How bad will it get in the fall/Winter time?

Guest1142305 · Jul 16, 2020

On 7/15/2020 at 1:43 AM, NewRN'16 said:
For 300 million Americans , plus the rest of the world?
How ?

We don’t need to vaccinate everyone upfront. Triage it, start with the most vulnerable; the elderly and those with comorbidities. That will knock out the majority of the death toll. Also, every healthcare worker.

allnurses Guide · Jul 16, 2020

11 hours ago, DMQ48 said:
I think the results did say that everyone studied had produced enough antibodies to fully fight it, I was under the impression the next step was just to get a bigger sample size.

They didn't at all say "fully fight it". They said they all produced antibodies. There are many different kinds of antibodies. Not all do the same thing, mean the same thing and not all give long-term immunity.

There is nothing wrong with being hopeful. There is, though, a lot wrong with using words that give false impressions and misrepresent things. It is this push to just end this thing already that has gotten us in so much trouble and I personally struggle to be patient with that line of thinking because where we are now. We will be doing this through Christmas and that is a bare minimum. Probably longer.

The first phase of the study just means we have cause to continue to the next phase. It doesn't mean we are "almost out of the woods" so to speak. Not by a long shot. Many vaccines, drugs and treatments end in the third phase as a bust. More than go on to be utilized.

There were, I believe, 45 people. Now Phase II comes with 600 people. Again, guard against magical thinking. Real scientific study takes time more than anything else.

ladycody, BSN, RN · Jul 16, 2020

3 hours ago, damiorifice said:
We don’t need to vaccinate everyone upfront. Triage it, start with the most vulnerable; the elderly and those with comorbidities. That will knock out the majority of the death toll. Also, every healthcare worker.

That's exactly what is done during flu season in LTC and prisons....start with those at the highest risk....and is how I would expect a new vaccine to be distributed. Having said that... effectiveness is still unclear.

guest874748 · Jul 16, 2020

https://investors.modernatx.com/static-files/a5bb9310-810f-43d6-b404-6bfac8ed4457

"Neutralizing antibody titers were observed in 100% of evaluated participants"

allnurses Guide · Jul 16, 2020

4 hours ago, DMQ48 said:
https://investors.modernatx.com/static-files/a5bb9310-810f-43d6-b404-6bfac8ed4457
"Neutralizing antibody titers were observed in 100% of evaluated participants"

The definition of a neutralizing antibody titer is:

A neutralizing antibody (NAb) is an antibody that defends a cell from a pathogen or infectious particle by neutralizing any effect it has biologically. ... Immunity due to neutralizing antibodies is also known as sterilizing immunity, as the immune system eliminated the infectious particle before any infection took place.

This study also specifies that the titers are higher than those who actually had the disease itself. This is good news on both fronts without a doubt. It is also in 100% of those tested. Also good news. However, that is only 45 people and its only saying they MADE them. It doesn't say if they keep them nor for how long.

It is far, far too early to be waving the flag of victory and the way the general public is acting these days, we cannot afford to make it seem like a slam dunk. I am a skeptic with the opinion that science should propel forward based on worst case scenario, not best. I am glad it makes you feel better. It makes me cautiously hopeful but not enough so to make blanket statements.

guest874748 · Jul 16, 2020

...OK

toomuchbaloney · Jul 16, 2020

The larger point is that those promising vaccine trial results are not going to save us from the most brutal fall and Winter influenza season than any of us are ever likely to live through in this country.

allnurses Guide · Jul 16, 2020

So situation where I work today - our hospital is full. 100%, stacked up in the ER full. We could take more patients if we had more staff but as things stand we have had to block some beds because there isn’t enough staff to care for them. 25% of our total capacity is Covid. And we are six weeks from early flu season with the nation openly flouting masking and distancing.

Six. Weeks.

Workitinurfava, BSN, RN · Jul 17, 2020

We will deal with the coronavirus and the regular flu in the Fall, IDK.

weedrvbi · Jul 18, 2020

On 7/16/2020 at 4:51 AM, damiorifice said:
We don’t need to vaccinate everyone upfront. Triage it, start with the most vulnerable; the elderly and those with comorbidities. That will knock out the majority of the death toll. Also, every healthcare worker.

LOL. The Trump Administration just spent your SS, Medicare and that of the next two generations handing out TRILLIONS upon TRILLIONS of dollars to friends and private businesses to include *trillions* in vaccine development in inexperienced (with vaccine development) organizations.

I think it's really cute that you really think this Administration would suddenly be interested in public health and promoting seeking out the vulnerable , or, in other words, our poorest citizens who can't pay for it.

On 7/17/2020 at 12:09 AM, Workitinurfava said:
We will deal with the coronavirus and the regular flu in the Fall, IDK.

Yeah, sure. What is it now, about seven weeks away to the beginning of the flu season? And to think the first intelligence briefings were available in early January and almost 8 months later nothing at all has been done to prepare by the federal government other than the usual scapegoating and blame aversion.

NurseSpeedy, ADN, LPN, RN · Jul 19, 2020

On 7/14/2020 at 11:34 PM, NewRN'16 said:
And is there anything we can do.to prepare ourselves for what is to come??
Best case scenario, there will be a vaccine, however I highly doubt it we will have anything in the next few months.
Is there anything health care facilities can do to prepare? Extra ICU beds/Covid units? Stock up on PPE?
What about non work, stock up on food/water/necessities, and be ready to hunker down?
This doesn't look good to me at all. I am in FL and despite the warm weather the virus is spreading like wildfire. Our hospitals are overwhelmed at the moment. We have Covid units in SNF facilities. I can only imagine when the cold weather hits , and everyone will be inside most of the time, how bad it will get.
What are your thoughts?

I’m in FL too-I’ve begin to think of it as a hurricane-have supplies, have a plan, and get ready for some ugly times that may or may not happen-only COVID19 is a bit longer duration than a typical hurricane-and then with COVID19 there are sure to be delays in service- and with our luck we are in for one hell of a hurricane season before we get a whammy for Winter.

I may sound like a pessimist-but I’m a bit over this whole COVID19 crap- I was on hold for 4 hours to make sure my child’s only school application went through okay because my parent portal ID is still being verified-good lord you have my license, utility bills, and mortgage along with my kids birth certificate-apparently the online program is swamped. Really? over 300K cases in the state might make parents say “hell no!” To traditional schooling? Yeah, last year’s flu my kid brought home (great flu vaccine!) threw my O2 sats into the low 80’s and was not pretty. Not taking a chance for the cesspool that schools could have with COVID. I already know too well that temp checks and parents “well statements” are useless. There are asymptomatic cases and parents have already learned the Tylenol and cold multi symptom method to give before the drop them off-look they’re fine-wears off as schools letting out-fine again the next morning...not playing with that entitled group this year.

Praying our hospitals can handle the load and get the PPE and supplies we may need. I have heard about some getting full in their critical care units. I would not be surprised if nurses on other units are quickly cross trained to work with COVID patients. With less elective surgeries to preserve beds, they will need the staff to handle these patients-a not so pleasant “other duties as assigned” clause may be implemented hear for those who normal lay don’t work the floor if they really need the staff. I worked for a primary care office many years ago that was part of a hospital system. We were told in the event of a hurricane we would be expected to bring an overnight bag to the hospital and help as needed. I knew damn well that my weekend pool position that I was still working would have me more than qualified to be thrown back on the floor that I had ran away from full time.

NewRN'16, ADN, RN · Jul 19, 2020

32 minutes ago, NurseSpeedy said:
I’m in FL too-I’ve begin to think of it as a hurricane-have supplies, have a plan, and get ready for some ugly times that may or may not happen-only COVID19 is a bit longer duration than a typical hurricane-and then with COVID19 there are sure to be delays in service- and with our luck we are in for one hell of a hurricane season before we get a whammy for Winter.
I may sound like a pessimist-but I’m a bit over this whole COVID19 crap- I was on hold for 4 hours to make sure my child’s only school application went through okay because my parent portal ID is still being verified-good lord you have my license, utility bills, and mortgage along with my kids birth certificate-apparently the online program is swamped. Really? over 300K cases in the state might make parents say “hell no!” To traditional schooling? Yeah, last year’s flu my kid brought home (great flu vaccine!) threw my O2 sats into the low 80’s and was not pretty. Not taking a chance for the cesspool that schools could have with COVID. I already know too well that temp checks and parents “well statements” are useless. There are asymptomatic cases and parents have already learned the Tylenol and cold multi symptom method to give before the drop them off-look they’re fine-wears off as schools letting out-fine again the next morning...not playing with that entitled group this year.
Praying our hospitals can handle the load and get the PPE and supplies we may need. I have heard about some getting full in their critical care units. I would not be surprised if nurses on other units are quickly cross trained to work with COVID patients. With less elective surgeries to preserve beds, they will need the staff to handle these patients-a not so pleasant “other duties as assigned” clause may be implemented hear for those who normal lay don’t work the floor if they really need the staff. I worked for a primary care office many years ago that was part of a hospital system. We were told in the event of a hurricane we would be expected to bring an overnight bag to the hospital and help as needed. I knew damn well that my weekend pool position that I was still working would have me more than qualified to be thrown back on the floor that I had ran away from full time.

Thank you so much for your reply ❤️

If any of you have never seen what covid 19 does to someone you are lucky. The suffering is horrible, and you as a nurse feel hopeless. There is a Tx* protocol in place , but of course it doesn't work, especially when trying to treat those with preexisting conditions and immunocompromised.

Hospitals near me are almost at full capacity in CCU/ICU units. They send the patients back to our SNF Covid unit.

I just pray that our President reconsiders reopening the schools, because this will make things 1000 x worse. ?

Please take care of yourself everyone. I know our PPE is not Coronavirus proof , I know we can still catch it and the more we are exposed to large quantities of it and b come infected the disease will be much worse if not deadly.

I still have to keep going though, we all do. There is no going back, Trump made sure of that. ..

Praying for us all and all our patients ? and our enemies too. May us all stay safe . x ❤️

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