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1 hour ago, Bob8 said:

In terms of understanding, there has been an invisible plus side.

As it has been imported from ski-ing holidays to the Alps and international business people, it is something of a rich man's flu. This does seem to mean there is no stigma attached. Had it been imported by poor immigrants, I imagine there would be nastier BS going around.

I heard this same comment from a Danish colleague. The middle classes have brought plague home from their winter ski breaks.

"I am the avenging angel; I come with wings unfurled, I come with claws extended from halfway round the world. I am the God Almighty, I am the howling wind. I care not for your family; I care not for your kin. I come in search of terror, though terror is my own; I come in search of vengeance for crimes and crimes unknown. I care not for your children, I care not for your wives, I care not for your country, I care not for your lives." - (c) Jim Boyes - "The Avenging Angel"

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A request for humanity really. I know you lot won't but there are many out there who are.

PLEASE don't buy specialist stuff for people with illnesses just because your normal stuff is out. We've had a few patients today pleading for prescriptions for specialist foodstuffs for things like coeliac disease that are wholly sold out in our entire area.

Now you know, if you're thinking of hoarding foodstuffs like this and you don't need them then you are a thwaite of the highest order.

"When in deadly danger, when beset by doubt; run in little circles, wave your arms and shout"

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Oh, and while you're at it, don't lie to your GP. There are places for you if you have symptoms, and you will not get lower standard care if you have them.

Here's an example of lying from St Helens:

 

"When in deadly danger, when beset by doubt; run in little circles, wave your arms and shout"

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29 minutes ago, tim2 said:

I heard this same comment from a Danish colleague. The middle classes have brought plague home from their winter ski breaks.

Skool parties too. One skool party can involve 20 pupils and 5 teechers

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So much for Spain slowing down, yesterday was the highest total of deaths in 1 day, 849.The problem in Spain will get much worse before things start to slow down. I am in the South East area of the country.At the moment there are not to many here with the virus. It has been most prevalent in Madrid,Barcelona,the Basque region,but is now slowly but surely moving down the country.

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12 minutes ago, ckn said:

Oh, and while you're at it, don't lie to your GP. There are places for you if you have symptoms, and you will not get lower standard care if you have them.

Here's an example of lying from St Helens:

 

Just unacceptable. No words......??

Their cards should be marked for putting EVERYONE at risk, for blocking the path to services for those who really need it, not just Corvid 19 cases but other illnesses too. 

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7 minutes ago, JohnM said:

Just unacceptable. No words......??

Their cards should be marked for putting EVERYONE at risk, for blocking the path to services for those who really need it, not just Corvid 19 cases but other illnesses too. 

It really is selfishness. No other reason.

But... on the premise that lack of knowledge is a bad thing and it may help people understand, here's the standard template that most areas will implement.

HOT Hubs or Sites (not tubs as I keep reading...)

Depending on predicted demand, if you have symptoms or are isolating due to someone else having sickness in your household then you will go here if you really need a face-to-face appointment after triage. Longer appointment slots, immaculate infection control standards and cleaning between appointments. This is to protect everyone, including the clinicians. If we can get better PPE kit then this is where it will go to protect everyone. This is why it's critical potentially infected people go here.

COLD Sites

This is where NON-infected and those listed as vulnerable/shielding go. In the vast majority of places in England, this will be GP surgeries. They MUST be kept as low risk as possible so vulnerable people can be seen safely. It also allows us to target protective kit to where it's needed the most and have GPs/nurses/HCAs using standard PPE kit.

If you go to a "cold" site with symptoms then you are putting everyone in that cold site at risk. And you are a selfish bumhole. There is plenty of capacity coming for symptomatic people, there is no need to pretend you don't have it.

"When in deadly danger, when beset by doubt; run in little circles, wave your arms and shout"

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3 minutes ago, mickhornet said:

JD Sports warehouse at Rochdale ignoring all rules Union playing hell.On BBC.

Interestingly i went in Waitrose and Lidl yesterday marked difference in staff/customer protection despite being almost next door

 

Waitrose, some arrows on floor that were being ignored, small screens on tills staff wearing transparent thin plastic gloves and a sign outside saying "collect cleaned trollies here" (i used scan and go on phone into own bags and paid contactless, all i touched (in bike gloves) was products and a couple of presses on touch screen payment terminal (in gloves)

Lidl - all staff in masks most with balaclavas over and purple latex gloves, strict one way system, bottles of alcohol cleaner by door with wipes to do trolley/basket handles, massive screens along entire side of each till and piles of boxes behind for you to load shopping into 

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interesting update on ventilator procurement

https://www.worcesternews.co.uk/news/18345950.worcester-firm-gtech-coronavirus-ventilator-not-used-not-meet-government-standards-city-mp-robin-walker-says

Gtech owner Nick Grey said his team’s ventilators had not been “snubbed” and he was relieved the government was not forced to use his “rudimentary” designs because the coronavirus crisis was so bad.

He said it would need to be a “big shock” and “real emergency” if Gtech’s rudimentary ventilators were needed by the NHS at this stage.

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24 minutes ago, fairfolly said:

So much for Spain slowing down, yesterday was the highest total of deaths in 1 day, 849.The problem in Spain will get much worse before things start to slow down. I am in the South East area of the country.At the moment there are not to many here with the virus. It has been most prevalent in Madrid,Barcelona,the Basque region,but is now slowly but surely moving down the country.

Why is that? Is the enforcement weaker in the countryside?

"You clearly have never met Bob8 then, he's like a veritable Bryan Ferry of RL." - Johnoco 19 Jul 2014

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27 minutes ago, mickhornet said:

JD Sports warehouse at Rochdale ignoring all rules Union playing hell.On BBC.

By most accounts it was a pretty bad place to work 'normally'.  

With the best, thats a good bit of PR, though I would say the Bedford team, theres, like, you know, 13 blokes who can get together at the weekend to have a game together, which doesnt point to expansion of the game. Point, yeah go on!

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15 minutes ago, SSoutherner said:

interesting update on ventilator procurement

https://www.worcesternews.co.uk/news/18345950.worcester-firm-gtech-coronavirus-ventilator-not-used-not-meet-government-standards-city-mp-robin-walker-says

Gtech owner Nick Grey said his team’s ventilators had not been “snubbed” and he was relieved the government was not forced to use his “rudimentary” designs because the coronavirus crisis was so bad.

He said it would need to be a “big shock” and “real emergency” if Gtech’s rudimentary ventilators were needed by the NHS at this stage.

Very odd.

Build a man a fire, and he'll be warm for a day. Set a man on fire, and he'll be warm for the rest of his life. (Terry Pratchett)

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6 minutes ago, gingerjon said:

Very odd.

Their design was very much make do and mend - it used the power of the hospital oxygen supply for some of the work rather than electric pumps, innovative and efficient and easy to build but as the man says - not really a full on ventilator

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22 minutes ago, Les Tonks Sidestep said:

Rather than data here's a few photos of me celebrating my birthday yesterday.

FB_IMG_1585157476256.jpg

My wife had her birthday yesterday and this post gave us both a big laugh to start off our morning.  Thanks for that!

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21 minutes ago, Bob8 said:

Why is that? Is the enforcement weaker in the countryside?

Bob I know you will not like this answer but it is ultimately a question of 'voluntary compliance' not 'strong handed enforcement'.

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Just now, Kayakman said:

Bob I know you will not like this answer but it is ultimately a question of 'voluntary compliance' not 'strong handed enforcement'.

You changed your mind dramatically from a week ago.

Thanks for making things up.

"You clearly have never met Bob8 then, he's like a veritable Bryan Ferry of RL." - Johnoco 19 Jul 2014

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36 minutes ago, SSoutherner said:

interesting update on ventilator procurement

https://www.worcesternews.co.uk/news/18345950.worcester-firm-gtech-coronavirus-ventilator-not-used-not-meet-government-standards-city-mp-robin-walker-says

Gtech owner Nick Grey said his team’s ventilators had not been “snubbed” and he was relieved the government was not forced to use his “rudimentary” designs because the coronavirus crisis was so bad.

He said it would need to be a “big shock” and “real emergency” if Gtech’s rudimentary ventilators were needed by the NHS at this stage.

Given the situation at the time of the govt saying they needed 30,000 , their reaction and solution is to be commended , essentially a ' bush fix ' , not perfect but better than nothing , hopefully they won't be needed here , but help others in other countries 

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3 hours ago, ckn said:

There’s genuine terror that that’ll happen here. Minimum wage staff, zero protection, owners who can’t afford regular deep cleans, a system that penalises them for calling ambulances and a support in GPs/community care that’s startling to buckle under other strains. 

Anyone who visits one of these places unnecessarily now really needs a good flogging. 

I'm doing only absolutely necessary visits.... i.e. depot injections, serious and sudden deterioration, mental health act assessments and court liaison and diversion only if necessary.

NOTHING else gets a visit. Hard on the autistic and there's a lot of telephone consults going off. But if the virus gets in a home its difficult to contain it.

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Bob8,

              No, the restrictions are the same all over Spain,if anything if there is a difference it is just in minimal rules. In some Provinces you can only walk your dog for instance 100 metres from your home,in other Provinces it is 1 Kilometre.In some the Guardia are really,in others they are a bit more lenient.I would imagine the reason that Madrid etc., are suffering most is that they are far more heavily populated.Where I am it is very rural,even though the coast is only 10 minutes away,the main source of work is in the fields,crops,sheep etc.I would think that the actual area you are in also is another factor. 

We come under the auspices of Torre Pacheco even though I live probably 20 minutes from there. My area is basically broke up into small villages,especially in the mountain areas,where the population is very small. You have to realise Spain is a massive country really. I actually know a fair few people in my village who have never ever been out of the village.A couple of years ago an elderly chap I know well told me he was taking his brother, who was not very well,on holiday for 2 weeks. I asked him where he was going.He said,we are going to La Manga.La Manga is no more than 30 minutes drive from my village.He said he had never been out of the village.He was 70 years old then. It must have done him good however,he is still living in the village. So,probably that is one reason it is not as bad here,people do not seem to travel far.

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