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Covid19 redux


Bosco-d-gama

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7 hours ago, Deang said:

I don't believe that is happening. Is that happening? And if so, what would be the point?

 

People who are symptomatic and admitted are tested. If they test positive, they should be coded for COVID-19. I don't think anyone could get away with falsifying that kind of data, at least not for long. That's the problem with conspiracy theories -- it requires that people keep their mouths shut -- and they rarely can.

Government already said they were paying more for COVID patients early on as part of the CARES act.  You flag someone for COVID, at least you are guaranteed to collect that extra.  Considering many hospitals have lost a lot of revenue due to a lot of procedures not being done now and people are too scared to go to the hospital, seems there is some motivation.

 

Maybe the 13k and 39k came from the typical coding + the govt. portion.

 

Something screwy going on.  Read https://www.factcheck.org/2020/04/hospital-payments-and-the-covid-19-death-count/ along with the links to CARES.

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9 hours ago, dtel's wife said:


Of course it does silly boy. How sad for you to be so bitter.

When you donate your paycheck you have to make up for it some way.


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Bitter has absolutely nothing to do with it.  It's called reality.  Something that many here refuse to acknowledge.

 

 

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Bitter has absolutely nothing to do with it.  It's called reality.  Something that many here refuse to acknowledge.
 
 

The reality is that what is done darkness always comes to light. That’s beginning to happen, but sadly a very minuscule number of folks here will never admit their beliefs were with the dark side. It’s a pity really. The bitterness, disrespect and anger will continue no matter what darkness is exposed because some will refuse to see the truth no matter what.


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13 minutes ago, dtel's wife said:


The reality is that what is done darkness always comes to light. That’s beginning to happen, but sadly a very minuscule number of folks here will never admit their beliefs were with the dark side. It’s a pity really. The bitterness, disrespect and anger will continue no matter what darkness is exposed because some will refuse to see the truth no matter what.


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I agree and I think a couple of signs of atrophied thinking are the use of blanket generalizations and opinions that are grounded in perceptions rather than facts and a resultant tendency to take the world's changes as personal affronts if they are not in line with one’s personal beliefs.

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Acid in vinegar not LSD

Incentive a better word

Climate OT

China not trustworthy

WHO not reliable

Plandemic

Patents

Masks

Science tific method

Military draft

Taking it personal

Opinion s

Humor

Conjecture

Covid count

Iraq not Iran

Theory...

 

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Silent hypoxia...........    Hypoxemia is the condition of low blood oxygen content meaning normal red cell counts that are under oxygenated. This results in the blue colored lips and extremities as 1/4 of your arterial hemoglobin carries no oxygen, essentially the same as that in mixed venous blood. That is called cyanosis. In the covid19 world they are calling this silent hypoxia or happy hypoxia because the disease leads to under oxygenation while the body is still able to clear or over clear carbon dioxide. It is the increase in arterial carbon dioxide tensions that our bodies recognize as ‘shortness of breath’. We don’t feel short of breath with low oxygen until O2 saturation approaches the 40% ranges.

 

 So how can this happen? Why don’t we feel any deprivation when our oxygenation drops below its normal 99% saturation? Blame it on your exercise reserves. A healthy body exists at rest in a nominal work mode. We’re doing no work so the body does not need to feed our muscle systems with tons of oxygen quickly. As we start working we do not necessarily have to instantly breath faster or deeper. Your body redistributes blood flow to the parts of the body that are conducting the effort and this will meet the oxygen needs for low level work. Increase the work and the heart starts to increase supply rates by increasing systolic pressure and then by beating faster. Increase the work more and your lungs kick in their reserves. You breath deeper and faster clearing the waste products and in taking more oxygen. Your body is designed to do work and be very efficient and responsive. We can go from doing nothing to our maximal exertion all demands very quickly. 
 

This is why normal people are showing low oxygen levels and not feeling it. They’re not supposed to feel short of breath at those levels. Their vascular systems and cardiac function automatically compensate. With normal hemoglobin levels they have tons of oxygen flux reserves to use before they have to start breathing heavy.

 

This is bad but what’s worse is that covid19 seems to deliver this degree of oxygenation impairment without impacting lung compliance, the measure of lung ‘stiffness’. These folks are getting this hypoxic and can’t feel any changes in how their lungs operate. This is very unusual for a pneumonia. If their lungs felt stiff they would sense shortness of breath sooner as their work of breathing get tougher to meet. Stiff lungs alter the baseline of tidal breathing and your lungs literally feel heavy. If you take a normal person and strap a belt on their lower rib cage they’d feel short of breath simply because they experience a change in their breathing architecture that will be sensed as a restriction demanding to be relieved. Another way we feel short of breath is by restriction of airflow. Inflamed airways or bronchospasms reduce lumen size and airways resistance increases by a factor of 4 to 1. Try breathing through a straw for a short while and you’ll get the same sensation.

 

Covid19 is an odd duck in its pathology and it is especially quirky when it comes to the lungs. Textbooks will be rewritten because of this ailment. 
 

One last comment........  the reserve function discussed above.........  this is also why people do not recognize the insidious loss of lung function in chronic lung diseases. Those diseases slowly take away your exercise reserves as they erode into the lung tissue. Sufferers simply reduce their level of exercise to accommodate this loss and do not recognize any problems. Frequently we see new COPD patients when they exert themselves doing something they feel should be easy to do...... and they get horrifically short of breath and take along time to recuperate. Their lives are uneventful and they think all is well and then they have to change a tire or help push start a car and OMG something’s amiss. And it is too late the fix that level of damage. We lose lung function with age anyway. Abusing your lungs accelerates that loss to varying degrees. Sadly there is no need to abuse your lungs. It adds nothing to your life but expense and misery.

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28 minutes ago, billybob said:

Add aerobics exercise.

Walking, jogging, swimming, cycling, etc.

Calesthenics as warm up, stretching.

 

Someone mentioned that there were two strains of the virus.  Maybe it’s old news but I just heard of a 3rd strain - COVID-19lbs (the projected weight gain as we shelter in place).

 

Hopefully, this is a non-inflammatory question but since staying fit is especially important nowadays and since sunburnwilly keeps posting graphic food porn......

..........Are you losing or gaining weight (or fitness) these days due to the virus?  I’ve put on a few pounds eating hoarded comfort food but still exercising.

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24 minutes ago, Bosco-d-gama said:

Those diseases slowly take away your exercise reserves as they erode into the lung tissue. Sufferers simply reduce their level of exercise to accommodate this loss and do not recognize any problems. Frequently we see new COPD patients when they exert themselves doing something they feel should be easy to do...... and they get horrifically short of breath and take along time to recuperate. Their lives are uneventful and they think all is well and then they have to change a tire or help push start a car and OMG something’s amiss.

I never thought of it in this way, and you've made a very good point.

 

"Sufferers simply reduce their level of exercise to accommodate this loss..."  This is all the reason to exercise, especially at whatever level of intensity it takes to breathe hard within your practical limits.  I watched my mom go through the process you describe, and it is slow and increasingly agonizing.  Toward the end of her life, her pulse would be about 115 while laying at rest in a hospital bed!  That's like jogging 24/7.  What a toll that took on her!

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4 hours ago, pzannucci said:

Nope, leave it up to the states as it should be.  Lots of the US have next to no COVID. 

 

NY has inflated numbers cause of all the nursing home folks and a lot of other things they can't understand (and possibly needing the federal funding). 

 

TX still has 37 of 254 counties with no reported cases.  

 

Seems this should not be top down.

 

It will be interesting after the dust settles to compare the year to year deaths the extrapolate how many people likely died from not having COVID but were tagged as such.  

But those are counties where there are more cows than people probably. Have a better chance of being struck by lightning or bit by rattle snake then getting Covid-19.

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1 hour ago, billybob said:

Acid in vinegar not LSD

Incentive a better word

Climate OT

China not trustworthy

WHO not reliable

Plandemic

Patents

Masks

Science tific method

Military draft

Taking it personal

Opinion s

Humor

Conjecture

Covid count

Iraq not Iran

Theory...

 

Thanks, now I don't need to read the 17 posts previous to yours.

 

Wish you would do that every day.

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5 minutes ago, dwilawyer said:

But those are counties where there are more cows than people probably. Have a better chance of being struck by lightning or bit by rattle snake then getting Covid-19.

Yes, but I get my steaks 🙂

 

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10 minutes ago, sputnik said:

 

Someone mentioned that there were two strains of the virus.  Maybe it’s old news but I just heard of a 3rd strain - COVID-19lbs (the projected weight gain as we shelter in place).

 

Hopefully, this is a non-inflammatory question but since staying fit is especially important nowadays and since sunburnwilly keeps posting graphic food porn......

..........Are you losing or gaining weight (or fitness) these days due to the virus?  I’ve put on a few pounds eating hoarded comfort food but still exercising.

From my experience, gaining maybe 5-10 pounds over last 2 months. With isolated comes not as much hunger as not burning the calories from normal routine. Have only done mowing now a couple of times here.

None of this is empirical just observation as, I never use scales as that can cause premature frustrating if one is want to be losing weight.

Do get the munchies at night though. 25 years ago went from around 235 to 159 on Publix and Doctor scales. Why was depression while taking primary care of elderly mother. Aerobics and running, cycling helped quite alot. Now I just try to stay around 210 and less. Maybe too much info, or not enough.

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