new method of testing for the covid-19 virus. They are confident they can test 100 000 people every day, and up to half a million at a stretch. The Institute of clinical and molecular medicine and the Institute of chemical processing technology are behind the invention.

Don’t have the time to translate at the moment, perhaps some other Norwegians can, or else I’ll do it later.

Link: https://www.nrk.no/viten/ntnu-metode-er-avgjorende_-na-skal-sa-a-si-alle-koronatestes-1.14991827

Edit: Apparently this was done a few weeks ago, but they’ve enough equipment to start testing on a large scale from the 1st of May.

Link in English:https://norwegianscitechnews.com/20...etic-balls-to-150000-covid-19-tests-per-week/
Yes I just watched a video on this. They can quicky scale up to producing 300k tests per day. They use magnetic spheres to separate RNA for the testing machines. Still, one has to produce enough swabs etc to be able to test, but this method does not rely on rare chemicals or reagents that are hard to come by. If we can get the swabs etc. produced in high numbers, then we can test as much as we need every day.
 

dumbo

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https://www.theguardian.com/world/2...cise-uk-government-over-following-the-science
The language of Science and expertise has been abused for so long and to such a degree - not least by both sides of Brexit - that nothing seems to mean anything anymore. And now, when serious communication and veracity are needed more than ever, all we seem to be capable of processing are memes and Trumpisms.

Also Cummings involved with formation of the scientific advise, wow:
https://www.theguardian.com/world/2...secret-scientific-advisory-group-for-covid-19
Sage participants told the Guardian the Downing Street advisers were not merely observing the advisory meetings, but actively participating in discussions about the formation of advice.
 

Handré1990

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Yes I just watched a video on this. They can quicky scale up to producing 300k tests per day. They use magnetic spheres to separate RNA for the testing machines. Still, one has to produce enough swabs etc to be able to test, but this method does not rely on rare chemicals or reagents that are hard to come by. If we can get the swabs etc. produced in high numbers, then we can test as much as we need every day.
I think it was mentioned in the article from NRK that we have enough of everything to test on the scale mentioned, swabs included. Interesting stuff, with nano particles and whatnot.
 

Pexbo

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https://www.theguardian.com/world/2...cise-uk-government-over-following-the-science
The language of Science and expertise has been abused for so long and to such a degree - not least by both sides of Brexit - that nothing seems to mean anything anymore. And now, when serious communication and veracity are needed more than ever, all we seem to be capable of processing are memes and Trumpisms.

Also Cummings involved with formation of the scientific advise, wow:
https://www.theguardian.com/world/2...secret-scientific-advisory-group-for-covid-19
Both sides?
 

Alabaster Codify7

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Fed up of waiting for Westminster to stop dithering, the Welsh Government have published a framework for relaxing the lockdown and life back to a semblance of normality

https://gov.wales/sites/default/fil...ing-wales-out-of-the-coronavirus-pandemic.pdf
I think in 2wks we'll be the first part of the UK to move. Scotland and NI close behind, then parts of England. It's tough to hear but London will be locked down much longer than everywhere else seen as though it's easily the epicentre of the UK.
 

Sparky Rhiwabon

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I think in 2wks we'll be the first part of the UK to move. Scotland and NI close behind, then parts of England. It's tough to hear but London will be locked down much longer than everywhere else seen as though it's easily the epicentre of the UK.
Leading the way.

Londoners won't like it if they're held back for longer than the rest of England. Would be difficult to implement I'd imagine
 

Alabaster Codify7

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Leading the way.

Londoners won't like it if they're held back for longer than the rest of England. Would be difficult to implement I'd imagine
Christ no. But their numbers are what is holding the Rest of England back minus the odd city. It's completely understandable that London has been the worst hit, it's usually the capital......unless you're China, of course......
 

Wibble

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Are the media doing the right thing or on what? Making grammatical errors? In your example yeah sure it's not right. Bit of a small hill to die on when you compare to the lionisation of Johnson.
Toryies make a fatal arse of it and a minor typo is the thing to worry about?
 

Pogue Mahone

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I think that anyone working in the field is reluctant to put people on ventilators, since the weaning process is an absolute bitch. It's a tough decision though.

How long do you leave someone with a saturation of 80-85% despite treating them with 100% oxygen on a high flow nasal cannula in a semi-prone position before accepting that they won't turn it around? I reckon a few will turn it around if you refrain from intubating for a day or two longer than you normally would, but some will also get kidney failure (among other organ failures) from sustained hypoxia, so how do you predict who's likely to turn it around without mechanical ventilation and who won't? That's the main issue and something that we won't get an answer to until we retrospectively analyse the outcomes for mechanically ventilated/non-ventilated patients, if we ever do that.
Yeah. A lot of guesswork. Fascinating how so many intensivists talk about this as something they’ve never seen before. Really compliant lungs and people dropping their sats to their boots without realising it. I’ve also never heard proning talked up this much.
 

Pogue Mahone

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What do you think of this breathing aid that mercedes were manufacturing? It sounds a lot less invasive

https://www.itv.com/news/central/20...rthampton-hospital-in-fight-against-covid-19/
They’re not really ventilators. CPAP would be the next best thing to being intubated but are a bit controversial. Opinions differ on how much they help and they generate a lot of aerosol. Which is dangerous to anyone around them.

That might have changed recently, mind you. Best practice seems to change every few days.
 

Dante

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Unhelpful headlines in the MSM are starting to bug me.

New story on Guardian: Needs an 'a' before coronavirus

Revealed: UK ministers were warned last year of risks of coronavirus pandemic

Needs an 'a' before coronavirus regardless of its validity.

It's just one of many. Are the media doing the right thing or?

(disclosure, Tory reading Guardian as I prefer it to the more right-wing press. I pay for access to the Telegraph, but theit site is shite)
It's not a grammatical error, it's Headlinese.
 

Cardboard elk

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The worst thing is some morons propably will try it killing themselves in the process.
Makes you wonder what is the next thing that comes out of that stupid fecks big mouth.
 

Cardboard elk

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Russian scientist Peter Chumakov says Wuhan Lab Chinese scientists created "variants of the virus without malicious intent", possibly aiming for an HIV vaccine.
Scientists at the Wuhan Laboratory, he said, have been actively involved in the development of various coronavirus variants for over 10 years.
"Moreover, they did this, supposedly not with the aim of creating pathogenic variants, but to study their pathogenicity," he said.

https://www.sciencetimes.com/articl...ngs-study-covid-19-russian-microbiologist.htm

Really makes you wonder.
 

Dr. Dwayne

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Russian scientist Peter Chumakov says Wuhan Lab Chinese scientists created "variants of the virus without malicious intent", possibly aiming for an HIV vaccine.
Scientists at the Wuhan Laboratory, he said, have been actively involved in the development of various coronavirus variants for over 10 years.
"Moreover, they did this, supposedly not with the aim of creating pathogenic variants, but to study their pathogenicity," he said.

https://www.sciencetimes.com/articl...ngs-study-covid-19-russian-microbiologist.htm

Really makes you wonder.
The accompanying photo, lack of clear indication who makes up their editorial board and sourcing from the Daily Mail are what really makes me wonder about that article.

 

Anustart89

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Yeah. A lot of guesswork. Fascinating how so many intensivists talk about this as something they’ve never seen before. Really compliant lungs and people dropping their sats to their boots without realising it. I’ve also never heard proning talked up this much.
To be honest, it's not that shocking from a physiological point of view. Shortness of breath and distress mainly hinges on accumulation of CO2 and a high work of breathing. We don't see these patients with abnormal PCO2 levels. They can get rid of that, albeit with a high required effort. Hypoxia usually causes respiratory distress if you're already accustomed to elevated PCO2 levels. I mean, you already know this so I'm not looking to educate you, just saying that it makes sense in a way.

Proning is a cornerstone in classic ARDS treatment, just that it's rare enough to have patients with such severe cases of ARDS since there's an underlying disorder that is treatable. Usually, the ARDS clears before you've exhausted all supine treatment options. In my ICU, I'd say that we have (ballpark figure) 15 patients in a year that require proning.

In moderate to severe ARDS, it halved the mortality from 32% to 16% in one RCT, which is quite a lot better than many other ICU treatments. The "two phenotypes of Covid-19" might be a thing or it may just be two phases of the same disorder, but in the ARDS-like state, it makes a lot of sense to prone the patients to improve ventilation/perfusion matching.

But yeah, regarding your main point, it's a weird fecking disease. I mean, we see people with the flu getting this bad but by the time you tube them the infection's already getting better so you only need to ride it out and let them recover from the effort of breathing. We've had patients in our ICU for nigh on three weeks now that look the same on their CXR as they did when they arrived.