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ddb wrote:When are we starting the climate control thread? Also, I suggest we start a thread on religion & politics. Maybe even a dogs VS cats thread. All good topics for a basketball forum.
ddb wrote:cl2117 wrote:I said it. I shouldn't have. It crossed a line. But when someone mocks your dead relatives and does it just to troll you, well I guess civility goes out the window sometimes.
I just hate the thought of some 13 year old coming onto this website to talk basketball and incidentally going down ddb's dangerous rabbit holes that are just total bull, but which sadly manage to ensnare people somehow.
This pandemic has taken such a toll and it's just hard to sit by and watch people actively contribute to its onslaught while laughing in your face.
Please find a post where I mock your dead relatives. I did no such thing. Perhaps I didn't say the exact words you were looking for? I do have a heart. Stop putting words in my mouth and playing victim. Anyway, moving on.
ddb wrote:When are we starting the climate control thread? Also, I suggest we start a thread on religion & politics. Maybe even a dogs VS cats thread. All good topics for a basketball forum.
celtics792244 wrote:Captain_Caveman wrote:celtics792244 wrote:
+1000
MUCH MORE severe personal abuse went his way.
He has been saying reprehensible things throughout, and been almost as over the top insulting as ex has been. He is literally calling nearly everyone brainwashed morons in nearly every post he makes, and his saving grace has not been directing it at a particular individual but rather everyone?
Keep that ****.
More to the point, he is deadass wrong about everything, argues dishonestly, and doesn't even understand any of this. I am legit disgusted by his posting in this thread. Not even on a political level, but as a human being.
He literally had posters, not ex, wishing openly for his death. So yes, keep that ****.
The most important thing we can transfer to the next generation is freedom. Mandates and passports are not the answer when it comes to policy., Once that starts, it'll never go away. You need to reach people through their hearts and minds, not by force.
Like you, I come away from this board with disgust at how quickly some are to trade freedoms for safety. There needs to be balance. This is where people with ddb views come into play.. to hold some that have tunnel vision in check. Hey, he might be wrong on the science end, we,'ll see, but our constutional rights are not suspended, even in state of emergency.
andrewww wrote:ddb wrote:cl2117 wrote:I said it. I shouldn't have. It crossed a line. But when someone mocks your dead relatives and does it just to troll you, well I guess civility goes out the window sometimes.
I just hate the thought of some 13 year old coming onto this website to talk basketball and incidentally going down ddb's dangerous rabbit holes that are just total bull, but which sadly manage to ensnare people somehow.
This pandemic has taken such a toll and it's just hard to sit by and watch people actively contribute to its onslaught while laughing in your face.
Please find a post where I mock your dead relatives. I did no such thing. Perhaps I didn't say the exact words you were looking for? I do have a heart. Stop putting words in my mouth and playing victim. Anyway, moving on.
The woke left wing extremists can't possibly fathom they were duped from the get go. Easier to fool someone than convince them they've been fooled since it would destroy their brainwashed beliefs.
You have both the Canadian PM and US President openly spewing hate speech and spreading misinformation. Contrarian views are censored and de-platformed. People with something to hide typically carry out these types of actions. And there's nothing that drives human beings more than the all mighty dollar - see billion dollar pharmaceuticals.
All the 'conspiracy theories' have proven to be prophets. When you put together the puzzle and see things for what they really are, then none of these unconstitutional mandates and tyranny is surprising. Lots of people welcome a totalitarianism approach when they perceive there to be 'danger', I would consider many here low key fascists and they don't even realize it.
Andrew McCeltic wrote:I thought the whole point of this thread was that we were allowed to do bare knuckle boxing without having to be “cordial”..?
andrewww wrote:ddb wrote:cl2117 wrote:I said it. I shouldn't have. It crossed a line. But when someone mocks your dead relatives and does it just to troll you, well I guess civility goes out the window sometimes.
I just hate the thought of some 13 year old coming onto this website to talk basketball and incidentally going down ddb's dangerous rabbit holes that are just total bull, but which sadly manage to ensnare people somehow.
This pandemic has taken such a toll and it's just hard to sit by and watch people actively contribute to its onslaught while laughing in your face.
Please find a post where I mock your dead relatives. I did no such thing. Perhaps I didn't say the exact words you were looking for? I do have a heart. Stop putting words in my mouth and playing victim. Anyway, moving on.
The woke left wing extremists can't possibly fathom they were duped from the get go. Easier to fool someone than convince them they've been fooled since it would destroy their brainwashed beliefs.
You have both the Canadian PM and US President openly spewing hate speech and spreading misinformation. Contrarian views are censored and de-platformed. People with something to hide typically carry out these types of actions. And there's nothing that drives human beings more than the all mighty dollar - see billion dollar pharmaceuticals.
All the 'conspiracy theories' have proven to be prophets. When you put together the puzzle and see things for what they really are, then none of these unconstitutional mandates and tyranny is surprising. Lots of people welcome a totalitarianism approach when they perceive there to be 'danger', I would consider many here low key fascists and they don't even realize it.
Dangit wrote:Andrew McCeltic wrote:I thought the whole point of this thread was that we were allowed to do bare knuckle boxing without having to be “cordial”..?
It's hard to do when there has been a clear political line drawn by those who run the board.
It would be way more productive to say " we are going to shut down stuff we don't like , if we think the user has the wrong political opinions " then just to disguise it .
Thanking one user who has said way worse personal stuff then the person they threaten to ban is all political . Ethier the gloves are off and everyone is treated the same or just be up front and say if" if we know you lean right politically then you have much bigger chance being shut down or banned because we don't like your views .
Anyway just got done with Covid again .... **** is lame af .
Sure wish we could find out how this all happened ... sure is strange no one with power wants to hold anyone accountable..
Bad-Thoma wrote:Dangit wrote:Andrew McCeltic wrote:I thought the whole point of this thread was that we were allowed to do bare knuckle boxing without having to be “cordial”..?
It's hard to do when there has been a clear political line drawn by those who run the board.
It would be way more productive to say " we are going to shut down stuff we don't like , if we think the user has the wrong political opinions " then just to disguise it .
Thanking one user who has said way worse personal stuff then the person they threaten to ban is all political . Ethier the gloves are off and everyone is treated the same or just be up front and say if" if we know you lean right politically then you have much bigger chance being shut down or banned because we don't like your views .
Anyway just got done with Covid again .... **** is lame af .
Sure wish we could find out how this all happened ... sure is strange no one with power wants to hold anyone accountable..
Well the first known case chronologically is likely a vendor at a Wuhan wet market. You thinking about suing her?
https://time.com/6121482/first-covid-19-case-wuhan-wet-market/
It fits well with how most diseases begin but I'm sure that's just a convenient cover story to hide a massive conspiracy somewhere? A world wide conspiracy to protect a Chinese lab that released a deadly disease? Oh wait, it's not deadly because the pharma companies are just using it to make a profit? The goverment is just using it to take away your right to eat at a restaurant in a shadowy first step towards an Orwellian future? Also, is the restaurant Chinese as that seems like too large of a coincidence to ignore.
Also keep whining about political bull **** on this, it's amusing. I see one side coming in and calling people "woke leftists", etc. and I don't see much or anything being returned in regards to anyone's political affiliation. The biggest harm that has been caused in the fight against this pandemic was the initial politicizing of the disease. It's killing people on both sides of the aisle. In here the only affiliation I give a **** about is your affiliation with reality. There has a been a very clear line drawn in that regard and I don't mean that about you personally in as much as who you are defending.
Dangit wrote:Bad-Thoma wrote:Dangit wrote:
It's hard to do when there has been a clear political line drawn by those who run the board.
It would be way more productive to say " we are going to shut down stuff we don't like , if we think the user has the wrong political opinions " then just to disguise it .
Thanking one user who has said way worse personal stuff then the person they threaten to ban is all political . Ethier the gloves are off and everyone is treated the same or just be up front and say if" if we know you lean right politically then you have much bigger chance being shut down or banned because we don't like your views .
Anyway just got done with Covid again .... **** is lame af .
Sure wish we could find out how this all happened ... sure is strange no one with power wants to hold anyone accountable..
Well the first known case chronologically is likely a vendor at a Wuhan wet market. You thinking about suing her?
https://time.com/6121482/first-covid-19-case-wuhan-wet-market/
It fits well with how most diseases begin but I'm sure that's just a convenient cover story to hide a massive conspiracy somewhere? A world wide conspiracy to protect a Chinese lab that released a deadly disease? Oh wait, it's not deadly because the pharma companies are just using it to make a profit? The goverment is just using it to take away your right to eat at a restaurant in a shadowy first step towards an Orwellian future? Also, is the restaurant Chinese as that seems like too large of a coincidence to ignore.
Also keep whining about political bull **** on this, it's amusing. I see one side coming in and calling people "woke leftists", etc. and I don't see much or anything being returned in regards to anyone's political affiliation. The biggest harm that has been caused in the fight against this pandemic was the initial politicizing of the disease. It's killing people on both sides of the aisle. In here the only affiliation I give a **** about is your affiliation with reality. There has a been a very clear line drawn in that regard and I don't mean that about you personally in as much as who you are defending.
I'm not defending anyone politically , honestly I think the Republicans are spineless cowards and the Democrats have lost thier collective minds , but no ... I don't believe the virus came from a wet market .... and labeling anybody that questions anything a " conspiracy theorist " especially with anyone with any knowledge of world history is pretty head scratching ...
I want to know everything and anything I can ... the decide for myself...
I don't want a constantly moving measuring stick.
Or the phrase " science " to be the end of an argument .
Bad-Thoma wrote:Dangit wrote:Bad-Thoma wrote:
Well the first known case chronologically is likely a vendor at a Wuhan wet market. You thinking about suing her?
https://time.com/6121482/first-covid-19-case-wuhan-wet-market/
It fits well with how most diseases begin but I'm sure that's just a convenient cover story to hide a massive conspiracy somewhere? A world wide conspiracy to protect a Chinese lab that released a deadly disease? Oh wait, it's not deadly because the pharma companies are just using it to make a profit? The goverment is just using it to take away your right to eat at a restaurant in a shadowy first step towards an Orwellian future? Also, is the restaurant Chinese as that seems like too large of a coincidence to ignore.
Also keep whining about political bull **** on this, it's amusing. I see one side coming in and calling people "woke leftists", etc. and I don't see much or anything being returned in regards to anyone's political affiliation. The biggest harm that has been caused in the fight against this pandemic was the initial politicizing of the disease. It's killing people on both sides of the aisle. In here the only affiliation I give a **** about is your affiliation with reality. There has a been a very clear line drawn in that regard and I don't mean that about you personally in as much as who you are defending.
I'm not defending anyone politically , honestly I think the Republicans are spineless cowards and the Democrats have lost thier collective minds , but no ... I don't believe the virus came from a wet market .... and labeling anybody that questions anything a " conspiracy theorist " especially with anyone with any knowledge of world history is pretty head scratching ...
I want to know everything and anything I can ... the decide for myself...
I don't want a constantly moving measuring stick.
Or the phrase " science " to be the end of an argument .
Science isn't the end of the argument but disregarding it is foolish. We all want to know everything and anything and decide for ourselves, that's normal.
Why don't you believe that the disease started at a wet market? Sincere question.
Bad-Thoma wrote:Dangit wrote:Bad-Thoma wrote:
Well the first known case chronologically is likely a vendor at a Wuhan wet market. You thinking about suing her?
https://time.com/6121482/first-covid-19-case-wuhan-wet-market/
It fits well with how most diseases begin but I'm sure that's just a convenient cover story to hide a massive conspiracy somewhere? A world wide conspiracy to protect a Chinese lab that released a deadly disease? Oh wait, it's not deadly because the pharma companies are just using it to make a profit? The goverment is just using it to take away your right to eat at a restaurant in a shadowy first step towards an Orwellian future? Also, is the restaurant Chinese as that seems like too large of a coincidence to ignore.
Also keep whining about political bull **** on this, it's amusing. I see one side coming in and calling people "woke leftists", etc. and I don't see much or anything being returned in regards to anyone's political affiliation. The biggest harm that has been caused in the fight against this pandemic was the initial politicizing of the disease. It's killing people on both sides of the aisle. In here the only affiliation I give a **** about is your affiliation with reality. There has a been a very clear line drawn in that regard and I don't mean that about you personally in as much as who you are defending.
I'm not defending anyone politically , honestly I think the Republicans are spineless cowards and the Democrats have lost thier collective minds , but no ... I don't believe the virus came from a wet market .... and labeling anybody that questions anything a " conspiracy theorist " especially with anyone with any knowledge of world history is pretty head scratching ...
I want to know everything and anything I can ... the decide for myself...
I don't want a constantly moving measuring stick.
Or the phrase " science " to be the end of an argument .
Science isn't the end of the argument but disregarding it is foolish. We all want to know everything and anything and decide for ourselves, that's normal.
Why don't you believe that the disease started at a wet market? Sincere question.
exculpatory wrote:1. What anticoagulation protocol?
Just straight prophylactic lovenox. If the ddimer goes sky high, then looks for clots. Previously we would fully anticoagulate if the ddimer rose above a certain threshold, but after too many bleeding events cut that out
2. How does COVID COAGULOPATHY c/w DIC - I have read/heard more clotting & less bleeding?
They don't seem to develop DIC lab-wise, but have a markedly increased risk/rate of clotting. And all the negative conequences (VTE, stroke, MI...)
3. Does COVID ARDS behave differently than sepsis-related ARDS - vent wise?
TImeframe is the biggest thing imo. WIth covid, once you are on the vent plan on 3-8 weeks before you declare yourself (stable enough for trach or death are the two usual pathways. maybe 1% extubate). WIth traditional Ards, usually you would have an endpoint by 2-3 weeks.
4. How do you separate out cytokine storm? How frequently do you see it?
Usually time frame. around 10-14 days you see things backslide: super high fevers, marked rise in CRP, shock and usually arrest pretty quickly. Early on, we saw it more often but lately not that much. I think its been at leat 4-6 months since we had a cytokine storm patients. I think its becaue earlyu on we thought steroids were bad (promote viral shedding) whereas now it a mainstay of treatment
5. Lots of diabetes? Exacerbation of pre-existing DM and/or de novo?
Lots of diabetes. Both de novo and exacerbation. Covid itself seems to spike the sugars, then the steroid doses don't help. Its not uncommon to have them on doses of 40-50 units of nph q6-8h
6. Which glucocorticoid & how much & usually what duration?
hospital protocol is to start with decadron 6mg iv q12h for 7 days then switch to qd for 7 day, but since there is no standard dose/duration most of us go up with the crp rises. I think 40-80mg solumedrol q6h is a typical doe for someone on the vent
7. FYI: If & when they can be weaned off steroids, be very careful distinguishing an exogenously suppressed HPA axis w secondary adrenal atrophy which will take varying time to come back VS permanent primary hypoadrenalism 2/2 COVID-induced adrenalitis. (ASIDE: I have always had a special interest in adrenal & pituitary disease - as well as ANY hyper or hypo electrolyte [NA/K/CA & the WAY too often underdiagnosed hypomagnesemic & hypophosphatemic patient]. In that regard, I have always overlapped with the nephrons everywhere I practiced.)
I just saw that (or rather a colleague told me about it). We also cover the local LTACH, so was good to know
Dangit wrote:
Because it probably started in a lab where gain of function research was taking place . And I want to know if who was funding it , what purpose it was serving , if it was possibly a bio weapon ,If it was a mistake, if it was on purpose.... I want to know everything
I don't believe for a second thar both sides of our government are being completely truthful about this ..
Conspiracy theorist or not .... I think anytime money and politics are involved we are probably not getting the whole story .
Dismissing anyone with questions
Shutting up up certain scientists or medical personnel with different views ... and changing dictionary definition s so people won't use them against you... doesn't lead me to be very confident in what the government is telling me honestly.
