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Narcosys

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Posts posted by Narcosys


  1. 16 hours ago, SteelCityColt said:

     

    This wasn't what we were talking about.. you've diverted into a number of different topics. But quickly:

     

    The Liverpool Care Pathway, rightly, hasn't been clinical guidance for a number of years. The Alfie Evans case is again a different aspect and the way you outline it suggests the clinicians willingly denied care for no good reason

     

    It's undeniable that the NHS is a under pressure organisation, but this isn't unique to to it. Take the often cited example of 4 hour waits. For one the 4 hour thing itself doesn't really have much clinical evidence, it's more a of performance metric. When you compare the average waits in emergency departments across the world we still see a greater ratio of patients quicker. The issue is that people utilise ED as a first stop rather than last resort. To get into the underlying reasons why would take forever, but this is why a lot of NHS transformation is about increasing access in primary/community settings.

     

    You anecdotal example isn't all too uncommon depending on the break. But that's again not exactly unique to the NHS. Without knowing the full medical details it's impossible to say if it was poor practice. As a converse anecdote, I managed to break my ankle and not realise for 4 days... 

     

    Point being, if someone dies when it was avoidable it would normally be a Serious Incident with a full investigation of why. These are thankfully rare. However , I think we will see a huge spike of deaths that would have been "avoidable" as the system pressure builds. Currently it looks like end April/May for the peak of demand. 

    I was talking about the medical system choosing to deny care based on cost/benefit analysis, rather than just taking care of the person, essentially a death panel. That has and is happening. That was my point from all of that. It did kind of grow into more information as to why this happens, and the issues with NHS.

     

    for my anecdotal, they went right after he hurt his arm. They refused to do an xray as they didn't think it warranted one. A week later the kid was still hurting and bruising, and finally they took one in the ED and showed that there was a break, exactly like the parents were saying. 


  2. 3 hours ago, ThorstenDenmark said:

    You guys need to do what ever you can to avoid other people for the next couple of weeks.

     

    It's hitting the US like no other countrie right now.

     

    10.000 new cases in the last 48 hours, that's a lot and worse than most other countries.

     

    I know Donald are more focused in the economy, but if you don't listen up and do what you individually can to avoid infection, there will be no football for you... like ever again.

     

    We just saw how students partied for spring break in Florida last night... wth.... are no one in the US taking this thing serious?

     

    If things develop like it does right now, you will have more than 100.000 infected within the next few days. 

     

    so PLEASE

     

    STAY AT HOME - WASH YOUR HANDS - AVOID OTHER PEOPLE - AND AT LEAST KEEP DISTANCE TO OTHER PEOPLE.

     

     

    :HFire:


  3. 14 hours ago, SteelCityColt said:

     

    Yes I am, and nice to see your appreciation for it... 

     

    There's two levels or response we can talk about here. The purely medical services and the overall government societal measure. Which one do you want to attack using faulty data first?

     

     

     

    my last post covered the medical aspect, but from a government societal measure; we all know these precautions being put in place about staying at home and avoiding everyone is not to try and stop the virus, it is to try and stop the healthcare systems from being overrun. This applies to the world and not just the UK however.  80% of the population is likely going to get it in some form or another and at some point or another. By teleworking, alternating shifts, and staying at home, you slow down the demand for medical services. So instead of one massive overwhelming wave that crashes the system and providers, it is a more manageable steady rise and plateau. 


  4. 14 hours ago, SteelCityColt said:

     

    Like do you have any actual evidence of this, or let me rephrase, do you understand what you just implied?

     

    Hazel Fenton of Sussex back in 2009 was deemed only to have a few days to live, NHS withdrew anti-biotics and denied artificial feeding. She survived.  Jack Jones was on the Liverpool Care Pathway plan when doctors thought his cancer had returned and became terminal. They put him in deep sedation and denied him food and water. He died not from cancer that he didn't actually have, but from a treatable infection.  Of course Alfie Evans, which doctors withdrew care and then your government refused to allow his family to find care elsewhere. There are dozens more cases where the NHS is denying care for people yearly.

     

    There are books written about how bad the NHS is and its financial woes, and how badly its affecting patient care. Emergency care wait times are going up, routine care scheduling gets pushed far the right. It is becoming increasingly difficult for people to get through to their GP in order to schedule care, therefore pushing people to A & E.  Twenty-seven percent of people are having to wait for more than a week and even up to 18 weeks care. Xray, MRIs, CT Scans, and ultrasounds are not meeting their  NHS recommended 6 week time frame and one in seven people wait over three months.

     

    The list of restricted treatments continues to grow, to include hip replacements, knee surgery and hernia repair. The system requires patients to meet certain criteria in order to be eligible for treatment, such as the level of impairment, and sending these treatment decisions to a funding panel and taken out of the hands of the GP.  Even your very own specialist associations are criticizing your restrictive policies. People can't afford to take off work for debilitating illnesses but the NHS can't or won't approve the care, making their situation worse.

     

    The UK Health Foundation points all this out: 

    • Essential parts of the NHS in England are experiencing the worst performance against waiting times targets since the targets were set. This includes the highest proportion of people waiting more than four hours in A&E departments since 2004, and the highest proportion of people waiting over 18 weeks for non-urgent (but essential) hospital treatment since 2008.

     

     • The target for treating cancer patients within 62 days of urgent GP referral has not been met for over 5 years, and survey evidence suggests more people are experiencing lengthening delays in getting GP appointments.

     

     • Longer waits are a symptom of more people needing treatment than the NHS has the capacity to deliver. This reflects a decade of much lower than average funding growth for the NHS and workforce shortages, coupled with growing and changing population health needs. These pressures are exacerbated by cuts to social care and public health budgets, which make it harder to keep people healthy outside hospitals.

     

    • It will take sustained investment in the NHS and social care to reverse lengthening waits. This will include filling existing staff vacancies and growing the workforce, investment in buildings and equipment, and stabilising the social care sector. 

     

    Anecdotal: My friends son fractured his arm, they went to the local hospital and they sent him home because they thought it was a sprain and didn't want to do an xray.  His arm continued to be a problem and began to heal improperly. They had to re-set his arm and cast it. 

     


  5. 1 minute ago, aaron11 said:

    No guarantee that's true.  People are getting it in warm dry climates now.  

    Oh my goodness, I never said it will lessen transferability. If they are contracting them in the cities and markets, surfaces are being touched constantly by numerous people.

     

    The climate has nothing to do with whether or not it can be transferred, it affects how long the virus can be viable for contraction on surfaces. 

     

    Right now the virus can survive much longer on surfaces when it is cold, than when it is warm. You are just as likely to get it from coming into contact with surfaces that has the virus on it as you do with being in close proximity and contact with those that have it. 

     

     


  6.  

    1 minute ago, DougDew said:

    Interestingly that Japan has escaped some of the headlines. 

     

    Even though they are a densely populated country, very much so,  they don't seem to be having as much problems as NYC. 

     

    Maybe the reporting of it is just not capturing attention.

     

    Or they aren't reporting their numbers as much. North Korea for example hasn't had  single case yet!


  7. 5 minutes ago, DougDew said:

    The specific drug mentioned was Hydroxychloroquine.  Sounds nasty, but its better than your lungs being starved for oxygen, IMO.

     

    Common hydroxychloroquine side effects may include:

    headache, dizziness, ringing in your ears;

    nausea, vomiting, stomach pain;

    loss of appetite, weight loss;

    mood changes, feeling nervous or irritable;

    skin rash or itching; or.

    hair loss.

     

     

    Ya those were the, take daily pills, versus the mefloquine which was once a week. 

     

    11 minutes ago, RollerColt said:

    That situation is actually playing out right now in Hong Kong. They started to reopen everything and another wave hit. 

     

    I really hope we can eventually get natural immunity, but I'm cautious about that as well. 

     

    You should if you catch it. 


  8. 2 minutes ago, DougDew said:

    The reports from tests done in other countries is that it must be used in combination with the malaria drug.   That's the basis of Dr Funechi's claim that he wants more data before being clinically approved.  The combo is doing something they don't totally understand.

     

    it is believed that mefloquine can cause similar affects to TBI and was made the last choice for US personnel to use due to the potential permanent neurological side effects.  I'm telling ya my guy, that stuff sucks. If you are going to take it, take with a large meal, cause you'll have serious stomach pains if you don't. 

    • Like 1

  9. 6 minutes ago, Swan Ronson said:

    .08 per cent of the UK population is 52,800. They have 5,683 cases. Your figures are miles off. They also have less then 300 deaths. Not 665.

    ah yes, you are correct I missed the -5 and -4 exponentials

    0.00008% UK

    0.00010% US

     

    So fairly even there. Higher for US because of the way we live with more densely populated cities. That is to be expected. UK has 281 total reported deaths, the way their tracker shows up on my computer is off, like it's not formatted properly. 

     

    so looking at a 4.9% mortality rate for UK and a 1.3% mortality rate for the US. 

     

     

     

    • Like 1

  10. 2 minutes ago, DougDew said:

    It looks like a very strong remedy is the anti-malaria drug combined with a typical ZPAK.  If that's the case, its likely that every other country will hoard those pills and we will be in short supply.

     

    Hopefully Dr.Funechi will acknowledge the success before his cherished scientific methods are implemented in too much detail.  Too slow.  Too late for many. 

     

    A test that takes only 45 minutes, which sounds like could be available in some places later this week, combined with a prescription that requires taking two pills, could reduce this pandemic to about the same level as seasonal flu. 

     

    Crossing fingers, but if that happens life could get back to looking like something more reasonable.

     

    And keeping the thread on topic, it could result in the NFL season starting normally.

     

    Forget those malaria pills man. Terrible on your stomach and liver, especially mefloquine. Took those things on numerous occasions during deployments. 

     

    ZPAK is the go to anti-viral, but handing them things out like candy help to develop viruses that are resistant, that's why they try to not give out so many. 


  11. Just now, chad72 said:

     

    To me, what is irritating is that the media has to continually go down the path of "this could have happened, that could have happened" and disrupting the unity of thought. How is it useful except for some nonsensical click baits (he said this, she said that)? Is anyone doing that in Italy or Spain? The media is not crucifying them for letting it get to this level, are they? The reason is there is a time for reflection and finger pointing, and there is a time for recognizing water under the bridge and focusing more on actions moving forward to save people's lives.

     

    Gone are the days of just reporting the facts without a slant, disgusting.

     

    How about dealing with what is going on "now" and what should be done for the "future"!!!

     

     

    Ya, go back and point fingers after the dust settles, people want stand and point fingers than lend a hand and help put out the fire.

    • Like 2

  12. 2 minutes ago, dgambill said:

    Oh..no doubt there are individuals that aren't. I mean honestly we have seen some pretty dumb takes on a WHOLE HOST of topics over the years on this forum. 

     

    paragraph and points of discussion breaks my man, totally helps in ease of reading. 

    • Haha 1

  13. On 3/21/2020 at 4:10 PM, aaron11 said:

    zero chance it will be over in a month globally. the bigger markets and more crowded countries are going to be dealing with this for months, it could span into next year

     

    places like indiana might be able to recover faster but  the 500 in late may is very much in jeopardy 

    Months yes, next year though?  No, the virus's viability is drastically reduced in warmer drier climates. It will be a minimal nuisance by the end of the summer.


  14. On 3/22/2020 at 1:42 PM, SteelCityColt said:

     

    we're already at the point of having to change clinical guidelines and potentially withhold treatment rather than compromise someone's immune system. Wider scale, as services are put under more pressure, you will hit the point where hard caps are put in as to who is and isn't treated. I.e. people who are normal circumstance may well have lived with intervention, may not. 

     

    Let's be honest, you guys have been doing that before this situation.


  15. On 3/21/2020 at 4:19 PM, SteelCityColt said:

     

    You'd be fortunate to have reached the tipping point for the virus alone (recovery outstripping confirmed cases) within a month, let alone see a return to full normality. The economic and sociological effects will be felt for a good long while. 

     

    I'm not sure how much awareness there is in the US in just how poor the government's response has been to all this. So far the modelling suggests you're going to be looking more like Italy than China. This is calm before the storm, believe me. I'm not an epidemiologist, but I do work for the NHS at a pretty senior level I'm living the operational data day to day. 

     

     

    lol, working for NHS but condescendingly talking about response?

    :pkb:

     

    The UK has been the slowest to respond and take action because the NHS was so inadequately prepared and under-funded for this. Before you say anything, I live here in the UK and am dealing with it just like you. 

     

    Of all European countries, the UK has been the slowest to put in measures. The PM even came out and just blatantly said, (paraphrase) 'some of our loved ones will die, but we will continue to drive on.'

     

    Postponed closing schools because they didn't want to affect work and put more strain on the NHS for increased testing. 

     

    That's why the policy is if your sick, stay home unless your old or have an immuno-deficiency. 

    China has been the worst of all, they knew about this virus back in November and did not take measures until the global community pressured them, after it already spread to multiple nations.

     

    Coincidentally, the Chinese scientist that came out and whistle-blowed how he warned the Chinese government back in November and they did nothing....caught corona a died.

     

    For the US, only .01% of the population has it and only 471 deaths.

    For the UK, .08% of the population has it and 665 have died.

     

    Those who live in glass houses.

    • Like 1

  16. 25 minutes ago, DougDew said:

     

    Since there is no remedy, testing is really a bit moot at this point.  You're either bad enough to be hospitalized (by being short of breath) or you're not, whether you are tested for it or not.  IOW, if you test positive but are not bad enough to be hospitalized, the treatment, go home and isolate, is the same as the prevention.

     

    When we get a viable remedy, then testing becomes more useful because we can knock out the virus in mild cases.  If the drugs can be produced fast enough.  Until then, stay home as much as possible.

     

    The re calibration of production facilities to fight a war take time to implement.  Just like they did in 1941.  And every country wants those products, not just the USA.  In the meantime, isolate yourself as much as possible, wash your hands, and keep your fingers out of your nose.

     

    Absolutely correct. All these people, wearing masks and gloves, but still touch their face, is pointless and just spreading panic. Heck the masks are useless after about an hour anyways, less so if you breath more through your mouth and produce more moisture. 

     

    pointless to test unless you're pretty sure you have it anyways. 

     

    The bigger issue we just realized, is that much of our medicine is produced in China. Talk about an instability and national security risk.


  17. 14 minutes ago, DougDew said:

    I never claimed to know.  But it sounds like political bias is starting to enter the mindset of people who get paid to deliver or publish commentary.

     

    "not doing enough" is a judgmental state of mind.   People are actually claiming that senior officials ....somebody else.....aren't doing enough.  Ready to judge what others are doing or not doing, as if they are in a better position to know and the people in position to know are ignorant.  Its revealing how people who are not in the know see themselves relative to others who are in the know.   

     

    I'm sure 5 weeks after December 7, 1941, there were plenty of paid mouths looking around and saying we weren't doing enough to make more radars (detection devices) or battleships (remedies) and people were at risk of dying because FDR wasn't doing enough.

     

     

     

     

    It's not political bias, I mean there is some, but not current research.

     

    It started off as the Wuhan virus, then somehow it turned out that saying the name of the district is racist, even though Chinese isn't technically a race anyways, but that's besides the point.

     

    The mortality rate of the COVID19 is less than your typical seasonal flu, hardly anyone is reporting on that. This virus has shown to be substantially less viable in warm dry climates, so as summer roles around, this virus will become less viable and therefore reduce contraction rates. 

     

    Yes a pandemic is big deal, but this isn't a shutdown the world and collapse of human society situation, anymore than your typical seasonal flu should be. This thing just hit at the right time. 

     


  18. 21 minutes ago, jvan1973 said:

    Then why is it spreading in hot climates?

    It's not, not as rapidly in areas where it is colder, ie China and Europe. 

     

    The southern hemisphere is not having nearly as many cases right now, and partly because they are in their waning summer months. 

     

    Flu viruses do not last on surfaces nearly as long is warmer weather than in colder weather, this virus is no different and it has been shown in studies already that it can last up to 9+ days in colder environments and 3 days or less in warmer.

     

    However, your question has nothing to do with my statement, as you speak towards how its spread and I am speaking on its viability. Obviously, this virus is spread by contact, and therefore there are more variables that go into how it spreads than just temperature. In hotter environments, people will still be getting out, in 3rd world countries they cannot afford to avoid marketplaces.  Spread is unavoidable, but how long the virus is viable for contraction is dependent on it's environment. 

     

    All the research is pointing towards this being a seasonal issue, and by the summer it will virtually die out.


  19. On 3/20/2020 at 4:19 AM, crazycolt1 said:

    Tanking is for losers with loser mentality. 

    Like him or not Belichick does not have a loser mentality.

    That's subjective and short-sighted. 

     

    If you want to win long-term and ensure future success, you tank one year, get the best QB prospect since Luck, and win for another decade....doesn't seem like a loser mentality to me.

    • Like 1

  20. 23 hours ago, EastStreet said:

    DD wasn't a great coach, but he wasn't good either 

    :thmup:

    Don't know about his skills and don't care cause it's irrelevant to his point on luck.  In 5 years,  he couldn't consistently hit his receivers in stride. Often throwing high and behind. 


  21. 1 minute ago, chad72 said:

     

    First, Clowney can be played all over the DL, and is one of the best run stopping DLs available out there, so him being just a DE in our system is not accurate. Plus, Buckner was not brought here to play DE when we have Houston, Banogu, and Turay, assuming we let Sheard go.

     

    I can see that to take our DL to another level. Seahawks of 2013 went 7 or 8 deep in quality bodies, not just in quantity. If Dodd and Ballard have that vision, I can see that.

    I get that, I don't disagree. But that is a lot invested in just two positions/people.

     

    It doesn't fit in with what Ballard has done, however admittedly  Ballard has been working out of his team building/foundational phase and we don't know hat his second phase looks like. 

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