Coronavirus Part IV - 19 cases in ROI, 7 in NI (as of 7 March) *Read warnings in OP*

ArchXStanton

laurah591 wrote: »

I find this very worrying too.... what has been the EU response to all this... the EU seem to be showing as much central leadership as our non existent goverment... like did Europe even try to contain this?

They've kept fairly quiet so far, probably more worried about the economy/market..

WoollyRedHat

RandomName2 wrote: »

Interesting post by WHO chief

https://mobile.twitter.com/BNODesk/status/1235668717154992130

Never gonna give you up

Pseudonym121

frillyleaf wrote: »

What should we be doing at this stage in your opinion? Should there be travel restrictions at least or does that matter ?

Well, I’ll answer this in general since specifics can be nit-picked to death in an obfuscatory manner.

When I’m treating a patient with a progressive illness I want to give them a treatment which gets ahead of the illness and in a sense overpowers it.

E.g. I’d rather treat a pneumonia aggressively at the risk of some small increase in side effects but with the end result that the patient is more likely to recover fully and will most likely recover more rapidly.

The best way I can describe what I’m seeing is that the HSE and government are reacting to the spread rather than anticipating it and thus their measures are always suited to the situation they have no option but to admit is proven to exist rather than the situation that they can extrapolate is likely to actually be present now ( albeit undiagnosed ) or will be present 2 or 3 days from now.

They don’t seem to be front-running it and doing things which are hyper-aggressive now in order to get ahead of COVID19.

I, personally, have gone contactless with all my payments several weeks ago, am not using supermarkets ( still happy to use corner shops etc ) but getting things delivered and have gotten a month worth of food in should I have to self-isolate ( I don’t want to have to expose a delivery person to potential infection by not having enough food to see me through the worst case scenario if I have to self-isolate). I absolutely am not going to Paddy;s Day or concerts or pubs etc.

I am NOT telling anyone else what to do but I’m going to work and seeing whom I must see, albeit I’ve banned handshakes and any non-essential physical examination in my department as of this week. I’m also taking steps to try to reduce the number of patients in any waiting areas at any one time as I think those areas where people can wait for some time before being called in for review are areas of heightened risk. I don’t want to look back on this and think that my inaction caused my patients to get COVID19 while under my care or that i caused a delivery driver or other person to get it by being blasé. I’m not wearing facemasks etc yet but I expect my department will start wearing them soon as a matter of course at work and then in our private lives too shortly afterward.


I don’t think travel restrictions will help at this stage. It is too late. The only exception is if a particular country was proven to have a more lethal strain develop in the future then I would support a travel ban from that country. It wouldn’t reduce the risk to zero but you have to do what you can.

None of this constitutes advice to anyone. I am simply saying what I’ve ordered to happen in my department.

Sober Crappy Chemis

josip wrote: »

Could ye slow it down a bit at the front please?
I'm 8 pages back and have been struggling to catch up for the last half an hour.

In summary, I’ve been hilarious.

New Home

New Home wrote: »

https://www.ecdc.europa.eu/en/novel-coronavirus-china/questions-answers
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30211-7/fulltext

No mention of plague here. What are you referring to specifically?

nocoverart

Kermit.de.frog wrote: »

Yes, yes it is

Behave Frog!

fritzelly

owlbethere wrote: »

Be careful with this Covid-19 one all the same. Please don't think you are immune and please carry out the advice that we are asked to do like proper hand hygiene.

When I went into my gp for the flu shot, she gave it to me with an evil grin and then told me afterwards that it was a bad one this year and said something about a flu strain from Australia.

Yeah got the same - read reports in the US that they were experiencing higher flu related complications this year - typical
Two for two it seems this year
Luckily haven't even had a cold in well over 6 months

New Home

Deleted User wrote: »

No mention of plague here. What are you referring to specifically?

Sepsis and septic shock.

Obvious Desperate Breakfasts

sullivlo wrote: »

On the same floor as Luke O'Neill lab too. Both very well respected immunologists.

Just listening to him on the David McWilliams podcast. Talking lots of sense.

https://open.spotify.com/episode/5Mvm8ChYMFaOUZbwyVIPYv?si=2ajaQtcDTAGsw6rVJkyE6A

CinemaGuy45

Sober Crappy Chemis wrote: »

Mild Asthma and Humira induced immune compromise ...

I’m fcucked.

My answer was a joke by the way.

Even if the worst numbers pan out the vast majority of people will still be here next year even people will all sorts of conditions.

sullivlo

Obvious Desperate Breakfasts wrote: »

Just listening to him on the David McWilliams podcast. Talking lots of sense.

Amazing man. I used to work with him. Sense of irony if it's one of his students that contracted covid19.

Gods Gift

I think The Diamond Princess will go into retirement after this trip.

nocoverart

Well, least the one positive in all of this is if the Eurovision gets cancelled we won’t have to endure that horrific Irish entry on the masses, no vaccine for that sh1t!

dePeatrick

skimpydoo wrote: »

If you have the tunein app or myTuner app on your phone, lookup WXVU Villanova Radio. I am on from 4:30 PM till 6 tomorrow afternoon. The show is TimeBombRadio and our Facebook page is TimeBombRadiowxvu.

Cool, always looking for new radio stations, just tuned in and I like it a lot, will try and catch your show, send a join request to your Facebook page...cheers.

Sober Crappy Chemis

CinemaGuy45 wrote: »

My answer was a joke by the way.

Even if the worst numbers pan out the vast majority of people will still be here next year even people will all sorts of conditions.

Grand. If I die in the meantime I’ll haunt you.

Drumpot

fritzelly wrote: »

Maybe, just maybe, if he stopped this passive admiration of China earlier on then the world might have taken more notice
But no it was all heaping praise on China for what they did meanwhile it was spreading around the world like wildfire

I think the world is going to have to get over itself and ask China for advice on how to manage this outbreak. Being nice to them will prob help!

RandomName2 wrote: »

This is what China seems to be doing, but it is pulling out all the stops to do that. I really don't see us as having the commitment tbh.

You still have people saying that trying to contain it is a hysterical overreaction. The HSE doesn't seem to particularly care.

I think it was in that great news conference with Dr Bruce Aylward, where he basically said , no matter how prepared you are for an epidemic, you are not prepared for it. The point being it’s a rapidly changing situation and a crisis management situation that you will have to learn to navigate as the crisis evolves.

I interpret that as panic and mistakes will most likely go hand in hand with what’s coming. The people trying to lead our efforts are probably struggling to come to terms with what’s happening and while that’s less then inspiring right now, it seems to be a part of what happens during these events. I actually take some comfort from that because it shatters the presumption that our authority’s should have this all in hand. What they are going through now is gonna be a sharp, painful learning curve, but I do believe they will rise to the challange.

I think as soon as this gets bad bureaucracy will diminish and the people who know what they are doing and who get things done will rise to the top. I really do think that will happen and I’m usually a cynical , pessimistic person. I sort of took today’s HSE conference earlier as a sign they are starting to take the reigns on this which is a good thing.

Pseudonym121

Sober Crappy Chemis wrote: »

Mild Asthma and Humira induced immune compromise ...

I’m fcucked.

Well, it depends why you’re on Humira. I won’t get into what it can be used for as that’s your personal business and not for sharing here unless you wish it to be but several illnesses which Humira can be used for are progressive but not lethal and thus if you are on it for one of those you COULD go in and discuss it with your Consultant and make an informed decision as to whether a drug holiday would be in your best interests - trading some progression for not being on Humira should you get COVID19.

The other alternative is that you could just stay on Humira, be really observant about the advice on hand washing and social distancing and have a low threshold for seeking testing. If you were proven to have COVID19 or strongly suspected you did then you could, following previous discussion with your Consultant consider stopping it for the duration of any infection.

Obviously though you’d have to discuss that with your own Consultant as they are aware of myriad individual issues which could make these options more or less useful. Whatever you do though don’t settle for discussing this with anyone less than a Consultant or Senior Reg. SHOs or interns won’t know enough to give you enough information to have you make an informed decision. This sort of pro vs cons decision is complex and needs people who are experienced.

TLDR: Talk to your Consultant about your options re: Humira.

fritzelly

nocoverart wrote: »

Well, least the one positive in all of this is if the Eurovision gets cancelled we won’t have to endure that horrific Irish entry on the masses, no vaccine for that sh1t!

That thing is like what the hell am I watching - think its the worst entry ever, even Dustin was better

ruwithme

Jaysus, whatever about the virus, this thread is going to be the length and breadth of the country before its all done.

CinemaGuy45

Sober Crappy Chemis wrote: »

Grand. If I die in the meantime I’ll haunt you.

If you are in a high risk group just take sensible precautions.

High risk still means the risk is very low but not as low as a super fit 25 year old body builder.

cnocbui

gmisk wrote: »

Rough populations

Ireland
4.75m 13 cases
1 per 365k

UK
66.5m 116 cases
1 per 573k

So yeah nothing like 16 times the infection rate even if you want to put the NI cases in with ROI

Yes, my bad, I was distracted by a cat and think i typed exponent 5 instead of 6. Apologies.

Pseudonym121

nocoverart wrote: »

Well, least the one positive in all of this is if the Eurovision gets cancelled we won’t have to endure that horrific Irish entry on the masses, no vaccine for that sh1t!

Yeah but you would lose out on seeing the Icelandic entry which is both amazing and the centre of a conspiracy theory. It is VERY on brand for 2020.

tuxy

Gods Gift wrote: »

I think The Diamond Princess will go into retirement after this trip.

Why? No virus can live on it without a host.
It just needs some time off and a rename.

The cruise ship industry will probably take a hit though.

joeysoap

Government should have announced at least a week ago that anyone returning from northern Italy should be tested before returning to work/school or be here for at least 7 days before doing so.

I’d hate to word at airport or for an airline.

skimpydoo

dePeatrick wrote: »

Cool, always looking for new radio stations, just tuned in and I like it a lot, will try and catch your show, send a join request to your Facebook page...cheers.

On last weeks show we did a very unique theme, every song we played was called Sign of the times.

CinemaGuy45

tuxy wrote: »

Why? No virus can live on it without a host.
It just needs some time off and a rename.

The cruise ship industry will probably take a hit though.

The Toxic Avenger.

josip

Is it just a coincidence that the Trinity case was in biomed?

gabeeg

josip wrote: »

Is it just a coincidence that the Trinity case was in biomed?

oh my god are you thinking what I'm thinking?

I Am The Law

josip wrote: »

Is it just a coincidence that the Trinity case was in biomed?

No.

Gods Gift

josip wrote: »

Is it just a coincidence that the Trinity case was in biomed?

The germ warfare section.