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(CNN)   Old news: We need ventilators for COVID-19 patients. New horror: We need dialysis machines for COVID-19 patients   (cnn.com) divider line
    More: Scary, Nephrology, Thrombus, Kidney, Renal failure, Coagulation, Chronic kidney disease, Dialysis, last week  
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6228 clicks; posted to Main » on 18 Apr 2020 at 7:05 PM (21 weeks ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook



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2020-04-18 6:33:09 PM  
Well there goes remdesivir
 
2020-04-18 7:08:49 PM  
Don't worry, Donnie has the answer. You take the GM-built respirators and flip the shifter lever, and bam! they draw toxins instead of pushing air.
 
2020-04-18 7:13:07 PM  
They couldn't get the ventilators they needed.  What makes anyone think they're going to get extra dialysis equipment?  Trump's administration doesn't give a rat's ass if anyone lives or dies, and that goes double for New York.
 
2020-04-18 7:13:13 PM  

cretinbob: Well there goes remdesivir


I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish
 
2020-04-18 7:13:23 PM  
Well then. It sounds like the corona virus mutated. We are all gonna die.
 
2020-04-18 7:14:29 PM  
i.pinimg.comView Full Size
 
2020-04-18 7:15:04 PM  

nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish


Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....
 
2020-04-18 7:15:16 PM  
Are we sure this isn't Andromeda?
 
2020-04-18 7:15:59 PM  
FINALLY the USA's media is paying attention to the kidney damage done by  COVID.

From what Italy and China said, the kidney damage is permanent.

Think about that when people say they want to end the lockdown early. It's really the fault of journalists for making the risk seem like either death or full recovery.
 
2020-04-18 7:16:33 PM  
Ah, the joys of a new virus.

As soon as you get past the first thing thats killing everyone, something new pops up.

Once we get past the clotting issue, we'll see what the next stage is.
 
2020-04-18 7:16:54 PM  

iheartscotch: nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish

Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....


It always works on prime time TV.
 
2020-04-18 7:18:25 PM  
citrate anti coagulation w CRRT

keeps the filters clean, pretty high speed CRRT stuff.
 
2020-04-18 7:19:41 PM  

Captain Steroid: [i.pinimg.com image 497x891]


I always found it interesting that Dr. McCoy takes kidney-regenerating pills with him wherever he goes.
 
2020-04-18 7:21:09 PM  

ImpendingCynic: Don't worry, Donnie has the answer. You take the GM-built respirators and flip the shifter lever, and bam! they draw toxins instead of pushing air.


After my experiences with GM engineered things I'd rather not.  At least I was on the winning side of that lawsuit, I missed out on some good employment for a while because I was 8,000$ upside when their shiatty engine gave out.

Though maybe my family can get a good payout when the ventilator cramps put on me.
 
2020-04-18 7:21:45 PM  

Weatherkiss: Captain Steroid: [i.pinimg.com image 497x891]

I always found it interesting that Dr. McCoy takes kidney-regenerating pills with him wherever he goes.


I always thought of it as a 'good for whatever ails you' pill..  Think nanotech.  It goes in, figures out whats wrong, gets to work.
 
2020-04-18 7:21:54 PM  

Weatherkiss: Captain Steroid: [i.pinimg.com image 497x891]

I always found it interesting that Dr. McCoy takes kidney-regenerating pills with him wherever he goes.


I imagine that away missions mean drinking and eating all sorts of highly reactive local flora and fauna. Starfleet wouldn't function without some serious hepatic and renal regeneration tech.
 
2020-04-18 7:23:56 PM  

iheartscotch: nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish

Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....


They just expanded clinical trials to 3600 patients because of promising results in smaller trials / compassionate use cases.  It's better than that hydroxichloriquine shiat
 
2020-04-18 7:24:45 PM  
This virus HAS to have come from a bio-weapons lab! There's no way this thing could have developed THIS many ways to fark up a human all at the same time all on it's own via natural mutation.

At the rate things are going, this virus will develop the ability to pick locks and break into people's homes under isolation.
 
2020-04-18 7:25:03 PM  

GrogSmash: Weatherkiss: Captain Steroid: [i.pinimg.com image 497x891]

I always found it interesting that Dr. McCoy takes kidney-regenerating pills with him wherever he goes.

I always thought of it as a 'good for whatever ails you' pill..  Think nanotech.  It goes in, figures out whats wrong, gets to work.


This is a good answer.

Bennie Crabtree: Weatherkiss: Captain Steroid: [i.pinimg.com image 497x891]

I always found it interesting that Dr. McCoy takes kidney-regenerating pills with him wherever he goes.

I imagine that away missions mean drinking and eating all sorts of highly reactive local flora and fauna. Starfleet wouldn't function without some serious hepatic and renal regeneration tech.


This is a great answer.
 
2020-04-18 7:25:14 PM  
Good thing we have private industry to step up to the plate and do the right thing.

I'm sure Fresenius will absolutely do the right thing here.  No doubt in my mind they'll use their resources to HELP people.

Sure thing.

Pretty sure?

Nah, who am I kidding.

3.5 million in fines for data breaches (multiple)

231 million in fines for Foreign corrupt practices

574 million in false claims act violations (fake billing of medicare)

5 million for unclean/unsafe equipment operation

Those are just 4 of their many many fines.


https://violationtracker.goodjobsfirs​t​.org/parent/fresenius
 
2020-04-18 7:25:39 PM  

dkulprit: ImpendingCynic: Don't worry, Donnie has the answer. You take the GM-built respirators and flip the shifter lever, and bam! they draw toxins instead of pushing air.

After my experiences with GM engineered things I'd rather not.


That was sort of built into my comment. I left out the obvious follow up about it being a product that both sucks and blows.
 
2020-04-18 7:25:59 PM  

nitefallz: iheartscotch: nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish

Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....

They just expanded clinical trials to 3600 patients because of promising results in smaller trials / compassionate use cases.  It's better than that hydroxichloriquine shiat


Good.

And I would prefer a government sponsored, university research team working on drugs, than some corporate and compromised drug trials.
 
2020-04-18 7:26:35 PM  

AAAAGGGGHHHH: This virus HAS to have come from a bio-weapons lab! There's no way this thing could have developed THIS many ways to fark up a human all at the same time all on it's own via natural mutation.

At the rate things are going, this virus will develop the ability to pick locks and break into people's homes under isolation.


Soon

Fark user imageView Full Size
 
2020-04-18 7:27:19 PM  

iheartscotch: nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish

Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....


You don't actually know what compassionate care is, do you?
 
2020-04-18 7:27:26 PM  
This is bound to create all kinds of new jobs
.
,
in China
 
2020-04-18 7:27:43 PM  

AAAAGGGGHHHH: This virus HAS to have come from a bio-weapons lab! There's no way this thing could have developed THIS many ways to fark up a human all at the same time all on it's own via natural mutation.

At the rate things are going, this virus will develop the ability to pick locks and break into people's homes under isolation.


No, House's team does that.
 
2020-04-18 7:28:07 PM  

iheartscotch: nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish

Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....


And biologics don't work that way anyway, it's not like just combining a couple of APIs and acetaminophen falls out.
 
2020-04-18 7:28:56 PM  
I found this out on /pol/ a month ago.

Wait till you find out to your balls.

https://www.medrxiv.org/content/10.11​0​1/2020.02.12.20022418v1
 
2020-04-18 7:29:22 PM  

Smirky the Wonder Chimp: They couldn't get the ventilators they needed.


What ventilators did they need?

Cuomo ignored prior state government papers that said there was a shortage of ventilators for an emergency. He blew through hundreds of millions of dollars on other stupid shiat instead of buying recommended equipment, and THEN started biatching to Trump that they needed 30,000 ventilators.

His excessive projections turned out to be inaccurate. There wasn't a single person in New York denied a ventilator because there wasn't one.
 
2020-04-18 7:29:36 PM  

ranchguy: citrate anti coagulation w CRRT

keeps the filters clean, pretty high speed CRRT stuff.


Never mind folks, the problem is solved.  Medical professionals around the globe just need to call ranchguy.
 
2020-04-18 7:30:32 PM  

Bennie Crabtree: FINALLY the USA's media is paying attention to the kidney damage done by  COVID.

From what Italy and China said, the kidney damage is permanent.

Think about that when people say they want to end the lockdown early. It's really the fault of journalists for making the risk seem like either death or full recovery.


This seems like it would have been relevant to our interests sooner.
 
2020-04-18 7:31:57 PM  

ranchguy: citrate anti coagulation w CRRT

keeps the filters clean, pretty high speed CRRT stuff.


Bet no one on staff thought of that. You should give 'em a call soon as you finish your cheeseburgers.
 
2020-04-18 7:32:01 PM  

Bennie Crabtree: I imagine that away missions mean drinking and eating all sorts of highly reactive local flora and fauna. Starfleet wouldn't function without some serious hepatic and renal regeneration tech.


With any new planet colonized it's going to take a few tens of thousands of colonists to figure out which flora and fauna are safe to eat.
 
2020-04-18 7:32:51 PM  
Ah wonderful, it's mutated. I think this was one of the major concerns all along. Not that it wouldn't mutate, viruses tend to do that; but that it's doing it quickly.
 
2020-04-18 7:33:01 PM  

ImpendingCynic: dkulprit: ImpendingCynic: Don't worry, Donnie has the answer. You take the GM-built respirators and flip the shifter lever, and bam! they draw toxins instead of pushing air.

After my experiences with GM engineered things I'd rather not.

That was sort of built into my comment. I left out the obvious follow up about it being a product that both sucks and blows.


Lol, that's awesome
 
2020-04-18 7:34:55 PM  

AAAAGGGGHHHH: This virus HAS to have come from a bio-weapons lab! There's no way this thing could have developed THIS many ways to fark up a human all at the same time all on it's own via natural mutation.

At the rate things are going, this virus will develop the ability to pick locks and break into people's homes under isolation.


Nature has had millions of years to practice being a murderous asshole.  We humans are new to the game, comparatively.
 
2020-04-18 7:37:23 PM  

Abe Vigoda's Ghost: Ah wonderful, it's mutated. I think this was one of the major concerns all along. Not that it wouldn't mutate, viruses tend to do that; but that it's doing it quickly.



This is not a mutation.  The virus has caused this problem the whole time.  It is just under reported.  This is often a problem that you don't notice until you have had a COVID-19 patient on a ventilator long enough and you are keeping up your blood testing.   Italy and China both warned us of this as a late stage problem with the ventilated victims.  It is the main reason that most ventilated patients don't end up surviving.
 
2020-04-18 7:39:29 PM  

Smirky the Wonder Chimp: They couldn't get the ventilators they needed.  What makes anyone think they're going to get extra dialysis equipment?  Trump's administration doesn't give a rat's ass if anyone lives or dies, and that goes double for New York.


Where were the ventilator shortages?  I thought Cuomo said no patient perished due to lack of care, that they had what they neeed?  He was pretty positive about the administration's responsiveness just this week. Are you saying that happened?
 
2020-04-18 7:39:43 PM  

Richard Saunders: iheartscotch: nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish

Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....

You don't actually know what compassionate care is, do you?


Compassionate care exemptions doesn't fix the "unproven" statement they made.  There have been positive results for a test of 102 people, and that's great!  But if you look at the numbers the people who were going to walk away based on statistics walked away.  So it didn't appear to save anyone's life, it did appear to SHORTEN the length they needed intensive care.

But there were factors that could into anyone of those statistics.

It's looking good for expediting people's treatment, doesn't look like it's curing anyone, and it doesn't appear to save anyone's life.

We need more data.  It looks promising for helping people get out of the hospital sooner!  That's definitely a great thing.
 
2020-04-18 7:42:13 PM  

Abe Vigoda's Ghost: Ah wonderful, it's mutated. I think this was one of the major concerns all along. Not that it wouldn't mutate, viruses tend to do that; but that it's doing it quickly.


*sigh*

I'm outta here.

/Fark.com: where having an account supersedes medical education and experience
 
2020-04-18 7:44:38 PM  
This is the main reason I've been saying we don't actually need ventilators.  Ventilators are meant to be used once you have an effective treatment for a virus and you just need to buy the patient two days to administer the treatment and get viral load way down.   We have no treatment, and putting people on ventilators is just a practice our medical community has gotten into because we use it in other diseases.  At this point it is like ECMO.  People put on ECMO usually don't recover.
 
2020-04-18 7:45:47 PM  

Bennie Crabtree: FINALLY the USA's media is paying attention to the kidney damage done by  COVID.

From what Italy and China said, the kidney damage is permanent.

Think about that when people say they want to end the lockdown early. It's really the fault of journalists for making the risk seem like either death or full recovery.


Yep, it's not just the deaths. Imagine 10-20% of the population easily not being able to work ever again because they're now permanently disabled.

/at least we might finally get universal healthcare
//mainly because we'll have no choice but to nationalize it given the number of hospital bankruptcies coming.
 
2020-04-18 7:46:07 PM  

dkulprit: Richard Saunders: iheartscotch: nitefallz: cretinbob: Well there goes remdesivir

I don't think this would be a problem if the Gov just siezed control of Gilead and started mass production of this to treat people immediately after being admitted to the hospital.

/a guy can wish

Because we definitely need to use unproven treatments. That's definitely the thing that we need to do.....

You don't actually know what compassionate care is, do you?

Compassionate care exemptions doesn't fix the "unproven" statement they made.  There have been positive results for a test of 102 people, and that's great!  But if you look at the numbers the people who were going to walk away based on statistics walked away.  So it didn't appear to save anyone's life, it did appear to SHORTEN the length they needed intensive care.

But there were factors that could into anyone of those statistics.

It's looking good for expediting people's treatment, doesn't look like it's curing anyone, and it doesn't appear to save anyone's life.

We need more data.  It looks promising for helping people get out of the hospital sooner!  That's definitely a great thing.


Sometimes you do not have the luxury of time.

As noted in the aricle, "We are trying whatever we can,"
 
2020-04-18 7:46:28 PM  

GrinzGrimly: Smirky the Wonder Chimp: They couldn't get the ventilators they needed.  What makes anyone think they're going to get extra dialysis equipment?  Trump's administration doesn't give a rat's ass if anyone lives or dies, and that goes double for New York.

Where were the ventilator shortages?  I thought Cuomo said no patient perished due to lack of care, that they had what they neeed?  He was pretty positive about the administration's responsiveness just this week. Are you saying that happened?


https://www.beckershospitalreview.com​/​supply-chain/ventilators-in-critical-s​hortage-in-new-york-city-3-updates.htm​l

It's almost like a google search would tell someone with that question the answer.  You see, a shortage doesn't mean that the supply is already exhausted only.  It means that if you anticipate that you won't have the means to cover a NEED, and you are trying to gather the items to prevent that from happening but you know you can't readily get them--that's a shortage.  Gas shortage? Hell nah, my station still has gas in the pumps!  Also, there's oil in the ground, so we're not out of gas!  Water shortage?  There's water in the lake near my house and it's gonna rain sometime.  But hey, who's gonna let common sense get in the way of a conservative talking point.
 
2020-04-18 7:48:20 PM  

Weatherkiss: Captain Steroid: [i.pinimg.com image 497x891]

I always found it interesting that Dr. McCoy takes kidney-regenerating pills with him wherever he goes.


Yeah, you'd think after all those mint juleps he'd need liver pills.
 
2020-04-18 7:48:48 PM  

AAAAGGGGHHHH: This virus HAS to have come from a bio-weapons lab! There's no way this thing could have developed THIS many ways to fark up a human all at the same time all on it's own via natural mutation.

At the rate things are going, this virus will develop the ability to pick locks and break into people's homes under isolation.


farking up blood cells causes a lot of downstream trouble.
 
2020-04-18 7:48:53 PM  
Alright, I jokingly called this Andromeda Strain a time or two, but this is getting a little too close for comfort. We're living through a poorly-written horror movie, right down to the unbelievably poor response from political leaders.
 
2020-04-18 7:49:38 PM  

albuquerquehalsey: I found this out on /pol/ a month ago.

Wait till you find out to your balls.

https://www.medrxiv.org/content/10.110​1/2020.02.12.20022418v1


No one on pol tab has balls.
 
2020-04-18 7:50:44 PM  

AAAAGGGGHHHH: This virus HAS to have come from a bio-weapons lab! There's no way this thing could have developed THIS many ways to fark up a human all at the same time all on it's own via natural mutation.

At the rate things are going, this virus will develop the ability to pick locks and break into people's homes under isolation.


He warned you it was smart and vicious.
 
2020-04-18 7:51:46 PM  

dbaggins: This is the main reason I've been saying we don't actually need ventilators.  Ventilators are meant to be used once you have an effective treatment for a virus and you just need to buy the patient two days to administer the treatment and get viral load way down.   We have no treatment, and putting people on ventilators is just a practice our medical community has gotten into because we use it in other diseases.  At this point it is like ECMO.  People put on ECMO usually don't recover.


We are wayyyyy past needing to get used to the notion of triage and euthanasia.

But try saying _that_ to an entire culture based on "but saaaavvvve meeeeee!" and "but *my* [ premie | great grammie ] is Special and needs Every Heroic Effort (...and millions of dollars...)".

It's just gonna take a pandemic to make the point. Or _maybe_ make the point. It's already wayyy overdue to get started on thinking that way.
 
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