Lazarus Long Profile picture
Nov 23, 2022 75 tweets 55 min read Read on X
Rolling down the West Coast.

WinCo, Beaverton, Oregon (suburb of Portland).

2.7% air is rebreathed. Insane in here. Insane to be in here.

MAYBE 3% in masks. Maybe.

Gobble, gobble. ImageImageImageImage
Cannon Beach, Oregon.

Insane NOT to be here.

495, and no one around. Suspect I have to recalibrate.

Wearing an N95. Because my face is FREEZING! ImageImage
Lots of folks having family, COVID safe Thanksgivings. At the beach. ImageImageImageImage
Shove towels under the door. Crank that window, and wait until the room is perfectly aranetted.

Which means to air out a room until it hits the outside CO2 ppm.

"I can't wait to aranet and crash "
"Do you want to argue about what kind of take-out until the room has aranetted?" Image
I waited until the crowd had left before getting take-out and eating outdoors.

Restaurant was crazy busy inside. And the air crazy free of COVID outside. ImageImage
Cannon Beach, Oregon as I get ready to head south.

Front door open on the marketplace, very few folks inside. Low CO2 ImageImageImage
Cannon Beach Gallery. Door open. Excellent C02. ImageImageImage
Rockaway Beach, Oregon.

Grumpy's Cafe & Bakery must have very bad ventilation, I assume, from the general grumpiness and skeletons.

And turkey in a bathtub, next to the skeleton dancing on a telephone pole like it's a stripper pole.

Strange things afoot.... ImageImage
Strange things afoot in Rockaway Beach, Oregon.

The towns people are a particularly surly lot.

Hustling to move out of this swirling CO2 Bermuda Triangle, a falcon with a fish, crosses over the road, affixing a baleful eye on me.

Go in peace, Falcon Man, go in peace. Image
They wait, hidden in the beauty.

For the unsuspecting. Image
Meg's Beachwood Bar & Cafe,
6425 Pacific Ave, Cloverdale, OR 97112

1000 ppm CO2 with just 2 bartenders, a lounge singer (playing piano in vid), and me in the 3MCool Flow Respirator.

Freezing, so sat next to the infrared quartz fake fireplace.

If it was propane? Easily could twitter.com/i/web/status/1…
have been the source of the CO2.

Both employees were flushed and tense when I went in, so suspect a yelling match.

Bonus:
One had the ole Covid cough.

COVID in a bar? Also called the Devil's Punch Bowl.

Which I also stopped by.

Now? Sprung for a motel with no shared HVAC. twitter.com/i/web/status/1… Image
Has own door, and I am running the bathroom nonstop to make sure that even if it shares a stack?

No backflow will happen. I used the old tissue check to confirm.

Some shots from along the way, below.

(Food from Meg's was amazing and I took it to go. The tots were dandy.) ImageImage
Newport Bay, Oregon. Stopped off at the Pirates Plunder, after seeing a beautiful marina and waterfront.

Antique malls typically have pretty bad ventilation. ImageImageImage
It got up to 1040...which is not bad for these places.

But my bigger concern would be the cramped aisles with the little cubbies. Those cubbies, like plexiglass, would act as little dead zones of concentrated aerosols.

Fun store - if you are in an N95 or better. ImageImageImageImage
Yaquina Lighthouse Interpretive Center, Newport, Oregon. Bathroom up to 900.

The rest? Someone has been upgrading the HVAC. Damn good, @BLMOregon. Wow.

They also had HEPAs everywhere They don't clean CO2, so those 500 readings are just amazing.

Wow. Just impressed. ImageImageImageImage
Tight trails, I thought, to see Quarry Cove, so had N95 on. Some yutz gave me the stink eye.

Gave it right back because I'm a member of the big ole boy club.

Jump in the car and random Longhauler conversation on NPR.

Affirmations and confirmations are out there. Clean air. twitter.com/i/web/status/1…
Sea Lions Cave Gift Shop, Florence, OR.

1241 CO2.

No one with masks on - a lot of Indians in here (I've off-shored off enough departments to India to recognize the language at least.).

Plexiglass surrounding the cashier's station.

Below is the Heceta Lighthouse. ImageImageImageImage
The sun set on the nice weather.

Camping out deep in the woods, using the app iOverlander amongst others to spot free camping if possible. ImageImageImageImage
Woke up to rain, which should see me out of Oregon. Very grateful for the two beautiful days I had.

Getting breakfast at Dishner's Fine Dining in North Bend.

Hit above 1000 ppm while waiting for my take-out Avocado, Bacon, and Cheese omelet.

The "Leaven No Trace" sign-funny. ImageImageImageImage
This Chinese CDC study on rock solid evidence of outdoor transmission is now effectively changing my behavior to be even more protective of my lungs.

Picture from yesterday. A tree's shape reminds me of lungs.

No time to search for a study to confirm, but I'm sure the shape of both is similar for functional reasons...thus evolutionarily optimal. Image
Empire Donuts & Dawgs. Coos Bay, Oregon...523 ppm CO2.

Had to stop because where else can you get a doughnut AND a hot dog?

Is this where their empire starts?

Doughnuts were pretty doggone good, I have to say. ImageImage
#NovidROADtrip-. Passing on CO2 measurements and airborne disease transmission prevention tips on a very practical level.

Walking the walk.

Reached Brookings, Oregon. Blue Coast Inn, just north of CA border.

Check in to motel room with no shared air? ✅

Preferably single ImageImageImageImage
story so no shared ventilation stack (bathroom fecal aerosol transmission)? ✅

While wearing N95, checked in and opened room up to vent out until CO2 matches outdoor CO2 and another 15 minutes to be sure? (I turn bathroom fan on to expedite the process.) ✅ 👇 ImageImageImageImage
Motel room has its own door? ✅

Ruminate on the fact that the ARANET4 CO2 monitor also reminds of us of how much CO20 is already in the atmosphere? ✅

Ponder how big insects and aliens will get again in the future as the Earth warms? (No, but a fun thought.) ImageImageImageImage
The #NovidROADtrip tour continues. Last interpretive center in Oregon before CA. Oregon's ventilation in these centers is top notch. In the 500s.... ImageImageImageImage
The #NovidROADtrip tour continues.

Checking out the Stout Grove, in the Jedidiah Smith Redwood State Park.

Trails get pretty narrow so wore my N95.

Taking lots of pictures, but scale is hard to show with these huge trees.

Turns out the N95 makes a fine scale tool. ImageImageImageImage
In this first pic below? Look up.

I have to confess that I was cracking myself up climbing all over these huge trees, and putting the N95. Donning protocol:

✅ Yellow straps could not be visible.
✅ Had to look at plausible as possible. (Hee hee ...so silly of me). ImageImageImageImage
The #NovidROADtrip tour continues.

Got soaked yesterday, so needed to hole up and do laundry. Cheap motels are booked as everyone else is in the same predicament.

So, this hotel - which is actually a motel with every room having it's own door. No corridor shared air! ImageImageImageImage
Complementary breakfast with excellent CO2. But I just do not like inhaling shared air while inhaling my complementary Chex, OJ (like drinking Caviar at its prices), biscuits and gravy. ImageImage
The #NovidROADtrip tour continues.

Hitting the Drury Chaney Groves trail. Trails are narrow.

Wind? None. 46 degree F.

Yep, wearing the ole @3M 8311, available at every @Lowes.

Walk past a few folks, felt their air.

Too cautious? I can't evade their aerosols as well ImageImage
as the latest variants can evade the vaccines (decreased efficiency), or evade ALL MAbs including bebtelovimab.

Every day delayed is a day closer to a cure for LongCoVid.

You get LongCoVid? It doesn't come with a Fast Car from Tracy Chapman.

It comes with.

Loneliness. Pain. Image
It comes with loneliness, because those with chronic diseases? Have a long history of being left.
At the Redwood Gifts Redcrest Resort, a 708 ppm CO2 does not seem bad. Till you realize that was just the owner and myself in there...and whomever was in there before I walked in. ImageImage
#NovidROADtrip- had a pleasant chat with a fellow traveller from Washington. Let's call her, Clara.

Clara, like most of America, is stuck climbing the Sisyphean hill that is the @CDCgov Confusion Hill

She is eating in restaurants, and thinks COVID is over.

She mourns the Image
loss of her COVID careful friends, and even the fact that most places in small town America continue to have shortened hours.

She can't go get a cocktail after work, anymore.

Of course, the real story? Her COVID careful friends know it's ongoing.

More Americans than not,
know it's ongoing. Thus the shortened hours? Caused by a lack of customers (staying at home), and employees (LongCoVid).

Know what businesses hate more than anything? Confusion.

Biden will be reaping what he has sown. And making cake from it.

One more thing Clara shared.

She lost her 63 year old best friend best friend on August 20th. He was hanging with her at her house and all of a sudden pitched to the right and over her deck's fence.

He landed on his neck, 12 feet down. Despite them doing CPR, he never Image
regained consciousness.

I gently asked if they thought he had a heart attack or cardiac event, and she softly said yes.

She is not COVID careful, so chances are this was a COVID event.

Fortunately, the @CDCgov is looking into this and will let us know if we should go out Image
of our way to avoid Covid.

These things take time since 2 years have come and gone since the CDC started looking into this.

They'll let us know, right?

They'll let Clara know, right? Image
#NovidROADTrip. Got a burger at a small casino near Point Arena Stornetta Nat. Monument (also camped in their parking lot, using iOverlander to find free spots).

Amazingly low CO2....but I never eat inside, so ate in the car. twitter.com/i/web/status/1… Image
This morning, down at the Pt. Arena Pier for breakfast. My first Avocado Toast! Anyone who makes fun of that should be mocked for at least 15 minutes.

As should those who mock us for being COVID Conservatives.

For in reality, do we not actually walk that damn walk? Image
We don't want to waste our money on hospitals.

We don't want to waste our lives being sick, when we could be spending them enjoying the outdoors. The hunter - the conservative.

The pic above - the fisherman? Conservative.

The farmer? Conservative. ImageImageImage
So, although the cafe was deserted with excellent CO2?

I still didn't know if the barista would suddenly cough (18 feet), sneeze (27 feet) - both which can be autonomic and out of our control.

Like a good COVID Conservative. And good things come - like a very happy random dog! ImageImageImageImage
#NovidRoadTrip. This will be controversial, but so be it.

I am in Bodega Bay,where Alfred Hitchcock shot part of "The Birds."

Obviously, only non-flying birds like emu's need be feared (disembowel you with one kick).

But other flying/floating things like aerosols ImageImage
can cause you horrendous GI issues.

Such as with COVID.

I always carry an N95 with me.

And yanked it on before I walked up to the people on the trail below. They gave me a look, but I'd rather get a look, than have them give me Covid. ImageImageImageImage
Point Reyes! Home of the Bovine Bakery and Palace Market with excellent CO2, and every single employee in KN95s - and a surprising KF94.

Also, a killer public phone booth, and a thrift shop with an awareness of ventilation?

No wonder Monica Gandhi is so comfortable advocating ImageImageImageImage
for demasking.

Marin County, like Newton, MA, has busted out the ventilation awareness.

Impressive...much like the National Monument, itself. As impressively beautiful as the fog in Sonoma County. ImageImageImage
The Point Reyes Visitor Center has low CO2, impressive air volume, and a HEPA, Medify Air MA-112.

Not a recommendation, but here it is:
medifyair.com/products/ma-112

As always, cleanairstars.com to make your air cleaning recommendations. ImageImageImageImage
At Sausalito, across the water from San Francisco, at Target, doing an informal survey.

2 out of 35 had any kind of face covering on.

Evidently, Covid stops at the Golden Gate Bridge.

(Just a little bit of snark, because just up the road at Point Reyes? Employees in respies.) Image
Every big city seems to have a Mission Street. Cruised up there and parked and just listened.

The coughs were impressively deep - and loud.

The well-to-do get infected less, but when they do, cough in the comfort of the home.

Same as it ever was....

#NovidRoadTrip - what makes this possible besides an ARANET4, N95S, N100s?

A 2007 Honda CRV with one rear seat removed and a small sleeping platform built-in. Top cargo carrier for things rarely accessed. Rear cargo carrier for cooking gear.

Reflectix blinds cut 4 windows. ImageImageImage
7 gallon water container for water.
Pop-up privacy shelter and pop-up toilet.
Cooking gear and a 7 day cooler.

Only stay at motels with outward-facing doors.

Because I am using the app iOverlander to find free camping spots? Gas and food are my primary costs.

If it is ImageImageImage
raining? Take-out!

Finally, the knowledge that #COVIDisAirborne - and the simple knowledge that comes from needed to travel safely.

(The picture below was fascinating to me to see such a deep crevasse lined with pampas grass.) Image
#NovidRoadTrip....Davenport Bluff yields an amazing tableau after walking along a skeeeeetchy "I'm gonna die, worth it cause beautiful" cliff path.

Across the street the bakery has amazingly low CO2. twitter.com/i/web/status/1… Image
After determining how many blue berry muffins and Chihuahuas are there?

484 on the ole CO2 Richter scale.

Why? Two front doors open, and the rear door open with the constant ocean breeze pushing air through the restaurant.

The ONLY employee with no mask on? The chef.... ImageImageImageImage
Which is ironic given that BY DESIGN, restaurants have air flowing from the front of the house to the back.

And cooks have some of the most Covid dangerous jobs.

And it does not have to be this way.

Hong Kong mandated 6 ACH for all restaurants.

King County in Washington had their Air Investigators hand out free HEPAs.

#NovidRoadTrip - While waiting to see if @Costco will make their pro-infection policy a little less @friendlycovid19, and a little more friendly to those of who are #immunocompromised or have #LongCovid.

I don't, but if you have it, getting Covid will

lay you out flat - again.

And hey...that's only 30% of the 100 million Americans, @Costco - but who's counting?

Anyway, tonight I'm in Santa Cruz.

Not really wanting to cook, so in my handy N95,I find Charlie Hong Kong.

With an order and pickup window. Outside ImageImageImage
(side-eye @Costco.....).lp

Before I got to Charlie's though?

$20 for a shower pass @24hourfitness.

I was there about 6:30 pm, so was expecting worse CO2 at 1017 ppm - when I first walked in, while holding my breath.

So, that 1.5% of the air being sucked in that humid locker ImageImageImage
room? Was air straight from others lungs.

Not mine.

N95? You damn well know it!

My lungs are a CoVid-free zone. And boom shock-a-locka comes the @readimask. The only N95 that I would trust with haircuts or showers.

It keeps my lungs as beautiful as the murals here! ImageImageImageImage
#NovidRoadTrip

@k_macC_ - thank you for the Gayle's Bakery recommendation in Santa Cruz!

The Ham & Cheese Croissant was amazing.

As was the lack of masking. Wow!

While the CO2 was low at 743, that will not matter with the near field aerosols.

There were so many people ImageImageImage
coming and going, there was no way I'd eat even on the cute benches outside.

The C02 in the attached tent structure? Worse than the building itself.

Now, that could be if that fire was propane..... ImageImage
At @Vervecoffee getting a cup of coffee before scooting down to Monterey to pick up an Amazon shipment.

Oof. 1272 ppm CO2 (2.2% of each breath just in your neighbors' Covid lungs) thanks to 50 people yolo'ing. (@k_macC_).

A shame. Two huge opposing doors could be open. ImageImageImageImage
#NovidRoadTrip

After a quick take-out "Bacado" omelet from Monterey's First Awakenings, where the CO2 hit 831 ppm, eaten down at the waterfront. twitter.com/i/web/status/1… Image
It was time for the Monterey Bay Aquarium.

This one I was in the GVS, P100. Because people get UP CLOSE in aquariums.

Did you know that turtles have ACE2? They were thought to maybe be an intermediate host.

pubs.acs.org/doi/full/10.10… Image
In November 2021, the Aquarium gave the sea otters vaccines.

thedailybeast.com/monterey-bay-a…

But the variants are now immunoevasive. When I watched the feeding, I did not see N95s - ahem @MontereyAq.

If you look at the CO2 inside at 710 ppm? Not bad, but not consistent. Image
A crowd of people had just been in this area...it went up to 2570, but I snapped the shot at 2013. Image
But the CO2 was all over the place.

As were the unmasked. And the sound of tiny coughs from some of the children, most of the toddlers and every single baby.

Hacking guys pushing in next to me, behind me, in front of me. ImageImageImage
Completely worth the $49.95.

Today.

But like their "Real-Cost Cafe" points out. That bluefish tuna is tasty today, but at what cost?

In the cafe, a CO2 ppm of 921, placed ironically by me above the hand sanitizer.

No sign asking people to mask up. Image
At what cost are we just letting Covid rip?

At what cost is the aquarium not requiring masks?

What are a few sea otters or sea turtles?

Just like people, we have more, right?

Right?
Best coffee in Monterey, CA is Captain Stoker per the Googs. Kudos to the partially opened garage door and front door to get that lovely sea air diluting.

636 CO2 ppm, but man, it was packed. ImageImageImageImage
Ugh. Turns out the owner is one of Panantir's Thiel's right-hand men.

My coffee just curdled.

montereycountyweekly.com/news/cover/for… ImageImage
#NovidRoadTrip

Big Sur Lodge - little store attached next to it had amazing ventilation 506 ppm CO2.

And a very interested, yet confused, cashier.

"That measures the same CO2 as with climate change?"

"Wait, why hasn't the CDC told us about reinfections are worse?"

"It's ImageImageImageImage

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More from @LazarusLong13

Nov 22
I am not a fan of nasal sprays to stop The 'Vid, but I respect you having it as a layer in the Swiss cheese package.

But, some people have said they got bloody noses.

While at the ER yesterday, I picked up a pretty good at home technique. Let our $1,000 lay-out
Image
save you money.

Use tongue depressors to make a nose pinch clamp.

Leave it on for 30 minutes. Still a problem? Two sprays of Afrin, and re-apply nose pinch clamp. Wait 30 minutes.

Still a problem? Cotton balls sprayed with Afrin, clamp, 30 minutes

aliem.com/trick-of-trade…Image
Image
Image
Afrin- in generic form is $3.32 at Walmart.

Also, put a ice compress at the back of the neck, while doing the above.

"Cooling the nape of the neck is said to induce reflex constriction of the mucosal vessels of the nose"

✅ I agree with the authors.

pubmed.ncbi.nlm.nih.gov/1568881/Image
Image
Read 6 tweets
Nov 13
A study demonstrated 100% PERFECT protection against SARS2 w/ readily available KF94s

✅ 181 HCWs
✅ 1 got SARS2 antibodies, but an epi investigation -> the infection happened elsewhere.
😡 The final checkpoint was March 2021. N95s only became freely available 1 month later
/1 FDA: N95 masks, now plentiful, should no longer be reused  By MARTHA MENDOZA and JULIET LINDERMAN  (Associated Press)  April 23, 2021 12:44 p.m.  Medical providers may soon return to using one medical N95 mask per patient, a practice that was suspended during the pandemic due to deadly supply shortages
What is described in the tweets
in the USA.

Korean study:
jkms.org/DOIx.php?id=10…

This is in comparison to a Swiss study during the same rough time-frame. A study which did NOT show the same excellent results, but dismal results. Why?

The Swiss had the same sort of fit testing,

pubmed.ncbi.nlm.nih.gov/35123572/ Results: We enrolled 3259 participants from nine healthcare institutions, whereof 716 (22%) preferentially used FFP2. Among these, 81/716 (11%) reported a SARS-CoV-2-positive swab, compared to 352/2543 (14%) surgical mask users; seroconversion was documented in 85/656 (13%) FFP2 and 426/2255 (19%) surgical mask users. Adjusted for baseline characteristics, COVID-19 exposure, and risk behaviour, FFP2 use was non-significantly associated with decreased risk for SARS-CoV-2-positive swab (adjusted hazard ratio [aHR] 0.8, 95% CI 0.6-1.0) and seroconversion (adjusted odds ratio [aOR] 0.7, 95% CI ...
PPE monitoring.

What was the big difference?

Are N95s/FFP2s inferior to KF94s?

No, it was supply - and other reasons.
Read 10 tweets
Nov 2
Thread of debunking the myth that "babies should not be masked."

A baby uninfected is better than a baby infected.

If you oppose masking babies, you are immediately for infecting babies.

Let's get to it. A most excellent instruction page on how to mask babies.  Suck it antimaskers.
This solves an equity problem.

Not everyone has the money or technical skill to build a baby buggy PAPR.

Just like not everyone has the money to buy an adult PAPR.

Are you for people on SNAP being able to protect their babies? Or not?

Most can rustle up the money to buy some uber cute baby masks!

This is the link from the baby zine.

These need to be fit tested.

Now, let's get into the good stuff. The "OMG Laz has gone too far! We've got him!"

You better bring your A game.

aliexpress.us/item/325680749…
Read 39 tweets
Oct 22
If you are Covid Aware you have probably been avoiding the dentist. Well, the dental studies have come to you.

This edition? #CovidAwareSoReducingDentalVisits - Water flossing (WF) edition.

Or, as I like to think of it, the Gum Salon.

Thread.
Flossing is necessary for those super tight contact points as you see in the above thread, and is great to remove plaque down 1 mm deep in the gum line (gently).

InterDental Brushes are fantastic and go down 2-3 mm into the gum line to remove plaque.

And WFs in general, are, well, amazing!!

They basically go back and forth with InterDental Brushes on which is better as far as being the top of the food chain for overall cleaning of the space between your teeth.

But.

If you have gum recession, you may have this Image
Read 19 tweets
Oct 9
I remember why I got going on this run of dental care threads.

I got a root canal, and then a cleaning. The hygienist told me that masks cause dental problems. I didn't say anything, but that's complete horse...puckies.

#CovidAwareSoReducing - Plaque/ Toothbrush edition.
It upset me, to be frank, and when I get fired up, I act. Since she is very nice, albeit uneducated on masking, I let it go - with her.

But I decided to figure out what I was doing wrong.
And it was everything.

I was brushing and flossing losing 1-2 microns of enamel
after brushing/ flossing, immediately after eating.

I was nursing sweet Monster/ Starbucks/ my own sweet coffee drinks ALL DAY LONG. A bubbling vat of acid in my mouth.

I was doing the Dr. Ellie Phillips system - but just missing the boat on the importance of replacing sugar
Read 27 tweets
Oct 8
#CovidAwareSoReducingDentalVisits - less mouth open = less 'vid risk.

I am a GREAT flosser. My family thought we had genetic gum disease.

Below we can see rubber stick on the left, floss on the right, and a InterDental Brush (IDB) in the middle.

See the problem?
/1 Image
A couple more example pics on why I am sick to my stomach thinking of all that money wasted.

We THOUGHT we had great dentists. Not a single one mentioned IDBs, and how the bristles allow all interdental spaces to be reached.

And it gets better!

/2 Image
Image
IDBs actually reach down in between the gum and teeth - 2-3 mm. Floss? Only 1-2 mm.

As plaque grows down into and touches your gums, that's what causes them to get inflamed - and begin to retreat (very simplified).

If you brush that space? Problem solved.

/3 Floss, Interdental Brushes, and Waterpics Use all of them - floss works great for those narrow spaces.  Interdental Brushes (IDB) work great in larger spaces.  Waterpics work great immediately after eating, as you want to wait for an hour eating acidic/sweet just like regular brushing.  It is a mistake to NOT IDB.  Multiple studies indicate IDB is good, including this RCT where IDB was better than flossing (free version - great how to brush) - with people with chronic periodontitis.  Students found IDB to be better.  But IDB is better than rubber picks is better than floss.  IDB way better ...
Read 25 tweets

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