Thread by @YossiGestetner

People are dying from Coronavirus in part because of panic policies at hospitals. Everyone in society is viewed as carrying it and will easily infects everyone and everyone will die. This keeps older staff and family companions out. The masses are also freaked out. As a result,

many people lean on the half-staffed health care system. Then because there are no companions, patients don’t get simple stuff such as water, food or help to sit up or go to the rest room. This plus being alone, ups anxiety, which leads to panic and to heart attacks. Pateints

who are on vents choke on their saliva but there is no companion there to alert the nurse; or there are not enough nurses or the nurses don’t have beepers/monitors to know to which patient to go first. If they do know, they waste time changing the gowns before going into rooms

(If therr are rooms) because we are behaving as if everyone in NY has Coronavirus; everyone can then infect everyone who merely breathes the same air and everyone will die. So as more people are left to die due to this neglect/understaffing/over hyped procedures at hospitals,

society becomes more animated about the deadliness of Coronavirus and are at each others throat about social distancing rather than fixing the problem at the hospitals which causes so many (if not most!) of the deaths. Too many people in media and in government go with the flow.

If the focus is now social distancing then that is what we will focus. If the focus is the known case count, apex, peak, flatting the curve bla bla bla, then this is what they will report and tweet. But folks. Snap out of the buzzwords and focus where the main problem is!

I am talking to family, staff, EMS and activists. This is where I am getting the above! Hospitals directly (not via NYS/NYC; that’s a bureaucracy) should welcome local medical staff such as BLS, ALS, NPs and RNs on a volunteer basis to serve in 5-6 hour shifts. They can help

patients with the “trivial” stuff (water etc) and in case of patients who are on respirators to monitor and alert staff. Do this and within days deaths will plunge while the parrots and idiots all around us will take it as proof that we flattened a buzzword; I mean the curve.

Think a moment how we went about Coronavirus a month ago: If you just breathed the air where an infected person was a few hours earlier, you were asked to stay put for 14 days. This suggests a VERY strong contagion level. Right? Fair. But this means the US sure has by now

many millions of cases due to the many people who for weeks failed to stay home or didn’t even know they need to stay home. Ok so what is the Case Fatality Rate when you have 10,000 deaths from 5 million cases? 0.2%.

But here is where society went haywire with the math:

The deaths were counted only relative to known cases; not assumed cases. So 10,000 deaths in the US among 300,000 known cases is a CFR of 3%. This is very high but 300K cases so long into an outbreak is not much for the US. But here is where the wire was twisted even more:

The thinking was ‘3% died? This is big. Imagine 3% of 10 million assumed cases will die! That’s 300,000 deaths!’

But this is flawed because it counts that we are only at 300K cases and millions of cases at the same time.

For clarity. We operate under the thinking that many

people have Coronavirus but we don’t have enough tests or many people do not have symptoms. Cool. So the US/world always has way more cases than the official count. Correct? Ok so why use the official case count to set the death rate (CFR)? Using both at once is a contradiction!

It is this contradictory math that has driven panic instead of smart/prudent policies and driven “models” the last 4-8 weeks on which I have sent dozens of tweets a day since early March explaining that they do not add up. But here we are. 10,000+ dead people in the USA in large

part due to the panic policies at hospitals. Then society uses these deaths as “proof” that panic, instead of prudent policies, is the way to go. It’s time for @realDonaldTrump @VP @Mike_Pence @NYGovCuomo and @GavinNewsom to notice this mess!

April 28, 2009 via @ABC: "Doctors battling swine flu must walk a tightrope between informing the world so people can protect themselves, and sending people to the hospitals with an anxiety attacks instead of the flu."

Talk of this balance is MIA now; thus stressing hospitals!

The above tak not to stress hospitals was early on when Swine flu had 60 deaths and 1K cases, a 6% death rate! No one knew then how bad it will be and a vaccine was months away, but spreading panic was not an option because this in itself leads to deaths! abcnews.go.com/Health/Coldand…

The bottom line: Fix hospitals by welcoming local medical volunteers and by giving companions some access. The current system has led to a stressing of the system and led to deaths. Spain lockedown March 14 at about 60 daily deaths. They are still above 500 daily!

If it takes 14 days to crush Covid-19, how is Spain still clocking 500 deaths a day THIRTY DAYS into their lockdown? Italy is above 600 daily deaths despite a FIVE week lockdown.

Why?

Answer:

Neglect at hospitals!

Neglect at hospitals!

Fix that and you fix the problem.

While @NYCMayor @BilldeBlasio and others are focused on NYC schools, hundreds are dying daily at NYC hospitals because there is no access to companions; places are understaffed and there are long procedures how to go from patient to patient. Fix this; deaths will plunge!

Crazy: For weeks we behaved as if everyone - literally - has Coronavirus and thus kept people out of hospitals. Now that people are saying “ok so this means a huge portion of the populatlion is immune so let’s open up,” the response is “No. Only 2-5 percent had Corona.”

Ok @ScottGottliebMD. If 2-5 percent of the US has Coronavirus, it is between 6.6 million and 16.5 million people. At 20,580 deaths, this is a Case Fatality Rate of 0.12% to 0.31%.

This is way lower than the 3.0%+ that people think it is (and implement policies as if it is 3%).

First Coronavirus case in the US was ID’ed on/about Jan 19. Lockdowns kicked in mid March. We were told that anyone who breathed the air of a Corona person may have gotten it and should stay home, yet in all those 8 weeks pre-lockdown (through now), only 2-5 % of the US has it?

GREAT (but not enough): @NYGovCuomo says hospitals must permit a support person for patients to whom it is “medically necessary” including for patients with I/DD. Patients should have 2 designated caregivers; only one can there at a time. Issue is who decides if it is necessary?

Here are the new guidelines from NY’s Health Department regarding a support person in hospital. Read carefully. It expands access to patients but much of it is still up to the discretion of hospital staff on a case by case basis.

opwdd.ny.gov/system/files/d…