#coronavirus patients
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god decided to make me sick on november 1st because i need to write for wyllvember. i had forgotten my purpose. too busy being employed to see what matters most, being insane about that freak
#i will actually NOT be touching drugs for chemo patients with my bare coronavirus-filled hands#fuck nosocomial infections. all my homies hate nosocomial infections
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#private equity firms#capitalism#capitalism ruins everything#capitalism in medicine#late stage capitalism#healthcare#veteran emergency room doctor#ming lin#peacehealth st. joseph medical center#bellingham washington#coronavirus pandemic#hospital preparedness#social media criticism#teamhealth#blackstone group#private equity#healthcare industry#physician staffing#peer review process#due process rights#patient safety#financial entity#acquisitions#rural hospitals#physicians' practices#nursing homes#hospice centers#air ambulance companies#healthcare billing management#debt collection systems
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Opinion Hereâs how to get free Paxlovid as many times as you need it
When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.
Thanks to an innovative agreement between the Biden administration and the drugâs manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people â including pharmacists â are aware of it.
I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars â or even the full list price â to fill their Paxlovid prescription. This shouldnât be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. âWe wanted to make enrollment as easy and as quick as possible,â the representative said.
Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriberâs name and address and select their insurance type.
All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.
But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)
Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.
Pfizerâs representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.
The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.
Several readers have attested that Paxcessâs process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.
Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.
This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, itâs hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.
Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.
Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But thatâs not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.
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THE BENEFITS OF IVERMECTIN. IF YOU HAVE CANCER, FREQUENT COLD OR INFECTIONS, MUSCLE SHRINKAGE, CARDIAC ISSUES, CROHNS, HERPES, ETC.
The study was published in the Cureus Journal of Medical Science. LET'S TALK ABOUT IVERMECTIN 1 â Ivermectin prevents the damage caused to RNA Vaccines. 2 â Ivermectin blocks the entry of Spike Protein into cells. So, if the person was vaccinated with COVID, they have hope, they have a way to treat themselves through Ivermectin. 3 â Ivermectin is a treatment after Covid and after vaccination, it is an effective medicine in all phases of Covid 19, even before entering the cell, Ivermectin already destroys the virus in the blood. It only has beneficial effects and no harmful effects in the treatment of the coronavirus. 4 â Ivermectin has a very powerful anti-inflammatory action against Coronavirus. 5 â Ivermectin has a powerful action for traumatic and orthopedic injuries, it strengthens muscles and has no side effects like corticosteroids. 6 â Ivermectin treats autoimmune ailments such as: rheumatoid arthritis, ankylosing spondylitis, fibromyalgia, psoriasis, Crohn's disease, allergic rhinitis. 7 â Ivermectin reduces the frequency of flu and colds. 8 â Ivermectin improves the immunity of cancer patients. 9 â Ivermectin treats Herpes Simplex and Herpes Zoster. 10 â Ivermectin reduces the frequency of sinusitis and diverticulitis. 11 â Ivermectin protects the heart in cardiac overload, in an embolism for example, it prevents cardiac hypoxia because it stimulates the production of basic energy so that the tissue is not destroyed and thus improves cardiac function. 12 â Ivermectin is antiparasitic. 13 â Ivermectin is anti-neoplastic (anti-cancer), it suppresses the proliferation and metastasis of cancer cells, only killing cancer cells and preserving healthy cells, improving the effectiveness of chemotherapy treatment, as it kills cancer cells resistant to chemotherapy, defeating the resistance to multiple chemotherapeutics that tumors develop, and combined with chemotherapy and/or anti-cancer agents, it provides an increase in the effectiveness of these treatments. 14 â Ivermectin is antimicrobial (bacteria and viruses), and increases immunity. 15 â Ivermectin reaches the Central Nervous System and regenerates the nerves. 16 â Ivermectin regulates glucose and insulin metabolism. 17 â Ivermectin regulates cholesterol metabolism. 18 â Ivermectin reduces liver fat in steatose. 19 â Ivermectin protects the liver exposed to insecticides. 20 â Ivermectin attacks the virus wherever it is, regardless of mutations. 21 â Ivermectin serves for the prevention and treatment of coronavirus, surprisingly. Unproven efficacy is not of Ivermectin, but of vaccines. 22 â Ivermectin, used as a prophylactic agent, was associated with a significant reduction in infection, hospitalization and mortality rates due to COVID-19. 23 - Ivermectin does not attack the liver, since it is not metabolized in it, and if in the intestine, on the contrary, it protects the liver.Â
BIG PHARMA DOES NOT WANT YOU TO KNOW THIS.THEY WANT TO SELL YOU THE EXPENSIVE MEDS THEY MAKE BILLIONS ON.
Please read, save and re-blog before Tumblr takes this down.
#ivermectin#big pharma lobby#big pharma#the great awakening#government corruption#covid vaccine#covid 19#covid 19 vaccine#covid#cardiac arrest#cardiac issues#crohns#diabetes#orthopedics#herpes
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Best Hospitals In Hyderabad
Looking for the Best Hospitals In Hyderabad? Aksha Hospital is one of the best hospitals in Hyderabad, offering excellent medical care and facilities. We have a team of experienced and qualified doctors who offer the best treatment possible. We also offer a wide range of services such as emergency care, surgery, and more. Visit our website today to learn more about our hospital and services.
#MultiSpecialtyhospital#hospital#doctor#covid#nurse#medicine#healthcare#doctors#coronavirus#AKSHAHospitals#Gopanapally#Serilingampally#Hyderabad#MultiSpecialtyCenter#patients#patientsafety#clinic#surgery#treatment#wellness
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Best Hospitals In Hyderabad
Looking for the Best Hospitals In Hyderabad? Aksha Hospital is one of the best hospitals in Hyderabad, offering excellent medical care and facilities. We have a team of experienced and qualified doctors who offer the best treatment possible. We also offer a wide range of services such as emergency care, surgery, and more. Visit our website today to learn more about our hospital and services.
#MultiSpecialtyhospital#hospital#doctor#covid#nurse#medicine#healthcare#doctors#coronavirus#AKSHAHospitals#Gopanapally#Serilingampally#Hyderabad#MultiSpecialtyCenter#patients#patientsafety#clinic#surgery#treatment#wellness
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It's still not just a cold.
"This study showing that severe acute respiratory syndrome coronavirus directly infects coronary artery plaques, producing inflammatory substances, really joins the dots and helps our understanding on why we're seeing so much heart disease in COVID patients," Peter Hotez, MD, professor of molecular virology and microbiology at Baylor College of Medicine in Houston, told Medscape.
Oh, also?
CDC predicts respiratory disease season will be similar to last year
"The CDC said it expects a similar number of respiratory disease cases this year as last year, with 15 to 25 new weekly hospitalizations per 100,000 people."
"As of Friday, nearly 12 million people have gotten the new Covid-19 vaccine since they were authorized last month, according to HHS. Thatâs millions more than the week prior, but still less than 4% of the US population."
No one is protecting themselves. And no one else will protect you.
Even if you're not worried for yourself....don't be one of the people that carries it to someone else. We're all responsible for the most vulnerable people in our society. (That could be you, by the way.....)
WEAR. YOUR. MASK.
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Also preserved on our archive
Whenever you hear someone trying to blame kid's poor test scores "post pandemic" on "lockdowns," show them this.
By Dr. Sushama R. Chaphalkar, PhD.
New research shows that mild COVID-19 alters brain structure and connectivity in key areas responsible for memory and cognition, emphasizing the lasting effects on young peopleâs brain health.
In a case-control study published in the journal Translational Psychiatry, researchers used magnetic resonance imaging (MRI) and cognitive tests to examine brain structure, function, and cognition in adolescents and young adults with mild coronavirus disease 2019 (COVID-19) compared to healthy controls in a pandemic hotspot in Italy. They identified significant changes in brain regions related to olfaction and cognition, with decreased brain volume and reduced functional connectivity in areas like the left hippocampus and amygdala, which were linked to impaired spatial working memory. Notably, no significant differences were observed in whole-brain connectivity, suggesting that these changes were localized rather than widespread.
Background COVID-19, primarily known for respiratory symptoms, also affects the central nervous system, leading to neurological issues like headaches, anosmia, and cognitive changes. MRI-based studies reveal anatomical brain changes in COVID-19 patients, such as reduced gray matter and decreased volume in regions like the hippocampus and amygdala, often linked to cognitive deficits.
While research mostly focuses on severe cases and older adults, a majority of infections with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of COVID-19, occur in adolescents and young adults who also experience long-lasting cognitive symptoms.
This age group, undergoing key brain development, is impacted by changes in spatial working memory and brain structure, which are crucial for cognitive functions shaped by social interactions, significantly disrupted by the pandemic.
Given that this is the largest and most understudied population affected by COVID-19, understanding the brain and cognitive impacts in adolescents and young adults is vital.
Therefore, researchers in the present study compared anatomical, functional, and cognitive outcomes, utilizing a longitudinal design that allowed them to assess both pre- and post-infection differences, in COVID-19-positive and negative adolescents and young adults from Lombardy, Italy, a global hotspot during the pandemic.
About the study The present study involved participants from the Public Health Impact of Metal Exposure (PHIME) cohort, a longitudinal investigation of adolescents and young adults in northern Italy. Between 2016 and 2021, 207 participants, aged 13 to 25 years, were included in a sub-study with MRI scans and cognitive tests. After COVID-19 restrictions were lifted, 40 participants (13 COVID+ and 27 COVIDâ) participated in a follow-up study, which replicated the MRI and cognitive assessments.
The mean age of participants was 20.44 years and 65% were female. COVID+ status was confirmed through positive reverse transcription polymerase chain reaction (RT-PCR) tests within 12 months of follow-up. Neuropsychological assessments used the Cambridge Neuropsychological Test Automated Battery (CANTAB) to evaluate spatial working memory.
MRI and functional MRI data were acquired using a 3-Tesla scanner, processed, and analyzed for structural and local functional connectivity using eigenvector centrality mapping (ECM) and functional connectivity (FC) metrics. Whole-brain functional connectivity metrics showed no significant differences between COVID+ and control groups, indicating that the observed changes were specific to key brain regions rather than generalized across the entire brain.
Statistical analysis involved the use of pairwise Student's t-tests, KolmogorovâSmirnov test, linear regression, two-waves mediation analysis, negative binomial regression, and linear regression, all adjusted for covariates.
Results and discussion Significant differences were observed in the two groups regarding the time between assessments, COVID-19 symptoms, and vaccine status. The research identified five localized functional connectivity hubs with significant differences between the two groups, including the right intracalcarine cortex, right lingual gyrus, left frontal orbital cortex, left hippocampus and left amygdala, which is vital for cognitive functions. Only the left hippocampal volume showed a significant reduction in COVID+ participants (p = 0.034), while whole-brain connectivity remained unchanged, reinforcing the localized nature of the brain changes.
The left amygdala mediated the relationship between COVID-19 and spatial working memory "between errors" (p = 0.028), a critical finding that highlights the indirect effect of amygdala connectivity on cognitive function in COVID+ individuals. This mediation analysis underscores the role of specific brain regions in influencing cognitive deficits, as only the indirect effect was statistically significant for spatial working memory errors. The orbitofrontal cortex, involved in sensory integration and cognitive functions, also showed decreased connectivity in COVID+ individuals, supporting previous findings of structural and functional changes in this region during COVID-19.
The study is limited by small sample size, lack of diversity, potential confounding factors due to the long interval between MRI scans, treatment of certain subjects as COVID-negative based on antibody testing beyond the 12-month threshold, and the possibility of non-significant findings in mediation analysis due to these factors.
Conclusion In conclusion, the findings indicate persistent structural and functional alterations in specific brain regions of COVID-19-positive adolescents and young adults, including changes in gray matter volume and localized functional connectivity, which correlate with diminished cognitive function, particularly in working memory.
Further research is necessary to evaluate the longevity and potential reversibility of these brain and cognitive changes post-infection, enhancing our understanding of post-COVID outcomes and informing future interventions and treatments. The longitudinal design of this study, with pre- and post-COVID data, strengthens these findings by allowing direct comparisons over time, offering robust insights into the impact of COVID-19 on adolescent brain development.
Journal reference: COVID-19 related cognitive, structural and functional brain changes among Italian adolescents and young adults: a multimodal longitudinal case-control study. Invernizzi, A. et al., Translational Psychiatry, 14, 402 (2024), DOI: 10.1038/s41398-024-03108-2, www.nature.com/articles/s41398-024-03108-2
#mask up#covid#pandemic#covid 19#wear a mask#public health#coronavirus#sars cov 2#still coviding#wear a respirator#long covid#covid conscious#covid is airborne#wear a fucking mask
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The Biden administration on Friday proposed tighter limits on the online prescription of some medications, including the attention deficit hyperactivity disorder drug Adderall and highly addictive opioids such as oxycodone, a partial reversal of policy changes made during the coronavirus pandemic.
The new regulations, which would require health care providers to have at least one in-person visit with patients before prescribing or refilling certain drugs, would take effect after the public health emergency for Covid ends on May 11, the Drug Enforcement Administration said in a statement.
The proposal will undergo a 30-day period of public comment, after which the D.E.A. will issue a final rule, the agency said.
Heads up: If you started testosterone (a schedule III controlled substance) via telehealth during the pandemic and you've never seen your provider in person, the Biden administration is probably going to fuck you over later this year.
Go to the link below for more info:
There is a link at the bottom you can follow to submit a comment on the proposal (but at this time the link doesn't appear to be working, for me at least).
Edit to update:
It has been pointed out to me that the MSN article above misrepresents the DEA proposal on telehealth regulations; the proposal is NOT a ban.
Please check out the most recent reblog of this post and the link below for clarification on the proposal:
#hrt#trans#covid tw#pandemic tw#this means i would literally have to go see my doctor in person in another state to continue to get my hrt#this year keeps getting more fucked#medication tw#opioids tw
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COVID-19's long-term effects on the body: an incomplete list
COVIDâs effect on the immune system, specifically on lymphocytes:
NYT article from 2020 (Studies cited: https://www.biorxiv.org/content/10.1101/2020.05.18.101717v1, https://www.biorxiv.org/content/10.1101/2020.05.20.106401v1, https://www.unboundmedicine.com/medline/citation/32405080/Decreased_T_cell_populations_contribute_to_the_increased_severity_of_COVID_19_, https://www.medrxiv.org/content/10.1101/2020.06.08.20125112v1)
 https://www.biorxiv.org/content/10.1101/2022.01.10.475725v1
https://www.science.org/doi/10.1126/science.abc8511 (Published in Science)
 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9057012/
https://www.forbes.com/sites/williamhaseltine/2022/04/14/sars-cov-2-actively-infects-and-kills-lymphoid-cells/
https://www.cleveland.com/news/2022/10/in-cleveland-and-beyond-researchers-begin-to-unravel-the-mystery-of-long-covid-19.html
SARS-CoV-2 infection weakens immune-cell response to vaccination: NIH-funded study suggests need to boost CD8+ T cell response after infection
https://www.merckmanuals.com/professional/hematology-and-oncology/leukopenias/lymphocytopenia
https://thetyee.ca/Analysis/2022/11/07/COVID-Reinfections-And-Immunity/
Dendritic cell deficiencies persist seven months after SARS-CoV-2 infection
https://www.frontiersin.org/articles/10.3389/fimmu.2022.1034159/full
https://www.n-tv.de/politik/Lauterbach-warnt-vor-unheilbarer-Immunschwaeche-durch-Corona-article23860527.html (German Minister of Health)
Anecdotal evidence of COVIDâs effects on white blood cells:
 https://twitter.com/DrJohnHhess/status/1661837956875956224
 https://x.com/TristanVeness/status/1661565201345564673
https://twitter.com/TristanVeness/status/1689996298408312832
Much more if you speak to Long Covid patients directly!
Related information of interest:
China approves Genuine Biotech's HIV drug for COVID patients
COVID as a âmass disabling eventâ and impact on the economy:
https://www.ctvnews.ca/health/report-says-long-covid-could-impact-economy-and-be-mass-disabling-event-in-canada-1.6306608
https://x.com/inkblue01/status/1742183209809453456?s=20
COVIDâs impact on the heart:
https://www.dailystar.co.uk/news/world-news/deadly-virus-could-lead-heart-31751263 (Research from: Japan's Riken research institute)
https://www.brisbanetimes.com.au/national/queensland/unlike-flu-covid-19-attacks-dna-in-the-heart-new-research-20220929-p5bm10.html
https://www.mdpi.com/2077-0383/12/1/186
https://medicalxpress.com/news/2023-04-mild-covid-effects-cardiovascular-health.html
https://publichealth.jhu.edu/2022/covid-and-the-heart-it-spares-no-one
https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health/is-coronavirus-a-disease-of-the-blood-vessels (British Heart Foundation)
COVIDâs effect on the brain and cognitive function:
https://www.openaccessgovernment.org/article/brain-infection-by-sars-cov-2-lifelong-consequences/171391/
https://www.cidrap.umn.edu/covid-19/study-shows-covid-leaves-brain-injury-markers-blood
https://www.theguardian.com/world/2020/jul/08/warning-of-serious-brain-disorders-in-people-with-mild-covid-symptoms
Cognitive post-acute sequelae of SARS-CoV-2 (PASC) can occur after mild COVID-19Â
Neurologic Effects of SARS-CoV-2 Transmitted among Dogs
https://journals.lww.com/nsan/fulltext/2022/39030/neurological_manifestations_and_mortality_in.4.aspx
https://www.salon.com/2023/06/17/new-evidence-suggests-alters-the-brain--but-the-extent-of-changes-is-unclear/
https://www.scientificamerican.com/article/covid-virus-may-tunnel-through-nanotubes-from-nose-to-brain/
https://neurosciencenews.com/post-covid-brain-21904/
https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(22)00260-7/fulltext
https://medicalxpress.com/news/2022-08-covid-infection-crucial-brain-regions.html
https://news.ecu.edu/2022/08/04/covid-parkinsons-link/
Covid as a vascular/blood vessel disease:
https://www.salon.com/2020/06/01/coronavirus-is-a-blood-vessel-disease-study-says-and-its-mysteries-finally-make-sense/
https://www.salon.com/2023/12/27/brain-damage-caused-by-19-may-not-show-up-on-routine-tests-study-finds/
https://www.nih.gov/news-events/news-releases/sars-cov-2-infects-coronary-arteries-increases-plaque-inflammation
https://www.mdpi.com/2077-0383/12/6/2123
https://www.sciencedaily.com/releases/2021/10/211004104134.htm (microclots)
Long Covid:
Post-COVID-19 Condition in Canada: What we know, what we donât know, and a framework for action
 https://www.ctvnews.ca/health/coronavirus/more-than-two-years-of-long-covid-research-hasn-t-yielded-many-answers-scientific-review-1.6235227
 https://www.cbc.ca/news/canada/london/cause-of-long-covid-symptoms-revealed-by-lung-imaging-research-at-western-university-1.6504318
 https://www.cbc.ca/news/canada/montreal/long-covid-study-montreal-1.6521131
https://news.yale.edu/2023/12/19/study-helps-explain-post-covid-exercise-intolerance
Other:
- Viruses and mutation: https://typingmonkeys.substack.com/p/monkeys-on-typewriters
Measures taken by the rich and world leaders
Heightened risk of diabetes
https://jamanetwork.com/journals/jama/fullarticle/2805461
https://www.nature.com/articles/d41586-022-00912-y
Liver damage:
https://timesofindia.indiatimes.com/city/mumbai/46-of-covid-patients-have-liver-damage-study/articleshow/97809200.cms?from=mdr
tl;dr: covid is a vascular disease, not a respiratory illness. it can affect your blood and every organ in your body. every time you're reinfected, your chances of getting long covid increase.
avoid being infected. reduce the amount of viral load you're exposed to.
the gap between what the scientific community knows and ordinary people know is massive. collective action is needed.
#putting this somewhere at least as reference for... somebody hopefully#covid#disability#y'all. it is bleak out there but some very good people are doing their best to help#we need as many people aware and helping as possible
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COVID patients breathe large amounts of virus early on - Northwestern Now
It is the first longitudinal, direct measure of the number of SARS-CoV-2 viral copies exhaled per minute over the course of the infection â from the first sign of symptoms until 20 days after. On day eight, exhaled levels of virus drop steeply, down to near the limit of detection â an average of two copies exhaled per minute. Northwestern investigators tested breath samples â collected multiple times daily from 44 individuals â over the entire course of infection to determine when a person is most infectious.
...
âThe vast majority of research on viral loads over the course of a COVID-19 infection has been based on nasal or oral swabs, which measure virus in the nose or throat,â said lead study author Gregory Lane, senior research project manager in Zelanoâs lab. âHowever, SARS-CoV-2 is spread through breath, and virus on the breath may not match virus in the nose. The dynamics of viral shedding on breath over the course of infection are poorly understood, despite the fact that this is how the virus spreads.â
See also:
#covid#article#research#study#data#covid is airborne#viral load#transmission#viral shedding#aerosols
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[âAs computer programs determine how many patients can be profitably squeezed into a day, doctors become tools. Then the actual machines march triumphantly into the wards.
Nurses are now separated from patients by computers on wheels that roll everywhere with them: their bossy robot taskmasters. When you first see a nurse, she or he will likely have eyes on the screen rather than on you. This has dreadful consequences for your treatment, since you become a checklist rather than a person. If you are having a problem unrelated to what is on the screen, some nurses will have a hard time gathering themselves and paying attention. For example, after my first liver procedure my liver drain was improperly attached. This was a serious problem that was easily reparable. Yet although I tried for four days to draw attention to it, I could not get through. It was not on the lists. And so I had a second liver procedure.
When I read my own medical record, I was struck by how often doctors wrote what was convenient rather than what was true. Itâs hard to blame them: they are locked in a terrible record-keeping system that sucks away their time and our money. When doctors enter their records, their hands are guided by the possible entries in the digital system, which are arranged to maximize revenue. The electronic medical record offers none of the research benefits that we might expect from its name; it is electronic in the same sense that a credit card reader or an ATM is electronic. It is of little help in assembling data that might be useful for doctors and patients.
During the coronavirus pandemic, doctors could not use it to communicate about symptoms and treatments. As one doctor explained, âNotes are used to bill, determine level of service, and document it rather than their intended purpose, which was to convey our observations, assessment, and plan. Our important work has been co-opted by billing.â Doctors hate all of this.
Doctors of an older generation say that things were better in their timeâand, what is more worthy of note, younger doctors agree with them. Doctors feel crushed by their many masters and miss the authority that they used to enjoy, or that they anticipated that they would enjoy when they decided to go to medical school. Young people go to medical school for good reasons, then find their sense of mission exploited by their bosses. Pressured to see as many patients as possible, they come to feel like cogs in a machine. Hassled constantly by companies that seek to pry open every aspect of medical practice for profit, they find it hard to remember the nobility of their calling. Tormented by electronic records that take as much time as patient care, and tortured by mandatory cell phones that draw them away from thinking, they lose their ability to concentrate and communicate. When doctors are disempowered, we do not learn what we need to be healthy and free.â]
timothy snyder, from our malady: lessons in liberty from a hospital diary, 2020
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Ex-Gov. Andrew Cuomo committed âmedical malpracticeâ and publicly undercounted the total number of COVID-related nursing home deaths in New York during the worst period of the killer pandemic, a damning final investigative report released by a key House panel found.
The report from the Republican-led House Select Subcommittee on the Coronavirus Pandemic, released Monday, also concluded that Cuomo âlikely gave false statementsâ about his role in pandemic decision-making.
That includes him actually being âdirectly involvedâ in the infamous March 2020 edict directing nursing homes to admit recovering COVID-19 patients â and downplaying pandemic-related deaths of residents in a July 2020 report, the House panel found.
In another finding, the report concluded that Cuomo âacted in a manner consistent with an attempt to inappropriately influence the testimony of a witness and obstruct the Select Subcommitteeâs investigation,â referring to his contacts with former adviser James Malatras.
The House had previously released documents laying out the allegations about Cuomo and his administrationâs actions â but the more-than 500-page final report paints a devastating picture of the three-term Democratic governorâs decisions that the subcommittee claims undermined public health.
Cuomo â who is weighing a political comeback run for mayor after resigning as governor in 2021 amid sexual misconduct accusations he denied â ripped the report as a partisan GOP witch hunt.
âThis is the same weak gruel the MAGA Republicans on this committee have been peddling for months if not years,â said Cuomo spokesman Richard Azzopardi.
But Rep. Brad Wenstrup, an Ohio Republican who chaired the panel, said in the opening letter of the report that there was bipartisan consensus on numerous topics including âthat former New York Governor Andrew Cuomo participated in medical malpractice and publicly covered up the total number of nursing home fatalities in New York.â
A more than 40-page section of the report focuses solely on Cuomo and the state governmentâs response to the pandemic. Cuomoâs name appears in the report 203 times.
Among the findings alleged in the report are that:
The Cuomo administrationâs March 25, 2020 directive to admit or readmit recovering COVID-19 patients into nursing homes was âmedical malpractice,â âantithetical to known scienceâ and inconsistent with federal guidance â and the Executive Chamber âattempted to cover it up.â
Contrary to his denials during House testimony, Cuomo and his top aides and advisers were âdirectly Involvedâ in and approved the infamous directive, which was later rescinded following public outcry.
Cuomo administration officials testified that the governor ordered the controversial July 6, 2020 state Department of Health report â which was criticized for lowballing nursing home resident deaths from COVID â to combat criticism of the March 25 edict.
Cuomo was directly involved in editing the July report and directing people outside the government â such as Northwell Health CEO Michael Dowling and Greater NY Hospital CEO Kenneth Raske to review it. In a memo shortly before the reportâs release and obtained by the House panel, Dowling offered to help ârewriteâ it.
Cuomoâs executive chamber decided to remove âout-of-facilityâ fatalities â such as nursing home residents who died from COVID after falling ill and being transferred to hospitals â from the July report, thus dramatically reducing the total death toll.
The panel also concluded that âMr. Andrew Cuomo Likely Gave False Statements to the Select Subcommittee in Violation of 18 U.S.Câ â a federal crime that if proven could result in a sentence of five years in prison.
The committee in October said it had referred Cuomoâs âcriminally false statementsâ to the US Department of Justice for potential prosecution.
Cuomoâs rep, Azzopardi, claimed the House was out to get âperceived political enemies.â
âFrom the very beginning this has been an abuse of power and a waste of taxpayer money aimed at punishing perceived political enemies â like Dr. [Anthony]Â Fauci [then Director of the National Institute of Infectious Diseases], Governor Cuomo and âthe deep stateâ â that does nothing to make us more prepared for the next pandemic,â he said.
He claimed federal data showed that New York ranked 39th in terms of per capita nursing home deaths in 2020.
âThe DOJ -three times â the Manhattan DA and others looked at the nursing home issue and found no wrongdoing, while the meritless civil lawsuit launched by the very same people who have been working arm and arm with this committee was tossed out of court,â Azzopardi added.
Families of loved ones who were nursing home residents and died from COVID said Cuomo was finally being held to account.
âCuomo has been lying about following the Trump CDC guidelines for years,â said Peter Arbeeny, whose father, Norman, died from the virus after being released from a Brooklyn nursing home.
âIf the Cuomo administration would have followed the Trump [administration] CDC guidelines and also used the the USS Comfort ship and Javits Center [for more patients], thousands of lives would have been saved.â
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The Best News of Last Week
⥠- Charging Towards a More Electrifying Future
1. The Kissimmee River has been brought back to lifeâand wildlife is thriving
The Kissimmee River in Florida was straightened in the 1960s, causing a sharp decline in wildlife and ecological problems. But in the 1990s, a $1 billion restoration project was initiated to restore the river's natural state.
Today, nearly half of the river has been restored, wetlands have been reestablished and rehydrated, and wildlife has returned, including rare and threatened species. Already the biological impact of the project has become clear. As the wetlands have come back, so have the birds.
2. Plastic wrap made from seaweed withstands heat and is compostable
A cling film made from an invasive seaweed can withstand high temperatures yet is still easily compostable. The material could eventually become a sustainable choice for food packaging.
Scientists started with a brown seaweed called sargassum. Sargassum contains long, chain-like molecules similar to those that make up conventional plastic, which made it a good raw material. The researchers mixed it with some acids and salts to get a solution full of these molecules, then blended in chemicals that thickened it and made it more flexible and pliable.
3. An Eagle Who Adopted a Rock Becomes a Real Dad to Orphaned Eaglet
Murphy, a bald eagle that had been showing fatherly instincts, has been sharing an enclosure with an eaglet that survived a fall from a tree during a storm in Ste. Genevieve. Murphy, his rock gone by then, took his role as foster parent seriously. He soon began responding to the chickâs peeps, and protecting it.
And when, as a test, the keepers placed two plates of food in front of the birds â one containing food cut into pieces that the chick could eat by itself, and another with a whole fish that only Murphy could handle â the older bird tore up the fish and fed it to the eaglet.
4. World's largest battery maker announces major breakthrough in energy density
In one of the most significant battery breakthroughs in recent years, the worldâs largest battery manufacturer CATL has announced a new âcondensedâ battery with 500 Wh/kg which it says will go into mass production this year.
âThe launch of condensed batteries will usher in an era of universal electrification of sea, land and air transportation, open up more possibilities of the development of the industry, and promote the achieving of the global carbon neutrality goals at an earlier date,â the company said in a presentation at Auto Shanghai on Thursday.
This could be huge. Electric jets and cargo ships become very possible at this point.
5. Cat with '100% fatal' feline coronavirus saved by human Covid-19 medicine
A beloved household cat has made an âastonishingâ recovery from a usually fatal illness, thanks to a drug made to treat Covid-19 in humans â and a quick-thinking vet.
Anyaâ, the 7-year-old birman cat, was suffering from feline infectious peritonitis (FIP), a â100% fatalâ viral infection caused by feline coronavirus. That was, until Auckland vet Dr Habin Choiâ intervened, giving Anya an antiviral used to treat Covid-19 called molnupiravir.
6. Kelp forests capture nearly 5 million tonnes of CO2 annually
Kelp forests provide an estimated value of $500 billion to the world and capture 4.5 million tonnes of carbon dioxide from seawater each year. Most of kelpâs economic benefits come from creating habitat for fish and by sequestering nitrogen and phosphorus.
7. Medical Marijuana Improved Parkinsonâs Disease Symptoms in 87% of Patients
Medical cannabis (MC) has recently garnered interest as a potential treatment for neurologic diseases, including Parkinson's disease (PD). 87% of patients were noted to exhibit an improvement in any PD symptom after starting medical cannabis. Symptoms with the highest incidence of improvement included cramping/dystonia, pain, spasticity, lack of appetite, dyskinesia, and tremor.
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That's it for this week :)
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This was in main stream media 4 years ago. It seems nobody cared.
Stroke surge
"Reports of strokes in the young and middle-aged â not just at Mount Sinai, but also in many other hospitals in communities hit hard by the novel coronavirus â are the latest twist in our evolving understanding of the disease it causes. The numbers of those affected are small but nonetheless remarkable because they challenge how doctors understand the virus. Even as it has infected nearly 2.8 million people worldwide and killed about 195,000 as of Friday, its biological mechanisms continue to elude top scientific minds. Once thought to be a pathogen that primarily attacks the lungs, it has turned out to be a much more formidable foe â impacting nearly every major organ system in the body."
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The Stigma of the Dark Ages.
What theyâre talking about here is a society which has moved backwards, and is paying consequences already.
NPR - As the respiratory virus season approaches, where does the vaccination rate stand? November 27, 20244:47 AM ET Heard on Morning Edition By Rob Stein , Rob Schmitz Part of it is the lingering skepticism and outright hostility from the pandemic toward the COVID vaccine specifically and vaccines in general. Another factor is that people tend to underestimate how dangerous both viruses can be while overestimating vaccination risks. There's a lot of misinformation about how well the vaccines work and how safe they are. And finally, a lot of folks are just sick of vaccines because of all the shots they've gotten over the last few years. You know, put it all together and a lot of people are just feeling kind of done with vaccines. I talked about this with Dr. Gregory Poland. He's president of the Atria Academy of Science and Medicine in New York. GREGORY POLAND: âAs a society right now, we're in a phase of rejecting expertise, of mistrust of any expert, whether it's science, meteorology, medicine, government - whatever it is.â
This is not unusual, there is no guarantee that society progresses forward. The Dark Ages happened, and that period was not the only time of regression on science.
MedPage Today - Nursing Homes Fell Behind on Vaccinating Patients for COVID â Billing complexities and patient skepticism partially to blame by Sarah Boden, KFF Health News December 5, 2024Â Loveland has seen patients and coworkers at the nursing home where she works die from the viral disease. Now she has a new worry: bringing home the coronavirus and unwittingly infecting her infant daughter, Maya, born in May. Loveland's maternity leave ended in late June, when Maya wasn't yet 2 months old. Infants cannot be vaccinated against COVID until they are 6 months old. Children younger than that suffer the highest rates of hospitalization of any age group except people 75 or older. Between her patients' complex medical needs and their close proximity to one another, COVID continues to pose a grave threat to Loveland's nursing home -- and to the 15,000 other certified nursing homes in the U.S. where some 1.2 million people live. Despite this risk, a CDC report published in April found that just four in 10 nursing home residents in the U.S. received an updated COVID vaccine in the winter of 2023-24.
Going forward is a choice.
Public comment to CDC HICPAC committee November 2024 Infection control in healthcare. Chloe Humbert Nov 15, 2024Â The Dark Ages was called that because society moved backwards from the technological advances that had come before. The fall of the Roman Empire was marked by elites who only cared about the status quo; they couldâve developed a steam engine as far back as Heron in 15 BC but didnât bother. Going forward is a choice. In an article in the Journal of Infectious Diseases & Preventive Medicine thereâs a description of what happened back then. âIn medieval times, hospitals were hazardous places, Epidemic infections killed large numbers of hospital patients during this period. Hospital infection and death rates were high. When a sick person entered a hospital, his or her property was disposed of, and in some regions, a requiem mass was held, as if he or she had already died.â Going backward is a choice.
Stigma is part of a backward slide, and even if people donât choose to go backward, we are all subject to community level leadership influences.
Itâs called STIGMA. - wat3rm370n on tumblr - Oct 4th, 2024 When you hear that âpeople are tired of itâ - thatâs also part of stigma. And itâs not necessarily true that people are actually just sick of it - but they keep being told they should be. Informational learned helplessness can do that to us. Stigma is leveraged and reinforced on purpose by big money industry interests who think any reminder of danger at all is bad for business. So itâs to some degree manufactured stigma.
#stigma#pandemic#public health#infection control#healthcare#politics#labor#government#disinformation#babies#cdc#infectious diseases#medical misinformation#influence#vaccine campaigns#vaccination#vaccines#anti-vax#hospitals#long term care#nursing homes#propaganda#roman empire#senior citizens#seniors#unvaccinated#anti vaxxers#vaccine uptake#CDC HICPAC#CDC
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