This journal is mostly public because most of it contains poetry, quotations, pictures, jokes, videos, and news (medical and otherwise). If you like what you see, you are welcome to drop by, anytime. I update frequently.

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Posts Tagged: 'infection+control'

Jul. 17th, 2024

med_cat: (Stethoscope)
med_cat: (Stethoscope)

Five Health and Medicine Links

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Three from Dr. Andrea Love on Substack:

The word "toxic" is meaningless without context

People who don't understand biology weaponize this word to scare you

Measles: Is it Immune or Human Amnesia?

People have really forgotten the impact of preventable illness

The appeal to nature fallacy is the false belief that "natural" is better

Plenty of natural things can be extremely harmful at tiny exposures

From the NYT (gift link):

Mildred Thornton Stahlman, Pioneer in Neonatal Care, Dies at 101

She developed one of the first modern intensive care units for premature babies, helping newborns to breathe with lifesaving new treatments.

(fascinating story, do take a look)

Her hearing implant was preapproved. But she still received multiple $139,000 bills, from NPR

(crazy story, and great advice at the end of the article)



Jun. 8th, 2024

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Saturday Five (a quote and four links): Health and Wellness

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“You can’t meditate your way out of a 40-hour workweek with no childcare”
-Dr. Pooja Lakshmin

~~~
(source: www.poojalakshmin.com/realselfcare)
~~~

Be resilient? What do you think I’m doing?, from The British Medical Association

(via [personal profile] debriswoman--many thanks!)

How the self-care industry made us so lonely, from Vox

Middle age shouldn’t be a drag. How a ‘chrysalis’ mind-set can help, from The Washington Post

Author and hospitality guru Chip Conley wants to replace the midlife crisis with a midlife renaissance.

The Checkup With Dr. Wen, also from The Washington Post

About "six feet apart", and other related questions and concerns




May. 19th, 2024

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Five for Sunday

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In no particular order:

How People With Dementia Make Sense of the World, from The Atlantic


Confessions of a Failed Self-Help Guru, from Narratively

I traveled around the country telling strangers how to better their lives—until I learned that those offering to solve your problems are often the ones who need help.

"...My social life wasn’t faring much better. Friends were growing annoyed with me for repeatedly canceling plans so I could work late. My fiancé asked more than once if we were still engaged. At a rare dinner with a couple of buddies, one asked what I was working on. “A story about entrepreneurs who don’t work 80 hours a week!” I chirped, entirely serious. One friend cackled wildly. Another spit out her beer...."


Some mice have a cheating heart. It’s a hormonal thing, scientists find, from The Washington Post

Oldfield mice are monogamous. The deer mouse prefers the swinging lifestyle when it comes to sexual partners.


Superbugs Pose a Deadly Threat to Cystic Fibrosis Patients, from MedPage Today

— A little-known microbe claimed Mallory Smith's life but did not quell her light


A mystery illness stole their kids’ personalities. These moms fought for answers, from The Washington Post

May. 6th, 2024

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med_cat: (woman reading)

Seven for your Monday

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Two interesting pieces:

Why Simply Hustling Harder Won’t Help You With the Big Problems in Life (from GQ)

A conversation with author and self-help historian Kate Bowler about how productivity culture is a lot like a religion.

The Bizarre Social History of Beds, from The Conversation

Today, beds are thought of as bastions of privacy. But not long ago, they were the perches from which kings ruled and places where travelers hunkered down with complete strangers.

Five Healthcare-Related Ones:

WHO Overturns Dogma on Airborne Disease Spread. The CDC Might Not Act on It, from KFF Health News

...
The WHO concluded that airborne transmission occurs as sick people exhale pathogens that remain suspended in the air, contained in tiny particles of saliva and mucus that are inhaled by others.

While it may seem obvious, and some researchers have pushed for this acknowledgment for more than a decade, an alternative dogma persisted — which kept health authorities from saying that covid was airborne for many months into the pandemic.

Specifically, they relied on a traditional notion that respiratory viruses spread mainly through droplets spewed out of an infected person’s nose or mouth. These droplets infect others by landing directly in their mouth, nose, or eyes — or they get carried into these orifices on droplet-contaminated fingers. Although these routes of transmission still happen, particularly among young children, experts have concluded that many respiratory infections spread as people simply breathe in virus-laden air.

“This is a complete U-turn,” said Julian Tang, a clinical virologist at the University of Leicester in the United Kingdom, who advised the WHO on the report. He also helped the agency create an online tool to assess the risk of airborne transmission indoors...

A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. Cigna Threatened to Fire Her, from ProPublica

Cigna tracks every minute that its staff doctors spend deciding whether to pay for health care. Dr. Debby Day said her bosses cared more about being fast than being right: “Deny, deny, deny. That’s how you hit your numbers,” Day said.

Three more from the NYT:

(gift links, so you can read if you don't have a subscription ;)

Skepticism Is Healthy, but in Medicine, It Can Be Dangerous

Women Are Calling Out ‘Medical Gaslighting’

Studies show female patients and people of color are more likely to have their symptoms dismissed by medical providers. Experts say: Keep asking questions.

The Moral Crisis of America’s Doctors

The corporatization of health care has changed the practice of medicine, causing many physicians to feel alienated from their work.

Jan. 9th, 2024

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med_cat: (Basil in colour)

Tuesday Five: Healthcare and Science Links

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Coronavirus FAQ: My partner/roommate/kid got COVID. And I didn't. How come? from NPR's Goats and Soda blog

From ScienceAlert:

Diabetes Breakthrough: FDA-Approved Drugs Regenerate Insulin Production in 48 Hours

New Class of Antibiotic Found That Kills Deadly Drug-Resistant Superbug

Lactic Acid Isn't Making Your Muscles Sore. Here's What's Really Behind It.

This Might Look Like a Spider, But You're in For a Shock




Oct. 9th, 2023

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med_cat: (Stethoscope)

Medical News

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Meanwhile, the World Health Organization's top scientist said dengue fever will become a major threat in southern parts of the U.S. , southern Europe, and new parts of Africa this decade. (Reuters)

How weight-loss drugs like semaglutide (Wegovy) could reshape American eating behavior and the food industry. (Axios)

Patients who take GLP-1 agonists for weight-loss have risk of pancreatitis nine times higher as compared with the older combination drug bupropion-naltrexone and a three to four times greater risk of bowel obstruction and gastroparesis. (JAMA)

(from MedPage Today)

Aug. 13th, 2022

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med_cat: (woman reading)

Two Covid links

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(still busy, but had to share these two articles by Dr. Wen from the Washington Post with you)

The CDC’s updated covid school guidance is ushering in a new normal

Your questions about covid-19, answered by Dr. Leana Wen

Aug. 11th, 2022

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med_cat: (woman reading)

Latest Infectious Disease and Other News

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A 'Shrewd' New Virus; 'The Family Will Kill You'; Hospitals Fear Staff Shortages— Health news and commentary from around the Web gathered by MedPage Today staff

(and apologies for the prolonged silence, all is well enough, just busy)

May. 29th, 2022

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med_cat: (woman reading)

Five Covid Links

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The real COVID surge is (much) bigger than it looks. But don't panic, from NPR

Dominant coronavirus mutant contains ghost of pandemic past, from AP News

"The coronavirus mutant that is now dominant in the United States is a member of the omicron family but scientists say it spreads faster than its omicron predecessors, is adept at escaping immunity and might possibly cause more serious disease.

Why? Because it combines properties of both omicron and delta, the nation’s dominant variant in the middle of last year. ..."

(in other words, apparently, this is the Deltacron, which was mentioned as a possibility a while back)

In Massachusetts, Omicron Linked With Higher Excess Mortality Than Delta, from Reuters Health

When Will We Know if COVID Is Seasonal?, from MedPage Today

Viruses that were on hiatus during Covid are back — and behaving in unexpected ways, from STAT News





May. 22nd, 2022

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Tout va tres bien

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New Pandemic Peril? Pretending It's Over as Case Numbers Rise, from Medscape/WebMD

Just because many people seem more than ready to put the COVID-19 pandemic behind us doesn't mean it's really over. In fact, case numbers are rising again – with new infections reported in about 95,000 Americans each day – and hospitalizations are up 20% as well.

It's yet another reminder of the dangers that remain from a virus that has now killed more than 1 million Americans [...]

The U.S. is now in a new wave driven by Omicron variants BA.2 and BA.2.12.2, Topol says.

The 95,000 new daily cases reported by the CDC do not reflect "the real toll of the current wave, since most people with symptoms are testing at home or not testing at all."

Also, there is pretty much no testing among people who don't have symptoms, Topol says.

The actual number of cases is likely at least 500,000 per day, he says, "far greater than any of the U.S. prior waves except Omicron."...


76% of Long COVID Patients Were Not Hospitalized for Their Infection, from MedPage Today

— Women, those ages 36 to 50 most likely to be diagnosed with post-COVID conditions


A Pandemic Risk Reality Check for the Immunocompromised, also from MedPage Today

— Studies indicate the level of risk may not warrant such a broad, catastrophizing narrative


Cardiac Issues After COVID Infection and Vaccination: New Data, from Medscape

New data from two different sources on cardiac complications linked to COVID-19 have shown that such issues are low overall, but are higher after infection than after vaccination....


A Million Pandemic Deaths, and These are Still Uncounted, from The New York Times

My patient didn't die from COVID. He died because of it.


13 Final Texts from Loved Ones Lost to COVID, from the New York Times

13 personal stories...


Feb. 12th, 2022

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A few Covid links

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The future of the pandemic is looking clearer as we learn more about infection, from NPR

A very good article on the topic

Why Do Some People Escape Infection That Sickens Others?, from Medscape

It is a great mystery of infectious disease: Why are some people seemingly unaffected by illness that harms others? During the COVID-19 pandemic, we've seen this play out time and time again when whole families get sick except for one or two fortunate family members. And at so-called superspreader events that infect many, a lucky few typically walk away with their health intact. Did the virus never enter their bodies? Or do some people have natural resistance to pathogens they've never been exposed to before encoded in their genes?

Resistance to infectious disease is much more than a scientific curiosity and studying how it works can be a path to curb future outbreaks.

Can Dietary Habits Impact COVID-19 Outcomes?

"...And this was one of two, I thought, particularly compelling studies that just came out a few weeks ago. And as you said, they looked at almost 3,000 frontline health care workers who get exposed to COVID every day. And they found that those that were eating a healthy plant-based diet were 73% less likely to get moderate to severe COVID. Those following a pescatarian diet, a healthy plant-based diet with some fish, were 59% less likely.

And equally amazing, those following a high animal protein, high fat-- Atkins, paleo, Keto-type diets-- were 400% more likely to get moderate to severe COVID. So we already know that a healthy plant-based diet has so many beneficial effects beyond COVID. But I think this is just the latest example of things that we can do ourselves to help enhance our immunity...."

Scientists name newly discovered flatworm after covid-19, from The Washington Post

There’s plenty of creepy, crawly stuff in the soil, and organisms such as worms, snails and slugs are essential to the planet’s health.

But flatworms, a subset of creepy creatures that feed on those soil dwellers and gobble up biodiversity in the process, are a threat to the world’s dirt. Now, scientists have identified two new species of the alien-appearing animals — and named one after covid-19.

It’s called Humbertium covidum, and although the specimens studied were found in France and Italy, it may also be in China, Japan and Russia....

The Physics of the N95 Face Mask
You’ve seen them a million times. You might be wearing one right now. But do you know how they work to block a potentially virus-carrying respiratory blob?

...The fibers in regular cloth or paper face masks filter out particles by physically blocking them—but the fibers in an N95 mask also use a great physics trick. These fibers are electrically charged....

(Fascinating article, btw, I never knew this, and the author explains the physics in a very easy-to-understand way)






Feb. 7th, 2022

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New links (COVID and not)

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Is Money Driving Those Who Spread COVID Disinformation?
— Milton Packer is amazed to learn what monetizing followers can do for writers

...Me: I have heard that the content on Substack is not moderated. Many people who have been kicked off Twitter or Facebook have moved to Substack. Robert Malone, MD, and Alex Berenson are a couple examples.

Colleague: Yes, and they are making millions of dollars a year by selling their thoughts to subscribers on Substack. Being a physician who spreads disinformation about COVID-19 is very profitable.

Yes. It is very profitable....

COVID Vaccine Hesitancy and Past Trauma: Is There a Link?
— U.K. researchers found that adverse childhood experiences played a role

‘Catastrophic disruption’: What covid-19 school shutdowns have cost the world’s children

Covid-19 has meant shuttered classrooms for more than 1.6 billion kids. The consequences reach well beyond lost learning.

Ask Aradhana, a bright and energetic 9-year-old from India, about what she’s been learning lately, and the child hides behind her mother in embarrassment.

“She only remembers some things, most of it she’s forgotten,” her mother, Vibha Singh, told Grid, standing with her child in her one-room home in a slum in the Indian capital Delhi. The city’s schools have been shuttered for more than 600 days, in what amounts to one of the world’s longest covid-induced school closures...


Why Deaths of Despair Are Increasing in the US and Not Other Industrial Nations—Insights From Neuroscience and Anthropology

The US National Academy of Sciences reports rising mortality for US adults, most steeply for White adults with a secondary education or less. The rise is largely attributable to deaths of despair (suicide and poisoning by alcohol and drugs) with strong contributions from the cardiovascular effects of rising obesity....

...Deaths of despair combined with metabolic and cardiac deaths exceed by 4-fold the next important cause of death, cancer. Moreover, when primary liver cancers caused by alcoholism (50%) and lung cancers caused by smoking (90%) are included, the total number of deaths exceeds the remaining cancers by nearly 5-fold. This annual mortality rate far exceeds that caused by the COVID-19 pandemic, and unlike the COVID-19 pandemic, it shows no signs of abating...

Full text:  jamanetwork.com/journals/jamapsychiatry/fullarticle/2788767

Jeremiah Stamler, Pioneer of Preventive Cardiology, Dies at 102

On the occasion of his 100th birthday, The Washington Post wrote of the trailblazing cardiologist and scientist Jeremiah Stamler, MD: "You may not know him, but he may have saved your life."

Hyperbole, it was not.

Over a career spanning more than 70 years, Stamler transformed medicine and the public's understanding of diet and lifestyle in cardiovascular health and helped introduce the concept of readily measured 'risk factors' such as cholesterol, hypertension, smoking, and diabetes.
...





Feb. 2nd, 2022

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"Omicron isn't done with us, which means we can't be done with Omicron"

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Clinicians, Public Health Leaders Urge Caution as Omicron Wave Lingers

...
While cases are declining in some areas of the U.S., others are still seeing a surge, said former CDC official Nancy Messonnier, MD, executive director of Pandemic Prevention & Health Systems for the Skoll Foundation.

Asked whether Omicron was the final chapter of the pandemic, Messonnier said such predictions are premature. "Omicron isn't done with us, which means we can't be done with Omicron," she emphasized.

...

Taking precautions doesn't mean people have to put their lives on hold, Messonnier pointed out. Because some people will never get vaccinated, the public still needs to rely on distancing, masking, and testing, but "we can use all of those tools to get back to the business of living."

Jan. 29th, 2022

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Covid links, from various sources

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In no particular order:


Low-wage workers prop up the nursing home industry. They’re quitting in droves.
Those still on the job face a “crisis on steroids” as omicron inflames staff shortages

...Frustration is surging among the low-wage workers who make up the backbone of the nursing home industry, as tens of thousands of their colleagues call out sick with covid-19, inflaming shortages that already were at crisis levels. Hailed as “heroes” during the early months of the pandemic, these workers, most of whom are women and people of color, say they’re facing untenable levels of pressure....

'Post-Truth Era' Complicates COVID-19 Response, Trust in Science

...The new study ― The Rise and Fall of Rationality in Language, published in the Proceedings of the National Academy of Sciences ― found that facts have become less important in public discourse.

As a result, unsupported beliefs have taken precedent over readily identifiable truths in discussions of health, science, and politics. The upshot: "Feelings trump facts" in social media, news reports, books, and other sources of information.

And here's the kicker: The trend did not begin with the rise of former President Donald Trump, the COVID-19 pandemic, or the advent of social media; in fact, it has been growing for much longer than you might think....

Vaccination, Religion, and Science: An Astonishing 300-Year-Old Story

— It's time for a history lesson in the roots of vaccine advocacy and resistance

The debate about COVID-19 vaccinations rages with fury -- to an extent that has gone beyond the realm of medicine or rational thought. Some readers might believe that those who are strongly grounded in science are inevitably vaccine advocates, whereas those who are vaccine resistant are willfully ignorant of the facts or live life as religious fanatics.

Such assumptions are horribly unhelpful in the current era. But a short history lesson demonstrates that these preconceptions are historically inaccurate, especially if we explore the origins of vaccination in the U.S. Americans have a strong tradition of both vaccine advocacy and resistance, and the inceptions of these movements are astonishing. We can gain important insights by going back 300 years -- to the Boston Smallpox Epidemic of 1721....

Inside this Maryland ICU, a depleted staff struggles to keep going

...Like hospitals across the country, Luminis Health Doctors Community Hospital is facing a two-pronged crisis in this surge, with thin staffing and more covid-19 patients than ever before. Employees who remain have no choice but to shoulder bigger burdens. Among the heaviest, they say, is the emotional weight of so much preventable death.

About 70 percent of patients admitted to the hospital are unvaccinated, as are more than 90 percent of those who die there.
...
“Everyone in the hospital dealt with lack of PPE, a lack of testing, health-care narratives rooted in political nonsense … on top of all the death,” said Kanak Patel, the ICU [medical director].

“You put any workforce through that,” he added, “and it’s not going to be whole. And we’re far from whole right now.”...


U.S. coronavirus hospitalizations slow, with the Northeast showing a steep decline

...But in some corners of the nation, hospitals continue to reel from waves of omicron infections, creating chaos as droves of patients seek care during an already busy season, and front-line workers head to the sidelines in greater numbers than at any point in the pandemic. Some hospitals are finding valuable medical supplies harder to come by, even as the days of widespread shortages of personal protective equipment have passed.

On Wednesday, U.S. hospitals reported treating about 150,000 coronavirus patients, down from a record 160,000 last week. Per capita admissions are starting to decline sharply in the Northeast, to about 50 per 100,000 residents, on par with the South, where hospitalizations are leveling off. Hospitalizations are also falling in the Midwest but rising in the West....

Where Are the Public Health Experts When We Need Them Most?

— Milton Packer, M.D. wonders who can be trusted to make key decisions during a pandemic

...We may or may not like the answers we get, but we will all get terribly distressed if the answers change from month to month -- or from week to week. We get particularly confused when different leaders give different answers to the same questions during a 3-day period.

Some leaders will say they are following the "science." But as a scientist, I do not understand what this is supposed to mean. Throughout most of this pandemic, we did not have enough reliable data to make an informed decision. In the absence of reliable data, how does one "follow the science?" Claiming we are "following the science" in the absence of data simply gives science a bad name....

Jan. 27th, 2022

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Covid Links

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Opinion: Pro-lifers, RIP. The pro-death movement is born.

...Friday’s crowd invoked the mantra of the pro-life movement: “A child, not a choice.” Sunday’s proclaimed the mantra of the abortion rights movement to oppose vaccines: “My body, my choice.”

Friday’s crowd endorsed the most obtrusive of big-government mandates, laws telling women they can’t make their own reproductive decisions. Sunday’s argued that health decisions must be made by patient and doctor, not government.

Friday’s crowd pleaded for the lives of the most vulnerable. Sunday’s demanded the right to infect the most vulnerable by eschewing vaccines and masks in shared spaces.

It was enough to make one wonder: Does taking ivermectin cause people to lose their sense of irony?...

How do death rates from COVID-19 differ between people who are vaccinated and those who are not?

To understand how the pandemic is evolving, it’s crucial to know how death rates from COVID-19 are affected by vaccination status. The death rate is a key metric that can accurately show us how effective vaccines are against severe forms of the disease. This may change over time when there are changes in the prevalence of COVID-19, and because of factors such as waning immunity, new strains of the virus, and the use of boosters....

'What's Mild About Hospitals at the Breaking Point?': What We Heard This Week
Quotable quotes heard by MedPage Today reporters


Don't Spend $103 Million on Health Worker Burnout ...
— ... Instead, spend that money to fix the problems that caused the burnout in the first place

...Over the past 2 years of this terrible pandemic, we've seen efforts at wellness promotion range from free food to coupons for yoga and meditation classes. Unfortunately, these do very little to address the many underlying problems, and are often seen by those of us working on the front lines as paying lip service, to the point of almost being insulting.

Recommendations to exercise, eat healthy, get plenty of sleep, and seek mental healthcare when we need it are, while sound advice, often impractical. During times of war -- and war this has been -- telling people to duck their heads seems less than helpful....

Do Not Assume COVID Pandemic Reaching 'End Game', Warns WHO

..."It's dangerous to assume that Omicron will be the last variant and that we are in the end game," Tedros Adhanom Ghebreyesus told a WHO executive board meeting of the two-year pandemic that has killed nearly 6 million people.

"On the contrary, globally the conditions are ideal for more variants to emerge."...

COVID Is a Disaster. It Could Have Been Worse.

...The pandemic has been a tragedy by any standard. Nearly a million deaths in the US and more than five and a half million worldwide mean that more people have died from COVID during this pandemic than in the past 30 years of influenza.

And even as I think about that, it's hard for me not to let my mind imagine the myriad ways this could have been worse. I don't mean to be insensitive to those of us who have lost loved ones during the pandemic, or who are still suffering from the effects of infection, but the fact is, we caught quite a few breaks over the past 2 years. I want to discuss those things not to try to make us feel better about this collective tragedy, but to remind us that there are lessons to be learned here. In the next pandemic — and there will be another, eventually — we may not be so lucky. Here are three of my COVID what-ifs...






Jan. 23rd, 2022

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Covid links

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Does our child need to isolate? Can I use an at-home test on a baby? Your parenting pandemic questions answered.

With omicron exploding throughout the United States, many of the questions that have bedeviled caregivers for the length of the pandemic are taking on a new urgency. If we want our children to stay healthy, and not infect other friends, families and strangers, what should we be doing right now? What shouldn’t we be doing? Because omicron appears to cause less severe illness, does it even matter if a healthy kid catches covid?

Absolute answers are in short supply. With that in mind, we asked experts of different backgrounds to weigh in questions gathered from two dozen parents...

We’re used to stress in the ER. But omicron has made our jobs impossible.

We can’t provide the right care at the right time anymore — and after two years, we’re exhausted from trying

...Depending on how you count, though, we’re currently on our fourth or fifth surge of covid cases. As our health-care system is pummeled by yet another wave, it’s just too much. We never recovered from the last wave. Our bulwarks cracked, and then they were breached. It has become nearly impossible for us to take the right care of the right patient at the right time....

Workers are out sick in record numbers, exacerbating labor shortage woes

The latest surge of coronavirus cases powered by the omicron variant has caused extremely high numbers of employees to miss work because of illness, exacerbating the country’s persistent labor shortages and threatening to complicate the labor market’s push toward pre-pandemic employment levels.

Between Dec. 29 and Jan. 10, approximately 8.8 million workers reported not working because they were sick with the coronavirus or caring for someone who was, according to new data from the Census Bureau.

Those numbers are nearly triple the levels from the first two weeks of December, before cases had started to peak around the country. They were also the highest numbers since the agency started taking the survey in April 2020 — well over last January’s peak of 6.6 million workers out....

Greetings from the pandemic memory hole, where the last two years are one big blur

Even the memory of the time she forgot how old she was has gotten a little murky for Lauren Bendik.

“So, I’m trying to remember,” she says. “Um. I feel like there was a form, or there was something I was filling out, and I had to put down my age, and I had to think about it.”

She was 31, right? No, she was 32. Right. There had been two listless pandemic birthdays that had blurred into one, because two years have blurred into one, and it can be hard to pull them apart.

“I think I, in general, have a pretty good memory in terms of time and events and how long ago things were,” says Bendik, who lives in Los Angeles. But the days have all been the same, especially after last spring when she was laid off from her job as a social worker. Since then, “There’s nothing to mark the time, and you don’t know when the pandemic is going to end,” she says. “You feel like you’re waiting for something, but it’s never coming.”...


From barricaded playgrounds to crowded beaches: Life with omicron around the world--a very good article with brief audio and video clips


Jan. 22nd, 2022

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COVID at 2: A World Upended, a Future Unclear

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The entire collection of Medscape articles can be found here

COVID at 2 Years: Preparing for a Different 'Normal'


How the Pandemic Led to Disarray ― and Discovery: The droplet dogma, changes in testing methods, and rapid publication

...True airborne spread of infections was thought to be rare. Infectious disease expert Jeffrey Shaman, PhD, listened to that early advice from health experts and broadcast newscasters about how COVID was transmitted by droplet and was incredulous.

"I'm sitting there going out of my mind yelling at the television set saying, 'How do we know this? It's a novel virus!' " said Shaman, director of the climate and health program at Columbia University in New York, whose work focuses on the modeling of the spread of infectious diseases.
...

It soon became clear that COVID-19 wasn't the only infectious disease that relies on aerosols to spread.

When mask wearing became a social norm in many parts of the United States, cases of influenza and respiratory syncytial virus, a common cold, all but disappeared. These illnesses returned in 2021, after the Centers for Disease Control and Prevention recommended that fully vaccinated people could take off their masks and mask-wearing declined.

The COVID-19 pandemic has led scientists to reevaluate the role and frequency of aerosol transmission....

The Pandemic Has Changed Us, Permanently

...Two years into the crisis, WebMD asked doctors, health experts, psychologists, and social scientists to ponder this question: What did we give up during the pandemic that most people won't return to doing, even when it's safe to do so?
 
 
Their answers suggest the pandemic brought many once-in-a-lifetime changes to everyday life that will become the "new normal" for millions in the US and around the globe.
In some cases, those changes were positive. For others...not so much....

A Doctor Reflects on the Past 2 Years, Looks Ahead to 2022

COVID-19 Families and Experts Share Pandemic 'Silver Linings'
~~~
A booster shot of humility, from KevinMD.com

...While I have found it sometimes tempting to be irritated with patients or acquaintances who have come to conclusions about the pandemic that seem extremely far-fetched, even crazy (i.e., “If you get the vaccine, I can’t be around you because you will emit nanoparticles that will infect me and erase the gene that allows me to love Jesus.” No, seriously, someone really said this), I can’t say that the non-medical public is to blame for our lop-sided, divided response to this sometimes asymptomatic, sometimes very deadly virus.

Every crisis is an opportunity for leaders to rise up and help everyone else find the way forward. True leaders know how to bring a team together. They lead by example. They exhibit courage and resolve. Pride is a leader killer, and it shows itself in many ways. Fear, reactionary emotionality, inability to trust those around them, and doing everything necessary to keep face, even if it means being dishonest.

The defensiveness, name-calling, lambasting, and criticism that has occurred among our political leaders and the medical community has hamstrung us.

It is as though everyone has expected iPhone speed answers to a problem that has continued to shine the light on the limitations of our human understanding. I think most of us believed that we should have answers and come to know all there is to know about COVID quickly. This is the 21st century, right? Unfortunately, this bug keeps proving: we still do not know much.

How do we admit to the people looking to us for answers that “we don’t know”?

When was the last time you admitted to a patient that you made a mistake?...

Jan. 20th, 2022

med_cat: (woman reading)
med_cat: (woman reading)

Covid links

med_cat: (woman reading)
Fauci: 'Open Question' Whether Omicron Ends Pandemic

"It is an open question as to whether or not Omicron is going to be the live virus vaccination that everyone is hoping for because you have such a great deal of variability with new variants emerging," said Fauci, the chief medical advisor to the White House.

Fauci said his definition of "endemicity" is when a virus is not eliminated but is "non-disruptive" to society.

Fauci said he hopes Omicron, which is highly transmissible but doesn't cause severe illness like Delta, leads to such an endemic. But that would only be the case "if we don't get another variant that eludes the immune response to the prior variant," he added.

Death From COVID-19 Very Rare in Fully Vaccinated Adults: Study

HOWEVER:

While the findings are relevant to infections during periods of pre-Delta or the Delta variant, the researchers have a caveat: The "findings might not be applicable to the risk from SARS-CoV-2 B.1.1.529 (Omicron) variant or future variants."

Omicron Variant Wave Over in South Africa

Is COVID Vaccine Hesitancy Just Needle Phobia?

...We don't talk too much about the fear of needles, but it honestly may be the elephant in the room here. What got me thinking about this was this study, appearing in JAMA Network Open, that looks at the effects of placebo in randomized trials of vaccination. What struck me most was the startlingly high rates of adverse responses to placebos — often called the "nocebo" effect. Remember, vaccine trials occur in healthy individuals; the placebo adverse event rate should honestly be pretty low....

Poor Memory and Attention Persists Months After Mild COVID Recovery, from the UK:

Long-COVID is now recognised and accepted as a clinical entity with fatigue, cough, and headache being common symptoms. The National Institute for Health and Care Excellence (NICE) offers guidance for the management of long-COVID, with the NHS providing specialist long-COVID clinics.

In December 2021 the Office for National Statistics (ONS) reported that 1 in 5 people with COVID-19 develop longer term symptoms. Around 186,000 people experience health problems for up to 12 weeks, with the ONS estimating that around 1 in 10 (9.9%) of people who had COVID-19 remained symptomatic after 12 weeks.

Life, death and ‘hugs and prayers’: A story of covid in rural Michigan

LEWISTON, Mich. — The conversation at the card table inside the Lewiston 50 Plus Club turned one recent afternoon to the coronavirus pandemic, as it had so many times the past two years.

Just days earlier, the club’s president — and one of its most devoted euchre players, Danny Burtch — died of covid-19 after a weeks-long bout with the virus.

...
As health-care leaders pleaded with Michigan residents to take the virus seriously and to get vaccinated, Burtch was among several thousand mostly unvaccinated patients who flooded the state’s hospital wards during the fall and early winter. For weeks, Michigan led the country in covid-19 deaths, and the 71-year-old retired electrician, with no major health complications before contracting the virus, was among them.

Two years into the pandemic, the story of Danny Burtch is the story of incalculable loss and of hard choices: whether to be vaccinated, whether to leave the isolation of home for fellowship, whether to partake in a beloved game of cards....

~~~

As I was saying--you can't make this stuff up--

Hong Kong hamster massacre: Residents resist ‘zero covid’ city’s pet project

HONG KONG — When they came for the hamsters, it proved to be the last straw for long-suffering residents of Hong Kong.

The city has endured, and largely complied with, extreme and often baffling pandemic rules. Schools and gyms are closed, and restaurants must shut at 6 p.m. Air travel with most major hubs has been severed. Playgrounds are sealed off with tape.

But when the government announced a cull of 2,000 pet hamsters, a line was crossed. The rodents could carry the coronavirus, officials said, and transmit it to humans.

Now, an underground railroad is emerging to save abandoned hamsters, with foster carers taking them in and concealing them. Pet owners are in uproar at the government’s plan, which experts say is rooted in knee-jerk panic rather than science. The hamsters are casualties of Hong Kong’s “zero covid” policy, which many here see as a futile political quest.

Jan. 18th, 2022

med_cat: (woman reading)
med_cat: (woman reading)

New batch of Covid links

med_cat: (woman reading)

This is a dangerous time in the pandemic for people like me. Don’t forget us.
For the immunocompromised, covid fatigue poses a grave threat.

...I understand why anyone who is healthy, or better still, healthy and vaccinated, would be eager to let down their guard. Early data suggest omicron is less likely than other variants to lead to hospitalizations and deaths, particularly in immunized people. And who wants to live with pandemic restrictions for one second longer than they have to?

The problem with that calculus, though, is that it doesn’t account for everyone. As more and more people decide to just live with the virus, or even try to deliberately contract it to “get it over with,” the immunocompromised and other vulnerable populations are being forgotten....

Their neighbors called covid-19 a hoax. Can these ICU nurses forgive them?, from July 2021

For the nurses in the Appalachian highlands who risked their lives during the pandemic, it is as if they fought in a war no one acknowledges.

...Conspiracy theories about the pandemic and lies recited on social media — or at White House news conferences — had penetrated deep into their community. When refrigerated trailers were brought in to relieve local hospitals’ overflowing morgues, people said they were stage props. Agitated and unmasked relatives stood outside the ICU insisting that their intubated relatives only had the flu. Many believed the doctors and nurses hailed elsewhere for their sacrifices were conspiring to make money by falsifying covid-19 diagnoses....

When being unvaccinated means being locked out of public life

OSIGO, Italy — After many rounds of rules targeting the unvaccinated, the chamber musician’s new life is unrecognizable from the old. Claudio Ronco once performed all over Europe, but now he can’t even board a plane. He can’t check into a hotel, eat at restaurant or get a coffee at a bar. Most important, he can’t use the water taxis needed to get around Venice, his home for 30 years — a loss of mobility that recently prompted him to gather up two of his prized cellos, lock up his Venetian apartment and retreat with his wife to a home owned by his in-laws one hour away in the hills....

What lockdown took from my parents Covid restrictions stole their right to choose

In the uneasy, bright days of the first lockdown of 2020, my father remembered 1946, and his own father setting off on the train from Wallingford to London to debrief Admiral Dönitz, Hitler’s successor for the last days of the Reich.

I was impressed. I knew Henry was in Naval Intelligence, but not at this level. Was my grandad M, then?

‘Well,” said my father, “Not M. A few letters back from that. Maybe H. He could speak German, was the point.”...

(thanks to [personal profile] lindahoyland for the link!)

Hospitals Are in Serious Trouble Omicron is inundating a health-care system that was already buckling under the cumulative toll of every previous surge.

...Here, then, is the most important difference about this surge: It comes on the back of all the prior ones. COVID’s burden is additive. It isn’t reflected just in the number of occupied hospital beds, but also in the faltering resolve and thinning ranks of the people who attend those beds. “This just feels like one wave too many,” Ranney said. The health-care system will continue to pay these costs long after COVID hospitalizations fall. Health-care workers will know, but most other people will be oblivious—until they need medical care and can’t get it....

...“We have a lot of chronically ill people in the U.S., and it’s like all of those people are now coming into the hospital at the same time,” said Vineet Arora, a hospitalist in Illinois. “Some of it is for COVID, and some is with COVID, but it’s all COVID. At the end of the day, it doesn’t really matter.” (COVID patients also need to be isolated, which increases the burden on hospitals regardless of the severity of patients’ symptoms.)

Omicron’s main threat is its extreme contagiousness. It is infecting so many people that even if a smaller proportion need hospital care, the absolute numbers are still enough to saturate the system. It might be less of a threat to individual people, but it’s disastrous for the health-care system that those individuals will ultimately need....

The Worst of the Omicron Wave Could Still Be Coming A long descent from a peak in cases could exact a larger toll than even Omicron’s blistering ascent.

...What we can say is that the higher a wave crests, the longer and more confusing the path to the bottom will be. We need to prepare for the possibility that this wave could have an uncomfortably long tail—or at least a crooked one. “I do think the decline is unlikely to be as steep as the rise,” Saad Omer, an epidemiologist at Yale, told me....

Jan. 6th, 2022

med_cat: (woman reading)
med_cat: (woman reading)

Covid links from Medscape

med_cat: (woman reading)
Could the Omicron Surge Hasten the Transition From Pandemic to Endemic?

The record-setting surge in COVID-19 cases nationwide — including more than one million new infections reported on January 3 — raises questions about whether the higher Omicron variant transmissibility will accelerate a transition from pandemic to endemic disease.

Furthermore, does the steep increase in number of people testing positive for SARS-CoV-2 mean the United States could finally achieving a meaningful level of 'herd immunity'?

Infectious disease experts weigh in on these possibilities.

US Hospitals Seeing Different Kind of COVID Surge This Time

Hospitals across the U.S. are feeling the wrath of the omicron variant and getting thrown into disarray that is different from earlier COVID-19 surges.

This time, they are dealing with serious staff shortages because so many health care workers are getting sick with the fast-spreading variant. People are showing up at emergency rooms in large numbers in hopes of getting tested for COVID-19, putting more strain on the system. And a surprising share of patients — two-thirds in some places — are testing positive while in the hospital for other reasons.


Stop Gloating Over COVID Deaths Among Anti-Vaxxers

I absolutely do not encourage badmouthing, finger-pointing, or insulting anybody who's lost someone to COVID-19, even if part of the reason that might have happened is that they didn't take the proper precautions or they didn't follow the best medical advice.

 

At the end of the day, if we're cruel to those we disagree with, I don't think it's going to move the needle in terms of getting them to do better, to support better practices, or to reconsider some of their opposition to the best tools we have to protect them against diseases like COVID-19.

 
It just doesn't work that way. I don't think hate delivers.

Can Inflammation Profiling Predict Recovery From Long-COVID?

  • The sequelae of a hospital admission with COVID-19 remain substantial 1 year after discharge across a range of health domains.

  • Patient-perceived health-related quality of life remains reduced at 1 year compared to prehospital admission.