Tag: corona care

Is There Actually a Link Between Vaping and COVID-19?

Jack Drennan had tried to quit vaping before, but it took a global pandemic to make him finally follow through.

“I heard you get a lot sicker if you do vape and get coronavirus, so it kind of [pushed me] to quit,” says the Mississippi 20-year-old. Plus, “my mom’s on my ass [about it].”

Speculation about a link between vaping and COVID-19 has grown in recent weeks. News reports have noted that some young, hospitalized COVID-19 patients also vaped, and at a tele-town hall on March 19, a constituent asked New York Rep. Anthony Brindisi about the possibility of a connection. The National Institute on Drug Abuse wrote on its blog that people with substance-use disorders, including those who vape, could be especially hard-hit by COVID-19. In various corners of the internet, fringe theories with little-to-no scientific evidence have popped up making connections between a prior outbreak of vaping-related lung illnesses in the U.S. and COVID-19.

But is there any actual link between vaping and coronavirus? Experts say it’s impossible to say for sure.

Preliminary data show that a fairly high number of U.S. hospitalizations have been among younger adults—the same population known for vaping. At this point, though, that’s just an interesting observation; there is no real data to back up an association between vaping rates and COVID-19 rates in young adults.

The science around vaping is in general evolving. While some studies have shown that vaping can lead to lung damage and other health problems, the products have not been on the market long enough to speak confidently about their long-term effects. The science around COVID-19, which did not exist three months ago, is also still evolving. Putting the two topics together, then, makes for a lot of uncertainty.

Having a preexisting condition—especially one related to respiratory health—increases the chances that someone will experience complications from COVID-19, so it’s reasonable to think vaping could play a part. But since scientists can’t say for sure that vaping leads to lung disease or other chronic conditions, it’s also difficult to say whether it opens people up to more risks associated with COVID-19.

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Combustible cigarette-smoking is a clearer cause for concern during the outbreak, says Dr. Michael Siegel, a professor of community health sciences at the Boston University School of Public Health. Early data suggest men are more susceptible to COVID-19 than women, which could be associated with the fact that more men than women smoke—especially in China. Smoking-related conditions, such as heart and lung disease, put people at risk of more severe illnesses, Siegel says. Smoking also inhibits the body’s ability to heal from infections, he adds.

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But “with vaping, we just don’t know,” Siegel says. “We don’t have the evidence.”

Yasmin Thanavala, an immunologist at Roswell Park Comprehensive Cancer Center in Buffalo, New York, says some of her group’s animal research suggests vaping may prevent the body from healing from bacterial infections. COVID-19, of course, is a viral infection, but Thanavala says “on a theoretical basis,” a similar effect could apply. There’s not conclusive evidence to say so definitively, though.

Even assuming vaping does cause some amount of lung damage, it’s unlikely that most people who vape have been using e-cigarettes long enough to see the full brunt of it, says Dr. Steve Schroeder, a professor of medicine at the University of California, San Francisco. The exceptions, of course, are patients who got sick during a vaping-related lung injury outbreak last year, which health authorities traced mainly back to THC vape products spiked with the additive vitamin E acetate.

Daniel Ament, a 17-year-old from Michigan who needed a double lung transplant after vaping, is one such patient. “I definitely am [at higher risk for COVID-19],” he says. “[Doctors] didn’t have to tell me that.” Given his past lung injury and fragile immune system post-transplant, Ament is staying inside, wearing a mask almost constantly and visiting his doctors and therapists virtually. His whole family self-quarantined starting last week, to avoid bringing home germs.

E-cigarette users without a known lung injury should not quit if it means they’ll go back to using combustible tobacco, Siegel says. “Relapsing to smoking is the worst thing they could do.” But for recreational vapers, COVID-19 may be the final push needed to quit—and that’s a silver-lining to the situation, Siegel says.

“It’s always better not to be breathing chemicals into your lungs. I would have said that even without this particular outbreak,” he says. “It would certainly be a potential incentive to get people who are vaping to stop, just as a precautionary measure.”

By Jamie Ducharme March 23, 2020

Source: Is There Actually a Link Between Vaping and COVID-19?

Becuase the coronavirus directly attacks the lungs, it could be more dangerous for people who have weaker lungs from smoking or vaping. Learn more about this story at https://www.newsy.com/98596/ Find more videos like this at https://www.newsy.com Follow Newsy on Facebook: https://www.facebook.com/newsy Follow Newsy on Twitter: https://www.twitter.com/newsy

 

Total Cost of Her COVID-19 Treatment: $34,927.43

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When Danni Askini started feeling chest pain, shortness of breath and a migraine all at once on a Saturday in late February, she called the oncologist who had been treating her lymphoma. Her doctor thought she might be reacting poorly to a new medication, so she sent Askini to a Boston-area emergency room. There, doctors told her it was likely pneumonia and sent her home.

Over the next several days, Askini saw her temperature spike and drop dangerously, and she developed a cough that gurgled because of all the liquid in her lungs. After two more trips to the ER that week, Askini was given a final test on the seventh day of her illness, and once doctors helped manage her flu and pneumonia symptoms, they again sent her home to recover. She waited another three days for a lab to process her test, and at last she had a diagnosis: COVID-19.

A few days later, Askini got the bills for her testing and treatment: $34,927.43. “I was pretty sticker-shocked,” she says. “I personally don’t know anybody who has that kind of money.”

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Like 27 million other Americans, Askini was uninsured when she first entered the hospital. She and her husband had been planning to move to Washington, D.C. this month so she could take a new job, but she hadn’t started yet. Now that those plans are on hold, Askini applied for Medicaid and is hoping the program will retroactively cover her bills. If not, she’ll be on the hook.

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She’ll be in good company. Public health experts predict that tens of thousands and possibly millions of people across the United States will likely need to be hospitalized for COVID-19 in the foreseeable future. And Congress has yet to address the problem. On March 18, it passed the Families First Coronavirus Response Act, which covers testing costs going forward, but it doesn’t do anything to address the cost of treatment.

While most people infected with COVID-19 will not need to be hospitalized and can recover at home, according to the World Health Organization, those who do need to go to the ICU can likely expect big bills, regardless of what insurance they have. As the U.S. government works on another stimulus package, future relief is likely to help ease some economic problems caused by the coronavirus pandemic, but gaps remain.

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Here is everything you need to know about what getting treated for COVID-19 could cost you.

How much does it cost to be hospitalized for COVID-19?

Because of our fragmented health care system, it depends on what kind of insurance you have, what your plan’s benefits are, and how much of your deductible you’ve already paid down.

A new analysis from the Kaiser Family Foundation estimates that the average cost of COVID-19 treatment for someone with employer insurance—and without complications—would be about $9,763. Someone whose treatment has complications may see bills about double that: $20,292. (The researchers came up with those numbers by examining average costs of hospital admissions for people with pneumonia.)

How much of that do I have to pay?

Most private health insurance plans are likely to cover most services needed to treat coronavirus complications, but that doesn’t include your deductible—the cost you pay out-of-pocket before your insurance kicks in. More than 80% of people with employer health insurance have deductibles, and last year, the average annual deductible for a single person in that category was $1,655. For individual plans, the costs are often higher. The average deductible for an individual bronze plan in 2019 was $5,861, according to Health Pocket.

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In both complicated and uncomplicated cases, patients with employer-based insurance can expect out-of-pocket costs of more than $1,300, the Kaiser researchers found. The costs were similar regardless of complications because many people who are hospitalized reach their deductible and out-of-pocket maximum.

Many health insurance plans also require co-pays or co-insurance, too. Those costs are often 15-20% for an in-network doctor, meaning you would pay that portion of the cost, and can be much more for out-of-network doctors.

Medicare and Medicaid will also likely cover the services needed for coronavirus treatment, but the details on deductibles (for Medicare) and potential co-pays will again depend on your plan, and which state you’re in for Medicaid.

What if I’m uninsured?

It’s not pretty. Some hospitals offer charity care programs and some states are making moves to help residents pay for COVID-19 costs beyond testing. Several states, including Maryland, Massachusetts, Nevada, New York, Rhode Island and Washington, have created “special enrollment periods” to allow more people to sign up for insurance mid-year.

Other states are requiring coverage of future vaccines or changing rules about prescription medication refills to help people stock up on essential medicines. So far, Maine, Maryland, Massachusetts, Nevada, New Mexico, New York and Oregon have required insurers to waive costs for a COVID-19 vaccine once one is ready, and the states that have loosened rules to help people fill prescriptions include Alaska, Colorado, Delaware, Florida, Maine, Maryland, New Hampshire, North Carolina and Washington.

The Commonwealth Fund, a healthcare think tank, has a coronavirus tracker that’s keeping a list of the moves each state has made so far.

There’s no way I could afford to pay out-of-pocket for care. What can I do?

The U.S. health care system doesn’t have a good answer for you, and it’s a problem. But there are a few things to keep in mind that could help minimize costs.

If you think you may have the virus, the first step is to call your doctor or emergency department before showing up, the CDC says. This will let them prepare the office and give you instructions ahead of time, but it could also save you money. Getting treated in a hospital will generally start off more expensive than a visit to a doctor’s office. Another cost comes from the “facilities fee,” which many hospitals charge anytime a patient comes through their doors. For Danni Askini’s first trip to the hospital in Boston on Feb. 29, for example, she was charged $1,804 for her emergency room visit and another $3,841.07 for “hospital services.”

Other costs to watch out for include lab tests, which can be “out-of-network” even if the doctor treating you is in your insurance network. It’s always best to ask for information in writing so that you can appeal the bills if necessary, says Caitlin Donovan of the National Patient Advocate Foundation. And appealing is worth it. Often, providers and insurers have reversed or lowered bills when patients go public or are covered by the media.

These problems aren’t coming out of the blue. Even when we’re not weathering a global pandemic, Americans face uniquely high health care costs, compared to the rest of the world, and millions of us already put off medical care because of concerns about how much it’ll cost. But with COVID-19 sweeping across the country, an old problem becomes increasingly urgent: many Americans could still face massive treatment bills, or seek to prevent those by avoiding testing and treatment—worsening the outbreak further.

“If you’re sick, you need fewer barriers,” Donovan says. “But also, it doesn’t help society to have people still crawling around going to their job and getting other people sick.”

By Abigail Abrams March 19, 2020

Source: Total Cost of Her COVID-19 Treatment: $34,927.43

I shot this video to share my experiences living with the Coronavirus (COVID-19). I discuss the symptoms I’ve experienced, the treatments that have helped with recovery and the process I’ve been enduring to keep my family safe. Thank you for all of your kind words and support during this event. Positive energy, and prayers will get us all through this and let’s hope for the best outcome in the near future. For more information, including my COVID-19 survival guide, read: https://www.audioholics.com/editorial…  Audioholics Recommendations Amazon Shop: https://www.amazon.com/shop/audioholics Audioholics Recommended Cables: 250ft CL2 12AWG Speaker Cable: https://amzn.to/2vwS9QH Locking Banana Plugs: https://amzn.to/2ZQt15x 9ft 4K HDR HDMI Cables: https://amzn.to/2WiIXeD Audioholics Recommended Electronics: Denon AVR-X4600H 9.2CH AV Receiver: https://amzn.to/2ZTbsCe Yamaha RX-A3080 9.2CH AV Receiver: https://amzn.to/2VzA03v Denon AVR-X6400H 11.2CH AV Receiver: https://amzn.to/2LelABB Audioholics Recommended Speakers: SVS Prime 5.1 Speaker / Sub System: https://amzn.to/2GWoFCn Klipsch RP-8000F Tower Speakers: https://amzn.to/2Vd8QQn Pioneer SP-FS52 Speakers: https://amzn.to/2n7SyIJ Sony SSCS5 Speakers: https://amzn.to/2ndEn56 SVS SB-3000 13″ Subwoofer: https://amzn.to/2XYxqBr Follow us on: Patreon: https://www.patreon.com/audioholics FACEBOOK https://www.facebook.com/Audioholics GOOGLE PLUS https://plus.google.com/+Audioholics TWITTER https://twitter.com/AudioholicsLive #coronavirus #covid-19

U.S. Stocks Claw Back Some Losses As Oil Prices Rebound

Topline: U.S. stocks recovered some losses on Thursday and oil prices soared, though the modest gains were not enough to offset the damage done by a weeks-long sell-off.

  • The Dow Jones Industrial Average was up 0.8%, or 170 points. The S&P 500 gained 0.3% while the Nasdaq gained 2.3%.
  • Tech stocks led the way on Thursday, with Amazon up 2.8% and Microsoft up 1.6%.
  • At a press conference on Thursday afternoon, President Trump said he would consider for companies who receive bailouts under his administration’s proposed $1 trillion stimulus plan.
  • Central banks are also continuing to act in order to cushion the economic blow of the coronavirus outbreak: yesterday, the European Central Bank announced an $818 billion bond-buying program and the Federal Reserve said it will act to shore up prime money market funds.

Crucial quote: “Central banks, particularly the Fed, really are playing whack-a-mole with the financial system,” Eric Winograd, senior economist at AllianceBernstein, told CNBC. “Every day, a new area of distress pops up and every day, they’re coming up with a new program or rebooting an old program.” The Federal Reserve is taking extraordinary steps to stabilize the U.S. economy: it has cut interest rates to almost zero, said it’s prepared to inject trillions of dollars into the overnight repo market, slashed bank reserve requirements and agreed to buy short term debt from companies with good credit ratings.

Big number: The price of oil bounced 24% on Thursday, gaining back about half of its losses from Wednesday, when it reached a multi-decade low. According to reporting in the Wall Street Journal citing people familiar with the matter, the Trump administration is considering intervening in the ongoing oil-price war between Saudi Arabia and Russia.

Key background: The Dow dropped 6.3% yesterday, nearly 2,000 points, while the S&P 500 was down 5.2% and the Nasdaq slid 4.7%. It was the eighth consecutive day where the S&P 500 swung more than 4% in either direction—that level of volatility is far worse than the previous record of six days during the Great Depression, according to LPL Financial. Last night, President Donald Trump signed a coronavirus relief bill into law. The bill includes free coronavirus testing and paid sick leave, among other measures. The Trump administration is also pushing for a $1 trillion economic stimulus package.

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Sarah Hansen

Sarah Hansen

I’m an assistant editor on Forbes’ Money team, covering markets, fintech, and blockchain. I recently completed my master’s degree in business and economic reporting at New York University. Before becoming a journalist, I worked as a paralegal specializing in corporate compliance and the Foreign Corrupt Practices Act.

Source: U.S. Stocks Claw Back Some Losses As Oil Prices Rebound

U.S. stocks plunged amid anxieties of a free-fall in oil prices and escalating spread of the COVID-19, with all three major indexes declining more than seven percent.  Trading was halted for 15 minutes after the S&P 500 fell by seven percent, and resumed at 9:49 local time (1349 GMT). Subscribe to us on YouTube: https://goo.gl/lP12gA Download our APP on Apple Store (iOS): https://itunes.apple.com/us/app/cctvn… Download our APP on Google Play (Android): https://play.google.com/store/apps/de… Follow us on: Website: https://www.cgtn.com/ Facebook: https://www.facebook.com/ChinaGlobalT… Instagram: https://www.instagram.com/cgtn/?hl=zh-cn Twitter: https://twitter.com/CGTNOfficial Pinterest: https://www.pinterest.com/CGTNOfficial/ Tumblr: http://cctvnews.tumblr.com/ Weibo: http://weibo.com/cctvnewsbeijing Douyin: http://v.douyin.com/aBbmNQ/

Meet The Italian Engineers 3D-Printing Respirator Parts For Free To Help Keep Coronavirus Patients Alive

Christian Fracassi, founder and CEO of Isinnova, an Italian engineering startup, heard the call for help last Friday. The hospital in Chiari, in the Brescia area of northern Italy where the coronavirus pandemic has hit hard, urgently needed valves for its respirators in order to keep patients who required oxygen alive. The manufacturer couldn’t provide them quickly enough and the hospital was desperate.

Fracassi immediately started tinkering with his engineers to reverse-engineer a 3D-printed version of the official part. Called a venturi valve, it connects to a patient’s face mask to deliver oxygen at a fixed concentration. The valves need to be replaced for each patient.

By Saturday evening, Fracassi had a prototype, and, the next day, he brought it to the Chiari hospital for testing. “They told us, ‘It’s good. It works. We need 100,’” says Fracassi, who is 36 and holds a Ph.d. in materials science with a focus on polymers. “We printed 100 of them on Sunday, and we gave all the pieces to the hospital. They are working very well.”

As the coronavirus spreads globally, shortages of medical supplies have become a major problem. Manufacturers simply can’t crank up their production of life-saving medical devices fast enough. The biggest supply crunch is with ventilators, but respirator parts like the ones in Italy and even simple nasopharyngeal swabs for testing are all in short supply. Meanwhile, the technology of 3D printing, which allows digital design of parts and the “printing” of them off a machine that creates them layer by layer, is ideally suited to emergency manufacturing because it is fast, cheap and can be done without a big factory.

But it raises issues, ranging from the quality of the products in a medical situation to the patents held by the original device’s manufacturers. Typically, new 3D-printed parts have to be certified. In Italy, Fracassi says, emergency rules during the coronavirus pandemic allowed that requirement to be waived. “They said, ‘We know the product you will bring will never be the same,’” says Alessandro Romaioli, Isinnova’s engineer, who designed the 3D-printed valves. Isinnova offered the hospital in Chiari the valves for free; Fracassi says the cost to print them is two or three Euros (or $2-3) apiece. Isinnova now has the capacity to produce around 100 parts per day, and is talking with a second hospital in Italy about sending the valves there, too.

Yet potential legal and medical issues have stopped Fracassi from distributing the digital design file more widely, despite receiving hundreds of requests for the 3D-printed valves. There are complexities because hospitals use a wide variety of respirators, each of which has slightly different technical specs and would require slightly different valves. Then, too, there’s the threat of potential patent litigation, as first raised by Techdirt. “We don’t know if something is patented. We just hope the factory can close its eyes because they cannot produce it in time,” Fracassi says. “It’s only for emergencies.”

Still, in the face of the coronavirus pandemic, 3D printing offers a smart stop-gap solution at least. Davide Sher, the 3D printing analyst who wrote the original story about Isinnova for trade publication 3D Printing Media Network, subsequently created an online Emergency AM Forum to help hospitals, 3D printing companies and inventors share ideas in the fight against COVID-19. As he writes there: “While there are both copyright issues and medical issues that need to be taken into account when 3D printing any medical product, and a critical one such as a venturi valve, in particular, this case has shown that a life-and-death situation could warrant using a 3D-printable replica.”

Fracassi says that Isinnova is now working to design other medical products that hospitals need during the coronavirus pandemic. The first is a mask. The startup created a prototype earlier this week, and sent it to the hospital for testing, he says. “We are waiting for a response, and if it works, we are ready,” Fracassi says. “Then every hospital can make their own masks.”

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Amy Feldman

Amy Feldman

I’m a senior editor at Forbes, where I cover manufacturing, industrial innovation and consumer products. I previously spent two years on the Forbes’ Entrepreneurs team. It’s my second stint here: I learned the ropes of business journalism under Forbes legendary editor Jim Michaels in the 1990s. Before rejoining, I was a senior writer or staff writer at BusinessWeek, Money and the New York Daily News. My work has also appeared in Barron’s, Inc., the New York Times and numerous other publications. I’m based in New York, but my family is from Pittsburgh—and I love stories that get me out into the industrial heartland. Ping me with ideas, or follow me on Twitter @amyfeldman.

Source: Meet The Italian Engineers 3D-Printing Respirator Parts For Free To Help Keep Coronavirus Patients Alive

Cristian Fracassi and his 3D printers helped save dozens of coronavirus patients in Italy after an overwhelmed hospital ran out of crucial medical equipment in its intensive care unit. #Coronavirus #3DPrinting #Italy Subscribe: http://trt.world/subscribe Livestream: http://trt.world/ytlive Facebook: http://trt.world/facebook Twitter: http://trt.world/twitter Instagram: http://trt.world/instagram Visit our website: http://trt.world

U.S. Hospitals Increasingly Worried About Surge in COVID-19 Cases

(TOLEDO, Ohio) — Government and hospital leaders are increasingly sounding the alarm about the health care system in the U.S. and its readiness to absorb waves of patients in the worst-case scenario involving the new coronavirus outbreak.

Authorities nationwide already are taking major steps to expand capacity with each passing day, building tents and outfitting unused spaces to house patients. They also are urging people to postpone elective surgeries, dental work and even veterinarian care. New York’s governor called for using military bases or college dorms as makeshift care centers.

Among the biggest concerns is whether there will be enough beds, equipment and staff to handle several large outbreaks simultaneously in multiple cities.

Dr. Anthony Fauci, the National Institutes of Health’s infectious diseases chief, said it’s critical that steps be taken now to prevent the virus from spreading quickly.

“The job is to put a full-court press on not allowing the worst-case scenario to occur,” said Fauci, who appeared Sunday on several network news shows.

While he does not expect massive outbreaks in the U.S. like those in Italy, he said there is the possibility if it reaches that point that an overwhelming influx of patients could lead to a lack of supplies, including ventilators.

“And that’s when you’re going to have to make some very tough decisions,” Fauci said.

In Washington state, which leads the nation in the number of positive COVID-19 cases with more than 600 illnesses and 40 deaths, the increase in people visiting clinics with respiratory symptoms is straining the state’s supply of personal protective gear worn by health care workers.

The federal government has sent the state tens of thousands of respirators, gowns, gloves and other protective gear for health care providers. But those shipments aren’t enough, said Clark Halvorson, Assistant Secretary of Health for Public Health Emergency Preparedness and Response.

The disease has infected over 162,000 people worldwide, and more than 6,000 people have died so far.

Most people who have tested positive for the virus experience only mild or moderate symptoms. Yet there’s a greater danger and longer recovery period for older adults and people with existing health problems.

The nation’s hospitals collectively have about a million beds, with 100,000 for critical care patients, but often those beds for the sickest patients are mostly filled, Scott Gottlieb, a former FDA commissioner, told CBS’ “Face the Nation.”

“If we do have multiple epidemics in multiple large U.S. cities, the system will become overwhelmed,” he said.

New York Gov. Andrew Cuomo has suggested mobilizing the Army Corps of Engineers to turn facilities such as military bases or college dorms into temporary medical centers.

“States cannot build more hospitals, acquire ventilators or modify facilities quickly enough,” Cuomo wrote in an opinion piece published Sunday in The New York Times.

Officials in the Seattle area have been setting up temporary housing — and even bought a motel and leased another — to add space for patients who might be homeless or whose living conditions might not allow for self-isolation, such as students in college dorms. King County also is setting up modular housing and is using the arrivals hall at a county-owned airport as a shelter to reduce overcrowding — and meet social-distancing requirements — in existing homeless shelters.

Hospital executives say they’re always planning for disasters and have been concentrating on coronavirus preparations for the past two months.

“If you go past our emergency department now, you’ll see tents erected in the parking lot that allow us to increase emergency department capacity,” Johnese Spisso, president of UCLA Health, said Sunday on NBC’s “Meet the Press.”

The system’s network of clinics throughout Los Angeles and Southern California have additional capacity and doctor’s are encouraging telemedicine, he said.

Dr. Peter Slavin, the president of Massachusetts General Hospital, said the next two weeks will be critical as the medical community expects a dramatic increase in the number of cases.

Ohio Gov. Mike DeWine recommended on Saturday that elective surgeries be postponed, including dental and veterinary procedures, so that health care workers won’t be stretched thin and surgical masks can be saved for health care workers dealing with the virus.

ProMedica, which operates 13 hospitals in Ohio and Michigan, is ready to call in help from staffing agencies if needed and is looking at ways to provide child care for employees whose children are off school, said Deana Sievert, chief nursing . Doctors also have voluntarily canceled their vacations.

The community “can flatten off the curve of this,” by avoiding large events, staying at home, washing their hands and practicing social distancing to help U.S. hospitals avoid an onslaught of cases, said Dr. Penny Wheeler, CEO of Minneapolis-based Allina Health, which has 12 hospitals and more than 90 clinics in Minnesota and Wisconsin.

Allina also has been canceling conferences, meetings and anything else that does not directly impact patient care.

By JOHN SEEWER / AP March 15, 2020

Source: U.S. Hospitals Increasingly Worried About Surge in COVID-19 Cases

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Some hospitals are preparing to dip into stockpiles they created just for a situation like this. But others worry about crucial equipment shortages. Learn more about this story at https://www.newsy.com/98607/ Find more videos like this at https://www.newsy.com Follow Newsy on Facebook: https://www.facebook.com/newsy Follow Newsy on Twitter: https://www.twitter.com/newsy
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