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About Will!

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    Where the debris meets the sea.

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  1. Financial Times: Agonising choices in ICUs should be made by society, not individuals I've long believed that there needs to be a public discussion about how healthcare spending is rationed (and it is rationed, and even if 100% of GDP was spent on healthcare it would have to be rationed). When one of my friends became an MP I asked her whether she could propose a parliamentary debate on how healthcare should be rationed. She told me that it was a politically toxic subject and all politicians cling to the fantasy that healthcare should be (or is) unlimited.
  2. From ICNARC: Durati􏰀on of cri􏰀tical care (days), median (IQR) Survivors: 6 days (3, 10) Non-survivors: 10 days (4, 16) I don't know about total hospital stay.
  3. Perhaps it would have more credibility if it was a video on YouTube!
  4. It's a bit emotionally manipulative, but this is an accurate portrayal of the Royal London Hospital Adult Critical Care Unit, where I used to work. https://www.bbc.co.uk/iplayer/episode/m000rhl6/bbc-news-at-six-18012021 RLH ACCU usually has 48 beds. At the moment it has 130. That is stretching the elastic very thin.
  5. Indeed. The good news is that ICU bed occupancy in the UK is no longer rising exponentially. The bad news is that we are into surge capacity and how long that can be sustained is unknown.
  6. My apologies, I made a mistake with the above numbers and quoted UK Covid patients instead of England Covid patients. I'd like to restate and update the numbers. For simplicity I'll just use the England numbers. On 2nd November 2020 there were 4,212 adult critical care beds available. This includes all adult critical care (ITU, HDU or other) beds that are funded and available for critical care patients (levels 2 and 3). The figures provided relate to the latest position on the day of reporting. This is the actual number of beds at that time and not the planned number of beds. Beds funde
  7. The good news: Hospital admissions are starting to slow. The bad news: Snow!
  8. I'm sorry to read that and I hope you feel better soon. Your point about lack of cough is a good one. It appears Covid is as much a vascular disease (blood clots where there should not be blood clots) as a respiratory disease (it's transmitted by the respiratory route, but it doesn't strip the lining of the lungs like influenza).
  9. Interesting paper, but it doesn't say for what conditions the control patients were admitted, other than not Covid. If some controls were admitted for conditions particularly associated with smoking then that could skew the results.
  10. No, the definitions are clear and comparable. That was your definition. I'm glad we can agree that you're misleading people. I think I'll leave it there for now.
  11. No. That's a non sequitur rather than a lie, so you're improving. There's no need. The terminology of the FDA Briefing Document for the Moderna vaccine is clearly defined in the document and can easily be compared to the Common Terminology Criteria for Adverse Events.
  12. Trials should use comparable standards of terminology, not necessarily exactly the same standards of terminology. The terminology of the FDA Briefing Document for the Moderna vaccine can easily be compared to the Common Terminology Criteria for Adverse Events, as I just did.
  13. And you're very alarmist about this. The definitions in the FDA Briefing Document for the Moderna COVID-19 Vaccine are quite clear. According to the document you've quoted above hospitalisation is only grade 3. Why so many lies?
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