DisneyDebRob
Well-Known Member
I’m surprised it took him this long to try and push this through.
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Coronavirus and Walt Disney World general discussion
- Thread starter Parker in NYC
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- coronavirus covid covid-19
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Just in time for November.
Heppenheimer
Well-Known Member
Don't know if that was ever the case, but it hasn't been in the 20 years since I've been in practice. I've heard stories about drug-company sponsored junkets, but I've never talked to a physician who has actually attended one.
Drug companies formerly (and perhaps still do in some states) would sponsor free dinners to learn about their products, or the drug rep would bring lunch to the office in exchange for listening to a spiel about their med. Sometimes these were useful, because it helped you decide who might benefit from the product and how to use it. Other times, though, it was clear the drug was a more expensive "me-too" formulation that offered little clinical benefit beyond existing similar medications. You took the bad with the good, with the good usually being a supply of free samples to give to your patients who might not have been able to afford any medication at all.
I now practice in a state where it is illegal for me to accept any freebee from a pharmaceutical or device manufacturer, so much so that when I attend a conference, since my home state is identified on my badge, the reps can't even offer me the snacks that physicians from other states can receive. I'm certainly not receiving any kick-backs for prescribing medications.
The choice of what medication to prescribe to a given patient usually comes down to the insurance formulary preference. Otherwise, its useless to prescribe an expensive medication that the insurance company won't cover, since the patient probably can't afford and won't want to pay (rightly so) the full cost.
oceanbreeze77
Well-Known Member
GoofGoof
Premium Member
It could certainly delay the removal if the timing doesn’t match up. I don’t think that’s really an issue right now based on case trends but it could if things improve.
Rich Brownn
Well-Known Member
https://www.tampabay.com/news/healt...ble-financial-incentive-of-covid-19-patients/ Thats just one of the many debunks on that. Also people who have pre-existing conditions who have COVID are listed as "complications from COVID" Its just like no one dies of AIDS. You die because of additional illnesses that AIDS allows to exist. To say someone who has a pre-existing condition can't die from COVID complications is like saying the tree that fell through your house during a hurricane was simply because it was old, and the wind had nothing to do with it :/
SamusAranX
Well-Known Member
that comparison sounds like something a Floridian homeowners insurance company would say to deny your claim
GoofGoof
Premium Member
Just to circle back on the vaccine for a minute here‘s the official letter released by Pfizer CEO on the timeline for their Covid vaccine.
www.pfizer.com
To summarize he says they need to meet 3 hurdles before they can file for emergency use authorization:
On the safety front, I know there was a lot of back and forth on why this vaccine can be approved in a fraction of the normal time. The 2 month safety data requirement was discussed in an interview with the Journal of the American Medical Association by Dr. Peter Marks, director of the Center for Biologics Evaluation and Research, the FDA division that approves vaccines. He said, “Most bad reactions to vaccines come between two and three months after people get them. For instance, Guillain-Barre, perhaps it's six weeks, but for transverse myelitis, it's more like three months," Marks said. "We picked two months as something that was reasonably aggressive, yet also somewhat, kind of in the middle," said Marks "Not too aggressive, not too conservative -- in the middle."
Pfizer will be continuing to monitor their trial participants for 2 years but the key concept here is they would expect adverse reactions in 3 months or less which be well before the general public starts getting vaccinated. Just some food for thought if you are on the fence on vaccine safety.
here’s the full article which has a link halfway down to the the full Youtube video of the JAMA interview if you are really interested.
edition.cnn.com
An Open Letter from Pfizer Chairman and CEO Albert Bourla | Pfizer
As we get closer to an important data readout from our COVID-19 vaccine program, I wanted to speak directly to the billions of people, millions of businesses and hundreds of governments around the world that are investing their hopes in a safe and effective COVID-19 vaccine to overcome this...
www.pfizer.com
- Provide data showing the vaccine is effective in preventing Covid (at least 50%...hopefully more)
- Provide data showing the vaccine is safe. The FDA is requiring at least 2 months of safety data on at least half the trial participants following their second injection. Pfizer will continue monitoring and reporting safety data for all trial participants for two years.
- Provide manufacturing data that demonstrates the quality and consistency of the vaccine that will be produced.
On the safety front, I know there was a lot of back and forth on why this vaccine can be approved in a fraction of the normal time. The 2 month safety data requirement was discussed in an interview with the Journal of the American Medical Association by Dr. Peter Marks, director of the Center for Biologics Evaluation and Research, the FDA division that approves vaccines. He said, “Most bad reactions to vaccines come between two and three months after people get them. For instance, Guillain-Barre, perhaps it's six weeks, but for transverse myelitis, it's more like three months," Marks said. "We picked two months as something that was reasonably aggressive, yet also somewhat, kind of in the middle," said Marks "Not too aggressive, not too conservative -- in the middle."
Pfizer will be continuing to monitor their trial participants for 2 years but the key concept here is they would expect adverse reactions in 3 months or less which be well before the general public starts getting vaccinated. Just some food for thought if you are on the fence on vaccine safety.
here’s the full article which has a link halfway down to the the full Youtube video of the JAMA interview if you are really interested.
FDA wants two months of safety data before considering Covid-19 vaccine | CNN
The FDA wants two months of follow-up data after volunteers get their second dose of Covid-19 vaccine as part of clinical trials testing potential coronavirus vaccines.
edition.cnn.com
DisneyCane
Well-Known Member
Where did anything in that article say that they wouldn't publish the numbers. Even if they went to weekly, you can certainly see a spike on seven day totals.
It's not like the daily numbers really represent the number of new cases each day. The test results from multiple days are included. There is so much variability in test result volume from day to day it's not all that useful. Once a week would basically give the seven day rolling average all at once.
oceanbreeze77
Well-Known Member
its a joke
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GoofGoof
Premium Member
I prefer the 7 day average over daily numbers. Takes away the weekend drops and smoothes out a lot of the data dump issues. The only caveat is they need to release weekly numbers on a timely basis. Sunday to Saturday weekly totals released on Monday would be reasonable or Monday to Sunday data released Tuesday if you don’t want people working a Sunday to compile the data.
JoeCamel
Well-Known Member
Why not both? Too much work or what?
I really think our state can afford to bring all the info and I am smart enough to watch the daily but look at an average to gauge trends?
Sounds more like controlling the message rather than providing a service to the people of the state.
I vote no, just report as you have so we are all eating apples.
GoofGoof
Premium Member
I have no issue with the daily reporting. I just prefer to use the 7 day averages as an indicator of trends vs the daily movements. It would be easy to continue to do both.
GoofGoof
Premium Member
Looks like WDW isn’t getting a boost from Canadian tourists any time soon
www.yahoo.com
Justin Trudeau: Canada-US border will stay closed until America gets COVID-19 under control
"The U.S. is not in a place where we would feel comfortable reopening those borders," Canadian Prime Minister Justin Trudeau said Wednesday.
networkpro
Well-Known Member
- In the Parks
- Yes
Looks like WDW isn’t getting a boost from Canadian tourists any time soon
Justin Trudeau: Canada-US border will stay closed until America gets COVID-19 under control
"The U.S. is not in a place where we would feel comfortable reopening those borders," Canadian Prime Minister Justin Trudeau said Wednesday.
Considering the current exchange rate 1.32 to 1 USD it wouldn't be too many
BrianLo
Well-Known Member
I think you are seriously overestimating the frequency that this actually matters. The odds of being hospitalized at any given moment are rare. The odds of an individual having COVID at any one point in time are also rare. I'm not really sure where all these admitted patients who just happen to have totally asymptomatic COVID are coming from. I'm sure it happens, but I'm also sure it's statistically insignificant compared to the number of individuals who were not accounted for due to lack of testing early in the pandemic.
A vaccine. I'm not being facetious, but that's the way out.
I can only speak to several provinces, but no. Most codes are based on a "Consult" and/or "Visit" and are time based.
There are very few things within the purview of Internal Medicine that have a specific code to a specific diagnosis. By not many I mean BC has one, DKA. COVID is not one. Whatever ICD-9 code (diagnostic code) assigned to a consult does not impact its renumeration.
All billing systems in different places are essentially the same. Increasingly hospital based employees are on ARP's (Alternate Remediation Plans). So their compensation if even less tied to this as they are salaried.
Miss Bella
Well-Known Member
I don't think the physicians have any incentive to bring in Covid patients, but keep in mind hospitals are for profit even if they are non-profit. I've seen many questionable Covid admissions, but then again I work for healthcare system that has had a history of medicare fraud and a CEO with an eight figure salary.
Gosh by the looks of this and that other link a few posts back, we are about to see another major spikeWoah, check out this epidemiologist's website:
View attachment 505564
COVID-19 in Florida (Dr. Jason Salemi)
WELCOME TO MY DASHBOARD TRACKING COVID-19 IN FLORIDA! The visualizations that follow were created using publicly available information on COVID-19 cases in Florida, updated daily, and mostly available from https://floridahealthcovid19.gov/. These were create mainly out of a desire to have...covid19florida.mystrikingly.com
Who can blame them? I’d love to leave this fest pool for the time being lolLooks like WDW isn’t getting a boost from Canadian tourists any time soon
Justin Trudeau: Canada-US border will stay closed until America gets COVID-19 under control
"The U.S. is not in a place where we would feel comfortable reopening those borders," Canadian Prime Minister Justin Trudeau said Wednesday.
Kman
Well-Known Member
it's not fantastic but we've gone when it was FAR worse. I personally like where it is as it's good for exports/business and not horrible for vacationing
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