Texas response to Corona virus

[SnakeBoy]

What a head. At least your wife had it already though right?

Most likely. She had the Quest antibody test which was negative (same for me) but turns out it's so inaccurate she's not even ordering it for pts anymore. Basically she had a number of pts who she was sure had it back when their when they could not get tested and all of them had spouses who also got ill. In every case the Quest antibody test showed one spouse as positive and the other as negative even though they were both sick with the same illness at the same time.

So she was talking to SAHD about the antibody tests and how inaccurate they seemed to be (actually they called her about them) and she told them about my case (testing positive through the convalescent plasma study but negative with Quest). SAHD actually looked into it surprisingly and it turns out my initial antibody test with STBTC was actually done by http://www.xbiotech.com/ which they said is a far more sensitive and accurate test so we should believe that test and disregard the Quest one. Basically the commercial companies have just thrown together quick unproven antibody tests because there's money to be made. She also had that confirmed by an infectious disease doc who told her the same thing. He said he'll let her know when there's a worthwhile antibody test commercially available but until then there's really no reason to use them.

[SnakeBoy]

All health care facilities are suppose to provide a covid form before seeing patients. One of the questions:

-Have you had close contact with or cared for someone diagnosed with Covid19 within the last 14 days?

Yeah they have the protocols. He didn't mention it until he was in private with the doctor. Life in the real world.

[leemajors]

Most likely. She had the Quest antibody test which was negative (same for me) but turns out it's so inaccurate she's not even ordering it for pts anymore. Basically she had a number of pts who she was sure had it back when their when they could get tested and all of them had spouses who also got ill. In every case the Quest antibody test showed one spouse as positive and the other as negative even though they were both sick with the same illness at the same time.

So she was talking to SAHD about the antibody tests and how inaccurate they seemed to be (actually they called her about them) and she told them about my case (testing positive through the convalescent plasma study but negative with Quest). SAHD actually looked into it surprisingly and it turns out my initial antibody test with STBTC was actually done by http://www.xbiotech.com/ which they said is a far more sensitive and accurate test so we should believe that test and disregard the Quest one. Basically the commercial companies have just thrown together quick unproven antibody tests because there's money to be made. She also had that confirmed by an infectious disease doc who told her the same thing. He said he'll let her know when there's a worthwhile antibody test commercially available but until then there's really no reason to use them.

[baseline bum]

Most likely. She had the Quest antibody test which was negative (same for me) but turns out it's so inaccurate she's not even ordering it for pts anymore. Basically she had a number of pts who she was sure had it back when their when they could not get tested and all of them had spouses who also got ill. In every case the Quest antibody test showed one spouse as positive and the other as negative even though they were both sick with the same illness at the same time.

So she was talking to SAHD about the antibody tests and how inaccurate they seemed to be (actually they called her about them) and she told them about my case (testing positive through the convalescent plasma study but negative with Quest). SAHD actually looked into it surprisingly and it turns out my initial antibody test with STBTC was actually done by http://www.xbiotech.com/ which they said is a far more sensitive and accurate test so we should believe that test and disregard the Quest one. Basically the commercial companies have just thrown together quick unproven antibody tests because there's money to be made. She also had that confirmed by an infectious disease doc who told her the same thing. He said he'll let her know when there's a worthwhile antibody test commercially available but until then there's really no reason to use them.

Do you know if the antibody testing done by New York and LA County were using the more accurate test you got? Or the horse cash grabs? I just ask since those showed ~20-25% estimated infection rate in NYC and ~5% infection rate in LA County about a month and a half or so ago if I remember right. Wondering if those numbers should be considered worth anything or if it's more accurate to say we have never had a ing clue how much this has spread anywhere in the US. If those NYC numbers were correct I think they led to an estimate of around 0.4% to 0.5% fatality rate from people who get it which is a of a lot better than the early days when only Korea was testing much and the fatality rate looked more like 0.7% to 1.0%.

[RandomGuy]

Most likely. She had the Quest antibody test which was negative (same for me) but turns out it's so inaccurate she's not even ordering it for pts anymore. Basically she had a number of pts who she was sure had it back when their when they could not get tested and all of them had spouses who also got ill. In every case the Quest antibody test showed one spouse as positive and the other as negative even though they were both sick with the same illness at the same time.

So she was talking to SAHD about the antibody tests and how inaccurate they seemed to be (actually they called her about them) and she told them about my case (testing positive through the convalescent plasma study but negative with Quest). SAHD actually looked into it surprisingly and it turns out my initial antibody test with STBTC was actually done by http://www.xbiotech.com/ which they said is a far more sensitive and accurate test so we should believe that test and disregard the Quest one. Basically the commercial companies have just thrown together quick unproven antibody tests because there's money to be made. She also had that confirmed by an infectious disease doc who told her the same thing. He said he'll let her know when there's a worthwhile antibody test commercially available but until then there's really no reason to use them.

Seems to jibe with what I have read somewhere, i.e. the antibody tests are worthless.

[tholdren]

And even though you didn't test positive you had a symptom. You get counted as positive!!! e!!!

Didn't you say there was 1 bed left in america?

[RandomGuy]

Available hospital beds yesterday 1572 in San Antonio

Confirmed covid patients in texas hospitals yesterday 2166

Link to either stat?

The most recent utilization report I could find listed for 2016 showed 5396 total beds for Bexar county, with 64.5% occupied. 1917 beds four years ago, likely before a few were scaled back due to closures or consolidations, or even just more utilization for existing due to population growth.
https://www.dshs.state.tx.us/chs/hosp/Utilization16.xls (line 60, H60 *O60)

Those 1917 beds include ALL beds of every kind, i.e. maternity etc, and is probably a bit lower in 2020. You can't really count a maternity ward bed as being "available" for a covid patient who needs a respirator, so you are probably looking at a pretty narrow slice of beds in the total that actually could be used appropriately. I doubt the "adult day-care" beds help either.

FWIW: here is the non-comprehensive list of bed types included in that total:
1. General medical-surgical care ......................(#Beds: )
2. Pediatric medical-surgical care .....................(#Beds: )
3. Obstetrics [Level of unit (1-3): ( )] ........(#Beds: )
4. Medical surgical intensive care .....................(#Beds: )
5. Cardiac intensive care .................................(#Beds: )
6. Neonatal intensive care ...............................(#Beds: )
7. Neonatal intermediate care ..........................(#Beds: )
8. Pediatric intensive care ...............................(#Beds: )
9. Burn care .................................................( #Beds: )
10. Other special care (specify: )(#Beds: )
11. Other intensive care (specify: ..........(#Beds: )
12. Physical rehabilitation .................................(#Beds: )
13. Alcoholism-drug abuse or dependency care ....(#Beds: )
14. Psychiatric care .........................................(#Beds: )
15. Skilled nursing care ....................................(#Beds: )
16. Intermediate nursing care ............................(#Beds: )
17. Acute long-term care ..................................(#Beds: )
18. Other long- term care ................................(#Beds: )
19. Other care (specify: ) ............... .(#Beds: ( )
20. Adult day care program ................................................
21. Airborne infection isolation room (# rooms ) ..........
22. Alcoholism-drug abuse or dependency outpatient services .................................................. .........................
23. Alzheimer center............................................ ..............
24. Ambulance services.......................................... ............
25. Ambulatory surgery center ............................................
26. Arthritis treatment center .............................................
27. Assisted living .................................................. ...........
28. Auxiliary .................................................. ...................
29. Bariatric/weight control services ....................................
30. Birthing room/LDR room/LDRP room ..............................
31. Blood donor center .................................................. .....
32. Breast cancer screening/mammograms ..........................
33. Cardiology and cardiac surgery services
a. Adult cardiology services ..........................................
b. Pediatric cardiology services ......................................
c. Adult diagnostic catheterization .................................
d. Pediatric diagnostic catheterization ............................
e. Adult interventional cardiac catheterization .................
f. Pediatric interventional cardiac catheterization .............
g. Adult cardiac surgery ...............................................
h. Pediatric cardiac surgery ...........................................
i. Adult cardiac electrophysiology ...................................
j. Pediatric cardiac electrophysiology ..............................
k. Cardiac rehabilitation ...............................................
34. Case management .................................................. .....
35. Chaplaincy/pastoral care services ..................................
36. Chemotherapy .................................................. ...........
37. Children’s wellness program ..........................................
38. Chiropractic services .................................................. ..
39. Community outreach .................................................. ..
40. Complementary and alternative medicine services ...........
41. Computer assisted orthopedic surgery (CAOS) ...............
42. Crisis prevention .................................................. ........
43. Dental services .................................................. ..........
44. Emergency services
a. Emergency department ..............................................
b. Pediatric emergency department ................................
c. Satellite emergency department ..................................
e. Trauma center (certified) [Level of unit (1-4): ] .................................................. ......................
45. Enabling services .................................................. .......
46. Endoscopic services
a. Optical colonoscopy ..................................................
b Endoscopic ultrasound ...............................................
c. Ablation of Barrett’s eso us .................................
e. Endoscopic retrograde cholangiopancreatography (ERCP) .................................................. ...............................
47. Enrollment (insurance) assistance services .....................
48. Extracorporeal shock wave lithotripter (ESWL) ...........
49. Fertility clinic .................................................. ......
50. Fitness center .................................................. .....
51. Freestanding outpatient care center .........................
52. Geriatric services ..................................................
53. Health fair .................................................. ..........
54. Community health education ...................................
55. Genetic testing/counseling ......................................
56. Health screenings ..................................................
57. Health research.......................................... ...........
58. Hemodialysis… .................................................. .....
59. HIV/AIDS services ..................................................
60. Home health services ..............................................
61. Ho e program .................................................. ..
62. Hospital-based outpatient care center services ...........
63. Immunization program ............................................
64. Indigent care clinic .................................................
65. Linguistic/translation services..................................
66. Meals on wheels .................................................. ...
67. Mobile health services .............................................
68. Neurological services ..............................................
69. Nutrition program .................................................. .
70. Occupational health services ....................................
71. Oncology services.......................................... .........
72. Orthopedic services ................................................
73. Outpatient surgery .................................................
74. Pain management program ......................................
75. Palliative care program........................................... .
76. Palliative care inpatient unit .....................................
77. Patient controlled analgesia (PCA) ............................
78. Patient education center ..........................................
79. Patient representative services .................................
80. Physical rehabilitation services
a. Assistive technology center ........................................
b. Electrodiagnostic services ..........................................
c. Physical rehabilitation outpatient services .....................
d. Prosthetic and orthotic services ..................................
e. Robot-assisted walking therapy ..................................
f. Simulated rehabilitation environment ...........................
81. Primary care department…………………………………..
82. Psychiatric services:
a. Psychiatric child-adolescent services ........................
b. Psychiatric consultation-liaison services ....................
c. Psychiatric education services .................................
d. Psychiatric emergency services ...............................
e. Psychiatric geriatric services ...................................
f. Psychiatric outpatient services .................................
g. Psychiatric partial hospitalization program ................
h. Psychiatric residential treatment…………………………
83. Radiology, diagnostic:
a. CT scanner .................................................. ..............
b. Diagnostic radioisotope facility......................................
c. Electron beam computed tomography (EBCT) .................
d. Full-field digital mammography (FFDM) .........................
e. Magnetic resonance imaging (MRI)................................
f. Intraoperative magnetic resonance imaging ....................
g. Magnetoencephalography (MEG) ...................................
h. Multi-slice spiral computed tomography (<64+ slice CT) .................................................. ..................
i. Multi-slice spiral computed tomography (64+ slice CT) .................................................. ..........................
j. Positron emission tomography (PET) ..............................
k. Positron emission tomography/CT (PET/CT) ...................
l. Single photon emission computerized tomography SPECT) .................................................. ...
m. Ultrasound .................................................. ..............
84. Radiology, therapeutic
a. Image-guided radiation therapy (IGRT) ............................
b. Intensity-modulated radiation therapy (IMRT) ...................
c. Proton beam therapy .................................................. ...
d. Shaped beam radiation system .......................................
e. Stereotactic radiosurgery ...............................................
85. Retirement housing .................................................. .......
86. Robotic surgery .................................................. ............
87. Rural health clinic .................................................. .........
88. Sleep center .................................................. .................
89. Social work services .................................................. ......
90. Sports medicine .................................................. ...........
91. Support groups .................................................. ............
92. Swing bed services .................................................. .......
93. Teen outreach services ................................................
Remainder here at the data call definition sheet (PDF):
https://dshs.texas.gov/chs/hosp/Forms/AHA16.pdf

So unless you have some specific data on which beds might be useful, talking about total beds is kind of ed. My guess is that the news source showing a small number of beds probably has that specific data.




If that is your figure, you think that "sports medicine" beds are going to save people who need ICU beds and ventilators? maybe Full-field digital mammography beds?

Do tell. How many of your total are actually going to be useful here. Bull has been called.

[RandomGuy]

Lol you.




Lol "gossip"

Now I understand why so many people have you on ignore. You're an idiot.

Eyup. Almost incoherent at this point. Dude is spluttering incomplete phrases like they mean anything or prove anything.

[tholdren]

Link to either stat?

Where I've told you every week you ask

https://txdshs.maps.arcgis.com/apps/...fe8b9640bcb4a7

Odd you think you're intelligent enough to do simple math but can't find data to do so. Oh yeah you just copy and paste media headlines. Hilarious

[tholdren]

Eyup. Almost incoherent at this point. Dude is spluttering incomplete phrases like they mean anything or prove anything.

You have no understanding of math. Bwahahaahhahahah 1 bed. Lolololol

[RandomGuy]

Where I've told you every week you ask

https://txdshs.maps.arcgis.com/apps/...fe8b9640bcb4a7

Odd you think you're intelligent enough to do simple math but can't find data to do so. Oh yeah you just copy and paste media headlines. Hilarious

That is the first time you have linked it after having been asked. Not my burden of proof to verify your assertions.

So we are getting somewhere.

Now use your words:

Available hospital beds yesterday 1572 in San Antonio

Confirmed covid patients in texas hospitals yesterday 2166

So what? Connect the dots geenyus.

[tholdren]

That is the first time you have linked it after having been asked. Not my burden of proof to verify your assertions.

So we are getting somewhere.

Now use your words:



So what? Connect the dots geenyus.

Lolololol you said there were not enough beds. First in nyc now in texas. Hilarious.

All because you gossip and can't do math. That's about it.

Now read up on the cdc report and tell me how its not 2x flu.


Lololololol

[SnakeBoy]

Do you know if the antibody testing done by New York and LA County were using the more accurate test you got? Or the horse cash grabs? I just ask since those showed ~20-25% estimated infection rate in NYC and ~5% infection rate in LA County about a month and a half or so ago if I remember right. Wondering if those numbers should be considered worth anything or if it's more accurate to say we have never had a ing clue how much this has spread anywhere in the US. If those NYC numbers were correct I think they led to an estimate of around 0.4% to 0.5% fatality rate from people who get it which is a of a lot better than the early days when only Korea was testing much and the fatality rate looked more like 0.7% to 1.0%.

As far as I know none of those tests are independently validated and approved. The cash grab is being done under FDA emergency use authorization. If you look at the comapny that did my test they are not in the testing business, they're in the antibody business. I'm guessing their testing is not practical for wide scale commercial use. Probably expensive and it took like 10 days to get results.

Annoying thing was I didn't know any of this when I went and got the Quest test until I got the results and saw the legal disclaimer under my results...

This test has not been reviewed by the FDA. Negative

results do not rule out SARS-CoV-2 infection particularly

in those who have been in contact with the virus.

Follow-up testing with a molecular diagnostic should be

considered to rule out infection in these individuals.

Results from antibody testing should not be used as the

sole basis to diagnose or exclude SARS-CoV-2 infection

or to inform infection status. Positive results could

also be due to past or present infection with

non-SARS-CoV-2 coronavirus strains, such as coronavirus

HKU1, NL63, OC43, or 229E. This test is not to be used

for the screening of donated blood.

[RandomGuy]

Lolololol you said there were not enough beds. First in nyc now in texas. Hilarious.

All because you gossip and can't do math. That's about it.

Now read up on the cdc report and tell me how its not 2x flu.


Lololololol

Not really connecting the dots either. I didn't say "there weren't enough beds", those are your words not mine, sorry. If they were my words, you could post a quote.

So we have, as far as I can figure out from your semi-coherent spluttering:

Available hospital beds yesterday 1572 in San Antonio

Confirmed covid patients in texas hospitals yesterday 2166

The implied statement: We have more than enough beds, because the number of available total hospital beds of all kinds in San Antonio is roughly on par with the total covid patients in all of Texas yesterday.

To which I would ask, yet again:

How many of those total hospital beds of all kinds would actually be useful?
(edit)
https://dshs.texas.gov/chs/hosp/Forms/AHA16.pdf Data collection methodology counts "beds" as well over a hundred different kinds of slots in all hospitals.(end edit)

Maternity beds being the easiest example of the kind of bed that won't help a COVID patient, neither would a psych bed.

You don't know the answer to that either, otherwise you would post it.

So in the end, your implication is either inaccurate, or actively misleading and dishonest.

Did I miss something?

[SnakeBoy]

if it's more accurate to say we have never had a ing clue how much this has spread anywhere in the US.

That's probably the most accurate thing to say. Personally I think it is more widespread than we think just because of my own case but putting a number on it would be nothing more than a guess.

[RandomGuy]

https://txdshs.maps.arcgis.com/apps/...fe8b9640bcb4a7

So here we have something approaching a clue.

Available ICU Beds
1,626
Available Ventilators
5,626

ICU beds statewide being a much more directly applicable figure. Total hospitialized due to COVID exceeds that. Likely all patients don't need it, but we do appear to be bumping up against capacity restraints.

2326 currently in hospitals indeed, versus 1626 available ICU beds. Doubt every COVID patient needs an ICU slot, and respirators can make beds into appropriate care beds, assuming they can be staffed appropriately, which is not in evidence.

Just to get a back of the envelope calc:

2326 people
5626 respirators avail.

2326/7952=29% capacity.

Assuming all hospitalizations require ventilators, all ventilators can be staffed appropriately, and number of patients+number of ventilators comprise a rough baseline for capacity.

Seems like we are ok for now in terms of not straining capacity. Good.

[RandomGuy]

Wondering if those numbers should be considered worth anything or if it's more accurate to say we have never had a ing clue how much this has spread anywhere in the US.

Best guess as to fatality rates can get a good clue. .0025-.0066 is the total population average fatality rate, best guess.

meaning if you know the number of deaths, you can know the total number of people who would have to have had the disease to produce that number of deaths. i.e. deaths divided by .0045 or so will get you that figure.

You can compare that with the total number of confirmed cases through testing. We are catching about one in four to one in seven cases through testing by this metric. This will tell you how many have, and have HAD the disease, so that always includes recoveries.

[RandomGuy]

That's probably the most accurate thing to say. Personally I think it is more widespread than we think just because of my own case but putting a number on it would be nothing more than a guess.

See above. I can probably dig up the studies for the total fatality rates again, if needed. Data is kinda thin but close enough to get started.

I will say it is certainly more widespread, the only question is how much. If the death rate is fairly accurate, then about 4 to 7 times more widespread.

[Blake]

"Texas health authorities said there were 2,287 patients sickened with Covid-19 across its hospitals on Sunday, the sixth new high for coronavirus hospitalizations in the state in less than a week.

The new total is up from 2,242 patients on Saturday, according to updated data from the Texas Department of State Health Services. In the past week, Wednesday was the only day that Texas didn't set a new record for hospitalizations."

https://www.cnbc.com/2020/06/15/texa...lizations.html

[ChumpDumper]

"Texas health authorities said there were 2,287 patients sickened with Covid-19 across its hospitals on Sunday, the sixth new high for coronavirus hospitalizations in the state in less than a week.

The new total is up from 2,242 patients on Saturday, according to updated data from the Texas Department of State Health Services. In the past week, Wednesday was the only day that Texas didn't set a new record for hospitalizations."

https://www.cnbc.com/2020/06/15/texa...lizations.html

backlogs of patients

fake patients

fake numbers

it's the flu

math

science

I told you lololololololololol

[pgardn]

Our dear governor, Gregg Abbott, has learned that not listening to ins utional knowledge can be as lucrative as a tree falling on your legs and suing the owner of the property.

https://www.tpr.org/post/texas-295-m...tisan-eyebrows

https://www.houstonchronicle.com/new...e-15304385.php


https://www.houstonchronicle.com/pol...o-15321098.php

This idiot awards a contract to a private company because he has got rid of so much apolitical ins utional knowledge within his own health department. Perfectly inline with Trump. Hire bad managers, get awful spur of the moment inept private companies.

295 million dollar contract to a company that has not a clue what its doing and the head has faked a PHD.
Yeah Texas, hope it all works out.

chaos in leadership
every man for himself at ude

[DarrinS]

"Texas health authorities said there were 2,287 patients sickened with Covid-19 across its hospitals on Sunday, the sixth new high for coronavirus hospitalizations in the state in less than a week.

The new total is up from 2,242 patients on Saturday, according to updated data from the Texas Department of State Health Services. In the past week, Wednesday was the only day that Texas didn't set a new record for hospitalizations."

https://www.cnbc.com/2020/06/15/texa...lizations.html

Protest wave has arrived

[tholdren]

https://txdshs.maps.arcgis.com/apps/...fe8b9640bcb4a7

So here we have something approaching a clue.

Available ICU Beds
1,626
Available Ventilators
5,626

ICU beds statewide being a much more directly applicable figure. Total hospitialized due to COVID exceeds that. Likely all patients don't need it, but we do appear to be bumping up against capacity restraints.

2326 currently in hospitals indeed, versus 1626 available ICU beds. Doubt every COVID patient needs an ICU slot, and respirators can make beds into appropriate care beds, assuming they can be staffed appropriately, which is not in evidence.

Just to get a back of the envelope calc:

2326 people
5626 respirators avail.

2326/7952=29% capacity.

Assuming all hospitalizations require ventilators, all ventilators can be staffed appropriately, and number of patients+number of ventilators comprise a rough baseline for capacity.

Seems like we are ok for now in terms of not straining capacity. Good.

Beep beep beep. Backing up the truck. Lol quick list the beds. Lol youre math. Bwahahahahhahahahah

[ChumpDumper]

Protest wave has arrived

Meh, we're still not keeping track.

[SnakeBoy]

Pretty much. And the hard right doesn't help matters with their countless conspiracy theories and BS. They interviewed a nurse in NYC and he said he could not believe that he was actually having to explain to dying people that they were actually very sick and needed treatment. He said they heard on Fox news the virus is a hoax and still believed that even as they were rapidly deteriorating.

Sounds legit