First, I want to thank UCSF and all discussants for making this available for everyone. I have a question that perhaps Dr Luetkemeyer can answer. What are you guys doing at UCSF in patient's who are not enrolled? At our center, almost everyone is getting HCQ - only one's that aren't are the one's with prolonged QTc or increase by 50ms after loading it. Any recommendations in regards to anticoagulation given that patients have been noted to have microthrombosis on autopsy? I know this is a long shot, but I would love to hear what folks at UCSF are doing.
We appreciate the volunteers coming from Cali to work with us! I admit as a NYC practitioner who's been seeing these patients for over a month now, the lack of clinical perspective in your prior lectures was somewhat disappointing. I'm glad the visiting physicians have now seen the reality of our situation instead of the media hyperbole. In fact, we are not running out of PPE (& many of us have our own PAPRs) & we are not drowning in unmanageable crowds of patients (although the outer boroughs have certainly had some busy ERs). Granted, I work at a private hospital in Manhattan but we're affiliated with a large medical system & university teaching hospital, & our wards are largely empty since elective procedures have been suspended
Sir I confirm your concerns; Recently I inform an instructor on the notion of 2-nd wave - recurrence; Few days later after questioning me the person - an MD - post what I know to be very valid information on how to dampen any such recurrence; I am nothing but an individual whom is by nature a scientist and have had much fun with some of the media-bias; Tellingly in your post I see confirmation of what I believe: Adjusting the response of Public Safety to factual information is the challenge of choice just for the moment;
"Car culture" didn't save anyone: New York's hotspots include car-dependent southwest Queens; suburban Santa Clara County got hit worse than San Francisco; and Mobile County, Alabama currently has more deaths than Singapore, Hong Kong and Seoul put together. There's no correlation between public transit usage and cases of this disease.
@@scottfeeney2582 Every single person here in NYC including myself that rode the subway in the first 3 weeks of March seems to have had Covid.. Also MTA deaths seem much higher. Hey, I love my subway. I still ride since I am essential. All masked up. But my driving friends seem pretty safe so far. My fellow straphangers. Not so much but hey at least I pray we will get some immunity.
@@DudeX01 Maybe they need to clean the cars more often. Japan is heavily subway dependent and densely populated and has not been hit as hard as New York. On the other hand, people in Japan wear masks when sick even without a pandemic going on.
@@pyrovania We know the subways are spreading the virus here. The do need to clean the cars more often. Early on the MTA announced that they would clean the cars every 3 days, begging the question. When do they do it now. 4 counsel members asked Gov Coumo to close the subway because of the high amount of MTA worker deaths and virus spread. Masks may be helpful on the subway and most, even before the Gov. order were already wearing them. It really does not take courage to order something that people were already doing.
First, I want to thank UCSF and all discussants for making this available for everyone. I have a question that perhaps Dr Luetkemeyer can answer. What are you guys doing at UCSF in patient's who are not enrolled? At our center, almost everyone is getting HCQ - only one's that aren't are the one's with prolonged QTc or increase by 50ms after loading it. Any recommendations in regards to anticoagulation given that patients have been noted to have microthrombosis on autopsy? I know this is a long shot, but I would love to hear what folks at UCSF are doing.
Excellent talk. Thanks.
Great thx
Diet?
We appreciate the volunteers coming from Cali to work with us! I admit as a NYC practitioner who's been seeing these patients for over a month now, the lack of clinical perspective in your prior lectures was somewhat disappointing. I'm glad the visiting physicians have now seen the reality of our situation instead of the media hyperbole. In fact, we are not running out of PPE (& many of us have our own PAPRs) & we are not drowning in unmanageable crowds of patients (although the outer boroughs have certainly had some busy ERs). Granted, I work at a private hospital in Manhattan but we're affiliated with a large medical system & university teaching hospital, & our wards are largely empty since elective procedures have been suspended
Sir I confirm your concerns; Recently I inform an instructor on the notion of 2-nd wave - recurrence;
Few days later after questioning me the person - an MD - post what I know to be very valid information on how to dampen any such recurrence; I am nothing but an individual whom is by nature a scientist and have had much fun with some of the media-bias; Tellingly in your post I see confirmation of what I believe: Adjusting the response of Public Safety to factual information is the challenge of choice just for the moment;
SF was saved the worst now by shutting flights from the China and by a car culture. The east coast got it mostly from Italy and the subways.
"Car culture" didn't save anyone: New York's hotspots include car-dependent southwest Queens; suburban Santa Clara County got hit worse than San Francisco; and Mobile County, Alabama currently has more deaths than Singapore, Hong Kong and Seoul put together. There's no correlation between public transit usage and cases of this disease.
@@scottfeeney2582 Every single person here in NYC including myself that rode the subway in the first 3 weeks of March seems to have had Covid.. Also MTA deaths seem much higher. Hey, I love my subway. I still ride since I am essential. All masked up. But my driving friends seem pretty safe so far. My fellow straphangers. Not so much but hey at least I pray we will get some immunity.
@@DudeX01 Maybe they need to clean the cars more often. Japan is heavily subway dependent and densely populated and has not been hit as hard as New York. On the other hand, people in Japan wear masks when sick even without a pandemic going on.
@@pyrovania We know the subways are spreading the virus here. The do need to clean the cars more often. Early on the MTA announced that they would clean the cars every 3 days, begging the question. When do they do it now. 4 counsel members asked Gov Coumo to close the subway because of the high amount of MTA worker deaths and virus spread. Masks may be helpful on the subway and most, even before the Gov. order were already wearing them. It really does not take courage to order something that people were already doing.