corona virus alerts - Latest cruising Information for vessels/locations/rules

[GreenWave]

Originally Posted by Montanan

New data continues to show virus 'disproportionately' affecting black, Hispanic people


Black residents in Wisconsin and Kansas are dying as a result of COVID-19 at some of the highest rates in the country compared to the relative population size, according to an analysis of data from 33 states.

The Kaiser Family Foundation used data from the states across the U.S. that are reporting data on cases and deaths by race and ethnicity.


In Wisconsin, where the black population is 6%, the data showed that black people have accounted for 39% of the deaths and 25% of the cases -- a four-times higher share of cases and an over six-times higher share of deaths, according to the foundation. Kansas has a black population of 6%, but the data shows that black people have accounted for 33% of the deaths and 17% of the cases -- a three times higher share of cases and more than five-times higher share of deaths, the foundation reported.

In the majority of the 33 states, black people accounted for a higher share of confirmed cases (in 20 of 31 states) and deaths (in 19 of 24 states) compared to their share of the total population, according to the foundation.

In six of 26 states, the data showed that there was also a disproportionate impact on Hispanic communities.

The higher impact on blacks and Hispanics is explained by the reality that those groups suffer from obesity, diabetes, and hypertension at rates above the average. Since these three things were found to affect COVID-19 outcome, it makes sense. This has nothing to do with population percentages (other than the fact that these two groups suffer from those three ailments to some degree because of their lower economic stature. The rest is genetics.

[smbdyiam2]

Originally Posted by hpeer

I just had an interesting thought.

In the USA lockdown is principally making one poorer. We now can not buy stuff primarily manufactured in the 3rd world. But we are saving lives in the USA.

As a result in the 3rd world people are loosing jobs. There the USA lockdown may be causing death due to starvation.

In effect we are trading USA lives for 3rd world lives.

I obviously don’t know how true this is, what the correlation is although I’m sure there is some, but neither have I heard the morality discussed.

So if the lock down maybe causing deaths to starvation, Could we take that corn they put into gasoline( that nobody wants there )and feed it to those people that are starving? It Maybe cheaper than paying farmers not to farm it. It seems like a better place to put it than gasoline.
I obviously don't know if this would work. Just a thought will doing nothing.

[rbk]

Originally Posted by GreenWave

The higher impact on blacks and Hispanics is explained by the reality that those groups suffer from obesity, diabetes, and hypertension at rates above the average. Since these three things were found to affect COVID-19 outcome, it makes sense. This has nothing to do with population percentages (other than the fact that these two groups suffer from those three ailments to some degree because of their lower economic stature. The rest is genetics.

You also forgot that with lower economic stature comes less access to and a lower quality of general healthcare leading to an overall ‘unhealthy’ lifestyle, Undiagnosed conditions, unmedicated conditions etc. Also contributes to lack of access to good quality food, it is far easier to eat cheap, processed high sodium/sugary foods in North America than it is to eat fresh produce and quality proteins.

[smbdyiam2]

Originally Posted by rbk

You also forgot that with lower economic stature comes less access to and a lower quality of general healthcare leading to an overall ‘unhealthy’ lifestyle, Undiagnosed conditions, unmedicated conditions etc. Also contributes to lack of access to good quality food, it is far easier to eat cheap, processed high sodium/sugary foods in North America than it is to eat fresh produce and quality proteins.

Question
Does this pertain to other countrys also. Or is this Just U S A ?

[Lake-Effect]

Originally Posted by GordMay

Amid a national debate over how to fight the virus, while mitigating the deep economic toll, these [first states to release lockdowns] are the first to test the borders of resuming "normal" life, in the USA. ...

In a recent article*, in the New England Journal of Medicine, a group of physicians proposed ethical criteria for making difficult rationing decisions.
Among other things, they outlined when a younger patient should be prioritized, over an older one, and when someone's instrumental value to society should determine if they get care before someone else. "Many guidelines agree that the decision to withdraw a scarce resource, to save others, is not an act of killing, and does not require the patient's consent," the authors wrote

Considering that

• lockdowns were intended, in part, to buy time for building up capability, therapies, etc...
• releasing lockdowns will result in a resurgence of illness
• a bigger wave is feared in the fall to coincide with flu season
• COVID-19 could be a significant disease for a couple of years til a successful vaccine is widely available

... it's kind of annoying to hear about triage and who will get treated or not, but nothing about starting to put together some more permanent dedicated coronavirus treatment centers to handle the expected caseload of the coming years.

[Montanan]

Some persons with Type 2 diabetes incur weight loss due to the medical difficulty. Many others can have the diabetes go into remission if they are obese and loose weight.

An example, from WebMd of a report regarding weight loss and diabetes remission of which there are hundreds of others.

Weight Loss May Put Diabetes Into Remission
By Serena Gordon
HealthDay Reporter

FRIDAY, Oct. 4, 2019 (HealthDay News) -- British researchers have good news for people with type 2 diabetes -- you don't need to lose a ton of weight to make a difference in your health.

In fact, they found that losing just 10% of your body weight during the first five years you have the disease can lead to remission of type 2 diabetes. That weight loss would be 18 pounds for someone who weighs 180 pounds.

It doesn't matter what diet helps you lose the weight. And it doesn't matter how slow or how quickly those pounds come off, the investigators found.

"Even small amounts of weight loss can help you achieve remission. Extreme dieting and exercising are not necessary," said study author Dr. Hajira Dambha-Miller, a general practice physician and clinical lecturer at the University of Cambridge School of Clinical Medicine, in the United Kingdom.

"Type 2 diabetes should no longer be seen as a lifelong disease," she added. The disease can essentially be cured if you lose weight and keep it off, according to Dambha-Miller.

The researchers said that type 2 diabetes affects 400 million people around the world. It's typically considered a chronic, progressive disease. But significant weight loss through extreme dieting (less than 700 calories a day) can bring about remission in almost 90% of people with type 2 diabetes, the study authors noted. Weight-loss surgery also tends to bring on remission.

Intensive exercise coupled with a modest weight loss of 7% or less of body weight brought on remission in almost 12% of people in one study, according to the new report.

But maybe bringing on remission didn't need to be so hard, the researchers surmised.

"The existing evidence for achieving remission suggests extreme levels of exercise and rather restrictive diets. This is simply not realistic or achievable for my patients, especially in the longer term," Dambha-Miller said.

"It is also demotivating for my patients when they are unable to achieve large amounts of weight loss. Accordingly, we decided to look at modest weight loss over a longer period in a real-world population without any crazy diet or exercise requirements," she explained.

For the new study, the researchers followed the health of almost 900 people newly diagnosed with type 2 diabetes for five years. The study participants, aged 40 to 69, provided information on weight, activity levels, diet and alcohol consumption.

Thirty percent of the group had achieved type 2 diabetes remission at the five-year follow-up. Those who had achieved a 10% weight loss were 77% more likely to be in remission after five years, the findings showed.

There was no specific intervention in the study. "This means there were no mandatory exercise or dietary requirements. All our participants did different things and still managed to lose weight and beat diabetes into remission," Dambha-Miller said.

She said that experts don't know exactly how losing weight helps, but they hypothesize that as people lose weight, the beta cells in the pancreas that produce insulin start to work again. That means the body can properly use sugar from foods instead of letting it build up in the blood.

Dr. Berhane Seyoum, chief of endocrinology at Detroit Medical Center and Wayne State University in Michigan, wasn't involved in the current research, but said the findings are encouraging.

"People with type 2 diabetes can be encouraged to lose weight, and it doesn't matter how. They can do whatever is convenient for them. Controlling diabetes keeps you healthy, gives you more energy and makes you feel better," he said.

Seyoum also noted that any amount of weight loss can help the body use insulin better and will help with diabetes management.

The study was published online recently in the journal Diabetic Medicine.

WebMD News from HealthDay

https://www.webmd.com/diabetes/news/...to-remission#2

[Montanan]

Not a pink elephant, just a pink eye.


https://www.yahoo.com/lifestyle/coro...222731155.html

In late March, news broke that pink eye can be one of the many symptoms of coronavirus. Now, there’s more: COVID-19 patients are getting pink eye, and it’s sticking around.

A new research letter published in the Annals of Internal Medicine details the story of an unnamed 65-year-old woman who developed pink eye after she contracted COVID-19, and it lingered for weeks. The woman, who was Italy’s first case of the virus, was taken to an isolation unit in Rome. Her symptoms at the time included a dry cough, sore throat, nasal inflammation, and pink eye (aka conjunctivitis) in both eyes, the report says.

The woman’s pink eye wouldn’t clear up, so doctors began taking an eye swab almost daily to test for coronavirus. The test confirmed that the woman’s eyes still contained SARS-CoV-2, the virus that causes COVID-19, up to 21 days after her symptoms started.

"Conjunctivitis greatly improved at day 15 and apparently resolved at day 20," the letter says. But the pink eye came back on day 27 and the woman’s eye swab again tested positive for COVID-19, days after her nasal swab came back negative for the virus. As a result, the researchers concluded, the virus may live in a person’s eyes for longer than it does in the nose.

This isn’t a one-off: Doctors are seeing this in the U.S., too. “I’ve seen many cases of COVID-19 patients with conjunctivitis,” Rajeev Fernando, MD, an infectious disease expert in Southampton, NY, tells Yahoo Lifestyle. “It’s often in both eyes, and it’s noticeable.”

What is pink eye, and why is coronavirus causing it?

Pink eye, aka conjunctivitis, is an inflammation of the conjunctiva, the clear tissue that covers the white part of your eye and the inside of your eyelids, according to the American Academy of Ophthalmology. Symptoms can include a pink or red color in the whites of the eyes, increased tear production, feeling like there’s a foreign object in your eyes, itching, irritation, crusting of the eyelids, and discharge, according to the Centers for Disease Control and Prevention (CDC).

Related Video: Pink Eye as a Symptom of COVID-19
Scroll back up to restore default view.
Pink eye can be caused by a range of different things, including allergies, bacterial infections, and viruses, including COVID-19, Zeba A. Syed, M.D., an assistant professor of ophthalmology and a corneal surgeon at Wills Eye Hospital in Philadelphia, tells Yahoo Lifestyle.

Eye experts aren’t shocked that COVID-19 is causing this symptom. “It’s very common to see conjunctivitis—and lingering conjunctivitis—associated with any respiratory virus,” Syed says. “We see it all the time in our cornea and ophthalmology clinics.”

“It’s very common with any upper respiratory infection,” Vivian Shibayama, O.D., an optometrist and contact lens specialist with UCLA Health, tells Yahoo Lifestyle. “Our mucous membranes are all connected.”

How common is pink eye from coronavirus?
COVID-19 is a newer virus, and there’s still a lot that researchers are learning about it. But one study published in The New England Journal of Medicine in February analyzed the symptoms of 1,000 people with COVID-19 and found that less than 1% had pink eye.

And, while some doctors in the U.S. are seeing this symptom regularly, others aren’t seeing it at all. “I haven’t seen this in COVID-19 patients,” Richard Watkins, M.D., infectious disease physician and a professor of internal medicine at Northeast Ohio Medical University, tells Yahoo Lifestyle.

How long does pink eye from coronavirus last?
It really depends, and Syed says there’s no way to predict how long a particular patient’s coronavirus-induced pink eye will last. “Some people have a shorter course and some have a longer course,” she says. “No one knows exactly why.” Still, she adds, “it’s not unusual to see” a lingering case of pink eye with a viral infection.

Should I be worried about coronavirus if I develop pink eye?
Having pink eye alone doesn’t usually mean you have COVID-19, Fernando says. “Pink eye can be caused by allergies, and it’s allergy season,” he points out. However, if you have a fever along with your eye symptoms, he says it’s a good idea to call your doctor. “Allergies won’t cause a fever,” Fernando says.

What can you do if you develop pink eye from coronavirus?
You don’t have to just suffer through it — there is treatment available. “Our treatment goal is to reduce discomfort and limit the spread of infection,” Shibayama says. She recommends using a cold compress to relieve pain and irritation, and artificial tears for discomfort. “Antihistamine drops can help with itching,” she adds.

Unfortunately, Syed says there’s no way to speed up the course of the pink eye itself — you just have to ride it out. “Once the virus gets better, the eyes will follow…eventually,” she says.

[rbk]

Originally Posted by smbdyiam2

Question
Does this pertain to other countrys also. Or is this Just U S A ?

Of course. While North Americans may view other countries healthcare systems as lesser or inadequate by comparison, poverty is still poverty just on a different relative scale. Same goes for food, quality protein is hard to come by in third world countries, this leads to all sorts of malnutrition related conditions, developmental and so on.

[hpeer]

Originally Posted by smbdyiam2

So if the lock down maybe causing deaths to starvation, Could we take that corn they put into gasoline( that nobody wants there )and feed it to those people that are starving? It Maybe cheaper than paying farmers not to farm it. It seems like a better place to put it than gasoline.
I obviously don't know if this would work. Just a thought will doing nothing.

A few years ago there was some talk along this line in the humanitarian community.

But also growing that corn today for fuel strips the soil of nutrients and depletes ground water. At some point in the perhaps far, perhaps near future we will want that soil to grow food to fill stomachs. And it won’t be there.

Sorry for the thread drift.

But it does show how all things are interconnected.

[Montanan]

Reopening after coronavirus is a 'much bigger' job than most Americans realize, Harvard study finds
David Knowles
David KnowlesEditor
Yahoo NewsApril 22, 2020,

http://https://www.yahoo.com/news/re...202228688.html


“What we need to do is much bigger than most people realize,” wrote the authors of the study conducted by Harvard’s Edmond J. Safra Center for Ethics that was released this week. “We need to massively scale-up testing, contact tracing, isolation, and quarantine — together with providing the resources to make these possible for all individuals.”

While the plan proposed by the researchers relies on proven methods of halting the spread of an infectious disease being echoed by the Trump administration’s coronavirus task force — a three-pronged strategy of testing, contact tracing and social isolation — the scale and urgency of the measures put forth in the study stand in contrast to the federal response to date.

“We need to deliver 5 million tests per day by early June to deliver a safe social reopening,” the report states. “This number will need to increase over time (ideally by late July) to 20 million a day to fully remobilize the economy.”

Since February, the U.S. has administered 4.2 million COVID-19 tests.

With Trump’s blessing, states like Georgia have already moved to ease social distancing guidelines, allowing nonessential businesses like hair salons, churches and tattoo parlors to reopen despite a lack of testing to show whether workers in those businesses have been infected with COVID-19, the disease caused by the coronavirus.

While social distancing has proven effective in “flattening the curve” of new infections, new cases are showing up at a rate of around 4,000 a day after peaking above 10,000 on several days in the last three weeks.

The Harvard study, titled “Roadmap to Pandemic Resilience,” lays out a daunting plan to “fully restart the economy by August.”

“If we rely on collective social distancing alone to tide us over until a vaccine is available, the economy will be shut down on and off for 12 to 18 months, costing trillions of dollars,” the study concludes. “We can instead fully restart the economy by August through a program of massive investment in public health infrastructure, especially diagnostic and serological testing, combined with effective contact tracing-and-warning programs, and supported individual quarantine and/or isolation.”

The report recommends that the federal government establish a “Pandemic Testing Board” that would be tasked with securing and deploying COVID-19 tests. State or federal agencies would need to hire up to 100,000 workers to carry out contact tracing. Peer-to-peer smartphone apps would trace the movement of infected citizens, under the supervision of a government board meant to guarantee privacy. Other steps required to try to return American life to normal include guaranteeing “job protections,” “material support” and access to health care for those placed in quarantine.

But that expense would still be a bargain compared with the cost of lifting restrictions too early and shutting down the economy a second time.

“The cost of such a [testing, tracing and social isolation] or TTSI, program — $50 to $300 billion over two years — is dwarfed by the economic cost of continued collective quarantine of $100 to $350 billion a month,” the report states.

While more than 20 million Americans have been put out of work during the pandemic, 40 percent of the U.S. economy is deemed “essential,” and is therefore still operating. This category includes sectors like food production and distribution, medical workers, police and firefighters. But the country has been slow to implement testing for them, and as a result they could still be spreading the disease.

“Currently we do not have sufficient capacity to test this workforce at levels that ensure that the virus is not propagating out of control within it,” the report states. “As a result, doctors and nurses have fallen ill, and 17% of the New York [City] Police force is sick or quarantined.”

An Associated Press/NORC poll released Wednesday found that 62 percent of Americans think the stay-at-home orders put in place to stop the spread of COVID-19 “are about right.” Thirty-three percent said the measures in their states “don’t go far enough,” while just 5 percent said they “go too far.”

The Harvard study advocates a more wide-ranging effort to, as Trump put it, “defeat the Invisible Enemy.”

“We do not propose a modest level of testing, tracing, and supported isolation intended merely to supplement collective quarantine as a tool of disease control,” the authors of the study write in their summary. “We recommend a level of testing, tracing, and supported isolation ambitious enough to replace collective quarantine as a tool of disease control.”

[Montanan]

Update on the aircraft carrier Theodore Roosevelt:

One month after the first coronavirus cases appeared on the USS Theodore Roosevelt, the US Navy has finished testing all of the roughly 4,800 sailors assigned to the aircraft carrier.

The Navy reported Thursday that "100% of USS Theodore Roosevelt (CVN 71) crewmembers have been tested for COVID-19" and 840 sailors aboard the deployed warship have tested positive. The service is still awaiting the results of about 10 tests.

Eighty-eight of those infected have recovered, the Navy said. Four of the sailors who have not yet recovered are currently in the hospital in Guam.

Since the outbreak began, the virus has claimed one life aboard the ship, that of 41-year-old Aviation Ordnanceman Chief Petty Officer Charles Robert Thacker Jr.

The Navy reported Thursday that 4,234 sailors, approximately 88% of the crew, have been moved ashore in Guam, where the ship has been sidelined by the outbreak.

The first three cases aboard the USS Theodore Roosevelt, which deployed to the Pacific in January, were announced on March 24. In the days that followed, the number of coronavirus cases aboard the flattop quickly multiplied.

Two days after the first cases were announced, Navy leadership revealed plans to test all of the sailors aboard the carrier.

"We found several more cases on board the ship," then-acting Secretary of the Navy Thomas Modly said. "We are in the process now of testing 100% of the crew of that ship to ensure that we're able to contain whatever spread might have occurred there."

On March 30, Capt. Brett Crozier, the ship's commanding officer, wrote a letter warning that the situation aboard the carrier was worsening and urging the Navy to quickly evacuate the crew. "Sailors do not need to die," he wrote.

Crozier, who pushed for the evacuation of roughly 90% of the crew, was relieved of his command after his letter leaked to the media.

[Montanan]

If what happens in Las Vegas would only stay in Vegas. Taking a gamble, when will it be a safe bet?

Las Vegans on Wednesday trashed Mayor Carolyn Goodman’s suggestion that city residents would love to be a “control group” to see how ending Nevada’s coronavirus lockdown would affect the spread of the new coronavirus.

“We would love to be that placebo side so you have something to measure against,” she said during a wild interview with CNN’s Anderson Cooper on Wednesday.

“We’re not going to have our workers, and frankly the guests they serve, be a petri dish,” D. Taylor, president of national union UNITE HERE, which includes the Culinary Workers’s Union in Las Vegas, told The Daily Beast. The union represents 60,000 housekeepers, restaurant, and bar workers, and other staff that keep the Las Vegas Strip running.

“I think it’s outrageous to have a scenario where people would have to choose between a job and their life,” he added. “Of course we want people to get back to work, of course we want people to look after themselves, but we’re not going to set up a situation where someone risks their life just to go to work. I thought we passed that era back in the Industrial Age but I guess not for the mayor.”

Goodman, an 81-year-old third-term independent mayor, said earlier this week that the state’s lockdown is “total insanity” and has advocated for removing closures and restrictions on casinos, restaurants, and other businesses.

The Vegas Culinary Union has already lost 11 members to the novel coronavirus. Across Nevada, there have been at least 4,081 confirmed cases of coronavirus and 187 deaths, state health officials said on Wednesday. There were nine deaths on Tuesday alone.

Nevada businessman Stephen Cloobeck, founder of timeshare company Diamond Resorts, asked Goodman: “Madam, who do you choose to die?”

“Obviously you think Nevadans have a price on their life,” he posted on Twitter. “I thought life was priceless.”

SEIU Local 1107, a union representing health-care workers in Nevada including 9,000 nurses and hospital staff, blasted Goodman’s suggestion.

“To suggest that we should endanger more lives by treating Las Vegas like a guinea pig in some wild experiment betrays a profound level of ignorance of the current situation,” a spokesperson told The Daily Beast.

Goodman, wife of former mayor and mob lawyer Oscar Goodman, does not have the power to reopen the casinos, clubs, restaurants, and entertainment venues that line the Las Vegas Strip because the thoroughfare falls outside city limits.

And she did not seem too enthused about participating in her own Darwinian experiment, either. When asked on CNN if she’d head to the casinos every night to “put your money where your mouth is,” Goodman initially dodged the question, then said it was a ridiculous suggestion.

“First of all, I have a family,” she said, adding that she didn’t gamble anymore and she was very busy, too.

She said the city’s statistician also turned down her offer to make Las Vegas a control group.

State and city officials who oversee the Strip also shut down her suggestion. Justin Jones, a member of the Clark County Commission, which oversees the Strip, called Goodman “an embarrassment” while Rep. Dina Titus (D-NV), whose district encompasses the Strip, urged constituents to follow the advice of scientists, the Associated Press reported.

Nevada’s Democratic governor, Steve Sisolak, said on Wednesday night that the vast majority of residents were desperate return to work but supported the stringent statewide lockdown on all non-essential businesses.

“We are clearly not ready to reopen,” he said. “I will not allow the citizens of Nevada to be used as a control group, as a placebo, whatever she wants to call it.”

Several states, including Oklahoma, Florida, Georgia, South Carolina, and Texas, have announced plans to allow some businesses and venues to reopen this week in a limited capacity.

https://www.yahoo.com/news/las-vegas...030739948.html

[Montanan]

Preliminary Antibody Study Results Released In New York — 4/23/20, 12:54 p.m. ET

http://https://www.yahoo.com/huffpos...132846425.html

In a study conducted this week, just over 21% of New York City residents tested positive for antibodies, meaning they were infected with COVID-19 at some point and either never developed symptoms or have now recovered, according to preliminary results from a sample of 3,000 New York state residents.

Gov. Andrew Cuomo (D) emphasized that the results are preliminary and contain several key caveats, but they could be instructive in understanding the spread of the coronavirus and when and how the state could reopen.

The study surveyed people shopping at grocery stores, which means the participants have been outside the home and exposed to other people, but they are likely not essential or frontline workers.

Statewide, 13.9% of the participants tested positive. New York City residents made up 43% of the study’s sample.

When applying the sample to the state as a whole, Cuomo said about 2.7 million people could have been infected statewide, with a death rate of 0.5% of the people who were infected.

However, he said that’s not an accurate picture of the number of deaths because the state has not been able to accurately document people who died at home, many of whom were not tested for COVID-19.

Last week, New York City officials adjusted the city’s data to include nearly 4,000 “probable” deaths: residents who likely died of COVID-19 before they could go to the hospital and therefore did not receive a laboratory-confirmed test.

Elsewhere, studies of antibody tests have faced scrutiny for producing faulty results. For example, one study in Santa Clara County, California, resulted in false positives and did not contain a representative sample.

[Waveguide]

Originally Posted by landsend

Really?!!! Do you have proof of this? I know plenty of type 2 diabetics including myself who are definitely not obese. Just curious.

If you are not overweight or obese: congratulations! You are in the 25% minority of the developed-world's population. But I challenge you back to calculate your BMI. If it's greater than 25, you are overweight, and over 30 - obese. (Mine is 26, and I struggle to keep it below 27, so there's no judgement happening here.)

There is so much scientific literature on the linkage of obesity to type 2 diabetes that I'm baffled on where to start. It's like being challenged to prove the existence of gravity.

Here's a start, but it is by no means a complete list:

https://asmbs.org/resources/weight-a...ery-fact-sheet
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741209/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3206399/
https://www.ncbi.nlm.nih.gov/pubmed/26627223
https://www.ncbi.nlm.nih.gov/pubmed/26627223
https://www.ncbi.nlm.nih.gov/pubmed/32291466

Quoting the first reference above:

"... more than 90% of type 2 diabetics are overweight or obese"

There may be outlier expectations with a genetic predisposition for type 2 diabetes, but to quote the conclusion of the last reference above:

"Having normal body weight is crucial in the prevention of type 2 diabetes, regardless of genetic predisposition."

The good news is: nearly all cases of type 2 diabetes can be reversed, "metabolically rehabilitated," through weight loss.

Doctors seem to be reluctant to say: "lose weight, and your diabetes/hypertension/gastroesophageal reflux disease/knee problems/sleep apnea/narcolepsy will resolve" to their patients -- for fear of offending them. But if you ask a doctor directly, I'm sure most would agree.

[weavis]

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