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wathe

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Everything posted by wathe

  1. Our hospital standard right now is safety glasses in all clinical areas. Upgrade to faceshield for interaction with patients on droplet/contact or aerosol precautions. I think the mechanism is two-fold: droplets landing on the mucous membranes of the eye, and virus rubbed into the eye when we touch/rub them with less than clean hands. I wear clear safety glasses when grocery shopping or any other task in an indoor space with people (they look like sport sunglasses, but with clear lenses). I look like a dork, but I don't care.
  2. A quick google turns up this nice review article. Consider using the search terms "ocular" and "mucous membrane" to find more.
  3. I am assuming that the respiratory risk in this situation is from sharing an indoor space with other people. (If she requires respiratory protection due to other respiratory hazards from nature of the work itself, it will be provided for her) The hospital covid PPE standard in Canada right now is ear-loop medical mask for all hospital work other than Aerosol Generating Medical Procedures (intubating, CPR, high flow 02, nebulaized treatments etc). So workers, including lab, are in ear-loop pleated medical masks. Even when providing care for known positive COVID patients. It does wor
  4. IMO, Happy Mask is a perfectly good non-medical mask. Maybe even excellent. It's probably fine for her purpose. My beef with them is their marketing - they've got the world convinced that they are superior to anything else out there and they are essentially N95 equivalent, which just isn't true. They blatantly misrepresent the filtering efficiency of surgical masks (which have actual standards) compared to theirs. My point (poorly expressed) is that a surgical or medical mask under a well-fitting cloth mask is likely just as good; there is no need to spend $$$ on Happy Masks speci
  5. In my province, the protocol and screening questionnaire changed significantly in late March/early April. It was previously much more detailed, with more absolute contraindications, relative contraindications and precautions, and detailed questions about allergies. It's now much more streamlined. I wonder if something similar happened where you are. The only absolute contraindications here are now 1)active covid 2)allergy to covid vaccine or its components and 3) age group that hasn't had approval yet (here age 11 and under). Some of the things we were sticky about in Dec - March
  6. @Roadrunner, just edited to add April 10 update ETA - this particular update is really readable, and quite helpful IMO
  7. Right. Many of you already know what I think of Happy Mask marketing (hint - misleading and disingenuous, for a start). A disposable surgical mask worn under whatever well-fitting cloth mask you already have is likely just as good.
  8. Same story in Ontario with our 3rd wave. Cautious optimism here this week though: cases are finally falling, and ICU numbers creeping ever-so-slowly downward. Greater than 75% of cases are variant, mostly B.1.1.7.
  9. @Roadrunner, @crazyforlatin, @Loowit Yes. PEG is in all kinds of OTC products. Miralax, and colonoscopy prep. I know it's also in Canadian formulations of Benedryl, Reactine (cetirizine), and some preparations of acetminophen and ibuprophen (the ones with red coatings). Likely also in the USA versions, but I don't have first-hand knowledge of that. Most people, and given that it's in benedryl and Reactine here, especially allergy people, have had prior PEG exposure. The mRNA vaccines do not contain egg or gelatin - this is great news for allergy people. The Canadian Society
  10. Canada approved it for 12 to 15 year olds today. Yay! (getting enough supply to actually vaccinate 12-15 year olds is another story. But, one step at a time)
  11. Canada has authorized Pfizer covid vaccine for 12-15 year olds. Yay! If only we had enough to actually give it to them. Were still stuck at 55 plus and certain health conditions in my province doe to supply problems. But, supply is supposed to increase later this month and into June. I think its reasonable to hope that my kids will be able to get shots by September. Which would be so great!
  12. We got a lot of mileage out math war card game. I would edit the deck at first (combine 2 decks, and use only cards numbered 1-5), then add higher numbered cards in, then take out the 1's and 2's etc. We used it to drill subtraction and multiplication too. (and fractions). Denise Gaskins has a page devoted to variations on math war. Eternallytired's "Eat it" dice game could be extended with role playing dice (10-sided or 20-sided dice). I wish I'd thought of this idea, my kid's would have loved it.
  13. A quick google gives me numerous papers and stats suggesting that covid rates (cases per 100 000) are higher in rural areas than in urban areas, and so are death rates. One, Two, Three, four, five. The absolute numbers are lower for rural areas because the populations are smaller, but the relative numbers are higher. Rural is not protective.
  14. Also, agricultural processing facilities (meat packing plants etc) are mostly rural. Migrant farm workers living in crowded conditions are also mostly in rural areas. I don't think that "rural" is going to change the percentage immunized needed to achieve herd immunity.
  15. I don't know. There is plenty of indoor social activity in rural areas. Right. And lots of American urban areas that aren't actually all that dense. NYC density is the exception, not the rule.
  16. Cautious optimism in Ontario today. Our case numbers have been falling, and finally our ICU numbers seem to have stopped rising - they fallen by a little itty bit for 2 days in a row (900 two days ago, 889 today). Edited ; 900 not 9002 - quite different numbers!
  17. I disagree. Broadly, screening for asymptomatic disease is a major part of preventive care. More specifically, with respect to testing for infectious disease, we do test broadly for asymptomatic infections in certain populations. We have universal HIV and syphilis testing for pregnant women here. MDs who perform high risk procedures are all tested for HIV and HepB at regular intervals as part of maintaining a license to practice. Hospital workers are regularly tested to tuberculosis. Blood donors are tested for HIV. edited to fix spelling typo. tuberculosis.
  18. I started using a headlamp because I already own one for camping. Not sure I'd buy one just for this purpose (though it is pretty great)
  19. Not a change in raw population numbers, rather a change in who is getting sick with covid and in what numbers. Sheer volumes of young people who are sick, and sick enough to need hospitalization, sick enough to need ICU care. 40 year-olds haven't had to compete with other 40-year olds for ICU and beds before. We are still making room for everyone at this point, but true overwhelm requiring ICU bed triage is a real possibility in the near future if numbers requiring ICU beds keep climbing. And "making room" right now means improvised ICU's and transfering patients all over the province,
  20. I've never worked up the nerve to try it. I wouldn't even have o order my own - my 11 year old likes his pho with everything in it - beef tendon, tripe, the works. I could just take a nibble of his. He also has lovely skin....
  21. I use my camping headlamp. It's just the right brightness and points right where I'm looking.
  22. I question the biological plausibility of collagen supplementation. Collagen is a really big molecule. Proteins get broken down into amino acids and small peptide molecules when digested. Eating more collagen to get better skin seems a bit like eating meat to passively make bigger muscles. I think the thinking is that your body can re-make the particular simple peptides that collagen breaks down into into new connective tissue. But, eating meat products should provide plenty of collagen in the diet. I don't think that very many North Americans are collagen deficient. Vegetarians' bod
  23. I actually think it's prudent. The data on these (Regeneron and other covid MAb cocktails) remains preliminary and largely unpublished. These are also very expensive treatments that just aren't widely available. In a publicly funded healthcare system, the bar for evidence is pretty high, especially for expensive therapies. Can't justify spending oodles and oodles of public money on therapies that might work. I think that restricting use of these agents to trial settings is appropriate at this time. I also think that our powers-that-be are doing a really good job of keeping up with the ev
  24. Not sure what you mean by early home care methods? There are some covid-at-home homecare programs, though these are usually used to facilitate earlier hospital discharge, rather than pre-hospital. If you mean drug treatments, then no. This is the current therapeutics protocol. There are no specific treatments indicated for mild covid at this time (outside of clinical trials).
  25. "ASHphalt" pronunciation is dominant here. Actually, I don't think I've ever heard it pronounced asphalt locally, always aSHphalt. Google tells me that this is a regionalism.
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