Can touching a barbell in the gym get you sick with the coronavirus?



My first Covid-19 symptoms appeared on March 14: a low-grade fever, profound leg pain, malaise, and loss of appetite. More than 100 days later, Covid-19 is still with me. Some days I wonder if it will ever leave.

In the early days, as my symptoms fluctuated, I was determined not to go to the emergency department or urgent care because it seemed like there were too many people who needed the help more than I did. Maybe I was especially sensitive to overcrowding in emergency departments because I’m a physician. But it turns out that this strategy was a common one.

In New York City, where I live and work, there were more than 5,000 excess deaths not directly linked to Covid-19 between March 11 and May 2, likely because people were delaying care or not going to emergency departments or urgent care due to fear of contracting Covid-19 or oversaturating the medical system.

I did eventually go to the emergency department one day when the abdominal pain and nausea were severe. Routine testing showed that the level of liver enzymes in my blood was higher than it should have been, but not much more, and I was sent home.

Once day 14 had passed, my fear of an impending respiratory collapse turned into an uncertainty about the trajectory of my disease and a desperation for answers. I contacted my doctors regularly, hoping their responses would bring relief in the form of some intervention. Yet most of their efforts did little to significantly change the course of my symptoms.

...

I’ve now logged nearly four months of symptoms, with little sign of returning completely to my pre-Covid self. As a physician, I was aware of the concept of post-viral syndromes; as a patient, this concept brings a dismal new meaning, signaling the possibility of a new disease and everything is unknown — especially how long the symptoms will last, and which of them might be permanent.

I am lucky not to have the debilitating fatigue, shortness of breath, and fevers others have been experiencing. At this point I’m still experiencing intermittent gastrointestinal symptoms, persistently high liver enzymes, which a liver specialist is trying to figure out, and an odd and continuous discomfort in my leg, which may be paresthesia. I’m able to go to work and go about my life just fine. Many others can’t do that.

I write with the hope that even one more patient who has been struggling with prolonged Covid-19 symptoms may not feel so alone. I write with the hope that one more physician, friend, family member, or supervisor may see this article and realize the importance of support since there’s currently a lack of treatment options.

So far in the pandemic, clinicians have focused nearly exclusively on managing respiratory symptoms and preventing the spread of SARS-CoV-2, the virus that causes Covid-19. As we enter the next phase, increasing evidence points to a significant proportion of us with prolonged symptoms, and this warrants attention.
 
[OA] OpenSAFELY: Factors Associated With COVID-19 Death In 17 Million Patients

COVID-19 has rapidly affected mortality worldwide. There is unprecedented urgency to understand who is most at risk of severe outcomes, requiring new approaches for timely analysis of large datasets.

Working on behalf of NHS England, here we created OpenSAFELY: a secure health analytics platform covering 40% of all patients in England, holding patient data within the existing data centre of a major primary care electronic health records vendor.

Primary care records of 17,278,392 adults were pseudonymously linked to 10,926 COVID-19-related deaths. COVID-19-related death was associated with:

· being male (hazard ratio (HR) 1.59, 95% confidence interval (CI) 1.53–1.65);
· older age and deprivation (both with a strong gradient);
· diabetes; severe asthma; and various other medical conditions.

Compared with people with white ethnicity, Black and South Asian people were at higher risk even after adjustment for other factors (HR 1.48, 1.30–1.69 and 1.44, 1.32–1.58, respectively).

We have quantified a range of clinical risk factors for COVID-19-related death in the largest cohort study conducted by any country to date. OpenSAFELY is rapidly adding further patients’ records; we will update and extend results regularly.

Williamson EJ, Walker AJ, Bhaskaran K, et al. OpenSAFELY: factors associated with COVID-19 death in 17 million patients. https://www.nature.com/articles/s41586-020-2521-4
 


Spit anywhere I want. Got that, Mask Boy?

Smoke big-ass cigars. Not only does it look boss as hell, it keeps me from eating too much candy. Let’s just say that I’ve earned a reputation for having a sweet tooth, which is why the fellas call me Sweetie. It’s one of those tough-guy nicknames that’s ironic, because I’m anything but sweet. Trust me. They just as well could’ve given me the nickname Jawbreaker instead. Great, now I’m craving one of those. Thanks a lot, Masky Wonka.

Smooch bodacious babes. Tattooed hotties who have piercings and hair so red you almost forget that the smoke is coming from my stogie and not their scalps. I’m talking perfect tens, and they’d kill for a night with a rebel like me. My Facebook is full of them and they click “like” on all the comments that I leave on their pics—but you wouldn’t know anything about that, would you, Mask Zuckernerd?

Grit my teeth to show that I’m not exactly happy with how close you’re getting to my PT Cruiser. That’s right, the one with a Harley-Davidson sticker. The only souls who can lay hands on this throbbing hunk of American muscle and live to talk about it are me, myself, and the guy at Jiffy Lube who changes the oil for me—so back off, buddy. Or I’ll breathe. That’s what you’re so afraid of, right? Well, I refuse to live in your Spin City, Michael J. Sux.

Whistle when I see the price of gas. If I do it just once? Yikes. Twice? Whoa, momma! They’re practically giving that diesel away. My Chrysler kitty only purrs for regular, but I like to rep for my fellow bad boys who are out there hauling ass in a semi. When I see them on the road, I like to give a little salute to show that we’re cut from the same leather. They usually salute back with one finger, but I wouldn’t expect anything less. If you don’t like it, maybe see if you can buy one of those masks for your eyes, Zerro. (You know, like Zorro, but a loser.)

Speak freely and clearly without any stupid fabric silencing my words. If I’m going to tell someone to shut up and stop calling this number because the person they’re trying to reach doesn’t live here anymore, I’m not going to be hiding behind a mask. Just like I don’t hide behind one when I post online. I wish I could take credit for the image of a Minion dressed like the Punisher bowing down before God, who is wearing a “Fire Fauci” T-shirt with the sleeves cut off while whizzing on the CNN logo, which I reply to medical experts and other trolls with, but the name of the artist remains unknown. Maybe you can look it up, Mask Ruffalo-when-he-played-a-journalist-in-that-movie.

Beat-box. But I won’t, because I only like hard-rock music. If they don’t have their guitar picks hanging in a Hard Rock Cafe, they’re not badass enough for me. Sorry, Biz Maskie.

Hang a toothpick from my lip. I’m not sure why this is a tough-guy thing, but it is. My guess is that no one has ever been brave enough to ask a guy with a toothpick hanging from his lip why it’s there. But I totally get it, even if I can’t explain it. Kind of like how I can understand why I don’t need to wear a mask, but can’t explain it without getting all pissed off. Especially not to you, Maskhole.

Eat whatever I’d like. The grocery store won’t let me in without a mask, but it’s still a free country in my condo—so everything in my cupboard is fair game. I’ve got cans of Manwich and a box of giant novelty-sized lollipops one of the fellas got me for tough-guy Secret Santa this year, as a joke. The sugary shards are shredding my gums, but luckily blood is my favorite condiment, besides aioli mayonnaise. You must be drooling under that mask, aren’t you, Mask Baby? Ha! You can’t stand to see me living my best life, munching on lolly after lolly. P.P.E.? More like P.P.U. That is one stinky diaper you got there, Mask Baby. Seriously, the smell is making my tummy hurt.

Spit anytime I want. Got that, Mask Boy? I mean, Dr. Mask Boy.
 


DETROIT – It’s been an absolute nightmare for Denise and Robert Hirschmann. Their son Ben Hirschmann’s life was cut short at the age of only 24 because of coronavirus (COVID-19).

“Just the loss of a son or a daughter like that just leaves a hole that will never be filled,” Robert Hirschmann said.

Over the course of 12 days, Ben Hirschmann was in constant communication with his doctor via teleconferencing. Time after time he was reassured that he would be all right.

“She told him she was sure it wasn’t the virus, she would not allow him to be tested she would not allow him to go to the ER,” Denise Hirschmann said.

Sadly, Ben Hirschmann was never able to be tested or treated -- a move his parents believe could have saved his life if the virus was detected.
 
This virus is so mysterious. Apparently one can stand shoulder to shoulder, belly to back in a crowded street while people yell, scream, sing and chant, and you won't get infected.

Keep playing that fiddle, media. Watch the fools dance to your jaunty tune. i'm done with the fucking news. You can't count on any of them to give you a straight story without being subjected to political stupidity.

Official: Trump's Tulsa rally a 'likely' outbreak source
 
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