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dogmom4

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  1. If she is a public school teacher she is likely getting paid.
  2. Nearly half of all patients at one Kaiser hospital believed to have coronavirus https://www.latimes.com/california/story/2020-03-25/suspected-or-confirmed-coronavirus-patients-fill-up
  3. We have lambs ears...although I hope we never get to that point.
  4. Welcome back SueC! Yep...MrsSurvival has always been the best thing out there...
  5. Today I’m actually going back to work (no kids...but will be social distancing in the classroom with my aide). We are now considered essential workers. Yesterday we had several hours of online meetings to figure out how to create some sort of educational system at the preschool level...we decided on creating a weekly packet of activities to be picked up by families when they come get their lunches the district is providing and teachers are going to do a circle on video (songs, stories, etc) for the children to view at home. This will be interesting...I have no problem doing all of this in front of 3 year olds...but for some reason the thought of doing this in front of a video camera....well just not thrilled.
  6. I let the animal shelter know that I’m not going in to volunteer for a while. Feels too risky for me to be going in even with all of the precautions they are taking. They are trying to get as many animals into foster homes with the thought that at some point volunteers won’t be able to go in at all. I’m waiting to hear if they need me to foster a dog. Stopped at Costco to pickup a food saver...and there was a line! Never seen that at my Costco before....and they had two Sheriff’s trucks outside. I decided to go the Target right by Costco to see if I could get one there cuz I did not want to stand in a line just to get inside. Well....Target was sold out of food savers...none to be found. Unbelievable. So I went back to Costco and got myself in line. Turned out be a good thing. While I waited my 20 minutes a manager was walking up and down the line reassuring people and said there was a second truck that showed up with....guess what?! Toilet paper and paper towels! Lol! Serendipity..... I decided to some because oldest son hasn’t been able to stock up on anything because as a Lyft driver his income has dropped to almost zero in the past two weeks. He has applied to a bunches of stores who are looking for overnight stockers, is delivering for places like grub hub and also applied for a special driver task force Lyft is creating to give drivers a way to make money. i got an email from my district that they’ve decided we need to figure out how to create a way for our preschoolers to continue their education....so tomorrow we’ll have an online meeting to figure out how to get materials into the homes. The idea being teachers will create individual packets for the week for families to come pick up at the school site. And doing videos where we are reading stories/doing songs for the kids to view. This should be interesting.....
  7. My county just announced its first death....
  8. dogmom4

    Best Buy

    Many of the stores in my area are starting to do this...I think Michaels is either going to or has already started it. It’s a way to adapt instead of going out of business.
  9. Hi Deb! Good to see you back! Praying for you....
  10. So this morning I went into my classroom to get photographs of my children to create their end of the year books even though I might not get to see them again. Today was the last day to get into rooms before they start cleaning. I had planned to stay about an hour and get a few other things. While there my director and the secretary were in a meeting with higher ups...they came out and called the other teachers for our program (6 classrooms total). We were told there is a very high chance we aren’t coming back...since I’m retiring it was suggested that I clear my room because we might not be allowed back in until fall. Ended up spending 5 hours shutting down my room (would normally take several days). Had several moments as I realized I wasn’t going to be able to say good bye to my students (I was out sick the week before schools closed) and that I was pretty much walking away for the last time from my room I’ve worked in since 2001. Wasn’t the way I planned to go out. While I was cleaning out my director came and told us to take home any snack items, cleaning supplies and paper goods in our classrooms (per our assistant superintendent)...went home with a number of paper towels...soap...gloves...and more. And...while there we all got an alert that my county is doing a shelter in place as of midnight tonight. You could just see the stress level on everyone’s faces. One good thing...when I went out of work on March 5 I had a talk with the para who works with me and the young teacher in the classroom next to me and gave some suggestions about stocking up and why. Today the young teacher said thank you for the advice...she had called her sister right after I left and told her to go to the store. Her sister gave her a hard time and said she was overreacting...but she went anyways. This teacher said her family would have been without so many of the things you can’t get now if they hadn’t shopped back then. It has really opened her eyes. Hubby and I did one last shop...Costco was almost empty...of people and many of the things people needed. I’m exhausted.......
  11. https://apnews.com/a342998638cdccb56172a1663e8d6edf San Francisco Bay Area counties issue shelter-in-place order for 7 counties.
  12. This is what my local Costco looked like this morning. The crowds have thinned out since Thursday I think because a lot of stuff isn’t available. As I was going in the door person kept saying they had no paper goods or water at all...and several people just put their carts back. Schools are closed until April 12...now California is calling for bars and clubs to be closed and restaurants to operate at 50% capacity to allow for social distancing. My 85 year old mom lives in a big seniors residence and today they have said no visitation all...all residents are to stay in their rooms and all meals are being delivered to their rooms.
  13. Hi Pixie! Yes I remember you! Welcome back!
  14. Jeepers, I’m getting all ebooks for now.
  15. Yep. Even got one from the library and the movie theater.
  16. So my district has decided to close our schools until April 12. Lot of panicked people in my area.
  17. Yes I read about the possibility of it coming back a second time. Scary. I just saw a work email pop up saying my district is having an emergency school board meeting at 9am. Hoping they make the right choice and close things down. I just heard that two more teachers are out sick at a different school.
  18. So, I started feel sick after work last Thursday. We’ve had lots of fever and cough rolling through our center for weeks. I can pretty much pin point the child who coughed right in my face and I wasn’t fast enough to turn away. Started out with fever and extreme tiredness that came on very fast. By Friday morning the coughing started...I have asthma so I started using my long term inhaler as well as my emergency one. Didn’t help. This is the kind of coughing where you’re gasping for air. Kaiser did not want want me coming in...follow flu protocols. I did. The fever started going away by late Saturday but I woke up Sunday morning having a coughing fit where i had this momentary feeling of drowning because I was trying to cough up liquid but couldn’t get it up. Used my emergency inhaler and did deep breathing to calm down. Got a phone appointment to get put on steroids...which have helped. I’ve been home from work all week and was planning to go back tomorrow but because of new county regulations I cant go back until I’m symptom free for 72 hours. Still coughing. I sat in on a staff meeting today via conference call and learned there is another teacher out and two paras out sick as well...as well as multiple children...all same symptoms....and no one is getting tested because the one way to get tested in California is pretty much to be on your death bed. Our district has decided to keep schools open but cancel events....I think it’s a stupid choice because if the older staff starts getting sick...who’s going to run the schools? Right now my focus is on getting better...if it was the Covid virus (Or not)it was hard and fast...and I’m still very tired...and I know my lung capacity is not back to what it was.
  19. This was at panel at University of California San Francisco. Very disheartening to read. If this is for real we are in for some major difficulties. Notes from UCSF Expert panel - March 10 Published on March 12, 2020 Dr. Jordan Shlain, M.D.Follow Like66 Comment5 Share0 University of California, San Francisco BioHub Panel on COVID-19 March 10, 2020 Panelists Joe DeRisi: UCSF’s top infectious disease researcher. Co-president of ChanZuckerberg BioHub (a JV involving UCSF / Berkeley / Stanford). Co-inventor of the chip used in SARS epidemic. Emily Crawford: COVID task force director. Focused on diagnostics Cristina Tato: Rapid Response Director. Immunologist. Patrick Ayescue: Leading outbreak response and surveillance. Epidemiologist. Chaz Langelier: UCSF Infectious Disease doc What’s below are essentially direct quotes from the panelists. I bracketed the few things that are not quotes. Top takeaways At this point, we are past containment. Containment is basically futile. Our containment efforts won’t reduce the number who get infected in the US. Now we’re just trying to slow the spread, to help healthcare providers deal with the demand peak. In other words, the goal of containment is to "flatten the curve", to lower the peak of the surge of demand that will hit healthcare providers. And to buy time, in hopes a drug can be developed. How many in the community already have the virus? No one knows. We are moving from containment to care. We in the US are currently where at where Italy was a week ago. We see nothing to say we will be substantially different. 40-70% of the US population will be infected over the next 12-18 months. After that level you can start to get herd immunity. Unlike flu this is entirely novel to humans, so there is no latent immunity in the global population. [We used their numbers to work out a guesstimate of deaths— indicating about 1.5 million Americans may die. The panelists did not disagree with our estimate. This compares to seasonal flu’s average of 50K Americans per year. Assume 50% of US population, that’s 160M people infected. With 1% mortality rate that's 1.6M Americans die over the next 12-18 months.] The fatality rate is in the range of 10X flu. This assumes no drug is found effective and made available. The death rate varies hugely by age. Over age 80 the mortality rate could be 10-15%. [See chart by age Signe found online, attached at bottom.] Don’t know whether COVID-19 is seasonal but if is and subsides over the summer, it is likely to roar back in fall as the 1918 flu did I can only tell you two things definitively. Definitively it’s going to get worse before it gets better. And we'll be dealing with this for the next year at least. Our lives are going to look different for the next year. What should we do now? What are you doing for your family? Appears one can be infectious before being symptomatic. We don’t know how infectious before symptomatic, but know that highest level of virus prevalence coincides with symptoms. We currently think folks are infectious 2 days before through 14 days after onset of symptoms (T-2 to T+14 onset). How long does the virus last? On surfaces, best guess is 4-20 hours depending on surface type (maybe a few days) but still no consensus on this The virus is very susceptible to common anti-bacterial cleaning agents: bleach, hydrogen peroxide, alcohol-based. Avoid concerts, movies, crowded places. We have cancelled business travel. Do the basic hygiene, eg hand washing and avoiding touching face. Stockpile your critical prescription medications. Many pharma supply chains run through China. Pharma companies usually hold 2-3 months of raw materials, so may run out given the disruption in China’s manufacturing. Pneumonia shot might be helpful. Not preventative of COVID-19, but reduces your chance of being weakened, which makes COVID-19 more dangerous. Get a flu shot next fall. Not preventative of COVID-19, but reduces your chance of being weakened, which makes COVID-19 more dangerous. We would say “Anyone over 60 stay at home unless it’s critical”. CDC toyed with idea of saying anyone over 60 not travel on commercial airlines. We at UCSF are moving our “at-risk” parents back from nursing homes, etc. to their own homes. Then are not letting them out of the house. The other members of the family are washing hands the moment they come in. Three routes of infection Hand to mouth / face Aerosol transmission Fecal oral route What if someone is sick? If someone gets sick, have them stay home and socially isolate. There is very little you can do at a hospital that you couldn’t do at home. Most cases are mild. But if they are old or have lung or cardio-vascular problems, read on. If someone gets quite sick who is old (70+) or with lung or cardio-vascular problems, take them to the ER. There is no accepted treatment for COVID-19. The hospital will give supportive care (eg IV fluids, oxygen) to help you stay alive while your body fights the disease. ie to prevent sepsis. If someone gets sick who is high risk (eg is both old and has lung/cardio-vascular problems), you can try to get them enrolled for “compassionate use" of Remdesivir, a drug that is in clinical trial at San Francisco General and UCSF, and in China. Need to find a doc there in order to ask to enroll. Remdesivir is an anti-viral from Gilead that showed effectiveness against MERS in primates and is being tried against COVID-19. If the trials succeed it might be available for next winter as production scales up far faster for drugs than for vaccines. [More I found online.] Why is the fatality rate much higher for older adults? Your immune system declines past age 50 Fatality rate tracks closely with “co-morbidity”, ie the presence of other conditions that compromise the patient’s hearth, especially respiratory or cardio-vascular illness. These conditions are higher in older adults. Risk of pneumonia is higher in older adults. What about testing to know if someone has COVID-19? Bottom line, there is not enough testing capacity to be broadly useful. Here’s why. Currently, there is no way to determine what a person has other than a PCR test. No other test can yet distinguish "COVID-19 from flu or from the other dozen respiratory bugs that are circulating”. A Polymerase Chain Reaction (PCR) test can detect COVID-19’s RNA. However they still don’t have confidence in the test’s specificity, ie they don’t know the rate of false negatives. The PCR test requires kits with reagents and requires clinical labs to process the kits. While the kits are becoming available, the lab capacity is not growing. The leading clinical lab firms, Quest and Labcore have capacity to process 1000 kits per day. For the nation. Expanding processing capacity takes “time, space, and equipment.” And certification. ie it won’t happen soon. UCSF and UCBerkeley have donated their research labs to process kits. But each has capacity to process only 20-40 kits per day. And are not clinically certified. Novel test methods are on the horizon, but not here now and won’t be at any scale to be useful for the present danger. How well is society preparing for the impact? Local hospitals are adding capacity as we speak. UCSF’s Parnassus campus has erected “triage tents” in a parking lot. They have converted a ward to “negative pressure” which is needed to contain the virus. They are considering re-opening the shuttered Mt Zion facility. If COVID-19 affected children then we would be seeing mass departures of families from cities. But thankfully now we know that kids are not affected. School closures are one the biggest societal impacts. We need to be thoughtful before we close schools, especially elementary schools because of the knock-on effects. If elementary kids are not in school then some hospital staff can’t come to work, which decreases hospital capacity at a time of surging demand for hospital services. Public Health systems are prepared to deal with short-term outbreaks that last for weeks, like an outbreak of meningitis. They do not have the capacity to sustain for outbreaks that last for months. Other solutions will have to be found. What will we do to handle behavior changes that can last for months? Many employees will need to make accommodations for elderly parents and those with underlying conditions and immune-suppressed. Kids home due to school closures [Dr. DeRisi had to leave the meeting for a call with the governor’s office. When he returned we asked what the call covered.] The epidemiological models the state is using to track and trigger action. The state is planning at what point they will take certain actions. ie what will trigger an order to cease any gatherings of over 1000 people. Where do you find reliable news? The John Hopkins Center for Health Security site. Which posts daily updates. The site says you can sign up to receive a daily newsletter on COVID-19 by email. [I tried and the page times out due to high demand. After three more tries I was successful in registering for the newsletter.] The New York Times is good on scientific accuracy. Observations on China Unlike during SARS, China’s scientists are publishing openly and accurately on COVID-19. While China’s early reports on incidence were clearly low, that seems to trace to their data management systems being overwhelmed, not to any bad intent. Wuhan has 4.3 beds per thousand while US has 2.8 beds per thousand. Wuhan built 2 additional hospitals in 2 weeks. Even so, most patients were sent to gymnasiums to sleep on cots. Early on no one had info on COVID-19. So China reacted in a way unique modern history, except in wartime. Every few years there seems another: SARS, Ebola, MERS, H1N1, COVID-19. Growing strains of antibiotic resistant bacteria. Are we in the twilight of a century of medicine’s great triumph over infectious disease? "We’ve been in a back and forth battle against viruses for a million years." But it would sure help if every country would shut down their wet markets. As with many things, the worst impact of COVID-19 will likely be in the countries with the least resources, eg Africa. See article on Wired magazine on sequencing of virus from Cambodia
  20. https://news.yahoo.com/california-declares-state-emergency-contain-011556575.html
  21. I really worry about senior citizens residences...my moms place has been locked down because of the regular flu before...but it still spread because the workers were bringing meds and meals to the residents. I don’t know how that can helped. I’ve stocked her up with some easy to heat meals so she can say no to them bringing her food if she wants to...but I don’t have a fix for the giving her meds part. I remember you Happygirl! You’re a writer! I read Joys Journey and Joys Legacy a couple of times. Welcome back!
  22. People in my area are finally doing something...likely because of the UC student who is being quarantined. I was at Costco this morning at 9 when it opened to pick up some things....first thing I noticed was the young couple getting out with full masks with the small respirators on them. I saw them throughout the store with the shopping cart and a flatbed loaded with water, cleaning supplies, food, tp, etc. Also saw a couple of neighbors with hydrogen peroxide, rubbing alcohol and lots of shelf stable goods. Then the groups of Asian students with shopping carts full of cases of water bottles and shelf stable foods. By 9:30 the store was overflowing...much more than the usual Saturday crowd. I was trying to get a temporal thermometer and Costco ran out of them last week. Going to hit up some other stores to see if I can find one.
  23. Awww! That’s sad....but Lori should know we’d love her to come back.
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