Stay home as much as possible. Arrange for someone to deliver groceries and other items you need. Ensure you have at least a two-week supply of medication on hand. When staying home, healthy visitors are fine – but visitors who have fever, cough, or sore throat should be turned away. Encourage phone calls and video chats instead. Wash your hands regularly, especially before eating or before touching your face. If you need to leave the house, minimize contact with other people and with common surfaces. Stay at least six feet away from others. Avoid touching shared surfaces like door handles, or counters. Use clothing or a paper towel instead of bare hands to open doors, for example. Wash hands or use hand sanitizer after touching any shared surfaces or objects. ”
回复 29楼花花朵朵的帖子 Preliminary understanding from the contact investigation is that this patient had minimal community exposure between returning from the cruise and arriving at the hospital by ambulance on Feb. 27. Contacts to this case include ten Kaiser Permanente healthcare workers and five emergency responders who were exposed prior to the patient being put in isolation, and are now in quarantine. They are not exhibiting symptoms but are being quarantined and monitored. Other cruise passengers may have also been exposed. Placer County Public Health is working closely with Sacramento County Public Health and the Centers for Disease Control and Prevention to identify and contact other cruise passengers.
这些过程看得气死人了 In between, the teacher spent several days last week in a classroom with children, THE CITY has learned — while the city Department of Education issued coronavirus precautions only for educators and students who’d traveled in China. The teacher sought a coronavirus test on Monday after contacting a state hotline, but reported being turned down by a doctor.
这些过程看得气死人了 In between, the teacher spent several days last week in a classroom with children, THE CITY has learned — while the city Department of Education issued coronavirus precautions only for educators and students who’d traveled in China.
The teacher sought a coronavirus test on Monday after contacting a state hotline, but reported being turned down by a doctor. Rubicon5 发表于 3/4/2020 5:24:28 PM
今天Reddit上的coronavirus版一堆医生做AMA，有一个对口罩的功效答复很好。意思说口罩分两类，外科口罩没什么效果，N95当然好了，但是要优先给医护人员用。我赞同把N95留给医护用，但是反感盲目宣传口罩无用论。N95口罩不够就直说啊，我觉得一般民众愿意把口罩给医护用的。 The question around masks is a very good one. The main thing to understand is that there are 2 main kinds of masks that people are referring to (the rectangular surgical masks) and the N95 respirator masks (the kind that healthcare workers get fit tested for.) They are not recommended for the general public because surgical masks don’t offer great protection, people often get a false sense of security when wearing them, and they may not do the things that will actually protect them most- like handwashing, not touching your face, eyes, nose. Also, wearing one throughout the day just means you are carrying around germs that you have picked up during the day. People also contaminate themselves when they remove the masks. The N95 masks are best left for healthcare providers who come into contact with high-risk respiratory infections at work, have been properly fit for these masks, and can dispose of them properly. It’s also important to know that these masks can be very uncomfortable to wear when you are wearing them properly. If healthcare workers do not have access to these masks on the frontlines, then they are at much higher risk than people in the general population. If you are sick with a respiratory infection or caring for someone that is sick, the masks can prevent droplets and “splash” that can less contamination of surfaces and exposure to others, but these are very specific situations. -Neha Pathak, MD
今天Reddit上的coronavirus版一堆医生做AMA，有一个对口罩的功效答复很好。意思说口罩分两类，外科口罩没什么效果，N95当然好了，但是要优先给医护人员用。我赞同把N95留给医护用，但是反感盲目宣传口罩无用论。N95口罩不够就直说啊，我觉得一般民众愿意把口罩给医护用的。 The question around masks is a very good one. The main thing to understand is that there are 2 main kinds of masks that people are referring to (the rectangular surgical masks) and the N95 respirator masks (the kind that healthcare workers get fit tested for.) They are not recommended for the general public because surgical masks don’t offer great protection, people often get a false sense of security when wearing them, and they may not do the things that will actually protect them most- like handwashing, not touching your face, eyes, nose. Also, wearing one throughout the day just means you are carrying around germs that you have picked up during the day. People also contaminate themselves when they remove the masks. The N95 masks are best left for healthcare providers who come into contact with high-risk respiratory infections at work, have been properly fit for these masks, and can dispose of them properly. It’s also important to know that these masks can be very uncomfortable to wear when you are wearing them properly. If healthcare workers do not have access to these masks on the frontlines, then they are at much higher risk than people in the general population. If you are sick with a respiratory infection or caring for someone that is sick, the masks can prevent droplets and “splash” that can less contamination of surfaces and exposure to others, but these are very specific situations. -Neha Pathak, MD
这些说到底都是支持性治疗，瑞德西韦也只能阻止病毒复制，对已有病毒没有作用的，还是要靠自身免疫扛。ECMO就更是支持肺功能了，杀病毒还得靠自身免疫力。这个很复杂的。免疫力太高又会有细胞因子风暴。
病人是否愿意是一方面，还有一方面是过度使用，医生怕啊，所以即使不必要的，也给上了。
洗肾是赚钱的项目，南京没停，很多地方也没停。非紧急手术全停了。
前面几层楼有人说的很明白了，国内这种医疗资源倾斜是把很多慢性病患者，比如癌症透析心脏病患者之类的手术agenda推后甚至不考虑才能做到的，这种资源倾斜是需要国家强力命令才可能执行的，美国的大政府模式很大可能不能命令医院做这种资源倾斜。尤其ECMO换肺这种高支出医疗手段，在中国政府一句话就免单了，美国这样的资本主义社会能轻易这样吗？这是高效的分配资源的方式吗？从社会总体来看这种资源分配公平吗？你只看到浅显的救不救，怎么救，也不看看这后面牵涉多深的体制还有理念的问题
无语啊，老人的命就不是命了吗？40多岁也成老人了？
国内的健康年轻人（比如说李文亮）不也有去世的吗？
没想到美国也和中国一样使劲down play病毒的危险性，这样短期或许能让社会继续运转，但是也大大增加了传染几率啊！
非常实际“
Stay home as much as possible. Arrange for someone to deliver groceries and other items you need. Ensure you have at least a two-week supply of medication on hand.
When staying home, healthy visitors are fine – but visitors who have fever, cough, or sore throat should be turned away. Encourage phone calls and video chats instead.
Wash your hands regularly, especially before eating or before touching your face.
If you need to leave the house, minimize contact with other people and with common surfaces. Stay at least six feet away from others. Avoid touching shared surfaces like door handles, or counters. Use clothing or a paper towel instead of bare hands to open doors, for example. Wash hands or use hand sanitizer after touching any shared surfaces or objects. ”
记得几年前这版上有个问题，一群小孩子在轨道上玩，一个在轨道一，几个在轨道二，一列火车在轨道二上，正在接近那群孩子，你离孩子很远没有办法把他们拽下来，或者告知，但是你在道岔边上，你是否扳道岔牺牲轨道一的孩子去救轨道二的？我不会。
我觉得美国应该请张文宏来传播经验。他英语又好，人也诚实，经验丰富。可惜呀，多半是不成的。。 。
昨天有个帖子说请浙江专家来华州，我说还不如请他呢。
脑残还双语了？这传播速度更广啊
国内停慢性病的一些诊疗还有个考虑是万一来了个新冠的话以这些人的基础病估计是团灭。所以尽最大的努力先扑了新冠。现在慢性病诊疗连武汉都在恢复了。得失两面看你怎么看了。
这些优先级的问题要到了医疗资源零界点才有讨论的意义。
美国目前最大的问题难道不是还远没有到医疗资源紧缺的时候，对新冠根本不重视吗？
不测也不隔离。
要真到了医疗临界点，也是人为造成的。
其实我觉得这医生是想让公众不带口罩，把口罩留给医护。可惜，靠撒谎可达不到目的😖😖
看了照片，美国农村不是很多这种肥胖大叔大妈么，办公室很多小米屁股大的能填满整个凳子。
是这样的，可是现在宣传口就是这么个口径，美国人都不信。 昨天看到个美国人说，公众戴口罩就有害，医生护戴口罩就保护。原来口罩知道戴它的是什么人啊。
前两天不是讨论贴里说了是个肥胖症本身心肺不好吗？
公众不需要带接触新冠病人的医护那种等级的。老百姓抢那种是没必要。工程用的n95，老百姓不抢，医护也不能用，老百姓抢了，也就是咳嗽病人没得用，咳嗽起来害人更多，外加做装修那些的人没法开工。
哈哈，都是又蠢又傲慢的土著
哈哈哈，这个要点赞
也不知道CDC是不是以为美国人都是傻子。其实直说口罩要优先医护人员，我觉得绝大部分人都可以理解也能执行。骗人就太低级了，LOW
是的，emco需要使用抗凝剂，我的医生朋友说emco的一个常见死法就是过量抗凝剂导致内出血死亡，说这个机器是一个危险的平衡不是有钱就能掌握的。当然她说这个的时候是在吹我大浙江顺便鄙视深圳时说的。。。。
https://www.epochtimes.com/gb/20/3/3/n11912062.htm
“ 心脏科权威魏峥3日于主动瓣膜置换手术记者会时说明，刘真应该属于“1A”最危险等级，若患者装上心室辅助器，其时效限制约只有1至3个月，3个月存活率约30%～40%。
据《三立新闻》报导，魏峥表示，刘真现在排队等待心脏移植的状况，器官捐赠前方还有一百多人等待，但她属于最危险等级，一般医师不会将刘真摆在一百人以后，器捐顺序会比较前面，但是刘真血型为O型，只能接受O型血，配对成功概率比较低，病况相当棘手。
魏峥说明，每一位病患的严重程度不同，装上心室辅助器等待换心的过渡期，可能会出现血栓，或是有脑部受损的状况，最久只能等三个月，而且做任何手术都会有风险，器官移植得判断病人状况是否清醒，也就是大脑神经功能没有问题，若一切状况正常，换心才会有用。”
著名的trolley problem. 复杂的道德哲学困境。无解。
张文宏也是浙江人。。。。
啊 我家娃afterschool老师去坐fl到Mexico cruise了
美国现在肯定不止几百人感染，几千人肯定有的。确诊人数不过是冰山一角。
昨天看到的新闻是说不是很好，上了微薄热搜了。
连吵的劲都没有，帖子看的瑟瑟发抖
我又不是说古人用籍贯称呼，我说在哪里抗疫啊，你不要这么调皮。
对，我昨天看到这个就觉得很可怕。希望别是在邮轮上感染的阿。
偶尔杠一杠有益身心健康。。。。我又想起我那个六十岁的同事问我说，不是说老年人才高危吗？怎么五十几那么年轻就死了？我说，所以你对老年人的定义是……他说，八十……
律师的朋友一家（不是开车送他去医院的邻居）？
夫妻2人+3个孩子
美国人要是知道这个underlying health condition还包括肥胖的话，可能就会紧张了
不是邻居。是另外一个朋友。
另外还有个从意大利回来的公立小学老师在等检测。
我美国同事反正不信政府。他是那种表面不在意，其实很小心的类型。哈哈。估计囤货了。
是啊，不知道这些人是不是大小脑变异了，现在不说政治正确了？ ！ 年纪大了，身体不好，就该死了？ 要不是CDC 给出的gp protocol, 和垃圾test kits， 怎么至于就一下死这么多？
感觉美国人的政治正确不包括不能歧视老人……都光明正大地歧视。
不知是北加最近的病例是不是和这个有关？
这个意大利回来的 说了很久了 ，还是不给测啊。白思豪就是这么控制疫情的，repect！
现在连流行病学追踪也没有，来源和去向都成谜。。。赶山谁算谁了只能。。。
他们觉得80可以直接去死了
救都犯不着救
今天新闻说是去追踪了，我就一直不明白最近加州的病例怎么来的，不知道过两天能不能有些信息，不过社区传播控制是不指望了
今天Reddit上的coronavirus版一堆医生做AMA，有一个对口罩的功效答复很好。意思说口罩分两类，外科口罩没什么效果，N95当然好了，但是要优先给医护人员用。我赞同把N95留给医护用，但是反感盲目宣传口罩无用论。N95口罩不够就直说啊，我觉得一般民众愿意把口罩给医护用的。
The question around masks is a very good one. The main thing to understand is that there are 2 main kinds of masks that people are referring to (the rectangular surgical masks) and the N95 respirator masks (the kind that healthcare workers get fit tested for.) They are not recommended for the general public because surgical masks don’t offer great protection, people often get a false sense of security when wearing them, and they may not do the things that will actually protect them most- like handwashing, not touching your face, eyes, nose. Also, wearing one throughout the day just means you are carrying around germs that you have picked up during the day. People also contaminate themselves when they remove the masks. The N95 masks are best left for healthcare providers who come into contact with high-risk respiratory infections at work, have been properly fit for these masks, and can dispose of them properly. It’s also important to know that these masks can be very uncomfortable to wear when you are wearing them properly. If healthcare workers do not have access to these masks on the frontlines, then they are at much higher risk than people in the general population. If you are sick with a respiratory infection or caring for someone that is sick, the masks can prevent droplets and “splash” that can less contamination of surfaces and exposure to others, but these are very specific situations. -Neha Pathak, MD
从看国内流调的一些报导我推测，有些不明来源的（当然不是全部），长得奇怪潜伏期的，擦肩而过传染的，是当事人不说实话或者，他也记不清了，做调查的人又必须交差。
我有点不理解这里面的逻辑。 普通人买的n95很多都是homedepot那种，就算大家不买医护人员也不会用吧？那既然没和医护人员抢口罩，n95又有效，普通大众戴当然还是有用的了，总比不戴强。那宣传大众不要戴口罩，唯一的可能原因就是口罩供应不足怕引起大众恐慌？
homedepot的是工人用的，鼓动起来买光了，你让那些工人怎么办？赶快提高口罩产量才是正解。
美国人很多会DNR，特别是已经去了养老院的。RIP
埃及。。。没能力测那么多。。。。伊这不是首楼说的tx么有kit测不了吗？别担心第三世界了，这有greatest people的第一强国都还没能力呢。
你都没看清我想要说的，就上来喷。我想说这个病就算几个大国控制住了，穷国没控制住，人口一流动，又全世界都是。没有一个尽头。
普通n95，同样也会和医用n95竞争原材料啊。
但日韩人口密集，美国相对稀松一些，可能没有那么多人感染