Originally posted by Bogozags
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Roth, Zags plan for season of uncertainty
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Excellent, science-based article (but an easy read) from National Geographic about where we are, and what we need to do:
NatGeo: Here's How to Stop the Virus from Winning
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Dunno about the science based but it does give a nice overview of common sense things we knew from the beginning but have ralexed on. I get the sense from the data I see daily, that because the DX was insecure from the beginning, we may have to start over using the propertesting. Trouble is, the first test were sent to us ( we actually paid for this!!) was from China. THe testing of the test kits shows a very low sensitivity and specificity.
Soldier on we did though with masks, home, distancing.and it seemed make things better. But how did we know things were "better" when the test were suboptimal...? Nobody knows.
There is a long way to go with this disease unless America buckles down and renews its efforts. HARDCORE.
Even then we can't know where we are except we're in the middle of a storm not of our making. Cad do the newer tests have an improved verifiable increases sensitivity and specificity with an increased predicitive value? Some are still swab and some are serologic. Until our tests are much better, best therapies are hard to define. We still don't know what's best or even better.
Given the uncertainties listed in this post, I think it's hard to assign any blame to this administration.this is an infection that was smuggled in and was lied about.
In my own experience, pts who died, oftentimes were assigned a COVID diagnosis but without testing. I've told the story about one of my janitors who lost his father a few weeks about. 75 yr old ukrainian man who had heart failure with some renal failure as well. He died .and when the son asked , he was told COVID got him. But review of the chart has no testing that might confirm the DX. We now know NYC deaths in the nursing homes often did the same thing..
So for me it's remains a head scratcher. We know the pronicples of defense. But the assurity of DX is still less than certain. For all of you, Mick Mick, a longtime poster just dropped a gem on the BZ basketball board. I hope you'll read it.
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First off, I see that this thread had been delegated to the basement area of the forum. A sad outcome, since 1) It's the damn offseason and there's no reason to relegate threads, 2) It's a thread of significant importance, given the current conditions, and 3) posters have been overall very good about avoiding politics or other contentious issues. And I'll add 4) I think it's been a thread that's educational with a lot of attention, and has had a vibrant discussion about Covid-19. I'm disappointed, and I would plead the moderators to consider to keep this thread in the main MBB forum for the benefit of readers. Inappropriate posts can always be deleted individually. There's no need to use a heavy hand!
Abe -- The article might not be "science based" for you and me - not original articles, but the bulk of the paper was input from epidemiologists, immunologists and public health officials. The PCR tests are largely very accurate. The antibody tests...not so much. Underwhelming specificity, meaning a large number of false positives. Swab, good. Serologic, bad. No worries though, because active viral testing is far more important. Incidence is so much more important than evidence of past infection.
Oh, I blame the federal administration almost 100%. If we had a coordinated response, we would not be dealing with this. Come on, abandon your politics and look at the evidence. They blew it on the test kits. FDA put up road blocks to even see if the disease was in our country, and halted and redirected imports of PPE. The CDC choked on the mask issue.
Stop with the politics. Pay attention to the science. You know the science of stents and anticoagulation, and coronary anatomy. It's no difference with this disease, my friend and colleague.
I already read MickMick's post, and responded. I hope you see it too.
Best, =cad=
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Originally posted by caduceus View PostFirst off, I see that this thread had been delegated to the basement area of the forum. A sad outcome, since 1) It's the damn offseason and there's no reason to relegate threads, 2) It's a thread of significant importance, given the current conditions, and 3) posters have been overall very good about avoiding politics or other contentious issues. And I'll add 4) I think it's been a thread that's educational with a lot of attention, and has had a vibrant discussion about Covid-19. I'm disappointed, and I would plead the moderators to consider to keep this thread in the main MBB forum for the benefit of readers. Inappropriate posts can always be deleted individually. There's no need to use a heavy hand!
Abe -- The article might not be "science based" for you and me - not original articles, but the bulk of the paper was input from epidemiologists, immunologists and public health officials. The PCR tests are largely very accurate. The antibody tests...not so much. Underwhelming specificity, meaning a large number of false positives. Swab, good. Serologic, bad. No worries though, because active viral testing is far more important. Incidence is so much more important than evidence of past infection.
Oh, I blame the federal administration almost 100%. If we had a coordinated response, we would not be dealing with this. Come on, abandon your politics and look at the evidence. They blew it on the test kits. FDA put up road blocks to even see if the disease was in our country, and halted and redirected imports of PPE. The CDC choked on the mask issue.
Stop with the politics. Pay attention to the science. You know the science of stents and anticoagulation, and coronary anatomy. It's no difference with this disease, my friend and colleague.
I already read MickMick's post, and responded. I hope you see it too.
Best, =cad=
Your posts have been extremely informative Cad, very much appreciated.
Makes me proud of the many brilliant Gonzaga Alums and fans out there. We have a pretty high brow community visiting these boards."You miss 100% of the shots you don't take."
-Zach Norvell Jr.
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Originally posted by caduceus View PostFirst off, I see that this thread had been delegated to the basement area of the forum. A sad outcome, since 1) It's the damn offseason and there's no reason to relegate threads, 2) It's a thread of significant importance, given the current conditions, and 3) posters have been overall very good about avoiding politics or other contentious issues. And I'll add 4) I think it's been a thread that's educational with a lot of attention, and has had a vibrant discussion about Covid-19. I'm disappointed, and I would plead the moderators to consider to keep this thread in the main MBB forum for the benefit of readers. Inappropriate posts can always be deleted individually. There's no need to use a heavy hand!
Abe -- The article might not be "science based" for you and me - not original articles, but the bulk of the paper was input from epidemiologists, immunologists and public health officials. The PCR tests are largely very accurate. The antibody tests...not so much. Underwhelming specificity, meaning a large number of false positives. Swab, good. Serologic, bad. No worries though, because active viral testing is far more important. Incidence is so much more important than evidence of past infection.
Oh, I blame the federal administration almost 100%. If we had a coordinated response, we would not be dealing with this. Come on, abandon your politics and look at the evidence. They blew it on the test kits. FDA put up road blocks to even see if the disease was in our country, and halted and redirected imports of PPE. The CDC choked on the mask issue.
Stop with the politics. Pay attention to the science. You know the science of stents and anticoagulation, and coronary anatomy. It's no difference with this disease, my friend and colleague.
I already read MickMick's post, and responded. I hope you see it too.
Best, =cad=
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Originally posted by caduceus View PostFirst off, I see that this thread had been delegated to the basement area of the forum. A sad outcome, since 1) It's the damn offseason and there's no reason to relegate threads, 2) It's a thread of significant importance, given the current conditions, and 3) posters have been overall very good about avoiding politics or other contentious issues. And I'll add 4) I think it's been a thread that's educational with a lot of attention, and has had a vibrant discussion about Covid-19. I'm disappointed, and I would plead the moderators to consider to keep this thread in the main MBB forum for the benefit of readers. Inappropriate posts can always be deleted individually. There's no need to use a heavy hand!
Abe -- The article might not be "science based" for you and me - not original articles, but the bulk of the paper was input from epidemiologists, immunologists and public health officials. The PCR tests are largely very accurate. The antibody tests...not so much. Underwhelming specificity, meaning a large number of false positives. Swab, good. Serologic, bad. No worries though, because active viral testing is far more important. Incidence is so much more important than evidence of past infection.
Oh, I blame the federal administration almost 100%. If we had a coordinated response, we would not be dealing with this. Come on, abandon your politics and look at the evidence. They blew it on the test kits. FDA put up road blocks to even see if the disease was in our country, and halted and redirected imports of PPE. The CDC choked on the mask issue.
Stop with the politics. Pay attention to the science. You know the science of stents and anticoagulation, and coronary anatomy. It's no difference with this disease, my friend and colleague.
I already read MickMick's post, and responded. I hope you see it too.
Best, =cad=
Mybeef is attaching them to this administration when it's not. Even during the Obama years it had it's marching orders after SARS 2. committee after committee was formed by that particul administration to offer a course forward for this specifice tye of epidemic. What did CDC do? Wheat did Obam's group do? nothing.
the cupboard was actually bare!
But worse..CDC then bounght the tests.from where? China! And the sensitivity and specificity both were so low............there are unusable ( again bare cupboards).
DSHS ( the controlling agency) did nothing. Once again bare cupboards. but worse, nobocy at CDC tested the tests until COVID. And this is why I'm so damned angry.......billions spent to protect the public and nobody did their job. And nobody checked. This, there, is why I object to blaming the present group in the WH. It's goes to the prior administration. It's been turned into a political issue only because media says so. It's a failing of CDC and DSHS who are supposed to be monitoring this type of thing. unvarnished truth.
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Originally posted by kitzbuel View PostAbe, you realize there were no COVID-19 tests before COVID-19, right?
The abrupt departure of Rear Adm. Timothy Ziemer from the National Security Council means no senior administration official is now focused solely on global health security. Ziemer’s departure, along with the breakup of his team, comes at a time when many experts say the country is already underprepared for the increasing risks of a pandemic or bioterrorism attack.
Ziemer’s last day was Tuesday, the same day a new Ebola outbreak was declared in Congo. He is not being replaced.
The Obama administration walked incoming Trump administration officials through a hypothetical scenario in which a pandemic worse than the 1918 Spanish flu shut down cities like Seoul and London in early 2017, Politico reported.
During the briefing, Trump administration officials were told such a pandemic would likely lead to circumstances such as shortages of ventilators and that a coordinated national response would be “paramount,” according to documents obtained by the publication.
Of the Trump administration officials present during the meeting, about 66 percent no longer serve in the White House, according to Politico.
"Thirty Trump officials attended the exercise (Cabinet and senior White House staff)," Lu added in a tweet on Monday. "But the vast majority of these officials are no longer in government."Whenever you find yourself on the side of the majority, it is time to pause and reflect.
Mark Twain.
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No I don't realize that. China had the only test and CDC bought it.
They WH didn't disband it. It was moved out of the WH. The Zeimer was offered another job but declined.
I suppose you have some reliable sources for your statements. You and/por Kitz produce something. If Ive got this wrong, I
ll retract but nothing I've read portrays your stories.
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So yes the deaths are falling. Cases are increasing. It's the younger people that are getting infected but they seem to tolerate better and don't die. Either that or the virus is self attenuating. Cad's opinion on attenuation might be helpful here. Looks like it though. NB. last 3 days there's been and increase in deaths but overall the trend is good IMHO.Last edited by MDABE80; 06-27-2020, 04:21 PM.
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