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The New Coffee Room

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  3. The healthy don't need to shelter in place?

The healthy don't need to shelter in place?

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  • jon-nycJ Offline
    jon-nycJ Offline
    jon-nyc
    wrote on last edited by
    #2

    Here’s are two news summaries.

    https://news4sanantonio.com/news/coronavirus/accelerated-urgent-care-provides-statistical-update-on-covid-19

    https://www.bakersfield.com/news/two-bakersfield-doctors-cite-their-testing-data-to-urge-reopening/article_eb1959e0-84fa-11ea-9a07-2f2bea880bf9.html

    They run an urgent care clinic. They extrapolate from the percentage of positive tests in their clinic to the entire state of California, and deduce that 4MM Californians have the virus, ergo the death rate is really small.

    Yes, they did that, They assumed that the people who go to an urgent care clinic with Covid symptoms are a representative sample for the whole population.

    No really, seriously, they did that.

    Only non-witches get due process.

    • Cotton Mather, Salem Massachusetts, 1692
    George KG 1 Reply Last reply
    • jon-nycJ jon-nyc

      Here’s are two news summaries.

      https://news4sanantonio.com/news/coronavirus/accelerated-urgent-care-provides-statistical-update-on-covid-19

      https://www.bakersfield.com/news/two-bakersfield-doctors-cite-their-testing-data-to-urge-reopening/article_eb1959e0-84fa-11ea-9a07-2f2bea880bf9.html

      They run an urgent care clinic. They extrapolate from the percentage of positive tests in their clinic to the entire state of California, and deduce that 4MM Californians have the virus, ergo the death rate is really small.

      Yes, they did that, They assumed that the people who go to an urgent care clinic with Covid symptoms are a representative sample for the whole population.

      No really, seriously, they did that.

      George KG Offline
      George KG Offline
      George K
      wrote on last edited by George K
      #3

      @jon-nyc said in The healthy don't need to shelter in place?:

      They run an urgent care clinic. They extrapolate from the percentage of positive tests in their clinic to the entire state of California, and deduce that 4MM Californians have the virus, ergo the death rate is really small.

      Yes, they did that, They assumed that the people who go to an urgent care clinic with Covid symptoms are a representative sample for the whole population.

      No really, seriously, they did that.
      Exactly. I'm amazed that this is getting any press.

      His comment about Fauci not seeing a patient in 20 years may be true on its face, but so what?

      Also, this guy probably hasn't been in an ICU in 20 years, so there's that.

      And in the short interview on the news channel, he gets into some tinfoil hat territory.

      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

      Doctor PhibesD 1 Reply Last reply
      • HoraceH Offline
        HoraceH Offline
        Horace
        wrote on last edited by
        #4

        Considering the scientific value of knowing how many people actually have this thing based on some good random samples, it's interesting to me that we don't yet have those numbers. I believe we have all the tools necessary to generate such numbers.

        Education is extremely important.

        jon-nycJ 1 Reply Last reply
        • George KG Offline
          George KG Offline
          George K
          wrote on last edited by
          #5

          His comparison of Norway and Sweden seems silly:

          alt text

          alt text

          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

          1 Reply Last reply
          • CopperC Offline
            CopperC Offline
            Copper
            wrote on last edited by
            #6

            That sounded like a lot of emotion was involved in the decision.

            It seems like we still need objective goals and a way to measure them.

            The goal? We seem to be stuck between "Flatten the Curve" and "Every Life Matters".

            I say pick a goal and go for it.

            I wonder if we could eliminate the virus if everyone, no exceptions, stayed home for a couple weeks. No exceptions, including police, fire, medical and supermarket.

            1 Reply Last reply
            • L Offline
              L Offline
              Loki
              wrote on last edited by
              #7

              95% of tested positive inmates at four prisons were asymptomatic. It merits its own thread.

              https://www.reuters.com/article/us-health-coronavirus-prisons-testing-in/in-four-us-state-prisons-nearly-3300-inmates-test-positive-for-coronavirus-96-without-symptoms-idUSKCN2270RX

              1 Reply Last reply
              • MikM Offline
                MikM Offline
                Mik
                wrote on last edited by
                #8

                My experience with urgent care docs, limited as it is, leads me to believe they are not our best and brightest.

                “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                jon-nycJ HoraceH 2 Replies Last reply
                • HoraceH Horace

                  Considering the scientific value of knowing how many people actually have this thing based on some good random samples, it's interesting to me that we don't yet have those numbers. I believe we have all the tools necessary to generate such numbers.

                  jon-nycJ Offline
                  jon-nycJ Offline
                  jon-nyc
                  wrote on last edited by
                  #9

                  @Horace said in The healthy don't need to shelter in place?:

                  Considering the scientific value of knowing how many people actually have this thing based on some good random samples, it's interesting to me that we don't yet have those numbers. I believe we have all the tools necessary to generate such numbers.

                  Test capacity has been too limited to 'waste' them on that.

                  Only non-witches get due process.

                  • Cotton Mather, Salem Massachusetts, 1692
                  HoraceH 1 Reply Last reply
                  • MikM Mik

                    My experience with urgent care docs, limited as it is, leads me to believe they are not our best and brightest.

                    jon-nycJ Offline
                    jon-nycJ Offline
                    jon-nyc
                    wrote on last edited by
                    #10

                    @Mik said in The healthy don't need to shelter in place?:

                    My experience with urgent care docs, limited as it is, leads me to believe they are not our best and brightest.

                    I don't mean this as an insult of any sort, but the field of medicine simply does not select for numeracy. Certainly some subfields do, and certainly some physicians are highly or reasonably numerate, but there's nothing about the course of study in itself that filters out those not particularly good with numbers.

                    Only non-witches get due process.

                    • Cotton Mather, Salem Massachusetts, 1692
                    brendaB 1 Reply Last reply
                    • jon-nycJ jon-nyc

                      @Horace said in The healthy don't need to shelter in place?:

                      Considering the scientific value of knowing how many people actually have this thing based on some good random samples, it's interesting to me that we don't yet have those numbers. I believe we have all the tools necessary to generate such numbers.

                      Test capacity has been too limited to 'waste' them on that.

                      HoraceH Offline
                      HoraceH Offline
                      Horace
                      wrote on last edited by
                      #11

                      @jon-nyc said in The healthy don't need to shelter in place?:

                      @Horace said in The healthy don't need to shelter in place?:

                      Considering the scientific value of knowing how many people actually have this thing based on some good random samples, it's interesting to me that we don't yet have those numbers. I believe we have all the tools necessary to generate such numbers.

                      Test capacity has been too limited to 'waste' them on that.

                      Be that as it may, it's odd that it's considered a 'waste'.

                      Education is extremely important.

                      1 Reply Last reply
                      • jon-nycJ Offline
                        jon-nycJ Offline
                        jon-nyc
                        wrote on last edited by jon-nyc
                        #12

                        I put it in quotes for a reason, the backlog of untested symptomatic patients has seemed more urgent.

                        Only non-witches get due process.

                        • Cotton Mather, Salem Massachusetts, 1692
                        HoraceH 1 Reply Last reply
                        • MikM Mik

                          My experience with urgent care docs, limited as it is, leads me to believe they are not our best and brightest.

                          HoraceH Offline
                          HoraceH Offline
                          Horace
                          wrote on last edited by
                          #13

                          @Mik said in The healthy don't need to shelter in place?:

                          My experience with urgent care docs, limited as it is, leads me to believe they are not our best and brightest.

                          I wonder if that has something to do with the fact that it's the most work with the worst hours.

                          Education is extremely important.

                          1 Reply Last reply
                          • jon-nycJ jon-nyc

                            I put it in quotes for a reason, the backlog of untested symptomatic patients has seemed more urgent.

                            HoraceH Offline
                            HoraceH Offline
                            Horace
                            wrote on last edited by
                            #14

                            @jon-nyc said in The healthy don't need to shelter in place?:

                            I put it in quotes for a reason, the backlog of untested symptomatic patients has seemed more urgent.

                            Right. It's odd that tests which don't actually mean much regardless how they turn out, are considered more important than tests which could direct social policy which affects everybody.

                            Education is extremely important.

                            1 Reply Last reply
                            • jon-nycJ Offline
                              jon-nycJ Offline
                              jon-nyc
                              wrote on last edited by
                              #15

                              I had this conversation with Klaus a week or so ago (IOW, eons in pandemic time). I don't think it would have much of an effect on our actions in the short or medium term.

                              At least if you consider the range of feasible outcomes, not the range of theoretically conceivable outcomes.

                              Only non-witches get due process.

                              • Cotton Mather, Salem Massachusetts, 1692
                              1 Reply Last reply
                              • HoraceH Offline
                                HoraceH Offline
                                Horace
                                wrote on last edited by
                                #16

                                You speak of directing social actions as if it's a thing distinct from shaping public opinion. I think these numbers have power to shape public opinion. Every study that comes out which implies lots of people having it and having no issues from it seems to make a splash.

                                Education is extremely important.

                                1 Reply Last reply
                                • jon-nycJ jon-nyc

                                  @Mik said in The healthy don't need to shelter in place?:

                                  My experience with urgent care docs, limited as it is, leads me to believe they are not our best and brightest.

                                  I don't mean this as an insult of any sort, but the field of medicine simply does not select for numeracy. Certainly some subfields do, and certainly some physicians are highly or reasonably numerate, but there's nothing about the course of study in itself that filters out those not particularly good with numbers.

                                  brendaB Offline
                                  brendaB Offline
                                  brenda
                                  wrote on last edited by
                                  #17

                                  @jon-nyc said in The healthy don't need to shelter in place?:

                                  @Mik said in The healthy don't need to shelter in place?:

                                  My experience with urgent care docs, limited as it is, leads me to believe they are not our best and brightest.

                                  I don't mean this as an insult of any sort, but the field of medicine simply does not select for numeracy. Certainly some subfields do, and certainly some physicians are highly or reasonably numerate, but there's nothing about the course of study in itself that filters out those not particularly good with numbers.

                                  This has been my experience over the last several decades with a number of doctors. Even simple stuff like how many four week cycles are there in a year. I went round and round with my gyn when in my mid 20s. He kept prescribing for 12 cycles per year. I finally asked him to divide 52 by 4. He had a blank look, so I gave him the answer: 13.

                                  Three years ago in the ER, the docs asked if I had taken any fever reducing meds. I said I had taken 8-hour Tylenol at 650 mg. They went crazy. I tried to explain this is a delayed release product that lasts for 8 hours, not 4. They didn't understand that it would be comparable to taking 325 mg for four hours, and then repeating after the first four hours. They knew lots of things, but got hung up on that. More than one doc was in that conversation, and none of them grasped the delayed release idea.

                                  Lots of other examples over the years, but those two are classics. I still laugh about the 52 divided by 4. I got a free pill pack for that one! 😄😄😄

                                  1 Reply Last reply
                                  • CopperC Offline
                                    CopperC Offline
                                    Copper
                                    wrote on last edited by
                                    #18

                                    My previous primary care physician, an MIT graduate, was one of the guys in NASA's Houston backroom during Apollo that was calculating spacecraft trajectories. He, and the guys he worked with were arguably some of the best practical mathematicians you would ever need.

                                    The Apollo program ended so he decided to go to medical school.

                                    1 Reply Last reply
                                    • George KG George K

                                      @jon-nyc said in The healthy don't need to shelter in place?:

                                      They run an urgent care clinic. They extrapolate from the percentage of positive tests in their clinic to the entire state of California, and deduce that 4MM Californians have the virus, ergo the death rate is really small.

                                      Yes, they did that, They assumed that the people who go to an urgent care clinic with Covid symptoms are a representative sample for the whole population.

                                      No really, seriously, they did that.
                                      Exactly. I'm amazed that this is getting any press.

                                      His comment about Fauci not seeing a patient in 20 years may be true on its face, but so what?

                                      Also, this guy probably hasn't been in an ICU in 20 years, so there's that.

                                      And in the short interview on the news channel, he gets into some tinfoil hat territory.

                                      Doctor PhibesD Offline
                                      Doctor PhibesD Offline
                                      Doctor Phibes
                                      wrote on last edited by Doctor Phibes
                                      #19

                                      @George-K said in The healthy don't need to shelter in place?:

                                      @jon-nyc said in The healthy don't need to shelter in place?:

                                      And in the short interview on the news channel, he gets into some tinfoil hat territory.

                                      Basically, he's incorrectly extrapolated data, disparaged the head of the NIAID, and ended with a conspiracy theory.

                                      NEXT!

                                      I was only joking

                                      1 Reply Last reply
                                      • MikM Offline
                                        MikM Offline
                                        Mik
                                        wrote on last edited by
                                        #20

                                        My primary care is exceptionally intelligent, an luckily very well connected in the health system. He has the juice to get things done. I suspect he is pretty numerically savvy too, but he's not a statistician.

                                        “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                                        1 Reply Last reply
                                        • George KG Offline
                                          George KG Offline
                                          George K
                                          wrote on last edited by
                                          #21

                                          Obviously, these guys are guilty of wrongthink.

                                          YouTube has taken down the video for violating its terms of service. It was taken down within minutes of their appearance on Laura Ingraham. Apparently, saying something that disagrees with WHO policy is a violation of terms of service.

                                          Screen-Shot-2020-04-28-at-7-27-11-AM.png

                                          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

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