Yesterday in The New Yorker;
In response to:
Anthony Fauci Issues a New Coronavirus Plea
By Amy Davidson Sorkin
July 1, 2020
At times, in his Senate testimony on Tuesday, Anthony Fauci sounded as though he had pretty much given up on Donald Trump.
On Tuesday, Anthony Fauci sat in a Senate hearing room that had been reconfigured for social distancing and listened, mask at hand, as Patty Murray, of Washington, described the consequences of America’s failure to manage its pandemic. The tally of cases was soaring in a majority of states, particularly in the South and West; Murray, speaking by video, quoted a C.D.C. official who had warned that there was “too much virus to control in the U.S.” Murray stated the obvious: “Our strategy hasn’t worked.” What, she asked, did the federal and state governments need to do to turn the numbers around?
“I am also quite concerned,” Fauci replied. He reeled off some of the statistics that Murray had alluded to—“surges” in Arizona, California, Florida, and Texas alone, he said, accounted for half of the new confirmed cases, which now amount to more than forty thousand a day. Later in his testimony, in answer to a question from Elizabeth Warren, of Massachusetts, Fauci said that he would not be surprised if the number of new cases reached a hundred thousand a day. (He declined to make a guess as to how many deaths that would amount to.) Perhaps, Fauci added, some states had reopened “too quickly”; even in ones where the governors and mayors had acted properly, he had seen “in clips and in photographs . . . individuals in the community doing an ‘all or none’ phenomenon”—by which he meant “either be locked down or open up in a way where you see people at bars, not wearing masks, not avoiding crowds, not paying attention to physical distancing.” To halt the pandemic, Fauci said, “I think we need to emphasize the responsibility that we have both as individuals and as part of a societal effort.”
Fauci is, of course, right about personal responsibility; everyone has a role to play in stopping the coronavirus. But he was less clear about how that rallying cry fits into any federal or even state-government public-health strategy. The great cause of confusion is that we have, at the moment, an all-or-none President, whose exercise of personal or political responsibility in dealing with this crisis is around the level of zero. At times, it sounded as though Fauci had pretty much given up on Donald Trump, and had no option left but to appeal directly to the American people. He could only hope that they would pay attention to his warnings rather than to Trump’s tweets mocking people who wear masks, or the clips and photographs of the people in the crowd, very few of them wearing masks, at the President’s indoor events. (At a rally in Tulsa, campaign workers reportedly removed labels encouraging social distancing from seats.)
That disconnect was not lost on Murray, who followed up by saying, “I assume that would mean that elected and community leaders need to model good public-health behavior and wear a mask.” Fauci, rather than simply saying yes, repeated the C.D.C.’s mask recommendations—wear one in public areas and crowded spaces. It is a depressing commentary on how distorted the Administration’s response has been that Fauci might regard a straightforward statement about what leaders should do as a matter to be handled delicately.
Even some Republicans are recognizing the destructive madness wrought by Trump’s hostility to masks. The Senate Majority Leader, Mitch McConnell, of Kentucky, has come around, and tweeted a call for masks. Lamar Alexander, of Tennessee, opened Tuesday’s hearing with an impassioned plea for mask wearing, which he credited with keeping him and others in his office healthy when one member of his staff tested positive......
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Birds of a feather flock together ....?
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If your husband said to you, he wants to put you up the duff, would you say yes or no?
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How do you know your name is in it?
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I grew up in a house where both of my parents were heavy smokers. This may have been the main factor to my childhood asthmatic condition. Although I wasn't sickly, cigarette smoke, perfume and chemicals would bring on asthma attacks. We lived down the street from the incinerator (with 2 smoke stacks) and across the road from a company that packed aerosol containers. Not a neighborhood to brag about.
Moving to Miami was better as we were a few miles from the ocean and never were concerned about pollution. The issue I had was my neighbors with night blooming jasmine bushes that could bring on an asthma attack in a heartbeat. As I got older things got better and in my teenage years, I played sports and my asthma subsided. I controlled attacks with an over-the-counter inhaler.
In the last 30 years I've been involved with the manufacture of cabinets. From production kitchen cabinets to high-end custom furniture. This environment had me directly in contact with products that were painted. First it was lacquer and over the years finishing materials evolved to catalyzed acrylics which are far more hazardous to the environment.
One business, had the office above the factory and the fumes from the freshly painted products would bleed into the air conditioning system. They finished spraying paint around 4pm and I was there until 7 with the garage door open and large fans pulling fresh air into the building. It was unsafe to be in the building with the doors closed and no fans.
I did a project with enamel paint and used multi-layer filter masks. That wasn't enough. I should have used a mask with carbon cartridges. The asthma lingered and my family doctor sent me to a Pulmonologist for an x-ray and evaluation. Steroids and prescription inhaler. That was around ten years ago. Since then, I've become highly sensitive to chemicals in my environment.
The last place I worked at used to supply the air freshener Febreeze in the restrooms. To me, that stuff is like Kryptonite to Superman. I would place a can of Lysol disinfectant next to the Febreze and to my liking my coworkers would use the Lysol!
Under normal circumstances I only use an inhaler once or twice a week. However, I'm now working for a remodeling company and their warehouse is stocked with all kinds of supplies including tile, carpet underlayment and cabinets. The a/c is shared between the office and warehouse and as soon as I enter the building, I start sneezing. Within 2 hours, I have asthma bad enough to restrict my breathing and have been using the inhaler 4 times a day, often no relief until an hour or two after I leave the building.
My outside appointments are 2 or 3 per day and I'm allowed to work from home, but we have walk-in clients and I need to be there or the leads will go to the other salesmen.
Moving 50 miles from the medical center in Miami, I found a one near my office. My new doctor referred me to a specialist who called for x-rays, steroid based inhaler and a lung capacity test coming up at the end of the month.
In the mean time, I bought a special 3-stage HEPA air purification system and ran it in the office all night. The air was noticeably better and I was able to make it to noon before the asthma started affecting me. I need to go through the warehouse and find out what (exactly) is bothering me and possibly cover at area with tarp or plastic sheeting.
Worst case scenario actually has a few possibilities... No decision as I'm not going there. At least not for now.
It seems that perhaps a cheap widely available steroid helps reduce the death rate in severe cases of Covid-19. However, this does not mean that the risk of death from Covid-19 is no longer real. In addition it does not mean that you should be taking this steroid at home.
From CNN;
In response to:
Commonly used steroid reduces risk of death in sickest coronavirus patients, preliminary study results suggest
The widely available steroid drug dexamethasone may be key in helping to treat the sickest Covid-19 patients who require ventilation or oxygen, according to researchers in the United Kingdom.
Their findings are preliminary, still being compiled, and have not been published in a peer-reviewed journal -- but some not involved with the study called the results a breakthrough.
The two lead investigators of the Recovery Trial, a large UK-based trial investigating potential Covid-19 treatments, announced to reporters in a virtual press conference on Tuesday that a low-dose regimen of dexamethasone for 10 days was found to reduce the risk of death by a third among hospitalized patients requiring ventilation in the trial.
"That's a highly statistically significant result," Martin Landray, deputy chief investigator of the trial and a professor at the University of Oxford, said on Tuesday.
"This is a completely compelling result. If one looks at the patients who did not require ventilators but were on oxygen, there was also a significant risk reduction of about one-fifth," Landray said. "However, we didn't see any benefit in those patients who were in hospital, had Covid, but whose lungs were working sufficiently well -- they were not taking either oxygen or on ventilators."
Landray added that "there are outstanding questions" and people treating Covid-19 at home should not be taking dexamethasone on the back of these results.
"We have not studied patients in the community," Landray said. "We show no effect in the patients who are not on oxygen and we did not study the patients who are not in hospital."
The dexamethasone arm of the Recovery Trial closed last week and researchers are now compiling its data. It included about 2,100 hospitalized Covid-19 patients who were randomized to receive dexamethasone, and about 4,300 hospitalized Covid-19 patients who were randomized to receive the usual standard of care at their hospitals.
In the trial, dexamethasone was provided at a dose of 6mg once a day for up to 10 days, administered either as an injection or taken orally. The researchers reported no serious adverse events among the patients taking dexamethasone, but the results are preliminary.
"At this stage, we found no clear adverse effects of doing this. Let's recognize that there are sort of two messages here. In the people who required oxygen or ventilation, it clearly works, and the benefits are biggest for those on ventilators. In the people in hospital with Covid who do not require oxygen -- so, their lungs are working moderately well -- then actually there's no benefit," Landray said on Tuesday.
"In the trial, our focus was on mortality, which obviously a drug can affect in either direction, but the overall results in the patients on oxygen and ventilation was a clear, clear benefit," Landray said, adding that deaths in the study were examined over a 28-day period. "We've looked, for example, were there deaths due to other forms of infection, which are sometimes considered a risk? And the answer is no, there was no excess of any other particular cause of death."
Dexamethasone is typically used to treat certain forms of arthritis, severe allergies and asthma, among other conditions, including certain types of cancer. Side effects can include upset stomach, headache, dizziness, insomnia and depression. GoodRx estimates the drug can cost as low as about $8. ...
(continued in my first comment below)
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... He comes out and says he never realized how interactions with police are so stressful for the average Negro male. Say what? Puleeze, my man.
Don't get me wrong, if he means it, and is prepared to work to improve things, it's good news. But I thought most turtles lived above, not below, large rocks.
Sure, the rates of Negro crime, including violent crime, against Whites, and even much more (access ?) against other Blacks, is quite at the top of the list. For every Black killed by police, hundreds, yes hundreds, are killed by other Brothers. As with the increases in {CO 2} since the industrial "revolution", the line has been sloped upward, especially since the Negro migration from the South, the decreases in Jim Crow policies, the Democrat public assistance fiasco ruin of the intact Black family, and the rise in Democrat rule in municipalities.
Negroes in my family, when asked about this, agree. But not without eyes up to the ceiling. Maybe the epiphany will spread about in the ranks of the Republican Party, then generalize onto the lefties, and we can finally take an important turn in MAGA. MAGA should have lots of facets. Not exactly rocket science, but perhaps it is a bit of brain surgery in a few right places.
Biden will be more of the same old, especially with a Negro female running mate. Don't take my words for it, just look who's running almost all American mid to large sized municipalities. Where the real action has been for decades.
At least with Red Man Bad, for complex dynamics, in term two, a chance exists.
But as with the past several years, for their own nefarious reasons, his ideas could come down from JC Himself on high, and the Democrats will reflexively fight it all, tooth and nail.
Turtles and ducks. We are lucky that the Donald lets almost all of this roll off his back, like drops of scummy pond water.
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I check the Florida statistics every few days and no longer have hope the number of new cases will decline. We are required to wear masks in the showroom I'm working at. The clients coming in also wear masks. The same for outside appointments.
This weekend at the model airfield, masks are optional and all of us maintained distance. Thankfully no one in my circle of contacts has been directly affected. A few guys my age all agreed they no longer go out to restaurants and don't order delivery. Grocery shopping only when necessary and all their meals are cooked at home.
This is what we do for now.
I bought 100 surgical masks a few months ago and another 100 came in 2 weeks ago. My boss and I made a sales call Friday... he forgot to bring a mask and I supplied one for him. Accidentally, I left my mask in the office, I had to resort to an N95 mask I was keeping for emergency. A year ago I was wearing them for drywall patching and sanding project. I forgot how restrictive they are compared to the surgical masks. However, they didn't fog my glasses. I'm waiting to try the cloth variety. This may encourage me to rethink my sewing machine & mask experiments.
Travels on Saturday, took me to the house I recently sold. My (ex) neighbor was holding several storage bins of tools and collectables of mine and it was time to retrieve those items. Construction at my old house was going as expected. I chatted with the new owner. She and her remodeling crew were doing electrical upgrades and fitting for central air conditioning. While my neighbor and I had masks, none of the remodeling people wore any.
The house is in Dade County... one of the hot-spots for the state of Florida where people who test positive have the highest concentration of COVID-19.
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Please don't misjudge me. Up until last year I was pretty normal but this year things have gone hectic. I get in my car and I put a few drops of alcohol on my hands and wipe them. I go to see a client and as soon as I get back to the car it's a few more drops of alcohol on my hands.
Grocery shopping? It's the same addiction to alcohol.
It seems that everywhere I go a visit with alcohol is only a few steps away.
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We already know the meat packing industry has been hit with workers affected by COVID-19. One major company is Tyson Foods that employs more than 120,000 workers. They were forced to shut down several processing plants after workers tested positive for the virus.
I suspected the same for farm workers and tonight I see the same. One story claims when a worker on a farm in Tennessee fell ill to the virus they tested all 200 workers and found they were all infected.
These are hand picked fruits, berries, and vegetables.
Something to consider when you put a pack of fresh strawberries in your grocery cart.