April 4, 2020

Okay....Just my guess...

Trump and probably his tight group of minions...probably already got and will receive the COVID 19 Antibody plasma....Like people who receive bi-weekly or monthly IVIG Infusions for their auto immune disease therapy...Probably procured from recovering COVID patients from another country....That is my guess...immunity may not last longer than a month but I sense something is going on...he acts to calm/ feels too safe...

March 31, 2020

I saw a cute post on FB....Called tRump, The Virus King...

I kind of like this new title for tRump….

March 30, 2020

Understanding a Virus and COVID-19 update..

Coming from Johns Hopkins Hospital

New information coming from Johns Hopkins Hospital.

IMPORTANT INFORMATION ON THE VIRUS FROM JOHNS HOPKINS HOSPITAL

The following is from Irene Ken physician, whose daughter is an Asst. Prof in infectious diseases at Johns Hopkins University, quite informative.
* The virus is not a living organism, but a protein molecule (DNA) covered by a protective layer of lipid (fat), which, when absorbed by the cells of the ocular, nasal or buccal mucosa, changes their genetic code (mutation) and converts them into aggressor and multiplier cells.

* Since the virus is not a living organism but a protein molecule, it is not killed, but decays on its own. The disintegration time depends on the temperature, humidity and type of material where it lies.

* The virus is very fragile; the only thing that protects it is a thin outer layer of fat. That is why any soap or detergent is the best remedy, because the foam CUTS the FAT (that is why you have to rub so much: for 20 seconds or more, to make a lot of foam). By dissolving the fat layer, the protein molecule disperses and breaks down on its own.

* HEAT melts fat; this is why it is so good to use water above 25 degrees Celsius for washing hands, clothes and everything. In addition, hot water makes more foam and that makes it even more useful.

* Alcohol or any mixture with alcohol over 65% DISSOLVES ANY FAT, especially the external lipid layer of the virus.

* Any mix with 1 part bleach and 5 parts water directly dissolves the protein, breaks it down from the inside.

* Oxygenated water helps long after soap, alcohol and chlorine, because peroxide dissolves the virus protein, but you have to use it pure and it hurts your skin.

* NO BACTERICIDE OR ANTIBIOTIC SERVES. The virus is not a living organism like bacteria; antibodies cannot kill what is not alive.

* NEVER shake used or unused clothing, sheets or cloth. While it is glued to a porous surface, it is very inert and disintegrates only:

- between 3 hours (fabric and porous),
- 4 hours (copper and wood)
- 24 hours (cardboard),
- 42 hours (metal) and
- 72 hours (plastic).
But if you shake it or use a feather duster, the virus molecules float in the air for up to 3 hours, and can lodge in your nose.

* The virus molecules remain very stable in external cold, or artificial as air conditioners in houses and cars. They also need moisture to stay stable, and especially darkness. Therefore, dehumidified, dry, warm and bright environments will degrade it faster.

* UV LIGHT on any object that may contain it breaks down the virus protein. For example, to disinfect and reuse a mask is perfect. Be careful, it also breaks down collagen (which is protein) in the skin.

* The virus CANNOT go through healthy skin.

* Vinegar is NOT useful because it does not break down the protective layer of fat.

* NO SPIRITS, NOR VODKA, serve. The strongest vodka is 40% alcohol, and you need 65%.

* LISTERINE IF IT SERVES! It is 65% alcohol.

* The more confined the space, the more concentration of the virus there can be. The more open or naturally ventilated, the less.

* You have to wash your hands before and after touching mucosa, food, locks, knobs, switches, remote control, cell phone, watches, computers, desks, TV, etc. And when using the bathroom.

* You have to HUMIDIFY HANDS DRY from so much washing them, because the molecules can hide in the micro cracks. The thicker the moisturizer, the better.

* Also keep your NAILS SHORT so that the virus does not hide there.

-JOHNS HOPKINS HOSPITAL

March 29, 2020

Ohio Nurses Association give 100% support/ their weight for N95 Mask sterilization

Ohio Nurses Association

26 mins ·

Attn. nurses, healthcare workers, first responders, others on the frontline and those who support us on the frontline:

Share this post to show your support of Governor Mike DeWine and to tell the U.S. Food and Drug Administration we need N95 masks and we need them NOW. Approve the sterilization of N95 masks at FULL capacity. Our lives depend on it.


This sterilization process with steaming Hydrogen Peroxide will service multiple states...not just Ohio....but we DO NOT NEED FDA quantity restrictions of processing....FDA said only 10,000 a day to be processed when they can do 160,000 a day. Mike DeWine is apparently pushing the FDA to "wake up".

March 29, 2020

FDA and I believe tRump limit resource to sterile masks in Ohio...WHY???

https://www.cleveland.com/open/2020/03/gov-mike-dewine-blasts-fda-decision-limiting-use-of-new-mask-cleaning-technology-as-reckless.html

They can sterile 160,000 a day! FDA limits this to only 10,000 a day...This is soooo wrong! People are dying!

SNIP>

COLUMBUS, Ohio -- Gov. Mike DeWine on Sunday sharply criticized the U.S. Food and Drug Administration for granting only limited use of a new mask-cleaning technology developed by an Ohio research firm, saying the decision would harm the nation’s fight to protect front-line medical workers against the coronavirus.
DeWine had touted the new technology, developed by Battelle, at a Saturday news conference, saying his administration was pushing the FDA to approve its use in Ohio and three areas hit hard -- Seattle, New York and Washington D.C. The firm said it could sterilize up to 160,000 respirator masks per day in Ohio alone.

But the FDA only granted Battelle permission to clean masks at its Columbus headquarters, and only 10,000 per day.

“The FDA’s decision to severely limit the use of this life-saving technology is nothing short of reckless,” DeWine said in a statement. “Battelle’s innovative technology has the capability to protect healthcare professionals and first responders in Ohio and across the country, but in this time of crisis, the FDA has decided not to support those who are risking their lives to save others. This is a matter of life and death. I am not only disappointed by this development, but I’m also stunned that the FDA would decline to do all it can to protect this country’s frontline workers in this serious time of need.”

DeWine and Lt. Gov. Jon Husted will “continue fighting for increased use of this life-saving technology,” the governor’s office said in its statement.> END

March 28, 2020

ONA...COVID 19 Update 03/28/2020:

Ohio Nurses Association
2 hrs ·

The governor makes several public pleas today, including to the FDA to approve Battelle’s mask sterilization machines and for companies to donate or produce PPE. Plus, there are 1,406 confirmed cases of COVID-19 in Ohio.

More summary information from the March 28, 2020 update from Governor DeWine and ODH Director, Dr. Amy Acton:

• Ohio has 1,406 confirmed cases of COVID-19 spanning 66 counties with 344 hospitalized. Of those hospitalized, 123 are in the ICU. There are 25 fatalities with an age range of 58 to 93. The total age range is less than 1 to 96 with a median age of 52.

• Senator Sherrod Brown joined through teleconference. He said there needs to be a massive coordinated effort between private and public companies to get healthcare workers the PPE they need.

• Battelle Labs is one of the great assets in Ohio. They have developed new technology to sterilize surgical masks, which is a true breakthrough. They will be able to sterilize 80,000 masks per day per machine once this is approved by the FDA. Ohio will have two machines. They also have machines ready to go for Seattle, New York and Washington D.C. The governor made a public appeal to the FDA to please approve this because there are healthcare workers who need these masks. This would significantly boost our capacity. This is a matter of life and death and we need to protect the people who are risking their lives every single day.

• Ohio is lucky to Lab Corp and Quest to do COVID-19 testing. The governor made a public appeal to get the state back the test results quickly.

• The governor recapped the Cleveland Clinic’s new projection of seeing 2-3x the bed capacity and that we will hit peak mid-May. The state divided hospitals into 8 regions and plans from these regions were submitted to the governor this morning. The governor’s team will review and get back with the hospitals for their final draft to be submitted on Monday.

• We can only get through this if the hospitals come together and have a plan, operate from the same plan and work together. The state is asking the hospitals to look at their community partners as resources. For example, using nursing home space for people who do not have COVID-19.

• The governor is asking churches to stop having in-person services.

• The governor talked about the real shortage of PPE. This is cloves, mask, goggles, gowns, face shields and other essential items to keep those on the frontline – the real heroes – safe. The governor has heard from many nurses about their fear of not having the equipment they need. Ohio received our share from the national strategic stockpile and like with other states, it was simply not enough.

• The governor is pleading with businesses who can donate or produce the following PPE to email Matt Damschroder at together@governor.ohio.gov: surgical gowns, surgical masks, gloves, N95 masks, isolation gowns, face shields, Tyvek coveralls, Thermometers, foot coverings, ventilator tubing. It takes a total of 66 pieces of PPE for one patient per day. We must conserve and have this life-saving gear. More information can be found on the state’s coronavirus website.
• Dr. Acton is asking for the community to help the elderly with yard work, getting supplies etc.

• Ohio’s PBS stations are offering educational TV for students beginning tomorrow. You can find our more on the state’s coronavirus website.

• The state is looking at re-usable ventilators and how to have more than one person on a ventilator.

• A reporter asked about the mental health stressors on healthcare workers and if the state will address this. The governor heard this, and believes one of the biggest stressors is the PPE and that is why he is making the plea for more PPE. Dr. Acton said the state is actively looking at ways to support healthcare workers. Dr. Acton expressed her deepest gratitude and acknowledges the trauma.

***There is not a press conference scheduled for tomorrow.
#COVID19OhioReady
#InThisTogetherOhio

March 26, 2020

Ohio COVID-19 Update: 03/26/2020

Posted by Ohio Nurses Association:

At our peak, we could see 6,000 to 8,000 new cases of COVID-19 per day. Plus, Dr. Acton unveils Ohio’s first modeling curve and there are 867 confirmed COVID-19 cases in Ohio.
More summary information from the March 26, 2020 COVID-19 update from Governor DeWine and ODH Director, Dr. Amy Acton:
• There are 867 confirmed COVID-19 cases in Ohio spanning 60 counties with 15 confirmed fatalities. 223 hospitalizations, with 11% in the ICU. The age range for those in the ICU is 23 to 92. 17% of those infected are healthcare workers. The age range is less than 1 to 94. There have been 17,316 tests conducted.
• Weddings and funerals are permissible under the stay-at-home order. The state is asking, though, to not have large gatherings. Many people are postponing receptions, for example, until after the order is lifted.
• The state spoke with hospital CEOs and are organizing procedures, expanding capacities and infrastructure. The governor suspects we will have to double capacity.
• The state has developed an email for those who want to help or donate. Use this email: Together@governor.ohio.gov.
• ODH has created a new interactive dashboard on their website with transparent information.
• Dr. Acton showed the first modeling curve for Ohio. (image in comments) The orange curve is if we did not interventions. The blue curve is with the mitigated actions we have taken. The actions we have done have lessened the burden on the healthcare system by 50% to 75%.
• At our peak surge, we could be looking at 6,000-8,000 new cases per day. We will exceed our healthcare capacity, but what we are doing will still absolutely save lives.
• Dr. Acton also presented the anticipated PPE needs in mitigated vs. unmitigated circumstances. (graph in comments)
• We will go beyond our current hospital capacity.
• A COVID-19 patient is in the hospital for up to 20 days.
• Unemployment claims: Ohio has over 187,000 claims. In all of 2019, Ohio had 369,000 claims.
• It is projected that 40% to 70% of us will get this virus over the course of this year.
• In building capacity, we could see COVID-19 hospitals as a way to pool resources and equipment. We are turning our capacity into capacity for the sickest.
#COVID19OhioReady
#InThisTogetherOhio

March 26, 2020

Why is the "Testing for COVID-19 for all " being ignored?

The Italian and Asian approach was to test, quarantine, retest again and quarantine....US....not at all organized...Still, testing is being a challenge to get! Many exposed healthcare workers can't even get tested...Why is this? Do I need a tinfoil hat?

March 25, 2020

All this ranting about ventilators...

Maybe we will get 20,000 to 40,000 more ventilators...great....but...lets look at what is needed to operate the ventilator...

A skilled medical professional/ Nurse, Respiratory therapist....this is a small group of individuals who know how to set-up/monitor a ventilator...it is not like plugging in a toaster...It requires ongoing, 1:1 management...maybe 1 Nurse could handle 3 patients...maybe...it's complicated...

The ventilator is attached to a breathing tube that enters the patients lungs/ intubation or a trach ...this requires suctioning with sterile tubing/ suction catheters...patient also will require oral suctioning...the ventilator requires oxygen set at prescribed delivery rate, and pressure of lung inflation...the ventilator tubing, suction catheters, well we will need millions of them...if we don't even have masks, how do we know if we have the ventilator support supplies required for this magnitude of patients?

Another concern....critical management of a ventilator client is needed, cardiac monitors, LABS such as blood gasses wherein the blood is drawn from an artery, a deep sterile stick...ventilator effectiveness and blood Ph is the key data with blood gasses...a must for living stuff. This requires FAST lab results and a lab staff/ equipment to obtain the blood gasses and by the way...drawing a blood gas is typically a very skilled challenge.... radial/brachial or femoral sites...yea it's a little deep. 'OUCH".

So, we don't hear anything about this complex support level for life...staff and equipment... This can go on...realize the patient will have other clinical compromising conditions to balance...hypertension, cardiac, renal, diabetes and "new infections/bacterial...it goes on....

**** Realize...the Nurse/ Therapist are "on-hands" face to face with an active COVID-19 patient...effective PPE is essential....any break in protection barrier opens up an opportunity for the Nurse/Therapist to become infected...effective PPE not home made stuff...the home made gear for 1:1 ventilator patient is not protective...only a cosmetic image...

Just adding a little more visual to the big picture....

March 23, 2020

Soooo it shall soon be " Survival of the Fittest in 2 weeks...

It is survival of the fittest plan... I sense he is saying to America...he has no more time to waste on loosing re-election votes..." Let the people fall as they may".

This is chaos he does not like, crisis is too time consuming.....so, then, lift the precautions...if you die, you die...Is that what anyone else understands???? Am I hearing he is down playing it..???


Now, they are talking about IVIG/ gamma globulin for " some immunity boosting....Well...I have said for a few days, he probably is receiving IVIG infusions....prophylactic was my guess...Just a speculative thought....I give this medication as an Infusion Specialist...Hope now that we don't have a shortage...my current clients could suffer if the drug goes to the rich...

Probably why they are pushing for blood donations...That is where we get IVIG...Plasma Centers typically but who knows if they use the blood donors blood too.