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wathe

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Everything posted by wathe

  1. I agree. It would be helpful from a public health/population risk point of view to have a set of criteria or definition for "outdoor event". But for assessing my own personal risk, I take some comfort from the idea that my version of an outdoor exposure is different than these events that are spreading covid.
  2. I'm clinging to the idea that most of these" outdoor events" aren't really truly exlusively outdoor, open-air events. Most of the them seem to have an indoor component (traveling together, lodging together, clustering in indoor spaces during the outdoor event like bars and bathrooms, in tents or shelters - not really open air).
  3. Really no logical reason. It's weird. Alcatraz Smedry's awesomeness?
  4. There aren't as many older getting admitted, for sure, but they never crowded out the younger ones. We made room. Still have a tent ward in the parking lot, patients admitted to hallways and other "non-traditional care spaces" etc.
  5. No. Our hospitals are still full*, and our covid admission criteria are pretty stringent. I do think that fewer older people are getting sick, because they are more likely to be vaccinated. Our proportion of hospitalized are younger partially because of that, I think. ETA: not full of covid patients anymore, just business-as-usual full same as pre-pandemic. The covid patients we do have are definitely trending younger.
  6. We're going through this right now with DS12's first pair of glasses. He's also weirdly excited about them. We've bought a very robust set of frames from Costco. They'll be ready for pick up next week. For safety glasses, we're using the kind that go overtop of regular glasses, like these. We haven't considers sports glasses, because his sports don't really need them, I don't think (gymnastics, swimming, volleyball, cycling). We'll consider them only if the regular glasses are a problem. Has your DS read Alcatraz vs the Evil Librarians? This book series makes glasses super cool.
  7. With many, many grains of salt*. It's an old drug, developed in the 70's and 80's. (*** removed***) The burden of disease that this drug was developed to treat was/is huge, and the drug was developed for the developing world - I suspect that the trials might not meet modern standards. The sociological and economic threads in the story of the drug are interesting, to say the least. For interest, a fascinating article about the history of the ivermectin. *ETA: Maybe a dumptruck load of salt. Or an entire salt mine.... ***nevermind, they stated how many were in the trial. I am a goof.
  8. Some of the listed ivermectin side effects/ adverse reactions are a result of the drug interacting with the parasitic infection it's used to treat. Those specific side effects wouldn't be relevant for covid treatment. That said, we don't know if there are covid disease specific side-effects, and won't know until we have good, large trials and real world experience. I think that TPTB are correct to advise against ivermectin use at this time. It will never get approved for prevention, I don't think, because we already have a very safe and effective prevention measure (vaccine!). Drugs for prevention have to be very very, safe because, when taken by large numbers of people over long periods of time, even the rare adverse events are going to happen again and again (which we see with vaccines and allergic reactions and myocarditis and VITT, the former at a rate that we accept, the later at a rate that we currently don't; we've paused AZ use in Canada). With vaccines, we accept these adverse events because we have extremely robust evidence to show that vaccines work, and that the benefit far, far exceeds the risk. I think that for ivermectin, used for prevention on a population scale, 1) The adverse event rate will be too high to be acceptable, and 2) we do not have robust evidence to show that it actually works. I think the same argument is valid against treatment with ivermectin at this time. We generally accept more adverse event risk for treatment, but in order to accept the risk on a population level, we have to have robust evidence that the treatment works (that the benefit outweighs the risk). At this time, we do not have robust evidence to show that ivermectin doesn't do more harm than good.
  9. Look for monographs. They usually have lists of side-effects, with frequencies, and often quote sources. Ie Merck monograph for Ivermectin
  10. Most famously, as the third wave was really heating up in April, the science table advised paid sick leave, limiting mobility, closing all but essential workplaces, expediting vaccination of essential workers. The government ignored Science Table recommendations, and instead closed playgrounds and increased police powers. There was quite a brouhaha over that.
  11. They sometimes listen, sometimes don't. And sometimes listen selectively. They listened very poorly prior to and in the early days of our disastrous 3rd wave. I think they learned their lesson. We're now in the midst of a very cautious, phased re-opening. They've been listening nicely this time around..
  12. They are the group our provincial government is supposed to listen to for advice......
  13. Delta makes up about 75% of cases in Ontario at this time.
  14. I don't generally review primary data myself, unless it is a topic of particular interest (I looked at the mRNA vaccine trial data quite closely, for example) because it is absolutely impossible to read the primary data on everything and still have time to practice. I rely on professional medical reviewers who are vetted, and who cite primary sources (so I can check up on them from time to time) . For covid, UpToDate is one of my favourites. It's a professional reference resource that is $$$$ to subscribe to, but has made its covid pages free to all during the pandemic. The Ontario Covid-19 Science Advisory Table is my favourite local covid resource. These types of resources look at data through an individual patient lens and also a public health/systems lens. They know what they are doing with respect to critical appraisal of evidence. For what it's worth, both recommend against Ivermectin*. ETA I know some of the Ontario Science table people IRL. They've earned my trust - they are Very Smart People who Know What They Are Doing. *ETA again except in very specific circumstances of covid, immune compromise and strongyloides co-infection - but in that case the ivermectin is to treat the parasite, not the covid.
  15. Up in the Tree by Margaret Atwood. It's delightful. "We're all out of pancakes, We're all out of tea! There's no more hot water up here in our tree!" We still quote this line when we mean that we are done with something and it's time to go home.
  16. I'll trade you earworms. Why Does the Sun Shine has been in my head for months.....
  17. She might mean this (PCP's declining to see patient with URI symptoms), 'cause that's definitely still happening in some communities, but I think she instead means that PCP's aren't treating respiratory symptoms with the treatments that she believes are indicated, which might include non-mainstream treatments, or treatments outside standard practice guidelines. I think that interpretation fits better with the theme of the posts leading up to this one. Perhaps @Halftime Hopewill clarify.
  18. We have this problem here now. some family practices still aren't seeing patients in person, or are declining to see respiratory illness. So we end up seeing these people in our over-crowded, understaffed emergency department. For complaints that really should go to primary care. The patients wait a long time to have their non-emergencies seen (because, of course, in an emergency department, they get bumped by emergency cases) and then get upset because their "doctor called ahead" and somehow this gives people the idea that I am waiting for them with nothing else to do...... Emerg staff are so very tired.
  19. I saw the NYT version of the story. It beggars belief. “Nobody else in this state needs to die from Covid-19 because we have effective vaccines,” she said. “And the fact that we have elected and appointed officials that are putting barriers up to protecting those Tennesseans is, I think, it’s unforgivable.”
  20. It's correlated well here with hospitalizations and deaths, but percent positivity rises earlier, while hospitalizations and deaths lag behind. Lots of people are getting covid tests who don't have symptoms here: Nursing home staff are all tested weekly, every hospital inpatient gets a covid test at the time of admission, no matter what the reason for admission (including obstetrics, orthopaedics, etc), all patients getting discharged to a nursing home get another test before discharge, all patients having surgery for any reason get a covid test etc.
  21. Quoting myself to say that I pick whichever one is worse, local vs provincial.
  22. Provincial. My health unit rate is slightly lower (0.5%), but we are close to Toronto (0.7%) and adjacent to another health unit with a positivity of 1.4%. We are also an area that attracts a lot of seasonal travellers.
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