Friday, March 27, 2020

Florida's lethargic governor has a quickly escalating caseload. The Florida governor needs to LEARN QUICKLY from his peers.

Ohio is now predicting a 40 to 70 percent exposure of all Ohioans. Ohio is expecting 6000 to 8000 new cases per day in the coming weeks.

THE ONLY WAY to handle that infection rate is to restrict the assessment of patients to small clinics throughout the state. The faster testing tool is definitely needed and now.

How is New York's trial of medication coming along? It is slightly early to know for sure, but, is there any indication that the new medications are effective, either in the USA or other countries?

Hospitals cannot continue to be the clearinghouse for a caseload that big. Hospitals should begin closing their doors to isolate the ill from the well. The ER will only receive cases that need hospitalization from the assessment clinics. SERIOUSLY. I am saying this knowing I might be the one standing in line at a clinic, okay? I rule nothing out because the most successful ISOLATION of the public happened in Wuhan and I am not convinced we understand this atypical virus completely, so much as how to treat it and end the plague.

I do have an air purifier that I love. The air in the apartment is wonderful. There is a big difference in my wellness since obtaining the air purifier. Yes, it has a sophisticated filter and UV system. It is all contained in one unit and it is completely safe even if a child knocks it over.

Hospital staff is too vital to the best outcomes of patients. The staff is going to need every employee working to protect the medical milieu of the hospital. Floors cleaned frequently, sterilization units operating 24-7 and clerks stocking the floors on a continuous basis.

Nurse Managers are responsible for establishing stocking levels for a unit. That means there is a "daily standard" for supply clerks to bring IV bags of Normal Saline, Dextrose 5% bags, etc.... That daily refill for the units are more than likely hourly restocks at the height of the pandemic in the USA. So, the hospital staff can't be interfered with by visitors.

The hospital can be a source of infection as well for visitors that allow themselves the freedom of wandering the hospital floors to "find word" about their loved ones. That visitor traffic needs to stop as far as I am concerned.

Most outpatient surgery clinics (same day units) should remain operational for normal emergencies. Those clinics can handle uncomplicated surgeries such as appendectomies, etc. They are mini-hospitals, EXCEPT, they don't entertain high-risk patients normally. Surgeons can determine if a patient is high risk and move them to the hospital where a more dense number of professionals can respond to CODES. These surgical units have suspended ELECTIVE surgery. My guess is for this reason so they can assume the emergency surgery normally received in the ER.

Ancillary staff needed: (click here)

Americans need to be ready to find a health care system that is different than they are used to for the next few months.

As a side note: The workforce in these states are going to be ill and recovering so the unemployment support makes complete sense.


March 26, 2020

Doctors test hospital staff with flu-like symptoms for the CCP virus in tents set up to triage possible COVID-19 patients outside before they enter the main emergency department area at St. Barnabas hospital in the Bronx borough of New York City on March 24, 2020. 

In Thursday’s midday report, (click here) a total of 378 new cases have been identified, pushing the total positive tests in the state to 2,355 (2,235 Florida residents, 120 non-residents). In the last two-plus days, state health officials have confirmed 1,128 new cases - 240 on Tuesday, a single-day record 540 on Wednesday and the 378 in Thursday’s first report. Polk County up to 17 cases.

This is interesting. Americans love potatoes.

March 25, 2020
By Jessie Higgins

Evansville -- Potato growers and shippers (click here) are working overtime to keep American grocery stores stocked with enough spuds to meet skyrocketing consumer demand during the coronavirus pandemic

With restaurants closing and governors forcing people to stay home, grocery stores are struggling to keep potatoes in stock, and many suppliers have exhausted supplies earmarked for retail consumption, said Blair Richardson, CEO of Denver-based Potatoes USA, a marketing organization for the industry...

There is absolutely no reason for Donald John Trump to take political advantage of Democratic governors. MIT is providing a tool to look at this virus and it's effect on the American population to governors and mayors. THERE ARE NO QUESTIONS TO THE EXPERTISE OF MIT.


March 26, 2020
By Ruth Reader

The interactive map represents a relative risk profile of counties within each state. The red areas on the map represent regions with higher relative risk compared to the white ones. To categorize counties e produced a score that ranges from 0 to 6, 6 being the highest risk. For each of the risk factors a county can be given 2, 1, or 0 points if it belongs to the top 25%, top 50%, or bottom 50% of counties in the state, respectively. The risk profile was created on the basis of three categories – hypertension, diabetes, and obesity.

We have overlaid the number of known COVID-19 cases in the form of blue circles on top of the corresponding county.

That woman at Trump's briefing, what's her name....Betty White looking woman will have no problem to understand THE COUNTRY'S COUNTIES BURDEN TO DATE IN THIS CRISIS THANKS TO THE INSTANT TOOL BY MIT.

The coronavirus is moving at a blurring rate. (click here) But researchers, doctors, and health officials still have a lot to learn from even the most recent events. That’s why a group at the Massachusetts Institute of Technology has released a set of tools aimed at helping officials find the people most likely to suffer negative effects from the coronavirus. Included in those resources are a couple of maps that identify the most risk-prone counties all around the U.S.

“I think there’s some very dark days ahead, and in those dark days state and local officials will want to know where are those vulnerable people,” says Simon Johnson, a professor of entrepreneurship at MIT and the former chief economist at the International Monetary Fund, who is co-leading the effort.

Two weeks ago, Johnson and Retsef Levi, a professor of operations management at MIT, formed the COVID-19 Policy Alliance. The two have gathered a team of MIT experts to develop tools to help public officials understand and manage COVID-19 outbreaks across the U.S.

The group is also making recommendations on policy. On Monday, the alliance sent a proposal to the White House suggesting that the government purchase medical equipment such as respirators, scrubs, masks, swabs, and other needed equipment from China and use currently grounded passenger and freight airplanes to retrieve it. Johnson says the group is working with state officials on coordinating similar plans.

MIT’s COVID-19 Policy Alliance is among several institutions trying to use data to help identify vulnerable populations, which may need additional resources as states trying to forestall the virus’s spread enact restrictions on leaving the home....

The US House needs to pass the "Worker First" bill as soon as possible to RETURN CONSUMER CONFIDENCE.This accounting occurred as the Senate was deciding on a vote. 

March 25, 2020
By Carmen Reinke

US consumers (click here) are backing away from the housing market as the coronavirus pandemic shuts down large swaths of the economy in an attempt to curb the spread of disease. 

Mortgage application volume fell 29% in the week ending March 20, the largest drop since 2009, according to a Wednesday report from the Mortgage Bankers Association. The home-purchase index fell 15% to its lowest level since August 2019 and decreased 11% on the year, the first year-over-year decline in more than three months. 

Refinance applications also decreased 34% from the previous week, but are up 195% from a year ago....