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 > Your search for posts made by 'Optimistic Paranoid' found 73 matches.

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RE: Brake Lights

If you're SURE the fuse is good, I'd be checking the brake light switch next.
Optimistic Paranoid 03/27/20 02:16am Tech Issues
RE: Coronavirus practical issues

Article from The Hill: CDC Analysis Shows Coronavirus poses Serious Risk for Younger People Early data analyzed by the Centers for Disease Control and Prevention (CDC) shows that younger Americans are at substantial risk of experiencing serious medical problems from the coronavirus sweeping the globe. That data runs counter to some of the early messaging from public health officials in other parts of the world. A new CDC analysis of more than 2,400 cases of COVID-19 that have occurred in the United States in the last month shows that at least 1 in 7 and perhaps as many as 1 in 5 people between the ages of 20 and 44 who contract the virus require hospitalization, a level exponentially higher than the hospitalization rates for influenza. Between 2 percent and 4 percent of people that young are admitted to intensive care units. The fatality rate is low, only 0.1 percent to 0.2 percent, but is about two times higher than a bad flu season. Health outcomes are much worse among those who are older and those who have underlying health conditions. The early estimates show that a fifth to a third of those between the ages of 45 and 65 who contract the disease are hospitalized. Among those over 75 years old, hospitalization estimates range from 30 percent to more than 70 percent. Among the oldest cohort, those over the age of 85, somewhere between 10 percent and a quarter of all patients die. The data show adults over the age of 65 account for 80 percent of the deaths with the coronavirus. But younger Americans are contracting the virus at the same rates as those who are older. The initial round of data actually found more people between the ages of 20 and 44 who landed in the hospital than those over the age of 75 who wound up in treatment, even though mortality rates were lower for the younger set. "Lots of young people are getting hospitalized, a lot more than we’re messaging, and, yes, maybe you don’t die, but living with a damaged lung or damaged organ is not a good outcome," said Prabhjot Singh, a health systems expert at Mount Sinai Health System and the Icahn School of Medicine. Deborah Birx, one of the Trump administration's top experts on its coronavirus task force, said Wednesday that early data from France and Italy, both dealing with thousands of coronavirus cases, seemed to underscore the threat to younger people. "There are concerning reports coming out of France and Italy about some young people getting seriously ill and very seriously ill in the ICUs," Birx said at a White House briefing She did not offer further details. The data, Singh said, shows the importance of government messaging to millennials and members of Generation Z that the virus poses a substantial risk no matter someone's age. And even if someone does not show serious symptoms, they can still spread the disease to friends, neighbors or relatives who will. "We’re talking to young people about doing their part and being good millennials because they could be asymptomatic spreaders," Singh said. "That’s true, but it’s also true that some high number of them will also get sick enough to be hospitalized, and many of them may have lasting consequences."
Optimistic Paranoid 03/18/20 04:36pm RVing with Disabilities and General Health Issues
RE: Coronavirus practical issues

This appeared on the Atlantic site. What It Really Means To Cancel Elective Surgery Three weeks ago, Robert Cruickshank went to the ER in Seattle with terrible abdominal pain. The diagnosis? Gallstones. The hospital gave him strong painkillers and urged him to come back again—and soon—to have his gallbladder removed. “It doesn’t have to happen tonight,” he recalls the doctors saying, “but get it scheduled as soon as possible.” No one yet knew that the coronavirus was already spreading undetected through the city. Cruickshank briefly wondered if this virus in the news would affect things when scheduling the surgery for yesterday, but his doctor didn’t seem worried. By this past Friday, everything had changed. The doctor’s office called to say that his gallbladder-removal surgery would be postponed indefinitely. All over the country, patients are finding their nonemergency surgical appointments canceled as hospitals prepare for a spike in coronavirus cases. Surgeries for early-stage cancer, joint replacements, epilepsy, and cataracts are all getting pushed back—to ration much-needed personal protective equipment, keep hospital beds open, and to shield patients from the virus. On Friday, the American College of Surgeons recommended that hospitals reschedule elective surgeries as needed. Hospitals in outbreak hot spots such as Seattle, New York, and Boston were the first to act, but more are likely to follow suit. Some patients are left wondering if they have a ticking time bomb inside them Others are upending carefully made plans for life-altering surgeries with long recovery times. /Elective surgery/ does not mean optional surgery. It simply means nonurgent, and what is truly nonurgent is not always so obvious. Gerard Doherty, the chair of the surgery department at Brigham and Women’s Hospital in Boston, which began postponing elective surgeries on Friday, says surgical procedures can fall into one of three categories. About 25 percent of the surgeries performed at his hospital can be delayed without much harm. These might include joint replacements and bariatric surgeries for weight loss. Another 25 percent are for life-threatening emergencies that need to be treated right away: perforated bowels, serious heart problems, bones that have broken through the skin. The last 50 percent are the tricky ones. These cases, Doherty says, have “some potential for harm to delay”; they might include cancer and problems in the blood vessels of the arms and legs. Brigham and Women’s is postponing some of these surgeries now on a case-by-case basis. In Cruickshank’s case, for example, the initial bout of acute pain has passed. (That might have been when a gallstone got stuck.) He still feels “a little something” every now and then, and he worries that a flare-up might send him to the ER again. “Now I’m concerned,” he says. “If I go to the ER, are they going to have to turn me away and say, ‘Sorry, we have a bunch of coronavirus patients’?” The middle of a pandemic is a bad time to have a health emergency. For other patients, the canceled appointments have meant rescheduling long-anticipated and life-changing surgeries. Sherrie Kumm, 33, of Ellensburg, Washington, has epilepsy that causes her to have a petit-mal seizure nearly every day. She can’t drive. For the past six months, she has been preparing to have a small section of her brain removed to stop the seizures—a two-part surgery that would require a two-to-four-week hospital stay. She took a semester off from her online degree, took time off from her job at a school, and arranged for her mother to watch her two sons while she was hospitalized. As late as Thursday, her doctor’s office had called to confirm the surgery. She had packed a suitcase, complete with the front-opening nightgowns she had specially ordered to wear in the hospital. On Friday morning, her doctor’s office called again, this time to postpone the appointment. “I had been mentally preparing and physically preparing myself and my children for six months,” she says. The sudden cancellation has been hard for her, and she’s unable to plan or reschedule her surgery for now. Kumm’s neurosurgeon at the University of Washington, Andrew Ko, told me that the policy to postpone elective surgeries came down from the hospital administration on Thursday evening. On Friday morning, he and his office started to cancel some 30 surgeries scheduled for the following two weeks. That included surgeries like Kumm’s, as well as implants for movement disorders and removals of slow-growing brain tumors that patients may have had for years. Brain-cancer surgeries, though, are going ahead. Ko said his hospital is prioritizing surgeries in which “the length of your life is affected.” The “quality of life” surgeries are the ones now getting postponed. Canceling surgical appointments is also meant to limit the number of people circulating through hospitals. Surgeries like Kumm’s, which require a long hospital stay, during which visitors might be coming in and out, Ko said, may be particularly risky from the point of view of spreading the coronavirus. Hospitals around the country are also limiting patients to one adult visitor. In general, doctors and nurses are being more careful about conserving personal protective equipment in the operating room. Doherty says his hospital is having nurses stay in the operating room after they set up, so that they don’t have to reenter and use a new set of surgical masks, gloves, and gowns. At some point, depending on how long the coronavirus outbreak lasts, some nonurgent surgeries could very well become urgent. “Right now, most people are planning for a time period of four to six weeks for the peak to hit, but nobody really knows,” says David Hoyt, the executive director of the American College of Surgeons. “We’re using our best judgment on the fly.” And when hospitals do have capacity again, they will have a backlog of postponed surgeries to go through. Hospitals are going to be busy for a while. With confirmed coronavirus cases varying so much from state to state, some patients are in a bit of a limbo. Cody Lawrence, 27, of Fort Myers, Florida, needs major thoracic surgery to fix a birth defect that has left him in too much pain to work recently. He and his wife are planning to drive three hours and stay at a hotel in Orlando, where he is scheduled to have surgery in less than two weeks. The specific surgery requires deflating one of his lungs, and he will need to be on a ventilator, which may soon be in short supply. With the coronavirus going around, he’s concerned for his wife, who just finished chemotherapy, and for himself. “If I catch it,” he worries, “I’m pretty much a goner.”
Optimistic Paranoid 03/18/20 07:23am RVing with Disabilities and General Health Issues
RE: Coronavirus practical issues

This appeared in today's New York Post. FYI. It will take about two years for the coronavirus pandemic to run its course — but that depends on how fast a vaccine becomes available, according to Germany’s public health agency. Dr. Lothar Wieler, president of the Robert Koch Institute, said that between 60 percent and 70 percent of the global population will eventually become infected before recovering and acquiring immunity, Reuters reported. “Our working assumption is that it will take about two years,” he told a news conference Tuesday, adding that the timing also depends on the speed at which a vaccine is developed and deployed. “We do not yet know what the death rate will look like in the end,” he said. Wieler said the institute was raising the risk level in Germany to “high,” noting that without the strict social distancing measures that Chancellor Angela Merkel announced Monday, the country could see millions of cases.
Optimistic Paranoid 03/18/20 06:44am RVing with Disabilities and General Health Issues
RE: Coronavirus practical issues

I got an email from my dentist yesterday. Because the CDC has recommended that people suspend getting routine or elective dental care until further notice, my dentist was shutting down his office and cancelling all appointments. A phone number was provided to call for instructions in case of a 'dental emergency'. An article that appeared on The Atlantic's web site featuring an interview with a Boston doctor included the following: I was seeing a patient for his routine annual exam last Tuesday. And my medical assistant came up to me and said, “This patient has a cough and we just received the instruction about wearing personal protective equipment. What do you want to do?” Things were moving so fast that I had to read the guidelines. They are changing day to day. I realized that I had to put on kind of all the gear to go evaluate this patient. And I walked in the room—this poor patient, who just simply had a winter cough, his eyes went wide. He immediately asked to leave. His blood pressure went up 60 points just from seeing me in the gear. And that was not a situation I have ever wanted to be in. But that is the situation right now. And so we are rapidly shutting down routine care. We have canceled all planned follow-ups with patients with diabetes and heart failure at this point because we have to preserve that personal protective equipment.
Optimistic Paranoid 03/17/20 03:07am RVing with Disabilities and General Health Issues
RE: Coronavirus practical issues

The surprising part is, you probably don't actually need to go to the store. Places like Walmart and Target let you mail order anything you need. If you are in a reasonably large city, you can probably get fresh groceries delivered. Otherwise you can eat canned food mail ordered from Walmart. I just saw on the tv where, for the time being, at least, Walmart will no longer be open 24 hours a day. They need to use the overnight hours to clean and DISINFECT the store and re-stock it. Maybe they'll still be mailing groceries and maybe they won't. The only thing we can be sure of is that it ain't gonna be business as usual. Personally, I was sorry to hear this. I was thinking it d be much less crowded - and thus safer - to go shopping at 2 am. . .
Optimistic Paranoid 03/15/20 06:44am RVing with Disabilities and General Health Issues
RE: The Coronavirus

For all the people pooh-poohing the coronavirus and insisting it's no big deal, were you aware of the fact that in Italy there aren't enough breathing machines to treat all of the seriously ill, and doctors there are literally triaging their patients and deciding who they will treat and who they will let die? Article from the ATLANTIC web site: The Extraordinary Decisions Facing Italian Doctors There are now simply too many patients for each one of them to receive adequate care. March 11, 2020 Yascha Mounk Two weeks ago, Italy had 322 confirmed cases of the coronavirus. At that point, doctors in the country’s hospitals could lavish significant attention on each stricken patient. One week ago, Italy had 2,502 cases of the virus, which causes the disease known as COVID-19. At that point, doctors in the country’s hospitals could still perform the most lifesaving functions by artificially ventilating patients who experienced acute breathing difficulties. Today, Italy has 10,149 cases of the coronavirus. There are now simply too many patients for each one of them to receive adequate care. Doctors and nurses are unable to tend to everybody They lack machines to ventilate all those gasping for air. Now the Italian College of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) has published guidelines for the criteria that doctors and nurses should follow in these extraordinary circumstances. The document begins by likening the moral choices facing Italian doctors to the forms of wartime triage that are required in the field of “catastrophe medicine.” Instead of providing intensive care to all patients who need it, its authors suggest, it may become necessary to follow “the most widely shared criteria regarding distributive justice and the appropriate allocation of limited health resources.” The principle they settle upon is utilitarian. “Informed by the principle of maximizing benefits for the largest number,” they suggest that “the allocation criteria need to guarantee that those patients with the highest chance of therapeutic success will retain access to intensive care.” The authors, who are medical doctors, then deduce a set of concrete recommendations for how to manage these impossible choices, including this: “It may become necessary to establish an age limit for access to intensive care.” Those who are too old to have a high likelihood of recovery, or who have too low a number of “life-years” left even if they should survive, will be left to die. This sounds cruel, but the alternative, the document argues, is no better. “In case of a total saturation of resources, maintaining the criterion of ‘first come, first served’ would amount to a decision to exclude late-arriving patients from access to intensive care.” In addition to age, doctors and nurses are also advised to take a patient’s overall state of health into account: “The presence of comorbidities needs to be carefully evaluated.” This is in part because early studies of the virus seem to suggest that patients with serious preexisting health conditions are significantly more likely to die. But it is also because patients in a worse state of overall health could require a greater share of scarce resources to survive: “What might be a relatively short treatment course in healthier people could be longer and more resource-consuming in the case of older or more fragile patients.” These guidelines apply even to patients who require intensive care for reasons other than the coronavirus, because they too make demands on the same scarce medical resources. As the document clarifies, “These criteria apply to all patients in intensive care, not just those infected with CoVid-19.” My academic training is in political and moral philosophy. I have spent countless hours in fancy seminar rooms discussing abstract moral dilemmas like the so-called trolley problem. If a train is barreling toward five innocent people who are tied to the tracks, and I could divert it by pulling the lever, but at the cost of killing an innocent bystander, should I do it? Part of the point of all those discussions was, supposedly, to help professionals make difficult moral choices in real-world circumstances. If you are an overworked nurse battling a novel disease under the most desperate circumstances, and you simply cannot treat everyone, however hard you try, whose life should you save? Despite those years of theory, I must admit that I have no moral judgment to make about the extraordinary document published by those brave Italian doctors. I have not the first clue whether they are recommending the right or the wrong thing. But if Italy is in an impossible position, the obligation facing the United States is very clear: To arrest the crisis before the impossible becomes necessary. This means that our political leaders, the heads of business and private associations, and every one of us need to work together to accomplish two things: Radically expand the capacity of the country’s intensive-care units. And start engaging in extreme forms of social distancing. Cancel everything. Now.
Optimistic Paranoid 03/13/20 11:16am RVing with Disabilities and General Health Issues
RE: Coronavirus practical issues

I do travel with pets, too, so that is a concern. The CDC has guidelines for people with pets who have the COVID-19 and are staying home and treating it themselves. * *Limit contact with pets & animals:* You should restrict contact with pets and other animals while you are sick with COVID-19, just like you would around other people. Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people sick with COVID-19 limit contact with animals until more information is known about the virus. * When possible, have another member of your household care for your animals while you are sick. If you are sick with COVID-19, avoid contact with your pet, including petting, snuggling, being kissed or licked, and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with pets and wear a face mask. See COVID-19 and Animals for more information. https://www.cdc.gov/coronavirus/2019-ncov/faq.html#2019-nCoV-and-animals
Optimistic Paranoid 03/10/20 09:07am RVing with Disabilities and General Health Issues
RE: Coronavirus practical issues

Testing for COVID-19 right now is reserved for only those patients with cough, fever and breathing symptoms who also have known exposure. The problem is that we are seeing an increase in so-called "community exposure". That is, people with COVID-19 with NO known exposure to a known infected person.
Optimistic Paranoid 03/10/20 06:23am RVing with Disabilities and General Health Issues
RE: Coronavirus practical issues

Per the CDC, one of the early symptoms of the corona virus is a low grade fever that gradually increases.(Admittedly, that's also an early symptom of the flu as well.) I'm now taking my temperature morning and night with one of those digital thermometers. If I see a fever developing, I will seek medical aid. I would recommend the same to boondockers. Check your temp regularly, and if a fever is developing, time to leave the boondocks and get back to civilization.
Optimistic Paranoid 03/09/20 04:45am RVing with Disabilities and General Health Issues
RE: Impact of the Corona Virus on the Drug Supply

At the very least, it would be nice if they didn't single source drugs. Get some from Taiwan, some from Korea, some from Japan, some from Singapore, etc. I wonder if Canada and Mexico also get their drugs from China? Probably. I hear you can buy many prescription drugs over the counter in Mexican border towns. That might be worth looking into right now to build up a stockpile.
Optimistic Paranoid 03/08/20 10:59am RVing with Disabilities and General Health Issues
Impact of the Corona Virus on the Drug Supply

The admins have asked that we keep the other thread limited to whether or not the Corona Virus will close the parks or not. I therefor figured I'd start a different thread. I'm a type 2 diabetic with high blood pressure, for which I take Actos and Metformin for the former and Atenolol, Diltiazem, and Ramipril for the later. Lou Dobbs on Fox said this week that 85% of our prescription medications come from China. Please, let's not turn this political with Fox vs CNN vs MSNBC. You watch whatever network you want to watch and I'll watch the one I want to watch. I don't take any single source as gospel, so I went looking on the web and I found THIS from the Council on Foreign Relations: https://www.cfr.org/in-brief/coronavirus-disrupt-us-drug-supply-shortages-fda This bears watching. In particular, I'm thinking that if there are shortages, drug stores may try to conserve their supplies for their own local customers as opposed to filling prescriptions for out-of town travelers that they've never seen before. A possibility to keep in mind.
Optimistic Paranoid 03/08/20 07:34am RVing with Disabilities and General Health Issues
RE: self driving sooner than we think!

Prediction: No matter how good self-driving cars get, they will never be perfect or infallible. It won't take many accidents until the **** lawyers sue the manufacturers of self-driving cars into bankruptcy.
Optimistic Paranoid 03/06/20 06:32am Tech Issues
RE: RV Loan and Insurance Info

If you want to really understand RV insurance and what coverage you might need or want, I recommend you take a look at this web page. https://www.rv-dreams.com/rv-insurance-coverages.html Others have already mentioned the downsides of buying a ten year old RV. The one upside that no one mentioned is that you're not going to take a beating on depreciation on it like you would on a newer one. If, for some reason you decide not to buy this RV and start looking at newer ones, check out this site for info on how depreciation is going to affect you. https://camperreport.com/rv-depreciation-everything-possibly-want-know/
Optimistic Paranoid 02/27/20 02:15am Full-time RVing
RE: Home based cell booster

My inside amp and transmitter and outside antenna are no more than 10’ apart. Ive never had a problem. It often depends on construction. Wood or aluminum frame? Fiberglass or aluminum exterior? A metal shell - like an Airstream - is effectively a Faraday cage, nicely isolating the inside and outside antenna signals from each other. They can't interact. Whereas fiberglass is basically invisible to radio waves and doesn't block them at all. The outside antenna easily picks up the signal from the amplified internal antenna if they are too close.
Optimistic Paranoid 02/21/20 02:47am Tech Issues
RE: Over weight? Does it bother you?

Details matter. How well distributed is the weight? Is the rear axle MASSIVELY overweight while the front axle is lighter with the camper on than it is without it? Being a little overweight shortens the life span of components. You might, for example, find yourself changing brake pads and shocks more frequently. Being a LOT overweight is dangerous.
Optimistic Paranoid 02/21/20 02:35am Truck Campers
RE: Insurance costs, recommendations

You have to remember that insurance companies are regulated by the states, so there are 50 different insurance commissioners setting rates and regulating them. Company X might easily beat Company Y in State A, but be twice as much in State B. Any time you change states, you need to start over from scratch and get quotes from all the different companies. Even doing that, you might discover that rates are just going to be higher in B than they were in A. Sometimes a lot higher.
Optimistic Paranoid 02/20/20 03:03am Truck Campers
RE: truck campers require registration like a trailer camper?

I have a chance to obtain a none clear title TC it's a flooded title water probably ruined most of the inside. it mite be worth refurbing. what do you Guys think. I think there's a very good chance you're going to wind up with toxic mold growing in the walls. If offered to me, my response wouldn't be no, it would be Hell No!
Optimistic Paranoid 02/07/20 03:09am Truck Campers
RE: wifiranger Converge - Do you like it?

I generally agree with the comments about RV park wifi bandwidth limitations as well as the ones about wifi security. I would never use public wifi to access my bank(s) and so forth. On the other hand, if you dry camp in parking lots, you will often find that businesses that offer free public wifi don't bother to switch it off when they close. If you park near such businesses, you often have that wifi connection to yourself after hours to download movies and play online games without using up your cell minutes.
Optimistic Paranoid 02/06/20 06:57am Tech Issues
RE: truck campers require registration like a trailer camper?

Take a look at this short article: Which States Require Truck Camper Registrations
Optimistic Paranoid 02/06/20 06:39am Truck Campers
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