IntenseDebate - grolma

3 years ago @ http://www.conservativ... - Garvan Walshe: We can ... · 0 replies · +1 points

And an update
High dose viramin D doesn't change hospital stay or mortality
https://jamanetwork.com/journals/jama/fullarticle...

Im summary.
there is no currently no evidence that hydroxychloroquine , ivemectin or Vitamin D has a place in the treatment of Covid.

The sooner people stop going on about stuff that doesnt work, and focus their attention on stuff for which there is evidence the better for everyone

3 years ago @ http://www.conservativ... - Garvan Walshe: We can ... · 0 replies · +1 points

And if we are nit-picking ,
you cannot ( statistically) prove a negative .
So you cant say lockdowns 'dont work'

You can say they dont prevent 1/100 or 1/1000, or 1/10000 infections/hospitalisations/deaths .
But what about 1 in 1,000,000 I would ask. ?
Is a benefit of that size wirth the personal,social and economic cost ?
But thats a different discussion to a blanket, unthinking "It doesnt work "

Or perhaps they seem to have no measurable effect because our measurements arent sensitive enough, or we are measuring the wrong thing to assess effectiveness.

3 years ago @ http://www.conservativ... - Garvan Walshe: We can ... · 1 reply · +1 points

from the manufacturers themselves, Ivemectin is not indicated in Covid
https://www.merck.com/news/merck-statement-on-ive...

Heres a cochrane review on HCL. It doesn't help
https://www.cochrane.org/news/chloroquine-or-hydr...

Jury out on Vit D. At least its probably harmless . But its certainly not a magic bullet.

And the latest ICNARC data on ICU patients
>1/3 in the 50-69 age group. And most of those in the 50-64 agfe band wont have been in the extremely vulnerable vaccination priority groups.
https://twitter.com/ShaunLintern/status/136102587...

there is still a good way to go before secondary care can cope with this AND the usual demands.

In summary . there is NO indication for HCL or Ivermectin in the treatment of Sars-COV-2

3 years ago @ http://www.conservativ... - Sam Thurgood: The NHS ... · 0 replies · +1 points

I disagree.

NHS Management spends a lot of time and effort ( eg multiple daily sitreps --situation reports, filed centrally) pandering to some politicians' short term, badly thought out , half-ar**d idea on how things about which they know next to nothing of the detail, can be made better .

The scaling-up of covid-related infrastructure and services - green and red areas in hospitals, reconfiguring critical care facilities is a good example of what happens if the politicians butt out and let the people on the ground get on with it

3 years ago @ http://www.conservativ... - WATCH: PMQs - "I and t... · 0 replies · +1 points

I retired.they as advertised my post. No takers. The employer could haves gone to a recruitment guru or locum agency.

they asked me if I could return.some months I'm working fulltime.
So either they are desparate or im good value for money .certainly cheaper than the alternatives currently available.
I've put off the retirement stuff-writing a book,learning a language,taking up origami etc - until either I get fed up or they solve the staffing issue.
Its not me driving this as a scam .its the Trust finding a solution to their problem.

3 years ago @ http://www.conservativ... - WATCH: PMQs - "I and t... · 10 replies · +1 points

because of the taxation problems arising from pension contributions many doctors are retiring earlier than they might otherwise (me included) to avoid having to pay to continue working .

So you retire .
Recruiting a successor isn't successful, Speciality shortages all over the place, some parts of the country arent as attractive as others to live and work, for a number of perfectly valid reasons ( schools, spouses' job, family etc etc ).

So to keep the service going they ask you to take up your previous fulltime post.
And you get paid for it.

If there hadn't been the longstanding underfunding of training and necesary numbers it wouldn't be necessary and they would be able to fill the post with a younger ( cheaper) person.

Ive gone back working part-time basically filling in gaps that they couldnt recruit to . And i get paid for going to work

What do you want us retirees to do , work for free ?

3 years ago @ http://www.conservativ... - WATCH: PMQs - "I and t... · 12 replies · +1 points

can you give a breakdown of how you get to £160K as an NHS consultant so that I can see what I missed out on when i was working ?

And how I could have got to £150,000 pension ?

And where these returnees are earning £100,000 /yr. I'd like to join them !

( and i drove a Renault megane for 22 years that finally died at 125,000 miles. and have replaced with a 2nd hand Corsa. I've really missed a trick there , havent I)

3 years ago @ http://www.conservativ... - WATCH: The Government'... · 1 reply · +1 points

Instructed by whom?
Can you post/link to the evidence ?

3 years ago @ http://www.conservativ... - Though the vaccines ar... · 0 replies · +1 points

The staff getting infected through for picking it up within an ICU environment seems low. (But the working conditions are dreadful)

Possible reasons - all anecdotally im not a virology /ID expert by any means

- undoubtedly better treatments

- adequate PPE , and we are good through lots of practice at donning/doffing

- AGP isnt the problem people thought it was going to be ( possible - its interesting that pre-lockdowns, dentists weren't succumbing , perhaps because their routine PPE is good enough , or something odd/unpredictable about what constitutes significant AGP )

- by the time they get to ICU the patients' infective viral load isnt critically high , and the clinical problems are all cytokines and stuff

3 years ago @ http://www.conservativ... - Though the vaccines ar... · 2 replies · +1 points

thats about right for mechanical ventilation.

As the concerns about CPAP/HFNOT and spread of infection due to aerosol-generating procedures seems to be waning (???better PPE) , respiratory support can be offered outside an ICU ,depending on severity of illness, local capacity and local skillmix and experience. And if AGP is less of a concern it may be offered earlier in the course of the illness. We shall see if that has any effect on rates of mechanical ventilation and on mortality

This may ( or may not) help keep people out of ICU

(im more of a back-line clinician now than a frontline one)

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