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22-03-2020, 16:59   #151
Nonoperational
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Hi mate.


From reading your posts I suspect I know what speciality you are in but I appreciate you don't want to answer that publicly. I am heavily involved in GIM and have already completed numerous covid shifts in ED and have seen nearly 100 patients ?COVID. May I ask, will you actually be seeing COVID patients during this and be involved in their management?

I appreciate you not wanting to let people know your speciality but could you at least clarify if you are GIM/Surgery/Psych etc. A broad category. Just so people have some context.

Thanks

Last edited by Nonoperational; 22-03-2020 at 17:16.
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22-03-2020, 17:23   #152
ooter
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apologies if this has already been asked.
it's horrible hearing the figures of people who may die from this virus but especially the fact that healthcare workers in our hospitals will also die, are all healthcare workers at risk due to their high exposure or is it the same as the general public, older with underlying conditions?
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22-03-2020, 18:19   #153
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Do you think the number of cases so far is an accurate number? Also, is there a shortage of testing kits as 2 members of my family have waited 6 days after being referred for testing due to symptoms and underlying conditions and are still waiting. Thanks for your time and effort in this thread.
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22-03-2020, 18:40   #154
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Thank you for doing this and thank you and all the other heroes for trying to keep us safe.

I’ve always understood that a fever is the bodies way of fighting back at an infection and so I’m wondering if it’s always best to take paracetamol straightaway if I get a temp. I know that an extreme temp of 40(?) can be dangerous, but could it be better to see where a 37 or 38 temp goes before taking something to lower it? I’ve always given my kids calpol as they are so wretched with a temperature and to be honest, I can’t remember the last time I had a temp myself but just wondering.

Thanks again.
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22-03-2020, 18:55   #155
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Hi. Does it concern you that the number of ICU cases has jumped from 13 to 29 in a single day? Do you still think we are on track for the best case scenario of fatalities from this outbreak?

Last edited by Cork Boy 53; 22-03-2020 at 19:04.
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22-03-2020, 18:57   #156
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Sorry, posted in the wrong thread again.
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22-03-2020, 19:36   #157
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Thank you for taking time to answer questions.

My 8 year old daughter has been sick since Monday with a low fever, cough and she complains she can’t breathe properly when she coughs.
She was very sleepy & sick Monday but not as bad since.
She’s doing ok with calpol and plenty fluids.
GP had requested she be tested but i understand there is a backlog waiting for tests.
2 children at school had returned from a ski trip before schools closed but we’ve not heard how they are.
My question is if she has COVID19 but has ‘recovered’ by the time she’s tested will it still show in her swab ??
Thanks
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22-03-2020, 21:27   #158
up for anything
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Do you have any idea what ages the four people were who have died from Covid19? All I can find are vague references to elderly.
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22-03-2020, 21:51   #159
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This question may be more around epidemiology and disease spread, than one you can answer directly, but I will throw it out there anyway.

I am not asking you to commit to a time line here, but does there come a point on the graph of the disease spread where we decide that there is a certain amount of saturation in society, and that people can start moving about normally again?

My angle on this is that if we have flattened the (infamous) curve enough, we essentially have extended the timeline. If you look at it as a mathematical exercise, I don't know what that time extension is, but say it extended to maybe 1 year. It isn't practical to shut the country down for a year. So are there citeria, or decision points along the way where the balance stops being about stopping the spread and become about slowly allowing the herd immunity to build instead?? Is there any information anywhere on that - I think the main point of the question is when does it stop becoming about prevention and move into some form of building up immunity, or whatever the phrase is?

I guess, I am at home with 3 kids, all healthy, keeping away from everyone....how long are we supposed to go on trying to run away from it vs just accepting getting it anyway?
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22-03-2020, 21:54   #160
Purple Mountain
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Would you ever forsee home testing kits that could even be purchased for a small fee at a pharmacy to cut down on testing clinics?

Also, those who are hospitalised as a result of this, are they going to be billed for their care in the hospital?
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22-03-2020, 22:38   #161
xzanti
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Hi, thanks for doing this. Very informative.

I've been giving my kids probiotics for years (FMD Udo's Choice).

I read somewhere that this virus actually uses a persons immune system against them.

Sorry, if this is a stupid question, but could the probiotics actually be a hinderance to them should they catch the virus? Should I stop or continue with them in your opinion?

Edit. They are fit and healthy with no underlying conditions.

Cheers.
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22-03-2020, 23:42   #162
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This isn't technically a question and feel free to delete it but i've been reading his answers and I think this is going way, way over the line between informing people/impressing on them the gravity of the situation and just plain terrifying people into paralysis. I've read some bleak articles over the past few weeks but the thread of answers by this guy leaves me feeling completely, utterly hopeless. There's got to be a better way to inform.
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23-03-2020, 01:01   #163
beolight
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Quote:
Originally Posted by Mwengwe View Post
This isn't technically a question and feel free to delete it but i've been reading his answers and I think this is going way, way over the line between informing people/impressing on them the gravity of the situation and just plain terrifying people into paralysis. I've read some bleak articles over the past few weeks but the thread of answers by this guy leaves me feeling completely, utterly hopeless. There's got to be a better way to inform.
Have to disagree

Pop over to the main thread and you will find stories of people packing beaches, parks, ice cream vendors, coffee shops packed, SuperMacs jammed, teenage groups rambling around aimlessly, queues outside chip shops, retail parks jammed with shoppers .... people simply aren’t getting the seriousness of the message ..... over in the UK the same and Boris threatening stronger measures

We all watched the scenes coming from China since December but somehow taught we would be immune

We have a HSE who appointed a CEO whose clear remit was to get the budget under control and consequently we are left with a woefully unprepared HSE .....scrambling to buy essential PPE but all the time time reassuring us through an unquestioning media that our health service is ready. We have a CMO dithering on postponing Parades, closing Schools, airflights from Italy,Cheltenham, and then we have a Government happy to defer any big decision to the CMO. Remember this is the same CMO who advised Government on the cervical smear cover up

Against this backdrop we have somebody trying to get us to prepare, someone who knows what it’s like to work in the Irish health service who knows how the HSE works. Someone who knows we don’t have the necessary resources or staff to cope with the oncoming crisis heck our health service virtually grinds to a halt every winter with a normal flu outbreak! How was it going to cope with this?

The HSE tells us they have plenty of PPE but nobody asks why so many health care staff have contracted Covid 19 then ( yes some were travel related). The CMO knows from the outset that they do not have enough test kits so only tests people with symptoms or the ones that arrive at hospital Emergency Departments with symptoms. Privacy card played by CMO but yet nobody was asking for names just locations we the Irish public couldn’t be trusted with this information. So communities left to panic and the Internet and social media became the only place to try and decipher what was going on. HSE despatched to visit area in Galway and told Community they would write to everyone !!....that really reassured everyone go home and wait for a letter to drop through your letterbox telling you what to do Maybe they didn’t see the memo that time is of the essence

The Government Ministers happily refer to Singapore as the best case model to follow but no journalist is able to ask them why not follow the model properly. Test test test
With contact tracing utilising mobile phone data and total transparency about identified cases locations they had been etc so people could check themselves and identify if they could of come in contact and to be on the lookout at least for symptoms

So everything left to contact tracing how effective was that? RTE had an expert willing to elaborate on that but choose to not follow his line of taught
Airports: seaports no point in screening new arrivals from flights coming from affected areas or advising the public that it mightn’t be the best idea to go Italy. Minister Harris tweets that Rugby Match versus Italy should be postponed but no attempt to prevent the Italian fans coming anyways

We have the case of the Doctor in Waterford returning to work too early

Nursing homes acted to protect their patients and prevented visitors cue calls to Joe Duffy and next the CMO admonishes the Nursing Homes for acting in the best interests of their patients and says for Nursing home patients social well being to allow visitors. At least Paul Reid had the gumption to allow individual hospitals their own autonomy in this regard. Will a journalist ask the CMO if any of the Nursing Home residents who tested positive are in ICU?

Then we have Cheltenham


Need I go on.... with the closing of schools, working from home, ban on mass gatherings and social we had at least some hope but of course the pubs paid no attention and continued on regardless Finally Minister Harris showed some backbone

I have to disagree AMA has informed us and a lot of us feel his despair reading about how the Irish public is treating social distancing We have Italian Doctors screaming at us to act now We have seen the Army trucks ferrying the bodies and yet somehow a percentage of the population seems to think we are immune

How else do you propose we get the message across?

Last edited by beolight; 23-03-2020 at 01:17. Reason: Clarity
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23-03-2020, 01:20   #164
Mwengwe
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Quote:
Originally Posted by beolight View Post
Have to disagree

Pop over to the main thread and you will find stories of people packing beaches, parks, ice cream vendors, coffee shops packed, SuperMacs jammed, teenage groups rambling around aimlessly, queues outside chip shops, retail parks jammed with shoppers .... people simply aren’t getting the seriousness of the message ..... over in the UK the same and Boris threatening stronger measures

We all watched the scenes coming from China since December but somehow taught we would be immune

We have a HSE who appointed a CEO whose clear remit was to get the budget under control and consequently we are left with a woefully unprepared HSE .....scrambling to buy essential PPE but all the time time reassuring us through an unquestioning media that our health service is ready. We have a CMO dithering on postponing Parades, closing Schools, airflights from Italy,Cheltenham, and then we have a Government happy to defer any big decision to the CMO. Remember this is the same CMO who advised Government on the cervical smear cover up

Against this backdrop we have somebody trying to get us to prepare, someone who knows what it’s like to work in the Irish health service who knows how the HSE works. Someone who knows we don’t have the necessary resources or staff to cope with the oncoming crisis heck our health service virtually grinds to a halt every winter with a normal flu outbreak! How was it going to cope with this?

The HSE tells us they have plenty of PPE but nobody asks why so many health care staff have contracted Covid 19 then ( yes some were travel related). The CMO knows from the outset that they do not have enough test kits so only tests people with symptoms or the ones that arrive at hospital Emergency Departments with symptoms. Privacy card played by CMO but yet nobody was asking for names just locations we the Irish public couldn’t be trusted with this information. So communities left to panic and the Internet and social media became the only place to try and decipher what was going on. HSE despatched to visit area in Galway and told Community they would write to everyone !!....that really reassured everyone go home and wait for a letter to drop through your letterbox telling you what to do Maybe they didn’t see the memo that time is of the essence

The Government Ministers happily refer to Singapore as the best case model to follow but no journalist is able to ask them why not follow the model properly. Test test test
With contact tracing utilising mobile phone data and total transparency about identified cases locations they had been etc so people could check themselves and identify if they could of come in contact and to be on the lookout at least for symptoms

So everything left to contact tracing how effective was that? RTE had an expert willing to elaborate on that but choose to not follow his line of taught
Airports: seaports no point in screening new arrivals from flights coming from affected areas or advising the public that it mightn’t be the best idea to go Italy. Minister Harris tweets that Rugby Match versus Italy should be postponed but no attempt to prevent the Italian fans coming anyways

We have the case of the Doctor in Waterford returning to work too early

Nursing homes acted to protect their patients and prevented visitors cue calls to Joe Duffy and next the CMO admonishes the Nursing Homes for acting in the best interests of their patients and says for Nursing homes social well being to allow visitors

Then we have Cheltenham


Need I go on.... with the closing of schools, working from home, ban on mass gatherings and social we had at least some hope but of course the pubs paid no attention and continued on regardless Finally Minister Harris showed some backbone

I have to disagree AMA has informed us and a lot of us feel his despair reading about how the Irish public is treating social distancing We have Italian Doctors screaming at us to act now We have seen the Army trucks ferrying the bodies and yet somehow a percentage of the population seems to think we are immune

How else do you propose we get the message across?
There's a medium point (happy medium seems an inappropriate phrase to use) is what I'm saying... I was someone who was already really conscious of social distancing to the point of anxiety. After reading the Answers thread for this I feel like I just want to go to bed for 12 months, or check out altogether. It's too much, he's going on about disinfecting shopping for 6 hours. He's going to lose people who are fighting his corner.
I think some of his more extreme points could really do with a bit more perspective and a bit of challenging. We're not going to get through these dark times by fostering despair.
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23-03-2020, 07:35   #165
Heighway61
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Would you know if any consideration is given to health care workers who live with family members (or others) who are in a high risk category? For example, a spouse or child with cancer, COPD etc.

The percentages are large for:

health care workers infected
rate of transmission in the home
death rates due to existing condtions?

Also, "cocooning" fails in such a scenario.

Thanks.

Last edited by Heighway61; 23-03-2020 at 14:10.
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