Tuesday, 31 March 2020

31st March 2020 - One Day More & Survival Choices

Thought for the day :"“I bought an alcoholic ginger beer. The alcoholic wasn't happy.”

In isolation - but saw this one and decided that it was worth keeping here..  A family sings "One more Day" with new Corona Words ...

Les Mis Lock Down - Like It 

So the great computer rebuild continues with the restoring of the video mixer, and some other programmes - all going well so far  ....  as the man said as he threw himself off the empire state building and passed the first five storeys...

On to day 4 of the 30 day song challenge. A little more difficult this time as it is someone to forget - I think this is really for the audience who would wish to forget Vollsanger after getting the ear-worm that is "A Green One"

The Video

Back to the issue of Corvid and Ventilating...

Found this today and worth consideration...

Most of us will catch the virus at some point and have a rough week or two before we get better.

Many of us will struggle with a virus-induced lung inflammation that may be copable with at home. We'll cough, we'll have some breathlessness and it sounds like it hurts, too. But we'll get through.

Some of us won't be able to breathe well enough to get sufficient oxygen for our needs. This is when making choices ahead of time starts to become important, because falling oxygen levels in our blood makes it hard to think clearly and hard to stay awake and make big decisions.

(*important point: being very sick with a body full of virus (think 'flu, or bad chicken pox) makes us sleepy too. Don't panic if you need lots of naps. That's normal. Not being able to waken fully between naps isn't normal)

People who are really struggling to breathe have choices: stay at home, even though they may be sick enough to die, or go to hospital.

People who choose to stay at home can still have medications to ease their breathlessness. Our bodies handle the sensation of breathlessness very like pain, so the strong painkillers that ease pain also ease breathlessness. We can have those at home, keep our family around us (2 metres mostly, closer for helping us move, giving us drinks, then wash hands and back off again!) so at least we are with each other.

People who choose to go to hospital will probably have to be away from family. Visiting will be restricted or even banned to preserve health of staff and other patients who don't have Corona virus but need to be at the hospital. Hospital would use the same drugs as at home to manage breathlessness but can offer extra options, including oxygen by mask, oxygen by high-pressure mask or full ventilation with a tube down the throat and care in ICU.

None of these treatments guarantees we will survive, but the staff will be honest about the chances.

Not everybody will be offered ventilation, even if they are getting so sick their life is under threat. Here's how it works:

1. If the ICU consultant believes the patient would tolerate ventilation, recover from their lung disease, be able to get back off the ventilator again, and recover fully from the viral lung damage and damage to other organs, then that person will be offered a ventilator. But of course, there's no guarantee that this treatment will succeed, it's about weighing up probabilities.

2. If the ICU consultant thinks that death is not avoidable, and that use of a ventilator won't save the person's life but might well make dying take longer and be more unpleasant, then that person won't be offered a ventilator.

3. Between these two scenarios, there's a tricky third scenario. The person is sick enough to die without a ventilator, but also so damaged either by the virus or by other conditions they already had, that have become worse because of this episode of being so unwell, that it's uncertain how well they would be if they survive. Problems might be:

-They may never be able to breathe sufficiently again without a ventilator.

- they may manage to get off the ventilator, but be so damaged that either they can't think clearly any more, or can't manage to live independently any more.

For these people, it's really important for the ICU consultant to know whether the patient would accept that risk. But the patient won't be in any fit state to discuss it.

The consultant will ask whether you've expressed opinions. You may have made a legally-binding Advance Decision to Refuse Treatment ADRT. If that's applicable to the current situation it will count as your decision, e.g. not to use a ventilator or not to go to ICU.
You may have appointed a person/people with Lasting Power of Attorney for Health and Welfare (LPA-H&W). If so, they can agree or disagree with the offer of a ventilator on your behalf, as though they were you. So we need to make sure our LPAs know what we would and wouldn't agree to!
Or if there is no ADRT and no LPA, there must be a consultation between the doctor who can offer a ventilator and people who know the patient well enough to say what the patient had said they would or wouldn't agree to. Then the doctor advising about treatment has to make a Best Interests decision that takes the patient's known wishes into account. This is very hard to do if they never expressed their wishes.

I have relatives who have already said they would stay at home even if they were dying, in order to remain amongst family. I have met people who say they would agree to oxygen via a mask in hospital but would not want a ventilator. Their wishes are clear, so we can respect them.

So, finally to answer your question: if you are offered a ventilator it will be because you're sick enough to die without it, and the doctor thinks you can be helped. If the doctor thought you could not be saved, they wouldn't offer you a ventilator.
But a ventilator doesn't guarantee survival, or survival with a decent quality of life. So our representatives need to be able to say 'She wouldn't want to survive if she could never think for herself again' or 'She'd rather not survive than only survive with no independence.'
Have the conversation. Write it down. Review it every so often. Make an LPA or ADRT. Write a Will. Tell people you appreciate them. Mend old disagreements. Forgive old rifts. Tell people you love them.

If we survive the pandemic, we may have kinder relationships and even more love in our lives than we had before.

And if we don't, we won't leave a mess.

So : Yup - that is me :
 'He wouldn't want to survive if he could never think for herself again' or 'He'd rather not survive than only survive with no independence.'

Ventilate if there is a good chance of survival - otherwise - thank you for a great life...

Thank you !!

Always time to remember you are Welsh

So - back to the scanning and the uploads...


Monday, 30 March 2020

30th March 2020 - On Green Things ...

Thought for the day :"Is a girl with an hourglass figure a complete waste of time?"

And so - in the wider world we are still working upon our social distancing ...

Susie off to Tesco to see what is in the shops today ..  we do not need much but butter, bacon and pads for Vic will be good. Streets are still looking quiet from here. Re-set the main dektop computer with the lastest version of Windows 10 and the restore seems to have worked smoothly. Will find out later if the video software will work properly now - it was freezing all the time before the reset.

Day three of the 30 day OSng Challenge ... 

Seems my freinds know me too well - panic buying

Saw some other quite nice images for Green things - so thought I woudl share them as well ..

Nice what you can find out there

In other news - we are at 19,800 cases in the UK and 1228 deaths - though we are not testing except those admitted to hospital and a few extras like the PM and Prince Charles... 
Boris, the Chief Medical Officer and Dominic Cummings, all of whom are self isolating though news today that Prince Charles has come through his illness....


Sunday, 29 March 2020

29th March 2020 - Nostalgia and Road blocks

Thought for the day :"I live a stone’s throw away from a family who all died of mysterious head injuries…"

On Covid...

And on exponential growth - explained...

Useful little graph explanation....

In other news - did some scanning yesterday .... Jan's Album Scheme - 1989-90 USA and Wales.

And on to the next project...

Worth Watching...

Susie found that the police have started road blocks on the road down to Burry Port / Pembrey challenging people as to why they are out and about and turning them around. She was going down to Vic so was in the permissible group but they still tried to persuade her otherwise. Fair enough.
My feed also shows that a positive action is being taken elsewhere in the area...

This is at the end of the Motorway at Pontabraham

It is quiet today - Saturday but hardly a car going back and forward
Temperature is dropping sharply.

Day two of the 30 day song challenge

Best have a glass of coke while it lasts

Cheers !

Saturday, 28 March 2020

28th March 2020 - World Leaders!!

Thought for the day :"Does anyone know where people in hell tell people to go?"

It is getting frightening out there ...

and today he is still saying that we do not need ventilators, we will help other countries with ventilators - as numbers reach 100,000 ....

This video is quite long but New York seem to be bidding against other states and Federal Agencies to get necessary Protection equipment... 

These are the people who are lead the world! All the representatives had to fly to Washington to vote for the relief bill because someone decided that they would block a video vote.... So they all had to turn up and sit in the same room to vote !

In other news - Kirk wanted someone to go to the shops...

Poor old Red Shirts !!!

In other news - managed to transfer another large section of the music collection to hard drive ...

Collection is nearly complete.
Need to clear the floor of all the books stacked up and sorted ...


Another sunny day thought the temperature is dropping and it looks as though we are in for a cold spat over the weekend as we start getting weather from the arctic...
Another day with the scanner I think ...

Oh - they started a 30 Days - 30 Songs meme - far to easy !!

Cheers !

Friday, 27 March 2020

27th March 2020 - Welcome return of David Garland Jones

Thought for the day :"What did the Green Grape say to the Purple grape ? Breathe .. Breathe!!"

So, the Bothy is officially off the road - no point in keeping her taxed and insured when you can't use her ... Did the On-line SORN statement this morning. 

And it was the day that David Garland Jones made a come back - after all he is a specialist in isolation - having isolated himself well for the last 15 years ..

Good to see him back ...  Though a little more hairy than before...

A legend in his own lunchtime - David Garland Jones and his Acting Bones..

Vollsanger Sings

Things are getting desperate - down to our last can !!!

I must have had too much time on my hands then ..
Then??  Ahem!!!

Decided to add to the statistics today with a pie chart ...

Cheers !!

Oh - Boris just tested positive for Corvid 19 ....

Thursday, 26 March 2020

26th March 2020 - Chilling by the lake

Thought for the day:"Drafting ?? That’s where I draw the line"

So, worked out and sent the documents for BT Basic for Vic today - no new form having been received - so sent the original again with copies of the DWP forms - hopefully it can be sorted.
Also managed to get a late payment fine from Tesco for changing the standing order from "pay Full" to Pay minimum" - the pay minimum did not go through until 7 days later and therefore there was not payment for March - but i got through the call centre remarkably quickly. Was nice operator who refunded the charges and took a payment - sadly the card is blocked for a few days - that may affect the credit rating - will have to  look and see.

In other news - Found this nice picture of the Mona Lisa enjoying isolation in the Louvre now that it is closed...

A bit like us by the lake in the back garden ...

The sun is deceptively warm!!

In other news - decided to SORN (Statutory Off Road Notice) the Bothy and take it off the road. Insurance runs out tomorrow and it seems silly to be taxing and insuring it if we cannot use it.
Will pop up to Tesco and fill her up with diesel - can act as a tank for the other car in case of shortage later.

Barter seems to be the way forward. Had some sprouting broccoli for dinner form No 47 exchanged for a half dozen eggs - and Susie was in the garden trying to clear the brambles and Steve next door gave her a pair of gardening glove, so of course he got a half dozen eggs as well. Girls are laying well at the moment - they can't have my duck eggs though - they are for me !!!

That about sums it up for today ...
Cheers !

Wednesday, 25 March 2020

25th March 2020 - Misinformation and Real Innovation

Thought for the day :"Is a locksmith a key worker?

So today it seems that the ramblings of a President who is ill equipped to listen to the actual advice and information being given him, has no more validity than "Karen from Facebook" which is quite distressing...

A US man has died and his wife is in critical condition after ingesting a chemical they believed Donald Trump had touted as a cure for coronavirus.
The unnamed couple watched a White House briefing where the US President incorrectly said that malaria drug chloroquine had been proven effective in treating COVID-19.
"Chloroquine or hydroxychloroquine. Now, this is a common malaria drug," Mr Trump said.
"The nice part is, it's been around for a long time, so we know that if it—if things don't go as planned, it's not going to kill anybody."

An Arizona woman recalled chloroquine as a chemical in a parasite treatment for her goldfish.
"I saw it sitting on the back shelf and thought, 'Hey, isn't that the stuff they're talking about on TV?"

The couple in their 60s, who have pre-existing conditions that put them at heightened risk of serious coronavirus, mixed the substance with a liquid and drank it.
Within 20 minutes, they felt seriously ill, and the woman's husband died shortly after arriving at hospital.

In a heavy enough dose, hydroxychloroquine is used as a chemical to clean fish tanks.
Meanwhile, in Nigeria, three people have overdosed on chloroquine while trying to ward off COVID-19.
"(The World Health Organisation) has NOT approved the use of chloroquine for COVID19 management," the Nigeria Centre for Disease Control tweeted.
"Please DO NOT engage in self-medication. This will cause harm and lead to death."
Prices of the drug have quadrupled in some parts of Nigeria off Mr Trump's recommendation.
There are 30 diagnosed cases of coronavirus in Nigeria at present.
The drug has shown some promise in French trials for killing coronavirus.
But many scientists have questioned the rigour of the experiment.
But because of the severe side-effects of using the drug, human trials have not yet begun.
Doctors warn not to use the drug if pregnant, planning on becoming pregnant or breastfeeding.
People with liver disease, hearing problems, blood disorders, certain vision problems and many other conditions may be advised against using it.
Hydroxychloroquine has not been approved by America's Federal Drug Agency for use for coronavirus.
Doctors around the world are yet to determine an effective treatment for COVID-19.


President Donald Trump misstated the facts when he asserted that the FDA had just approved a decades-old malaria drug to treat patients infected by the coronavirus.

WASHINGTON (AP) — President Donald Trump mis-stated the facts Thursday when he asserted that the Food and Drug Administration had just approved a decades-old malaria drug to treat patients infected by the coronavirus. After his FDA chief clarified that the drug still needs testing, Trump also overstated the drug’s potential upside in helping contain the outbreak.
A look at his claims at a news briefing:
TRUMP: “And we’re going to be able to make that drug available almost immediately, and that’s where the FDA has been so great. They — they’ve gone through the approval process. It’s been approved.”
THE FACTS: The drug, known chemically as chloroquine, has been available for decades to treat the mosquito-borne illness malaria. Technically, doctors can already prescribe the drug to patients with COVID-19, a practice known as off-label prescribing. But Trump falsely suggested to reporters that the FDA had just cleared the drug specifically for the viral pandemic spreading in communities across the U.S. That would mean that the drug had met the FDA’s standards for safety and effectiveness.
Minutes later, FDA Commissioner Dr. Stephen Hahn emphasized that the drug still needs testing to determine if it can help patients. He said chloroquine would have to be tested in “a large pragmatic clinical trial to actually gather that information.”
Drug trials typically require hundreds or thousands of patients and, even when accelerated, take weeks or months to complete. In his remarks, Hahn reflected on his background as a cancer doctor and warned against giving patients “false hope” before drugs are fully vetted.
While chloroquine has shown promise in preliminary laboratory studies, some experts are skeptical it will prove effective in human testing.
“I think it could be a game changer, and maybe not,” Trump said, discussing the drug.
But the FDA reiterated in a statement Thursday that there are “no FDA-approved therapeutics or drugs to treat, cure or prevent COVID-19.”
TRUMP: “If chloroquine or hydroxychloroquine works, or any of the other things that they’re looking at that are not quite as far out … your numbers are going to come down very rapidly.”
THE FACTS: The drugs he is referring to are for treatment in patients already infected. That doesn’t prevent spread of the virus. One study is testing chloroquine to try to protect health care workers at highest risk of infection, because a vaccine is likely a year or more away.
Trump Claims WHO death rate reporting to be false news
A Phoenix-area man has died and his wife was in critical condition after the couple took chloroquine phosphate, an additive used to clean fish tanks that is also found in an anti-malaria medication touted by Donald Trump as a treatment for Covid-19.
Banner Health said on Monday the couple in their 60s got sick within half an hour of ingesting the additive. The man could not be resuscitated at hospital but the woman was able to throw up much of the chemical.
“Trump kept saying it was basically pretty much a cure,” the woman told NBC.
She said her advice would be: “Don’t take anything. Don’t believe anything. Don’t believe anything that the president says and his people … call your doctor.”

in more positive news we have a breakthrough in Oxford where a simplified ventilator has been produced and they expect the wiring to be put into a new sold state circuit board by Sony within days
allowing a full production line.
The Oxvent is made using a standard resuscitation bag and valves widely used in the NHS, eliminating the need for 3D printing of complex parts. Compressed air squeezes the bag, blowing oxygen into the lungs, with the frequency of 'breaths' controlled by simple electronics costing less than £100.
Andrew Orr, an engineer at Oxford University, said Sony confirmed that it could turn what is currently a jumble of wires into a printed circuit board - and produce 5000 of them in a week.
"If this is something that we can knock together in a weekend, then mass producing it will be dead simple, he told Sky News.

And in Carmarthen, at Glangwili Hospital Dr Rhys Thomas has developed a "pre-ventilator" something to be used before the patient requires the full mechanical ventilation - which has already been tested in Prince Philip Hospital I understand. 

It was developed and is being constructed in Ammanford.

And in North Wales - the anti-viral Snood - developed over the last few years but now going into production .....
The company hopes to make as many as a million-a-week and plans to reserve part of that stock for the NHS.

"We have been working on the anti-viral coating since 2011 but it's only in the last five weeks that we have developed the snood in response to the current pandemic," said Anna Roberts, of Virustatic Shield.

So ...   Best stay in I think ...
Cheers !