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Re: Amazon
is there really no amazon thread?

What does it mean when one seller is 50% cheaper then the rest of the sellers. He has 6000 ratings and 91% percent positive feedback
It means you're getting a good deal

February 25, 2014, 04:18:41 PM
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Re: Ear infections chiropractor I mean itís really a tough call, on the one hand chiropractic neck manipulations can cause strokes (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4264725/) but on the other hand someone made a claim thatís ďtoo good to be trueĒ that makes no physiologic sense. Itís really a toss-up when you get right down to it.
February 01, 2019, 07:11:01 AM
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Re: Vaccine Discussion Master Thread They have numerous and ever-changing rationale. This just debunks a few of the common ones.
December 09, 2019, 06:08:44 PM
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Re: Vaccine Discussion Master Thread
I don't want to go into the whole discussion of vaccines but if I can change the mind of one person/family then it's worth it:
My young brother wasn't vaccinated for the measles and he got it when he was a young baby. He was then completely healthy until the age of 9 when we realized something was wrong. After many tests, scans & MRI, the doctor found that it was a rare complication of the measles that comes out only years later and no one till that day recovered from it. The body just stop functioning in many stages and people were able to stay alive for a maximum of 8 years with an average of 4 years. This happens 1 in 10M measles cases.
I don't remember all the details, the name of this complication, and why my brother wasn't vaccinated for the measles (although we were all vaccinated in my family), and I don't want to ask my parents any questions about it.
Someone called me a few months ago after there was a big controversy in CH about vaccines and ask me; "is it true your brother had complications because he got vaccinated?" I was shocked from this question but I still had to verify to be 100% sure. My only question to my mother was if my brother was vaccinated or not and she confirmed he wasn't.
My brother past away 3 years later at the age of 12. It was 3 painful years with a hospital bed at home with many machines and a surgery or visit at the hospital every few months.
If he just had the damn vaccine...
What a devastating story, I am so sorry for your loss - and thank you for being willing to share it. Most likely he developed subacute sclerosing panencephalitis (SSPE) a rare but known complication of measles that occurs years after the infection clears.

April 27, 2020, 06:38:20 AM
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Re: Covid-19 Symptoms In Toddlers - Rashes / Hives Rash has absolutely been seen as a sign of COVID in otherwise asymptomatic patients. I would have that high on your differential. The office would likely appreciate a heads up of what you suspect before you march them in :p
Any other symptoms?

May 03, 2020, 09:35:32 PM
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Re: Covid-19 Symptoms In Toddlers - Rashes / Hives It would be the first series of reported adverse sequelae in kids. Definitely noteworthy especially in the context of discussing school/camp reopening.
May 06, 2020, 07:41:00 AM
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Re: Who do you trust most on covid-19?
Does anyone still trust Fauci after Plandemic?

So to be clear, one bitter ex-employee with minimal credibility makes claims about a well respected physician with no evidence whatsoever and you walk away believing the conspiracy? The odds that you did not believe this was a conspiracy even prior to the video must be exceedingly close to zero.

May 08, 2020, 10:02:47 AM
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Re: Cambodia vs Vietnam vs Thailand
For a first trip, I'd recommend Thailand.

But itís likely a first and last trip to the region and I donít particularly care for the food and beaches. Still Thailand? Iím leaning Vietnam.

July 07, 2020, 08:15:15 AM
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Re: What is FL hiding?
Any observations from the frontlines?

We are about triple our total inpatients compared to the ďpeak of the 1st waveĒ. Converting most of the ERs and ICUs to COVID ICUs. Cutting back on most non-emergent surgeries requiring hospitalizations. Most hospitals in South Florida have cancelled elective cases altogether but my hospital system has not yet. They are starting to pull residents from other services to help the hospitalist teams who are at or near capacity. Having said all this - we are running about even on total COVID cases for the past 3-4 days. This can be an aberration but hopefully is evidence of turning the corner. We are still getting new COVID patients but this current batch of patients are more quickly able to be discharged -likely due to the greater percentage of young/healthy patients as compared to the more elderly sicker patients during the first wave.

July 08, 2020, 10:51:04 AM
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Re: What is FL hiding? If weíre lucky - we got right to the brink of disaster (in terms of hospitals being overrun and increased mortality due to sheer overwhelmed systems) and the cases decrease naturally with time and burning itself out. If weíre unlucky - we are in for a very scary next few months. I hope and think the former will be the case, it is entirely feasible that the latter will occur. The prudent thing to do at this point is shut things down (here in the high prevalence zones) until things are somewhat under better control. Not forever, but for some reasonable amount of time until hospitals and cases decrease to a scientifically safer level.
July 10, 2020, 03:31:23 PM
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Re: What is FL hiding?

400k positives, over 32k deaths. What could have been worse?? The numbers NY has is larger then most of the world. I'm not sure how things could've been worse.

Look up Italy - 243k cases w/ 35k mortalities. Thatís what happens when the healthcare system is truly overwhelmed.

Also 400k total cases is less than 5% of total population (granted the actual positive rate must have been somewhat higher as many probably did not get tested). If they hadnít shut down to the extent they did, it certainly could have been disastrously worse.

July 10, 2020, 05:03:34 PM
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Re: What is FL hiding?
Assuming his number are correct, 140k means nothing. It's been well documented that FL inflates the number of tests to keep their positivity rate low. They test health care workers multiple times a week, regardless of exposure. They test people multiple times a week to either confirm a positive, check for a false negative, or to confirm recovery. They also do 2 types of test and include both in their count. PCR is what everyone uses. FL also includes antigen tests, which are more likely to give a false negative, and almost always require an additional PCR test for confirmation. I believe FL's 140k test numbers are just that; individual tests, not individual people tested. (I have to find a source for that, although it may have already been posted.)

ETA: the 140k is absolute BS. And the rest of what I wrote still applies to the lower test numbers.

Disclaimer: Again, I can only speak for my hospital system as well as the few others that I am affiliated with and have friends at. We do not test health care workers with any regularity (although it might be a good idea if we did). In fact despite being a frontline MD with significant COVID exposure I cannot get tested unless: 1. I have had exposure to a known COVID+ pt, 2) without appropriate PPE, 3) within the past 2 weeks and 4) I now have symptoms of COVID infection. I cannot get a test without all of these criteria. Even with them it needs to be cleared by the NP manning the tests.

The only time a patient who tested negative in the hospital gets another retest is if they begin showing COVID symptoms. The patients who get retested are those that are + and they are more likely than not to show up + again. All the testing done in my facility are done to best treat and care for patients. None of it is done to improve how the numbers look. I cannot speak for any other testing sites in Florida. We also only use PCR testing exclusively.

July 13, 2020, 06:24:37 AM
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Re: What is FL hiding?
https://www.cnn.com/world/live-news/coronavirus-pandemic-07-13-20-intl/h_0e84dae7e8a24680430bd80828dc735c

@YankyDoodle does this make match what you're seeing?

Not quite as dire as they make it seem at my hospital. We have converted multiple floors to COVID units. The ERs have been mini COVID ICUs for 6 weeks already. We have bed capacity for now and havenít used auditoriums or anything like that yet. We have adequate PPE for at least 2+ months and plenty of ventilators for now. We have not cancelled elective outpatient surgeries yet as this generally does not effect the inpatient hospital needs as long as we donít have a PPE shortage and donít need the OR manpower (which we are ok with so far). Granted, we are the largest hospital in South Florida so that may not be the reality at smaller hospitals.   

For what itís worth we have had a 20% increase in COVID patients in hospital over past 3 days... so thatís no so good :/

July 13, 2020, 05:07:03 PM
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Re: South Florida Master Thread
I would advise you to come down to Miami Beach.
Everything is pretty much okay down here.
The restaurants are all open with outdoor seating. Some restaurants are offering up to 20% off your bill. The hotel rates are incredibly low. Hotels that usually go for $500/Night are below $150/Night. I was on the beach this morning and it was heavily underpopulated.
There is a curfew in place at 10 PM but it really just is for stores.

I don't feel less safe now than I felt over the past few months. Don't get scared off by the news.

I am very happy that you do not feel any less safe... I promise you if you (Or your family member) ended up on the hospital you would feel (and in reality be) far less safe than you would have been over the prior few months. Please recognize that likelihood of acquiring COVID is a factor of level of riskiness /exposure multiplied by likelihood of other individuals having COVID. While low-risk activities might have been reasonable a month ago that is no longer the case. With tens of thousands and likely hundreds of thousands of individuals in South Florida having COVID, any unnecessary exposure puts your life and those of everyone around you in significantly greater risk at this time.

July 15, 2020, 10:27:18 AM
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Re: What is FL hiding? Younger/healthier patients, stopped prophylactic intubation and dexamethasone IME. Much faster patient turnover time than previously.
August 02, 2020, 03:12:10 PM
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Re: "Obamacare Requires Infants To Be Billed Separately"
I actually didn't argue that, and don't advocate that. A DR. that looks at you for 30 seconds or even 5 minutes charging 100+/- is capitalism, but ask yourself why did capitalism get us there and the answer is, the government requirements, shall that be insurance reporting or training ETC. I do say that government should cut down on all nonsense which would reduce are expenses considerably.

Listen, the guy did his Job, as my finger is healed. The world is huge and people in other countries (not all) get just as good healthcare for typical stuff.

Maybe we are not arguing but a few additional points:

Doctors do not get paid because of capitalism. Doctors get paid a fixed rate based on what insurance companies (and effectively the federal government via Medicaid and Medicare who the ins it made companies typically follow) decide is appropriate. Of that rate, doctors make a small fraction of it (if it was performed at a hospital). If medicine was run like a a regular business, doctors would routinely make millions (because people would be willing to pay tremendous amounts of money when it comes to their health) which would be unfair and inappropriate. Medicine cannot be run as a regular capitalist market. But you cannot then argue that doctors shouldnít be paid a fair rate for their level of intelligence/education. Most doctors can easily make hundreds of thousands+ in business or law etc (true capitalist markets). You will have a massive brain drain if you canít offer them something remotely similar in income.

In other countries maybe $10/night is a good salary for other high-functioning jobs but I am certain that anything similar here will lead to a massive reduction in health care.

August 13, 2020, 12:41:38 PM
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Re: What is FL hiding? Our hospitalizations are at nearly 40% of their high about 2-3 weeks ago. Prob still about double what they were at their low in June.
August 14, 2020, 06:01:19 PM
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Re: What is FL hiding? Hospital is back to the baseline that we were at after the first wave concluded ~June. Tune back in around mid October for our next session of ĎCOVID or masksí.
September 21, 2020, 06:52:46 PM
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Re: COVID-19 (Wuhan Novel Coronavirus) Pandemic Master Thread
Schools were closed early on, but opened in August. Some even opened for summer school. To my knowledge, procedures were minor impacted, depending on when it was scheduled for and in which hospital system. @YankyDoodle has better info than I do there. I know the Cleveland Clinic system has pretty much been full-go since May. Keep in mind, FL only recorded ~4.5k Covid deaths before July 16. They've recorded 11k since then. (ETA: FL did have a shutdown of sorts for a month in April. It was not as severe as NY/NJ.)

Hospital procedures were significantly shutdown throughout South Florida the first time around (March-May/June). When Florida was actually hit hard (~July-September), there was more divergence. Some hospitals shut down elective procedures but most continued business as usual. Hospitals with heavy COVID loads stopped elective cases that were likely to require in-hospital stays (didn't have spare beds). This was fairly reasonable as we didn't have any way of knowing who had COVID during the first wave (testing procedures were not set and turnaround time/availability was poor. Afterwards the protocols were much improved and have proven fairly effective.

October 18, 2020, 07:06:24 AM
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