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Everything posted by Raja

  1. Funny seeing Martinez palming a ball straight to bamford today after Leno did it last week ( I think people are generally harsher on Leno, especially afc fans)
  2. I'm a medical doctor ( or physician as you US folk call it). Couldn't imagine doing anything else as every day is a little bit of everything from being stressful to being a lot of fun. I also have a public health degree in Health Policy, which I *hope* I can use for some non-clinical projects later on in my career. Currently just trying to keep my head above water and hoping/ trying to convince people to take covid seriously.
  3. ONS random sampling has us at 22,000 - 38,000 5 days ago at the press conference Vallance gave. The React study has even higher numbers.
  4. Have never seen Taunzebe play, but that is an elite name so I hope he sticks around
  5. Can't wait till Martinez wins a title in his first season at villa
  6. We don't really play a 3 4 3 in possession. I agree with not having Willain through the middle though, not sure that accomplished much at all.
  7. It'll take a couple of transfer windows and time, imo. I'm not too concerned.
  8. Not sure what Willian in the middle is giving us but man, Saka is so fun to watch on the left with Tierney
  9. More confident than ever of a sending off/ penalty now
  10. Waking up for the second half was the right decision
  11. Just to add to this - to deal with the first surge of infections, this is what happened. 1. NHS closed for all elective surgeries/ procedures - all cancer care, all elective operations, all kinds of procedures like scopes for the stomach, bowel, lung etc were all cancelled. Clinic visits to the hospital were cancelled. Non-urgent care was cancelled for 3 months starting from April to free up beds. We are already seeing some of this scaling back happen in Liverpool with the Liverpool University Hospital NHS Trust chief executive saying the following 2. Staff were pulled from completely different fields and redeployed to the Accident and Emergency, the Intensive Care Unit and acute medical units, sometimes those doctors not even from these fields. Surgeons, given that non-urgent care was cancelled, were redeployed to places they would not ordinarily work Staff were redeployed, medical students that had still not finished their final year exams were asked to start work in April instead of August. Retired doctors were told to come back in and help the NHS. 3. Speaking to what Derfel Cadarn states regarding burnout - NHS doctors and nurses were put on a special covid rota during the crisis to cope with the staffing levels. Here is the medical director of Liverpool University Hospitals stating what will happen if community transmission continues at the rate it is Non-urgent care, the redeployment of staff, and the covid rota all changed back to normal during the months that admissions were low. Delaying non-urgent care affects patient outcomes, we've already done it once, and it should not be done again, that is why it is important to suppress the virus so the NHS is not in the position it was in back in March. I usually don't respond to Heartofice's posts, but these few over the last few pages show a gross ignorance of what went on from March to August and zero intellectual curiosity to try and understand why the last few weeks are concerning. I cannot emphasize how important it is not to cancel all non-urgent care and I hope that doesn't happen again. If admissions rise to the extent that they did, it will all have to be cancelled again.
  12. I'm just sad that I didn't get to see the slowest midfield in my lifetime with a double pivot of Rice and Dier
  13. Re: all the talk about TAA - To be fair, I thought Reece james was actually quite good
  14. Or Medicine! I just got off a series of night shifts from Friday to Monday and I've been off work from Monday to Thursday. Just random days off here and and there that makes you lose track of time ( I thought today was a Friday)
  15. Pickford is entertaining to watch. Hope he remains england's keeper for years
  16. Yes, if we ignore the *many* countries that are showing the way out of this or at least allowing their populations to function without the fiasco that is currently unfolding in both the US and the UK - and doing so by using basic public health interventions. ( Also, the stuff being proposed there is nothing new - it's scant on details and allowing the virus to run it's course among the young is a bunch of unethical nonsense. I agree with having equitable solutions proposed by those scientists but allowing the virus to run it's course among the 'young' population will end up with thousands of more hospitalizations. People proposing this as a viable strategy have no clue about the situation on the ground and as Tedros mentioned today, it is grossly unethical.)
  17. I have total sympathy for Luke given that he owns a gym, if there is no help for the industry, then what are people supposed to do? Every SAGE intervention highlights the fact that any closure must be given adequate support by the government, especially if we go into the kind of lockdown that was there in March and April. A couple of things regarding the data though - I think Luke is correct in that we need to look at the data, but we have to dig a little deeper. The data presented covers the period of 25th July to 13th September and as is correctly pointed out, the result was 0.34 per 100,000 incidence of COVID cases. However, there are two caveats here; 1. The data presented covers a period where community transmission was low in England ( 25th July to 13th September)- if you have low community transmission, you're going to have a low incidence, so whilst those numbers are low, it's important to note that it's during a time where overall community transmission was low. We are currently not in a phase where community transmission in England is low - for example, 25th July had 700ish new cases, but right now, we have 17,000 new cases. Community transmission is high. The only way to be certain about those numbers is to conduct a further study during a high period of community transmission, i.e. right now. 2. The SAGE evidence highlights the fact that the risks in gyms *can* be higher given the number of touch surfaces and that aerobic activity will generate higher aerosols and breathing rates. In addition, they state in the data that precise estimation is extremely difficult. It would be interesting to look at data at gyms/ yoga classes during periods of high community transmission, but this is tough to do given that they will likely close if that is the case. Do we take the risk given the high community transmission right now and that we have a Test and Trace system that SAGE recommends needs to be overhauled? These aren't easy decisions to make - if we had a functioning track and trace system, more things could be open, but given how botched the system is at the moment we can't safely open places and we probably shouldn't take that risk. If a closure is to happen, like it is happening with Liverpool, there needs to be significant local and government support for the staff and a track and trace system that works - Do I trust that we will get there? Probably not given the last few months.
  18. It's roughly a 10 percent difference in mortality with Dexa among the sickest patients ( Ventilated ones) and a 3 percent mortality difference among those requiring oxygen. It's the only drug we have for mortality. There's certainly a difference but if you have rising cases to the extent seen in the UK ( even amongst the young), you will eventually see hospitalizations and deaths And these deaths are probably from the cases a couple of weeks ago, the numbers we are seeing right now will be reflected in the deaths in about 2 weeks to a month, so I imagine it will get worse but I hope it doesn't.
  19. So I was reading the SAGE evidence behind the different public health interventions that have been implemented so far, and came across this gem regarding curfews in pubs, bars and restaurants Also, re: universities - it's woeful how unprepared universities were for what the scientists were fairly confident would happen. It's no surprise that lockdowns are the most effective intervention But the circuit breaker thing they wanted also has a significant impact Posted this in the covid thread, but we basically wasted the time we bought during the first lockdown and we are seeing the consequences of that right now. Gotta somehow pray that the time bought during these second phase of lockdowns isn't wasted ( I'm sure we won't be seeing things like Eat out to help out, or Boris telling us to go to work etc). Honestly, this summer can be used as a perfect case study of a disaster in public health communication.
  20. This is fine. Also, from the same document It's a pity that the last few months have been anything but clear and consistent communication.
  21. Masks alone are not a silver bullet, neither are lockdowns - No one intervention is the silver bullet - just like *many* other infectious diseases, you need a host of public health interventions ( which obviously include masks and social distancing), to try and control the spread of the virus. Here in the UK we're seeing what happens when you do nothing with the time that lockdown has bought you - with a failed tracking and tracing system and a failed testing strategy, and a failure in public health communication and messaging, we're looking at a bleak winter. As an aside - here's an informative interview with Drosten, one of the virologists leading Germany's response to the pandemic - found it fascinating, especially his comments on a vaccine
  22. NEJM pulling no punches here - I'm startled, yet pleased, to see them speak out so unequivocally
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