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Start with a billion people and put a coach in about half the elementary schools, guarantee that the best players are national heros, pay them accordingly, and have facilities all over the country that treat kids essentially as professionals starting at age 12. Add a lucrative professional...

This is what it feels like to healthcare workers when you push to open too soon, don't provide PPE, cant test people, refuse to wear a mask because it is inconvenient, or go to a packed church service...

Note to self. Do not make a comment on Table Tennis Daily about the porking of porn stars. Don't do it. Resist the overwhelming temptation. Carl won't like. Resist it.... Don't type it. No!! No!! Carl, help me!!! Aaaaargh!!!!!

Everything gets turned into a political $hit$torm here, Rain. Even pharmacology, bizarre as it seems. Actually not for the first time either. People of a certain age (old people) may remember the controversy over something called Laetrile in the 1970-80s, which at the time was a big cause...

I need one of those to put on my white lab coat. Which I never wear in the lab, ONLY to teach or to greet variius officials visiting my building.

Those with a little knowledge of immunology, and how PCR works, were not alarmed. But keep in mind Dr. Evil's caveat "most healthy people". There is such a thing as immune system senescence, and some people take drugs that hammer their immune systems, etc. When some dude from the WHO...

Here is an interesting paper in Nature on the conditions that promote the spread of the virus. It may be directly relevant to the things we need to keep in mind once TT clubs re-open. https://www.nature.com/articles/s41586-020-2271-3_reference.pdf Based on this, some of the places that are...

I think it is too early to know. However a very likely mechanism is that the virus infects some of the endothelial cells that form the inner layer of the blood vessels and which typically express ACE-2, a known receptor for SARS-CoV-2. In this hypothesis the virus usually enters the body...

You beat me to it. The data convinced Fauci, in any case. He said "“It is the first truly high-powered, randomized placebo control trial,” showing a beneficial effect of any drug so far. And I completely agree with Rain that early vs late are going to probably require different therapeutic...

The problem with merely protecting old people is that it focuses on just one thing: deaths occurring in the immediate phase of the Covid-19 disease. I would argue it is a mistake to focus just on excess mortality right at the moment. There are very good reasons to think that people who...

The value of R is never discussed here, and given the situation in the US would be pretty much impossible to estimate. But it's about to go up. Count on that.

Sadly DE, that paper from some dudes in Saudi Arabia is a hot mess and it appears to have received minimal peer review because it is filled with problems. Normally Elsevier journals do better than that. For example in the section where they claim that ascorbic acid is anti-viral (based on a...

Some years ago they checked vitamin D levels in various hunter and gatherer societies (not many left on the planet), and they found everyone had a vitamin D levels above 40 ng/ml. Very few people in any developed nation are at that level! Normally people are considered "deficient" if they are...

Not too bad. A bit preliminary. Would like more details on how they did odds ratios to account for various comorbidities. A large percentage of people these days are deficient in D.

I know, but even at our level it is not been great. It is has to be a lot harder for younger kids. I have no idea how they do it.

This would trend far into politics. There are lots of models around the world of how things can work better than here. Partly we need to remake medical education at all levels to stop making it seem like primary care medicine is for losers.

This is an example of evidence. I think this is probably being done in a lot of places. https://www.ncbi.nlm.nih.gov/pubmed/30934660

This was a problem for me delivering university content on-line. I did what I could in a hurry. I had a week to come up with something. It is not optimal. I am not as competent with some kinds of software as I would like or probably should be (there are a lot of things in Zoom and...

With all due respect, too many people are stating stuff that is not evidence-based. There is real evidence and not so real evidence. Evidence we have to date on this is not allowing many conclusions except that it isn't anything like a miracle cure given later on in the course of the disease...

NL, there are short term and long term changes needed. Short term we need to get though this. A long term challenge is to alter people's lifestyle choices and acheive widespread ACCESS to primary care medicine. (In the US we could use more pediatricians and general internists and fewer...