reddoc

5 hours ago, pillred said:

Well deaths today (25th) less than half the previous day 41 against 87 let's hope we have seen the worst if so this could turn out to be not as bad as was predicted even only a couple of days ago. I'm keeping my fingers and toes crossed.

The number of deaths will ramp up over the next couple of weeks, not least because we will run out of ITU and hospital beds, and patients will be discharged early or possibly not even admitted depending on circumstances. Obviously we don't have the equipment, expertise or ability to act as quickly in primary care, so don't get your hopes up.

1 hour ago, Robin-hugh-blind said:

I get your sentiment, but I'm not wondering around. I'm at work. The government has allowed us to do this. 

And by not supporting the self employed to the same extent as everyone else, there making us make a very hard choice. 

Your point should be directed at the government. 'support the SE so they stop going out' or something like that. Not, 'pick who lives you monster'. 

We just want a fair crack, nothing more.

If No1 was getting paid to sit at home and they had the choice to work they would be if they had too.  End of.

Ok, I'll be fair, thanks for replying, I don't think you're the bad guy here, fully understand your dilemma, I've got friends/relatives in similar situations , jobs/business going under , it's a complete nightmare. I don't have an answer , the government are nowhere near having an answer and fair enough I've targeted you to make a point. I'd prefer to have a go at the weekends daytrippers but they're not posting on here.

Just begging people to listen to the advice (albeit ambiguous) we're being given, and if not just look at Italy/Spain/France to see what's coming . It's about to become very bad

11 hours ago, Robin-hugh-blind said:

I would be more than happy to stay at home. And I encourage any one that can to do so. 

However, if you were looking at not paying bills, mortgage or even having enough money to buy vital supplies im sure you would reluctantly go to work. 

The world is bigger than just you and your presentations. Other people are suffering tonight, perhaps think about others and the position there in ?

Hey this sounds like a fun game.

You carry on as normal , wandering round infecting people, and then you can pass them over to me to decide which ones live and which ones die.

Maybe at some point I could give you a list, let you chose, fancy that?

22 minutes ago, Maesknoll Red said:

It was a tongue in cheek end to the post, I genuinely have no idea what the consequences would or should be for breaking any lockdown imposed and how the authorities would carry that out.  Whilst North Korea probably would ensure people only offended the once, I wouldn’t expect that here, I haven’t seen any meaningful thoughts on this in any SM, except a lot of people saying we should be in lockdown, with no ideas of how it would operate.

My Mrs was one of the NHS (frontline) workers who was at Tesco yesterday, the flowers were a lovely touch, hard to believe that there were people there rushing the doors, they don’t deserve the care and efforts of the staff.

I don't know how it would work either, but that's neither of our problems. We should categorically be in lockdown as the scenes over the weekend demonstrate. Over the next 2-3 weeks people will start to see the consequences of their inexplicable failure to listen to what they're being told , and even if they understandably don't believe a word Boris says, they can see what's happening everywhere else can't they.

The NHS will be no more able to cope than the Italians or Spanish have. No health service is prepared for what we're about to encounter. Bleating on about government cuts etc completely misses the point. Even if we had twice the ICU capacity it still wouldn't be enough, and of course you then have the question of man power, which will diminish over time. As I mentioned in another thread we already have lost 3 members of staff last week from our surgery, 2 clinicians , and it's barely started yet.

Technically I retire in about 10 days, forgotten when it was gonna be, realistically I've delayed that for 3 months accepting it'll probably be 6. If it's to be believed we may get some proper protective gear this week, if not I'm trying to convince my wife to move out whilst the risk is relatively low.

Actually don't have the words to describe what I think of the people ignoring the advise given currently, but without doubt they as a collective are responsible for other people deaths. That's not a maybe it's a straightforward fact.

Currently at our surgery we have one young member of staff off work almost certainly with the virus, and our manager gone due to a family member in a similar situation. No deep cleaning whatever that is, as they have not been able to get a test and therefore can't confirm the diagnosis . I believe a neighbouring surgery is in a similar situation.

Today's update has confirmed the COVID Home Management Service will not be mobilised at a local level, suggesting they were not able to recruit enough idiots willing to do this job. Therefore responsibility has been handed back to the GP's or providers as we're affectionately known. As things stand we've been given about 6 of the masks that everyone knows don't work and a roll of clingfilm to protect ourselves with.

I've had a completely serious conversation with one of my partners this evening with regards to how accurately we'll be able to determine someone's need for admission over the phone on the basis of how distressed their breathing sounds, as quite frankly we're unwilling to assess these patients in person without suitable protection.

Either way I suspect many front line medics will be unavailable in the near future and my intent is not to alarm, but suggest you don't go down the pub this evening , visit the gym etc. Be as antisocial as possible.

Three points to make, firstly this is at a local level and may not represent all of you, secondly I'm very alarmed and thirdly the clingfilm was a joke , they were going to give it to us but Tesco had run out.

If there are any inaccuracies in this I apologise , but it is my understanding.

2 minutes ago, italian dave said:

Good luck, hope you get a positive response. We are all going to need people like you in the weeks to come.

Ludicrous position to be in though: someone, and at a lower level than the health minister, needs to just take the responsibility to make decisions that our outside the norm. 

Push comes to shove I'll do the appraisal, but it'll be imaginative as for obvious reasons I haven't bothered documenting anything I've done this year.

Reckon if I schedule it for the end of April, it's unlikely there will be anyone to do it anyway.

11 hours ago, Badger08 said:

Not a Boris fan by any means, but I actually thinks he's handling this situation pretty well. What else can the poor guy do?  Anyone blaming Boris for a pandemic virus is simply insane. 

Ok, I'll give a personal example of the government's failings currently. Not aimed particularly at Boris but I guess he's in it.

I'm a 58 yr local old GP of 29 yrs. Due to retire April 6th, but I've told the practice I'll come back and help when they need me, as inevitably clinicians are gonna start to get sick.

However this coincides with an appraisal I would have been due also in April, and I've been told categorically that if I don't sit down to discuss quality initiatives and personal development etc , they'll revoke my licence to practise. I've rang the GMC and they just repeat the same mantra.

Now I don't have an overwhelming desire to expose myself to this virus anymore than anyone else, but equally feel that this is what I do and I should try to help.

Local MP is running it by Hancock today, but there's a bit of me thinks **** it why bother.

11 minutes ago, IAmNick said:

The US are handling it awfully and will be one of the worst affected countries in my opinion. I'm certainly no fan of Boris Johnson or the Tories but I think we're actually doing the right thing so far.

They're waiting to implement a full lockdown as I understand it at it's a massive step and you can't do it for long - if you do it too early you lose the positive effect of it as after a while people get restless, break it, and it spreads worse than before. It has to be carefully timed to hit around the start of the peak as far as I'm aware, if you're going to do it.

The point isn't to stop new infections which is almost impossible, but to "flatten the curve" to spread infections out over a longer period so the services aren't hit as hard.

 A really interesting article about South Korea: https://www.scmp.com/week-asia/health-environment/article/3074469/coronavirus-south-korea-cuts-infection-rate-without their cases have fallen for 5 days straight now. 500 a day for the last 2 weeks, now down to 131. The test more than anywhere else (10k / day) for free in drive-thrus. 200k tests done, 7.5k cases, 54 deaths.

No lockdown as far as I'm aware there, but lots of people on their way in have to register and are monitored, people tested positive are tracked with mobile phone and credit card payment details to warn others who came in contact, masks on people in shops.

From the article:

 

That's interesting, thanks, although as with all the information we're being given , over a very short period of time. My concern is over a lack of consensus and the fact that we are desperately unprepared for a situation such as Italy finds itself in despite being given a couple of weeks notice. Things are about to get significantly worse and we currently do not seen to have any coherent strategy in place to deal with it. Or maybe I'm just not getting those emails.

16 minutes ago, Coxy27 said:

I won't go into massive detail, but you've ignored several things.

Population demographic, ability to and quality of testing, population density, reliability of data.

There's so many variables.

Listen to experts, not media or your own assumptions.

My concern here is our experts appear to know more than the experts in every other first world country. New York about to go into lock down. 

5 minutes ago, cider-manc said:

I thought Coronavirus is a group of viruses. Generally that causes respiratory tract infections.

COVID-19 is a coronavirus. As is SARS, swine flu and the common cold.

Either way Its actually annoyed me the way the media has kept calling it coronavirus as when the next one comes along lots of people are going to think it's the same one.

The stats on this particular one are worrying.

It's very sad. And sadly you are right.

Many will only begin to care when it effects them directly, either by a friend/family member becoming I'll or like you say financially.

The impact it could have on the nhs should also not be understated. Thousands more people showing up in need of urgent care to an already underfunded and overstretched service.

 

Yes that's something I'd fully agree with. 

2 hours ago, Super said:

168 deaths in past 24 hours in Italy.

I think you're right to be concerned. Along with a number of other figures coming out of Italy

1 hour ago, glos old boy said:

you are forgetting Brexit talks, those alledged nasty folk in Iran, North Korea, Russia and theres always the Goverment and the Royals to fall back on

I think we'll have much bigger concerns by then as will all the other countries you mention.

16 hours ago, glos old boy said:

media says bog rolls are being panic bought and shelves are empty, but please dont panic buy them; so everyone panic buys as to be not left without any. was the same for many other dont panic buy things including petrol etc.

You are right re winter flu/virus strains, meanwhile real killers like cancers hardly get a mention unless its someone important.

The media will turn its attention somewhere or to someone else in a few weeks.

 

In a few weeks there'll be little else to talk about

This has got to be Lansdown's defining moment . Sack Johnson and Captain Charisma takes over himself with half a dozen games to go, in an attempt to save us.

' OK lads big game today be nice if you could try and win it, but before we chat about that wanted to have a little talk about the future. Anyone here not got an ISA?.Tell me one at a time, who's started saving for a pension? Bryan, good man. Anyone else? '

Sorry I know it's bollocks, just don't know what to say tonight. 

I wasn't at the game, didn't listen on the radio, but saw a few highlights on Sky. Usually I blame Bobby Reid, but today I'm blaming Callum O'Dowda, Didn't have a touch in the 45 seconds I saw. Just pointless, don't think he was up for it.

10 minutes ago, RedSA said:

LJ just said Tammy's been ill for the past 3-4 days. 

Odd. Why start him then?

1 minute ago, formerly known as ivan said:

Yes I thought Freeman was the poorest out there tonight. 

And when chasing the game why take a striker off for a winger?

Can't argue your second point.

2 minutes ago, Cider_boy said:

I think we should be blaming Tammy. He was awful, and shows that he can't do anything at all against a half decent defender, he'll never cut it in the Prem, and will clearly never be the next big thing at Chelsea.

 

 

In fact, they may was well just let us keep him...

In fairness he probably did less than anyone else on the pitch. And would still have scored Reid's chance . As would a blow up Santa.

4 minutes ago, Shtanley said:

I didn't say he was shit lad. He should've started. He's been great recently and we certainly missed him in the middle of the pitch. 

No I'm aware of that, but unfortunately he was

2 minutes ago, formerly known as ivan said:

Pretty sure I didn't blame Freeman for the loss...?!

I said I thought he was poor and surprised he played the full 90

2 minutes ago, formerly known as ivan said:

Pretty sure I didn't blame Freeman for the loss...?!

I said I thought he was poor and surprised he played the full 90

As opposed to the rest of them? Personally thought Joe Bryan was shocking but we have a lot to choose from.

1 minute ago, Shtanley said:

I know we're all pissed off at the result but shit is harsh. He wasn't great but he actually made passes, crossed it and won tackles. I can't remember Paterson doing that once in the 55 apart from the feeble attempt. I think we should've started him.

Then he could have been **** for significantly longer, Loving your logic there

2 minutes ago, formerly known as ivan said:

Guess it's all about opinions. Thought Freeman was the worse player on the pitch.

Tammy always likely to pop up with a goal. O'Dowda should have replaced Freeman.

Ahh, the we lost blame it on Freeman bit. Guess you could have made use of Little. Someone else has. 

5 minutes ago, Rule The Waves said:

To repeat;

 

Little = shit

 

Tomlin = diving****

And scoring, and running what little we had of a midfield. 

3 minutes ago, Shtanley said:

Embarrassing performance. No control on the game and way too slow in their final third, Little was awful. Should've started Reid. Nice goal from Tomlin though. 

Why? He did nothing from the moment he came on. Except miss from a yard, Reckon the man he replaced might have got that one.

1 minute ago, LondonBristolian said:

Turns out they have.  This loser couldn't even manage to hit a post...  Thank Christ he's not playing for us!

 

 

Two of them then.Won't bother checking now