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wathe

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Everything posted by wathe

  1. It probably is upper-bounds for North America, absent variants - but the data is somewhat flawed because of lack of testing at the time, no? I suppose antibody data gives us a pretty good idea of what the true case numbers were. Excess deaths for each age group will be the most reliable, I think. But that sort of data takes time; we have it for New York, but won't for our current third wave here for quite some time.
  2. I think India and Brazil would be the current upper-bounds test cases. Variants and high proportions of young people in their populations. Unfortunately, with the degree of systems collapse that's happening there, data systems fall apart too.
  3. I'm not expressing myself well. Mortality rates will increase in generally when health care systems are overwhelmed. In this wave, the overwhelm has been driven by young, working people, who are disproportionately requiring hospitalization and ICU care as compared to previous waves. Their mortality rates are going to be higher than they would have been if the system weren't overwhelmed. Edited - previous, not precious! There is nothing precious about covid, that's for sure.
  4. It won't be directly comparable to New York for lots of reasons: Covid is a different disease now than it was then (at 75% of our cases are variants), covid care has evolved, we have a completely different healthcare system where everyone is insured and pays zero dollars OOP for hospital care, universal access to primary care with zero cost OOP, more robust social safety nets, less obesity, generally healthier population at baseline. Our mortality rates for young people are going to increase and likely have already - but the data tend to be published cumulatively, so it's hard to parse i
  5. Yes and no. We didn't have a New York-like first wave here, so Canadian data will change. I think younger people actually are worse off because of the sheer volumes of them. We are overwhelmed with younger people, and going to have to triage/ration care among younger people. Young and otherwise healthy people who would have previously have been chosen for the bed in a triage situation will now be competing with similarly "young and healthy" others. The variants are certainly more contagious, and hence at the very least they indirectly more deadly - they've pushed us into an o
  6. Looking at COVID mortality stats by age group can misleading, I think, because so much has changed over time. It's definitely true that early in the pandemic, the vast, vast majority of deaths were in the very elderly. Because their risk is higher at baseline, and because nursing home overwhelm itself contributed to excess deaths in that age group. But, now things have very much changed here. The very elderly (80+) are vaxed, and relatively few are getting sick. Fewer than half of recent covid deaths in the province are in this age group in the last few weeks (compared to this gr
  7. This strategy literally isn't working here. We are in the middle of a third wave, driven by younger, healthier people, that is stressing hospitals to the max (record numbers of transfers, record numbers of ICU admissions, improvised ICU's, parking-lot wards in tents, one Toronto hospital diverting and transferring out yesterday because they are running out of oxygen. Our highest risk people are vaccinated (long term care, organ transplants, elderly, among others) and they aren't the ones getting sick. Our hospitals and ICU's are spilling over with 40 and 50 year olds. It's a combinatio
  8. Me too. I love them! DH says the same thing - "millennial anti-theft device" When DH and I started dating way long ago, he drove an ancient Sentra that had to be push started more often than not. Always backed into parking spaces, preferably at the ends of aisles, pointing down hill.
  9. Here, most people pronounce it SING-gu-lair, LOL. Seriously, I think drug companies give drugs unpronounceable generic names so that people will default to the easier to pronounce trade-names instead. Locally, Mon-te-LOO-kast. The e is a schwa.
  10. Historically maybe? I think these special doctor pronunciations originally came about from historical British influence in medical culture. But mostly it's just copying one's elders in order to fit in to the medical culture. Canadian-born-and-raised residents and medical students suddenly shift to these pronunciations. (Not everyone does it. When it happens, though, the transformation is slightly funny to behold, as though putting on a white coat causes it). Much of medical professional education is informally absorbing the professional culture* - indoctrination, so to speak. *ETA -
  11. Oh, medicine is full of all kinds of fancy special doctor pronunciations. It's ridiculous, really. Debride become deBREED. Centimetre becomes SAWNtimetre. CERvical vs cerVIcal, umBILicus becomes umbiLICus. EczEEma becomes ECSema, which then becomes atopic dermatitis..... 🙂
  12. Mostly medical stuff by patients, especially drug names, which is usually fine, and not a problem as long as I can figure out what they actually mean. They say "metro-pole", I say "metoprolol?", they say "yes, that!", and we're good. More problematic is when patients pick the wrong medical word altogether when giving a history. It happens a lot. Either substituting the wrong word (ie an aneurysm is quite a different thing than an embolism, even thought they sound a little alike), or using diagnoses they don't actually have to describe symptoms, or using medical words to mean things
  13. DH had his first dose last week. 12 hours later had headache, chills, nausea, fatigue, and low-grade fever. Bad enough to interfere with sleep. He felt mostly better by morning, and completely back to normal the next day - about 24 hours of symptoms. (He can't fill out your poll, because he's only had his first dose. Next his dose isn't until four months after the first.)
  14. Poor kid. Ibuprofen (Advil or Motrin) or Naproxen (Aleve) can decrease flow, and, as a bonus, decrease cramping. There are different protocols - children's hospital websites are a good place to start. Most of them advise starting at the first sign of bleeding on the first day of the period, and continuing until last day. It's a low risk and accessible (over the counter) therapy with good evidence behind it.
  15. I saw that. They also decorated their dam with the "Caution Cable" tape. Beavers really are amazing creatures. Around here they mostly cause flooding damage. They cause amazing changes to their environments: turn a forest stream into a pond or lake, that eventually fills in with sediment and becomes a meadow. They also have super-durable teeth. They incorporate iron into their bright orange tooth enamel. Their teeth literally "wear like iron". They can chew through just about anything.
  16. No advice. One of my family sold their house at a garage sale: they had a garage sale/moving sale before they put the house up for sale. Got to talking, and one of the garage sale attendees expressed interest in buying the house, put in a offer, and that was that. ETA: all the lawyer stuff got done properly later, but basically they sold their house at their garage sale. The ultimate sale-by-owner.
  17. Agree. When I posted upthread, I was thinking of the LoTR movies. The Hobbit movies were terrible.
  18. So I've skimmed the papers I linked to above. It looks like the longest studies end at 8 weeks, and show good immunity. Ontario moved to extended dosing intervals (16 weeks) on March 10. So real-world data beyond 8 weeks from my province doesn't exist just yet, but will very soon (those due for second shots March 10 got extended, that's those who had their first dose Feb 17 or later; they are just beyond 9 weeks post-first dose right now). Anecdotally, we're (personally and colleagues) not seeing covid cases in folks who've been vaxxed even with just one dose. And we're seeing an
  19. Provincial paper summarizing the evidence. It's a month old, though. I haven't had time to go through it either.
  20. This Government of Canada site has a section on the evidence for extending dose intervals, with a subsection on duration of immunity following a first dose, with references to studies. I haven't had time to go through it yet.
  21. Re the bolded, agreed. We might sometimes sing "chip the glasses and crack the plates" while we are cleaning up the kitchen.
  22. @Plumbeat me to it! Yes, that's the one. It's so lovely.
  23. You don't have to read The Hobbit first; the LoTR will still make sense if you don't. But LoTR will be much richer and better if you do read The Hobbit first. The Hobbit is the easiest and most readable of the books too. It's quite fun. Our favourite edition of The Hobbit is the one illustrated by Jemima Catlin. There is an illustration on almost every page, and they are all very detailed and meticulously accurate with respect to the text (the dwarves all have the correct colored cloaks etc) Yes, you have to read all of the LoTR books, and read them in order - it's one continuou
  24. I really don't. Good enough that they aren't even offering HCW a second dose before 4 months. I've been pretty distracted by this disaster of a third wave.
  25. Second doses are being given at 4 months here (with very limited exceptions). We'll have a sample size of millions.
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