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[COVID-19] CORONAVIRUS (N-COVID-19)
#1
Angry 
CORONAVIRUS (N-COVID-19)
I received a telephone call from a local DME telling me that I need to take special precautions with my CPAP equipment because of the coronavirus (N-COVID-19). They went on to suggest that they were willing to help fight the epidemic by offering me a discount on a CPAP cleaning system that uses "purifying ozone." 

From posts in the forum, we have seen that the FDA has issued a warning concerning ozone devices and ResMed has modified its warranty to void coverage if you use an ozone cleaner on your device.  http://www.apneaboard.com/forums/Thread-...V-cleaners

My doctor explained that, while not much is known at the earliest stages of n-Covid-19, most viruses are relatively weak and can be killed by soap and water. He further suggested that if I want to change my cleaning routine, more often is better. And, if possible changing filters more frequently, and rotating to a second mask, hose, and water chamber would be beneficial because the virus has poor survivability on hard, dry surfaces,

He specifically cautioned to use only approved sanitizers and disinfectants that are specifically recommended for CPAP equipment and under no conditions use sprays like Lysol or other household products. 

Be well, Be safe, Be rested. 

P.S. Look on the bright side -- you now have a semi-legitimate excuse for avoiding tedious people and gatherings.
"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
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#2
RE: CORONAVIRUS (N-COVID-19)
An attempt at profiteering on coronavirus fears! How would it get into our machine in the first place? Anyone who has coronavirus floating around in their home air already would be constantly at risk and it would end up in the CPAP airflow no matter how scrupulously the components were cleaned. It will only grow in human and other host animal cells (not in bacteria or fungi) and will not grow on inanimate surfaces or in water.
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

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#3
RE: CORONAVIRUS (N-COVID-19)
I received the following message from Medicare:

You've likely heard about the Coronavirus (officially called "2019-Novel Coronavirus" or "COVID-19") in the news. While there isn't a vaccine yet and the immediate health risk remains low, Medicare is still here to help.
Your Medicare Part B (Medical Insurance) covers a test to see if you have Coronavirus. This test is covered when your doctor or a health care provider orders it, if you get the test on or after February 4, 2020. You usually pay nothing for Medicare-covered clinical diagnostic laboratory tests.
To prevent the spread of this illness or other illnesses, including the flu:
  • Wash your hands often with soap and water,

  • Cover your mouth and nose when you cough or sneeze,

  • Stay home when you're sick, and

  • See your doctor if you think you're ill.
Visit The Centers for Disease Control website for information on the Coronavirus.
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#4
RE: CORONAVIRUS (N-COVID-19)
Big Guy, I edited your links to go to the correct pages.  The links had some sort of long, funky re-direct in them.

Thanks for the info.  From what I understand from various news sources, currently there's nowhere near the number of test kits as needed here in the U.S., but they are ramping it up quickly so that in a week or two, they'll be millions of kits available.

It's likely there's a lot more COVID-19 infections out there, but they're not able to diagnose them without the kits, so they're simply listed as "influenza" or in bad cases, "pneumonia".  I would expect that to change once we start getting more positive test results over the next several days, with a sharp rise in the reporting of numbers infected.   Likewise, the death rate is likely to go lower temporarily, since the denominator in the death/infected ratio will go up, lowering the ratio.

Fun times.    Thinking-about
SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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#5
RE: CORONAVIRUS (N-COVID-19)
Just tell the DME that you already have a solution... I don't let my mask touch my face.

Then hang up and let him think about it for a while... lol!

John
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#6
RE: CORONAVIRUS (N-COVID-19)
Unfortunately this virus can survive on inorganic surfaces for up to 9 days, according to newest data from chinese researchers. That's how its spread to areas where there were no known recent travels to and from china.
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#7
RE: CORONAVIRUS (N-COVID-19)
(03-06-2020, 12:24 PM)crowtor Wrote: Unfortunately this virus can survive on inorganic surfaces for up to 9 days, according to newest data from chinese researchers. That's how its spread to areas where there were no known recent travels to and from china.

(1) I tend to discount findings originating in China due to the overlay of Communist Chinese politics and their propensity to alter findings to comport with the official state position and propaganda.

(2)  I tend to notice that a number of researchers rush into print with studies that are little more than reviews of the existing scientific literature and their own consensus conclusions. Sometimes amplified by "science writers" to produce click-bait or profitable audience enhancement.

(3)  It appears that one of the cited studies was done in 2010 and is titled, "Effects of Air Temperature and Relative Humidity on Coronavirus Survival on Surfaces" and published in the journal Applied and Environmental Microbiology. 

It should be noted that the study was published prior to the discovery of the novel COVID-19 virus and notes the use of "use of surrogate viruses has the potential to overcome the challenges of working with the actual SARS-CoV virus and to increase the available data on coronavirus survival on surfaces." 

The dependent variables for each surface were Air Temperature (AT) and Relative Humidity (RH). One would think that the porosity of the substrate would also play a major role in the survival longevity values. 

The study cites a previous 2005 study that contains the widely-quoted 9-day statistic. 

Quote:Rabenau et al. (23) reported much slower inactivation of SARS-CoV on a polystyrene surface (4 log10 reduction after 9 days; AT and RH conditions not reported), consistent with some observations for TGEV and MHV in the present study.

23. Rabenau, H. F., J. Cinatl, B. Morgenstern, G. Bauer, W. Preiser, and H. W. Doerr. 2005. Stability and inactivation of SARS coronavirus. Med. Microbiol. Immunol. 194:1-6. [PubMed

Abstract

The SARS-coronavirus (SARS-CoV) is a newly emerged, highly pathogenic agent that caused over 8,000 human infections with nearly 800 deaths between November 2002 and September 2003. While direct person-to-person transmission via respiratory droplets accounted for most cases, other modes have not been ruled out. Faecal shedding is common and prolonged and has caused an outbreak in Hong Kong. We studied the stability of SARS-CoV under different conditions, both in suspension and dried on surfaces, in comparison with other human-pathogenic viruses, including human coronavirus HCoV-229E. In suspension, HCoV-229E gradually lost its infectivity completely while SARS-CoV retained its infectivity for up to 9 days; in the dried state, survival times were 24 h versus 6 days. Thermal inactivation at 56 degrees C was highly effective in the absence of protein, reducing the virus titre to below detectability; however, the addition of 20% protein exerted a protective effect resulting in residual infectivity. If protein-containing solutions are to be inactivated, heat treatment at 60 degrees C for at least 30 min must be used. Different fixation procedures, e.g. for the preparation of immunofluorescence slides, as well as chemical means of virus inactivation commonly used in hospital and laboratory settings were generally found to be effective. Our investigations confirm that it is possible to care for SARS patients and to conduct laboratory scientific studies on SARS-CoV safely. Nevertheless, the agents tenacity is considerably higher than that of HCoV-229E, and should SARS re-emerge, increased efforts need to be devoted to questions of environmental hygiene. 

The takeaway, at least for me, is that they don't know what they don't know and that this potentially lethal virus, especially in the elderly, those who have comorbidities or are immune-compromised, should be treated with respect and protective hygiene attention. 

It appears that the most effective agent may still be frequent hand washing with soap and water -- along with the avoidance of large groups of individuals in known outbreak areas. 
BTW: For those who may attempt to overcome the shortage of hand sanitizer by making your own from alcohol and aloe vera gel -- the proportions need to be correct and the alcohol well diffused in the gel. 

For those who suggest Tequilla as a substitute for alcohol -- direct ingestion is suggested as it would be hard to control the proper level of alcohol in a gel in order to be effective.

Be well.

For those wishing to see a list of Novel Coronavirus (COVID-19)—Fighting Products -- Check the Center for Biocide Chemistries (https://www.americanchemistry.com/Novel-...s-List.pdf)
"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
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#8
RE: CORONAVIRUS (N-COVID-19)
Although it contains a small degree of political slant, one good daily source of COVID-19 information I've used is Steve Bannon's "War Room:  Pandemic".

He has a variety of solid, knowledgeable, medical/economic experts on the show each day (usually posted Mon-Fri by 12 noon or so, Central Time US).  One thing that kind of opened my eyes to how much the world relies upon drugs manufactured in China was this episode back from Feb 12th that talks about it, along with the author of the book "China RX" (Rosemary Gibson):





https://www.youtube.com/watch?v=aS7c_vqU4M4

Of course, the above video is dated, being almost a month old, and the numbers they talk about are much greater now.



Please note that there's usually at least one or two politically-related "commercial breaks" in these videos, and you can fast-forward through them to get back to the interview content.  On this video, there is one commercial are from 22:15-31:30 so you can skip over that.

The main YouTube Channel to get these daily "War Room: Pandemic" episodes is here:
https://www.youtube.com/channel/UCWVvSbE...gcQ/videos


Every other video on the channel is a political one, so you can skip those.  The one's you're looking for are the ones labelled "War Room: Pandemic".

Although many have their pro/con opinion of Steve Bannon, he does have a very good informed discussion with a variety of sharp, informed and seemingly knowledgeable experts.

I like it because I hear it first on this YouTube channel, and then voila-- the news they put out comes into the mainstream news a day or two later.  These guys are on top of things and it's a solid place to get accurate, timely coronavirus news oftentimes a day or two in advance.

They also have a podcast here:  https://pandemic.warroom.org/podcast/

Coffee
SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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#9
RE: CORONAVIRUS (N-COVID-19)
Did you notice that one of Bannon's guests is Steven Hatfill, a controversial figure to whom the Department of Justice paid $5.8 million to settle his lawsuit based on the allegation that the government violated his privacy rights when they leaked his name as a person of interest during the investigation of the 2001 anthrax attacks? 

He appears to be a self-promoter hawking his book and his credentials are not as originally represented during various stages of his career. I do not believe he is a doctor (PhD) and he did appear to forge his PhD diploma. (https://www.baltimoresun.com/bal-te.hatf...story.html)

That is not to say that the information is not valid or useful. Just remember, this is a political show and they are presenting entertainment along with education to capture their audience.
"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
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#10
RE: CORONAVIRUS (N-COVID-19)
Nothing personal, but I'm very familiar with the "claim" that one of Dr. Hatfill's degrees is fake.  That fraudulent claim was started by a bunch of politically-motivated charlatans nearly 20 years ago and those fake claims have survived on the web ever since then.  The back story is that he finished all the requirements for that particular doctorate (not the only degree he holds), but failed to file one piece of paperwork to receive his actual diploma in the mail.  He put that doctorate degree on his resume, but no one contacted him again from the university (Rhodes?) to tell him that (although he completed and passed all necessary coursework), he still hadn't "technically" graduated since he failed to fill out the paper to receive his degree in the mail.  So after these idiots leveled the claim that he never held that doctorate, he tried to go back to the university and obtain the actual diploma, but they said clamed that too much time had expired (an attempt to extort more money from him).  So, these guys made a huge ordeal about his "fake degree".  He sued the media outlet that first published that fake claim and won a rather large settlement.   The court agreed with him that he had an earned doctorate, regardless of actually receiving the document or not.   I remember that from way back then.

He is a valid and well-credentialed doctor, holding a Ph.D. degree in molecular cell biology from Rhodes, post-doctoral fellowship (1994–95) at the University of Oxford in England and three master's degrees (in microbial genetics, medical biochemistry, and experimental pathology).  He had post-doctoral appointments commenced at the National Institute of Child Health and Human Development (NICHD), one of the National Institutes of Health (NIH) in Bethesda, Maryland, in 1995. He subsequently worked (1997–99) as a civilian researcher at the United States Army Medical Research Institute of Infectious Diseases (USAMRIID), the U.S. Department of Defense's medical research institute for biological warfare (BW) defense at Fort Detrick, Frederick, MD. There he studied (under a National Research Council fellowship) new drug treatments for the Ebola virus and became a specialist in virology and bio-weapons defense.  He was appointed an adjunct assistant professor of emergency medicine at the George Washington University Medical Center in 2010 where he is currently employed.  In 2011, he added additional affiliations at GW in Clinical Research and Leadership and Microbiology, Immunology, and Tropical Medicine.

He is well-credentialed and (even if that one degree was fake as that article claims) he's got plenty of other verifiable credentials that attest to his qualification, competence, and authority in these fields.   Is he trying to sell a book?  Yes, pretty sure he is, since I don't know of many authors who write a large, detailed book on a medical subject and then don't want anyone to buy it.  The guy has a right to make a living. 

Dr. Steven Hatfill is not a friend of the U.S. government, that's for sure... and they've made sure his name gets dragged through the mud at every opportunity every time I hear a government official talk about him.  His writings often paint the U.S. government in a pretty bad light, and that includes Republican and Democrat administrations alike.  They all hate him... because what he writes about is usually completely factual and the facts make the federal government look bad, especially when it comes to government management of epidemics and contagious diseases.

All this is pretty irrelevant to the overall veracity and value of the show, of course.  Many other guests have appeared each day on War Room: Pandemic... Steven Hatfill is simply one of them, and most of the medically-related guests express no political opinion, one way or the other.  I've been listening to the show every day since it started over a month ago.

Some people can't seem to look past the particular political persuasion of the host, and that's understandable, but unfortunate, since the show itself (especially the guests he has) offers a fresh and revealing insight into what's really going on with COVID-19, both medically, and economically, IMHO.


Coffee
SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




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