iramurphy

If it’s 1973 it’s Bill Deutsch. I thought it was Mike and 1972. Helmets were silver

Kelly Green. That is All American Mike Deutsch. Drafted by the Bears. Did well and likely to make the team. I believe he had cervical spinal stenosis found on his last physical which ended his very promising NFL career. Great athlete. Also lettered in track. He knew what his assignment was on each play and usually knew that of his teammates. Huge thighs, ran low to the ground, very difficult for one guy to tackle. Fullback was Mark Belmore. Also very tough to tackle. Great blocker. My junior year we were playing UNLV in Vegas. They had a stud MLB who was trash talking and throwing racial slurs about the white boy. Belmore got pissed so we were lined up to run the next play and he yelled at him “ok you f’in n..... we running right here” and pointed to where the play was going and yelled “I’ll meet you there”. One of most violent collisions on FB field I have seen. Problem was he did same thing next play. We only gained about 4 yds on the two plays. These to RB’s could play on any team any era.

Guy in the middle is Mike Wirtz. Student manager. Great guy.

All American Todd Thomas. Played for Kansas City Chiefs for about 3 years. Career cut short by injury. Was a Chemical Engineer. I was told he had over 45 patents. Unfortunately died young. I believe cut was cancer. One of the best to ever play here.

Doesn’t mean anything if he isn’t rewarded. If he does really well, probably moves up and out of our pay range. In the meantime, reward him with a handsome 5 year extension that requires big payback by big school that would hire him away.

That is why our health care organizations are struggling. It is the chaos that you and you colleagues face in uncharted waters with no true compass vs the rural areas and others where we have shut everything down in anticipation of what’s to come. I hope that we as a profession and as a country reassess having to rely on other countries for critical supplies and equipment

Verbal visits are charged $15-25. The Visual/virtual visits are charged the same as the office visit. None of my virtual visits have lasted more than 20 minutes. (99213) Most of the clinic visits are 25-30 minutes (99214). Almost none of the virtual visits involve any physical. So although they are paid the same, revenues are down. Physical therapists are also doing virtual visits but can’t do modalities nor anything with equipment. In Minnesota the Governor doesn’t allow elective surgeries and Ortho Surgeon are doing very little so some specialties are suffering more than others. Lots a patients are canceling appointments. Most of my colleagues claim revenues down 70%. Once our supplies are replenished, our surgeons should be able to resume their outpatient procedures, but many patients will still postpone due to fears. Our clinics will close when we are needed in hospital or ER. Once the surge is over, I suspect it may be similar to starting a new practice with the advantage you have already a foundation of patients who have been seeing you prior to the crisis.

This is likely the toughest decision these governors have had to make. I think it has to be piecemeal and organized based on the state/region. Each state is also going to have a plan in place if the return to work causes a surge. We are going to have to be disciplined as a society to follow the return to work plan to decrease risks and chance of failure. Will we have the resources if the plan includes regular antibody or CV-19 testing. It’s likely the media and the political parties will criticize because there will still be new infections. The fact is, the longer this goes on the shut down becomes more than an economic emergency it is a threat to people’s health if people and businesses have no income and the food pantries can’t keep up with the demand.

I agree, but the political comment added nothing and many of us in the medical field who are willing to share thoughts, information and especially keikla’s NewYork experience are not willing to continue on this site if that crap gets going again. We can go back to PM’s between us because she has had a medical life changing experience in many ways similar to a soldier’s combat experience. I am learning from her despite almost 40 yrs experience including ER, ICU and combat as a medical officer. If someone else’s political rants are more relevant then what she is sharing then I’m on the wrong page. I’ve also learned a lot from business owners, employers and the rest of you sharing experiences and opinions. I’ve learned absolutely nothing from the political comments.

I agree. The challenge is timing.

Knock off the political crap. The majority of people are mature enough to do that. Give it a try.

I have seen some similar studies that put New York City area, Seattle area and California in a separate group. I think the amount of travel from countries with high infection rates early on and populations are major factors but we will need to sort out all of the other variables to know what else could have been done, when it should have been done, what shouldn’t have been done and how to best prepare for future threats. I’m sure almost everyone else knows at least this much but the how going forward is the tough part. Which cities did better? Which countries did better? In the meantime, we struggle to find best treatment, and an effective vaccine as soon as possible. We also need to monitor best practice and most effective means of returning to work while at the same time we minimize risk, spread of the disease and death. I hope you are feeling better. Be safe.

Pretty good article. Underlines the complexity of your world. In my simple mind, it seems to me, the multiple ways epidemiologists and scientist are trying to summarize rapidly changing data without constant variables, from multiple sources. The multiple sources aren’t using the same parameters to measure and collect data and statistics. Then, they try to apply that information to select models and try to hit a moving target in an ever changing environment. You live in a complex world with a difficult task if this is your world.

You too. Get lost.

Take this crap elsewhere. We had gone almost a day with only one other stupid post.

We are using same d dimer parameters. I will add fibrinogen to my protocols. Thanks. Get well.

I can’t remember if I learned from you or other research or both, but obese patients seem to be at higher risk for pulmonary emboli. We have included d dimer testing and anticoagulants in our protocols. Your advice and experience over the past couple of weeks is appreciated.

We tried that in our lobby but when the German Shepard stuck his cold nose between the guys cheeks he lurched forward about 8 feet and broke his collarbone. The lady waiting to see her provider for fibromyalgia freaked out when the guy dropped his drawers in the waiting room and soiled herself. Needless to say I am dealing with the guys attorney and the lady’s minister. Both incidents have been recorded as Covid related trauma.

Withdrawal from Sioux hockey when we had a great shot at #9? Take care of yourself and get well soon. Prayers and positive thoughts your way. Are you going to do antibody testing when you get through this? I had something similar in Feb and missed a day of work for illness for first time in 45 yrs. I assumed Influenza A cuz we had no Covid around the region back then but I’m going to do the antibody testing when the new more accurate test comes out.

They were referring to retesting. The theory was the false positive test could be due to dead virus or residual weak virus. I would defer to the microbiologists or others who have a thorough understanding of the test and how this would affect the results.

Your questions are valid and frankly, critical. I would guess return to work and other activities are going to be as much trial and error as what the medical professionals are trying with our treatment protocols. I’m not Yogi Berra, but he might say we don’t know until we know. Whomever is first to send their citizens back to work will have to accept the responsibility of the consequences, just as those who keep their citizens home. We all know regardless, they will be criticized and likely thrown under the bus by the media.

From what I read, some are showing mild symptoms. Questions raised included the question of false positives or incomplete recovery. It underlines the importance of finding a treatment and vaccine.

Well, we went went for an hour or two before someone felt the need to inject politics.

Correct. The other issue is that we need to figure out what the antibody testing tells us. We test for IgM and IgG antibodies. Results can vary. Patient can be positive for IgM and negative for IgG. Does that mean they have the disease but aren’t yet immune? If positive for both antibodies does that mean infected and now immune? If positive for IgG only can we conclude anything? In South Korea they have over 150 patients who had Covid recovered and are now positive for Covid again. That is why we are struggling medically and why the decision makers are struggling. We just don’t know.

I think Keikla understands confidence intervals as well as asymptomatic. You have made a very valid point in that the important information being gathered by epidemiologists/statisticians is in a state of flux. I’m not sure until one reviews all of the variables, parameters etc that we can reach conclusions but I think that is one of the points you and others are debating. Unfortunately, that makes it almost impossible for the government leaders to know what to do next.