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Hydroxychloroquine as COVID-19 Treatment Update

Yes, I believe someone at CDC, NIH contacted SKorea. But BoilerMadness said we didn't have a grasp on the scope/magnitude of the problem back then when SKorea was already aggressively testing. If he's right, then we didn't do our homework or didn't pay attention to what SKorea said.

The WHO is a joke. But once there was a global risk, even moderate, we should have started planning for the worst case scenario. Plan for the worst and hope for the best.

In your opinion when should Cuomo have put a full quarantine on parts of New York? Was Cuomo not aware of what was happening in Wuhan? When should hospitals/state governments started stockpiling protective gear & ventilators? Were they not paying attention?

"Plan for the worst", sounds like a brilliant strategy when a once in a 100 year event happens....at least a brilliant strategy after the fact. In real time "plan for the worst" is a ridiculous strategy, and literally nobody follows it....until they get hit hard by something (i.e airport and large event security AFTER 9-11).
 
In your opinion when should Cuomo have put a full quarantine on parts of New York? Was Cuomo not aware of what was happening in Wuhan? When should hospitals/state governments started stockpiling protective gear & ventilators? Were they not paying attention?

"Plan for the worst", sounds like a brilliant strategy when a once in a 100 year event happens....at least a brilliant strategy after the fact. In real time "plan for the worst" is a ridiculous strategy, and literally nobody follows it....until they get hit hard by something (i.e airport and large event security AFTER 9-11).
Having actually run two hospitals (last time I checked no one in the media has ever run a hospital), we would have gone broke trying to create enough surge capacity/stockpile for something like this. That's not a political statement, just a pragmatic observation from someone with 37 years of hospital operational experience.
 
Having actually run two hospitals (last time I checked no one in the media has ever run a hospital), we would have gone broke trying to create enough surge capacity/stockpile for something like this. That's not a political statement, just a pragmatic observation from someone with 37 years of hospital operational experience.
Well said, completely agree. Media coverage has been embarrassingly bad (and that goes for both right and left leaning media).
 
In your opinion when should Cuomo have put a full quarantine on parts of New York? Was Cuomo not aware of what was happening in Wuhan? When should hospitals/state governments started stockpiling protective gear & ventilators? Were they not paying attention?

"Plan for the worst", sounds like a brilliant strategy when a once in a 100 year event happens....at least a brilliant strategy after the fact. In real time "plan for the worst" is a ridiculous strategy, and literally nobody follows it....until they get hit hard by something (i.e airport and large event security AFTER 9-11).
Cuomo and DeBlasio should have been on the same page on day 1. Instead they bickered on closures, etc., wasting time. They should have watched Italy skyrocket to 2500 cases by the time NY had 1.

As for when? As soon as Trump closed the border with China on Jan 31. At this point, it was clear to the federal government that something was seriously wrong. At this point, leaders should have put their politics aside from the beginning to put together a joint strategy against Covid instead of pointing fingers at everyone else and fighting for resources. These are the United States of America are they not? But I guess that is too much to ask.
 
Well said, completely agree. Media coverage has been embarrassingly bad (and that goes for both right and left leaning media).
you almost have to watch 30 minutes of Fox News, then 30 minutes of CNN (or whatever order you prefer) ... and you probably get a combined 5 minutes of actual 'news' and have weed out/ignore the remainder which is spin.
 
Having actually run two hospitals (last time I checked no one in the media has ever run a hospital), we would have gone broke trying to create enough surge capacity/stockpile for something like this. That's not a political statement, just a pragmatic observation from someone with 37 years of hospital operational experience.

Tony,

Serious question for you. How much did the ACA medical device tax affect the hospital's purchasing behavior? Also, I believe a virtual mandate to use EPIC for electronic medical records was also a significant expense for many smaller facilities and independent personal providers. I'd appreciate your thoughts.
 
Having actually run two hospitals (last time I checked no one in the media has ever run a hospital), we would have gone broke trying to create enough surge capacity/stockpile for something like this. That's not a political statement, just a pragmatic observation from someone with 37 years of hospital operational experience.
Well said. That's what declarations of emergency are for - to free up $ for hospitals to obtain the supplies they need when they would otherwise go broke having to do it themselves. Its the very reason we pay taxes to the government.
 
Tony,

Serious question for you. How much did the ACA medical device tax affect the hospital's purchasing behavior? Also, I believe a virtual mandate to use EPIC for electronic medical records was also a significant expense for many smaller facilities and independent personal providers. I'd appreciate your thoughts.
Device tax meant nothing imho; don't get me started on Epic, etc. Meaningful use was and continues to be a total disaster. Did you all know the Mayo Clinic is spending over $1 billion to install Epic. When I was at Community, I think we hired like 500 people to run Epic. It was supposed to make us more efficient.
 
Having actually run two hospitals (last time I checked no one in the media has ever run a hospital), we would have gone broke trying to create enough surge capacity/stockpile for something like this. That's not a political statement, just a pragmatic observation from someone with 37 years of hospital operational experience.

I have been making this statement regarding my line of work. If they think medical costs are high now, wait until we pass a few laws mandating hospitals plan for pandemic. To say nothing of keeping the stockpile of stuff that will never be used replenished when it’s obsolete.

One time the Indianapolis plant controller said “I thought we bought a backup server five years ago when we installed this system.” I said “if we did you should fire me, because it would have been obsolete before we used it. “
 
you almost have to watch 30 minutes of Fox News, then 30 minutes of CNN (or whatever order you prefer) ... and you probably get a combined 5 minutes of actual 'news' and have weed out/ignore the remainder which is spin.
Well said. I find CNN interesting when they do there around the world reports late at night (around midnight). There is no political bias in the around the world coverage, and it shows most countries are dealing with the same issues U.S. has.

But as you say 90%+ coverage by Fox and CNN is really incredibly biased. Both are in all out war mode...not against the virus...rather pushing their right and left political agenda.
 
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Device tax meant nothing imho; don't get me started on Epic, etc. Meaningful use was and continues to be a total disaster. Did you all know the Mayo Clinic is spending over $1 billion to install Epic. When I was at Community, I think we hired like 500 people to run Epic. It was supposed to make us more efficient.
EMRs aren't for helping hospitals. They're for the insurance companies.
 
An interesting sub-plot, not discussed yet on this board, is Michigan Gov. Whitmer’s decision to ban all use of hydrochloroquine in Covid-19 patients, and further to require all healthcare providers to report said use with threats of revoking medical licenses. So far, I have not seen an explanation, but she is being challenged about the decision. Michigan has it’s version of the “right to try” laws that would normally make these type of prescriptions possible.
I read that in the Free Press. That woman (sorry) is a moron trying her best to get the VP nod. She’s a good reason for me to stay in Florida a little longer than planned.
 
I know reading is difficult for you...
Started in April, emergency declared by Obama in October, millions of people in the United States have been infected, at least 20,000 have been hospitalized and more than 1,000 have died, said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention. Hoosierdog1 said there was 1,000 deaths and you disputed it...
Thanks,also I said obama waited 6 months before he did anything and the article says just that April till October= 6 months!
 
You are full of shit! obama didn't sign shit till October what part of that article don't you understand?
Why are right wingers so damn dumb all of the time? It's right in the article. Obama didn't wait and do nothing for 6 months as you claimed.



The Centers for Disease Control and Prevention (CDC) has a detailed timeline of this pandemic on its website. It shows that the CDC first activated its Emergency Operations Center (EOC) on April 22, 2009. At the time, there were only two confirmed cases in the United States. On April 25, 2009, the World Health Organization (WHO) declared a public health emergency of international concern, and the following day the Obama administration did the same. At that time, there were about 20 confirmed cases.

Despite the CDC’s efforts, the swine flu continued to spread. Kathleen Sebelius, secretary of health and human services, renewed the emergency declaration on July 24, 2009, and then again on Oct. 1, 2009. On Oct. 24, 2009, Obama declared a national emergency that gave officials more resources to fight the pandemic.
 
This is an uninformed statement. I have managed many incidents that required activation of a DRP or BCP plan and this follows the pattern of all of them. They all start with upper management denial, while the lower level people go to work on the job of prevention and start collecting enough data to convince management there’s a problem.

It’s very similar to what happened in swine flu under Obama and this is not a swipe at Obama. This is the way things are.

And as to people saying “we should have been prepared “, they’re equally uninformed. You cannot possibly create a test and a vaccine for a virus you’ve not seen. You plan for the eventualities you can anticipate, but you never have enough money to invest in them all.

If we had begun shutting down the country before the data said it was necessary there would have been zero cooperation from the American people. Just cutting off travel from China was called racist because the full impact was not yet obvious. Just asking people to practice social distancing was resisted at first.

Next, Trump is going to give the ok to go back to work in a couple weeks for all but high risk people, while still practicing social distancing. People will still catch the virus and die. They would have died anyway because most of us will eventually be exposed, but that won’t matter. There will still be criticism that he did it too soon.
Great post!
 
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Tony, which hospitals did you run
I was the president and CEO at Major in Shelbyville for 15 years then I was the south region president for the Community Health Network for 7.5 years. That was a much bigger job - about 4x the responsibility I had a Major. None of us made anything close to what the head honchos made though. Interestingly, my colleagues at IU West and Franciscan Lafayette, which were almost identical in size and scope to Community South both made 2x what I made. I only say that so the socialists on here don't leap that I am some rich dude. I wish.... I reported to Jason Fahrlander and he reported to the boss, Bryan Mills. Even though Jason riffed me out, I had and still do have a good relationship with him. South was a $420 million (annual revenue {or "sales"}) when I left.
 
We have allies in Asia, such as South Korea and Japan, that have been testing since February. We provide them with millions/billions in defense - the least we could have done was ask about information on testing and the virus. This way, it would not have been unexpected as you say.

We have fought viruses for a hundred years and we already a playbook: masks, gloves, PPE, testing. It doesn't take a lot of planning to start buying these things in February - not millions at once, but at least start procuring them before they are needed. They also don't take up much room when folded and stacked. While they do have a shelf life, they are typically years, so long as they stay dry and sterile in their packaging. These are things used everyday in surgeries, and procedures and other communicable desease treatments. They would have been used eventually and not wasted.

The vaccine is a long way away. No doubt. But I don't think anyone is blaming anyone for not immediately having a vaccine.

First, let me remind you that it's March and we didn't realize it would be a potential problem for us, or the magnitude of the problem, until the end of January

We have been getting information from China, S. Korea and numerous other countries, since January. As I understand it, the WHO gave us 75,000 test kits in Feb/Mar, but they didn't pass FDA testing, because they gave too many false positives. Hence we developed our own tests. Developing good tests, manufacturing them in meaningful numbers and distributing them around the country doesn't happen overnight, yet, after two months, we have made millions of them and developed a new 5 minute test. Trump has had a lot of corporate leaders in the WH and he has gotten their commitment to put in extra effort to resolve this situation. They are producing equipment/supplies in record numbers now. It's hard to get ahead of a problem, before you realize it is a serious problem and have the ability to define the magnitude of the problem.

True, we have been fighting viruses for a long time, but this one is new and we are learning about it as we go. It's not like the annual flu virus, which allows us to modify previous vaccines to provide immunity. We're forging new ground here. Regarding our supplies, during the N1H1 virus, the Obama Administration depleted the Federal stockpile of equipment/supplies and failed to replenish it, which put us behind. I suspect it will be replenished, when we're done dealing with COVID-19.

True, these items are being used every day in surgeries, but they are not being rotated out of a Federal stockpile and being funneled to the private sector. If there is NO emergency/pandemic, the supplies sit in a warehouse somewhere. There is no convenient method of rotating those supplies out. Bureaucracy can be it's own biggest enemy.
 
What does your post have to do with Boilermadness not being aware of Trump touting his ratings and also implying healthcare professionals are stealing masks? That was the post that I was relying to with Trump’s exact words.
Boilermadness apparently didn’t believe these things happened so I provided the information directly from the horses mouth.

The only information I got from you was from the other end of the horse, which is the source of most of your information. If you care to check, another poster debunked your misinformation, so I didn't feel the need to do it.
Keep trying. You're bound to stumble on to something relevant yet. Unlikely, but keep trying anyway.
 
Yes, I believe someone at CDC, NIH contacted SKorea. But BoilerMadness said we didn't have a grasp on the scope/magnitude of the problem back then when SKorea was already aggressively testing. If he's right, then we didn't do our homework or didn't pay attention to what SKorea said.

The WHO is a joke. But once there was a global risk, even moderate, we should have started planning for the worst case scenario. Plan for the worst and hope for the best.

We weren't sure initially, whether it would impact us at all. NYT & WaPo wrote it off as another case of the flu and didn't take it seriously at first. As we learned more and found out how contagious it was, Trump cut off all passenger air traffic to/from China and was called a racist and xenophobic by the MSM.

In case you have forgotten, while all this was going on in Asia, Pelosi & Schiff had the President & Congress tied up dealing with a BS Impeachment. That was a bit of a distraction during January.
 
The only information I got from you was from the other end of the horse, which is the source of most of your information. If you care to check, another poster debunked your misinformation, so I didn't feel the need to do it.
Keep trying. You're bound to stumble on to something relevant yet. Unlikely, but keep trying anyway.
WTH are you talking about. No one refuted the information at all. Trump was touting his ratings and he also implied that healthcare professionals were stealing masks. You somehow didn’t know either thing and I provided the direct information from Trump himself. Are you slow?
 
These I hate Trump and he's stupid threads followed by, well, I think the opposite, are tiresome. I am guilty of it myself and am trying to refrain. I think both sides get that the other side is resolute in their respective feelings.

I have 32,000 shares.

So you're the one that drove it up to $3.50/share...LOL

It's amazing that there were over 28 Million shares traded today. It closed at just over $2.60

Dr. Marc Siegel was on Tucker Carlson's show tonight and mentioned Leronlimab and said that it was promising. That's encouraging on multiple levels.
 
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Update: FDA Issues Emergency Approval.

Sandoz (Novartis) donates 30 million doses and Bayer 1 million doses.

https://www.politico.com/news/2020/03/29/fda-emergency-authorization-anti-malaria-drug-155095

Of course being a Politico article you'll have to wade through all the anti-Trump political bullshit

Being anti trump is patriotism. You are the bullshit. Wake up little man. Trump should have done more to protect us from the slow moving virus in February. He was too busy giving China praises and sending them 17 tons of medical supplies. Not to mention downplaying what he knew was coming. But keep crying about the media and making bullshit excuses for your failed reality show leader
 
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Being anti trump is patriotism. You are the bullshit. Wake up little man. Trump should have done more to protect us from the slow moving virus in February. He was too busy giving China praises and sending them 17 tons of medical supplies. Not to mention downplaying what he knew was coming. But keep crying about the media and making bullshit excuses for your failed reality show leader[/
https://www.foxnews.com/media/usns-comfort-ny-rachel-maddow
https://www.foxnews.com/media/usns-comfort-ny-rachel-maddow

https://www.foxnews.com/media/usns-comfort-ny-rachel-maddow

T
hat lying media!
 
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