COVID-19 Deaths and Incredible WHO Estimates
Alan Reynolds“Death Toll Hits 9 as Outbreak Spreads, ” was the scaryWall Street Journalheadline in print before it was toned downonline. COVID-19 deaths at a nursing home and hospital in Washington state were unrelated to the virusspreading“across the U.S.” The facts tell us much more about the exceptionally high risks of fatal infection from COVID-19 (or pneumonia or flu) among elderly people living close together in nursing homes or hospitals, many of them already sick.The ongoing COPD-19 outbreak in Kirkland Washington at the Life Care nursing home and Evergreen hospital represents high ‐​risk...
Source: Cato-at-liberty - March 4, 2020 Category: American Health Authors: Alan Reynolds Source Type: blogs

How many people have coronavirus? We don ’t really know.
It has been nearly three months since the first cases of a new coronavirus pneumonia appeared in Wuhan, China, and it is now a global outbreak. And yet, despite  nearly 90,000 infections worldwide (most of them in China), the world still doesn’t have a clear picture of some basic information about this outbreak. In recent weeks, a […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 4, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/elisabeth-rosenthal" rel="tag" > Elisabeth Rosenthal, MD < /a > < /span > Tags: Conditions Infectious Disease Source Type: blogs

Are these Wellens' waves?
In conclusion, the presence of negative T waves in both leads III and V1 allows PE to be differentiated simply but accurately from ACS in patients with negative T waves in the precordial leads. "Witting et al. looked at consecutive patients with PE, ACS, or neither. They found that only 11% of PE had 1 mm T-wave inversions in both lead III and lead V1, vs. 4.6% of controls.  This does not contradict the conclusions of Kosuge et al., who studied a select population of patients who were known to haveeither PE or ACS -- that is, all were indeed ill.  Of those select patients, ...
Source: Dr. Smith's ECG Blog - February 27, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs

As coronavirus spreads, many questions and some answers
The rapid spread of the coronavirus now called COVID-19 has sparked alarm worldwide. The World Health Organization (WHO) has declared a global health emergency, and many countries are grappling with a rise in confirmed cases. In the US, the Centers for Disease Control and Prevention (CDC) is advising people to be prepared for disruptions to daily life that will be necessary if the coronavirus spreads within communities. Below, we’re responding to a number of questions about COVID-19 raised by Harvard Health Blog readers. We hope to add further questions and update answers as reliable information becomes available. Does t...
Source: Harvard Health Blog - February 27, 2020 Category: Consumer Health News Authors: Todd Ellerin, MD Tags: Children's Health Cold and Flu Infectious diseases Men's Health Women's Health Source Type: blogs

Novalung FDA Cleared to Provide Long-Term Lung Failure Treatment
Critically ill patients with acute respiratory or cardiopulmonary failure who are on long-term mechanical ventilation too often suffer a variety of side effects. These can include ventilator associated lung injury, pneumonia, and diaphragm dysfunction. Moreover, related sedation and lack of movement can aggravate an already difficult situation. To help address these challenges, the FDA has just cleared the Novalung System, a product of Fresenius Medical Care, that lets clinicians choose to use extracorporeal gas exchange over mechanical ventilation when managing patients for extended periods of time. The Novalun...
Source: Medgadget - February 24, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Anesthesiology Cardiac Surgery Cardiology Critical Care Pediatrics Source Type: blogs

TWiV 588: Coronavirus update – Save the pangolin!
The TWiV team returns this week to SARS-CoV-2019 coverage to review the latest epi curves, the fatality rate, furin cleavage site and receptor binding domain in the spike glycoprotein, related CoV recovered from pangolins, evidence that the virus did not escape from a laboratory, and many more questions sent in by listeners. Click arrow to […] (Source: virology blog)
Source: virology blog - February 23, 2020 Category: Virology Authors: Vincent Racaniello Tags: This Week in Virology ACE2 China coronavirus CoV COVID-19 epidemic evolution furin pangolin pneumonia receptor binding domain respiratory aerosol SARS-CoV-2 spike glycoprotein viral viruses Wuhan zoonosis Source Type: blogs

VOCSN 5-in-1 Portable Ventilator: Interview with Chris Kiple, CEO of Ventec
Ventilators are used by patients who lose lung function due to complications from a variety of diseases such as spinal cord injuries, COPD, stroke, pneumonia, and ALS. In addition to dealing with a debilitating situation, patients tend to be hooked to several machines that perform mechanical ventilation, oxygen delivery, cough assist, suction, and nebulization. This typically involves wires running all around, multiple software, and hardware equipment that makes it difficult for caregivers to operate the machines and provide quality care. Ventec Life Systems simplifies this experience by offering an integrated ventilator s...
Source: Medgadget - February 19, 2020 Category: Medical Devices Authors: Rukmani Sridharan Tags: Cardiology Critical Care Exclusive Medicine Pediatrics Rehab Source Type: blogs

Religion and Refusal of Medical Care for Children
Two children (Kent and Brandon Schaible) have died of treatable pneumonia and dehydration because their parents (Herbert and Catherine Schaible) resorted to prayer instead of medical care.  In another particularly egregious case, members of the Faith Assembly Church denied medical care to a 4-year-old with an eye tumor the size of the child’s head.  Law enforcement officials found blood trails along the walls of the girl’s home where she, nearly blind, used the walls to support her head while navigating from room to room.  Seth Asser and Rita Swan have documented 172 cases of child deaths from pr...
Source: blog.bioethics.net - February 10, 2020 Category: Medical Ethics Authors: Bioethics Today Tags: Health Care Pediatrics Author: Brummett religion syndicated Source Type: blogs

The real cost, and longer term implications, of the Wuhan coronavirus
It ' s too soon to know for sure how the tale of the novel coronavirus will play out,but at this point we have a pretty good idea. A stipulation in both of the scenarios at the linked essay is that yeah, it gets loose into the wild and eventually can show up anywhere in the world. I think that ' s pretty much definitely going to happen if it hasn ' t already.Scenario number 1, and most likely, in my view, it will just be one more virus that causes what amounts to a common cold and in a few people who are otherwise debilitated goes on to be complicated by pneumonia. In that case, for a year or two it will circulate as a nov...
Source: Stayin' Alive - February 5, 2020 Category: American Health Source Type: blogs

TWiV 585: The coronavirus epidemic
The TWiVerers continue their coverage of the new coronavirus outbreak in China, as the number of cases increase dramatically and the virus begins person-to-person transmission in other countries. Click arrow to play Download TWiV 585 (71 MB .mp3, 118 min) Subscribe (free): iTunes, Google Podcasts, RSS, email Become a patron of TWiV! Show notes at microbe.tv/twiv (Source: virology blog)
Source: virology blog - February 3, 2020 Category: Virology Authors: Vincent Racaniello Tags: This Week in Virology 2019-nCoV bat viral genome coronavirus epidemic pandemic pneumonia R0 reproductive index spillover transmission viruses Wuhan zoonosis Source Type: blogs

One more reason why libertarianism is nuts
As I have said, it ' s not clear yet how serious the Wuhan coronavirus outbreak really is, because we don ' t yet know what percentage of the time it causes serious illness. Maybe the Chinese have overreacted by their draconian isolation measures, on the other hand as I have said I wouldn ' t want to be the guy who made the decision to react too conservatively. That said, if we do get a serious epidemic here, of that particular virus or anything else, we are screwed, lassoed and tattooed.Here ' s Laurie Garrett in Foreign Policy:It ’s impossible to watch [the Chinese] without wondering, “What would we do? How would my ...
Source: Stayin' Alive - February 1, 2020 Category: American Health Source Type: blogs

How Digital Health Technology Can Help Manage The Coronavirus Outbreak
“Chinese health authorities say an outbreak of a pneumonia-like illness has sickened 305 people and killed five”…  No, this is not an excerpt from a recent news report about the Wuhan virus, but it is actually one from a CNN piece from 2003 when the SARS outbreak was raging. There are many similarities between the current outbreak to the SARS one from its geolocation to its spread to the viruses themselves.  However, much has changed within the 17 year gap between those two pandemics. For one, technology in the healthcare sector has known an exponential boom. New technologies that were nonexistent or...
Source: The Medical Futurist - January 28, 2020 Category: Information Technology Authors: Prans Tags: Artificial Intelligence Future of Medicine digital health digital technology epidemics global health coronavirus Source Type: blogs

The Scope of Advance Directives in Planning for Dementia
In conclusion, advance directives are important to avoid unwanted medical interventions, including simple interventions to address life-threatening conditions. But advance directives cannot preclude someone from entering dementia—to do that, one needs to consider VSED while having capacity. At the point of dementia, standard of care comfort care, with an appropriate strategy of feeding, should be provided.   (Source: blog.bioethics.net)
Source: blog.bioethics.net - January 27, 2020 Category: Medical Ethics Authors: Bioethics Today Tags: End of Life Care Health Care advance directives Author: Shelton dementia syndicated Source Type: blogs