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Jul 18 2021 10:13am
Quote (NetflixAdaptationWidow @ Jul 18 2021 04:55pm)
I'm just quoting the article he linked.

Obesity isn't a serious medical condition by any stretch. The fact that a huge portion of the population can live decades fully functional is a testament to that.



I'll tell you something a doctor told me while I was shadowing that really influenced how I look at the world of medicine.

Let's say you have a 400lb morbidly obese person who smokes, has uncontrolled diabetes with 200+ blood sugar, smokes, and can't move from their bed. What's the first thing you want to work on to get them healthy? The evidence says, get them to stop smoking. If you want to let them live longer with a better quality of life, the first priority on that person is to get them to stop smoking.

The fact is, "is a smoker" is a far greater chronic health condition than almost anything else we commonly think is due to lifestyle choices, and people can survive smoking for 70 years.


Stopping smoking would be much easier in given example than getting their food addiction sorted out.
being 400lb, having diabetes and not being able to move bcos of it is caused by food addiction which is absolutely horrible. I can't even imagine begin addicted to something, that you CAN'T live without, such as food.
cigarettes are optional, and stopping smoking is much easier as well as motivating right after a day. when I stopped, I was proudly saying "i didnt smoke since yesterday morning".
if you wanna take care of diet, there might be weeks before any progress is seen.

cigarettes being more dangerous than obesity...i doubt. idk, but i doubt. i might be wrong of course.
but as you said, you can see lots of 80 y/os smoking, but how many 80 y/os do you see that are 400 lb?

my grandad's brother died in the age of 93 or 97. dno. but he was smoking since the age of 15. home made tobacco which is a lot stronger than a commercial one, wrapped in paper from books without filters.
he was 150lb though
as I said, I haven't personally seen a single obese person of that age
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Jul 18 2021 10:21am


well 2nd shot done day 1 arm hurt today fine can't wait for my super powers B) or die w.e comes first :P jk <3
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Jul 18 2021 10:34am
Quote (JohnnyMcCoy @ Jul 18 2021 12:07pm)
well, maybe it was not the best word, but hypertension is serious long term and i am sure these people didnt have like 121/81 from the "ideal" pressure

your point makes sense IF we could get an actual definition of a covid infection

the case numbers are driven by pcr tests that arent even conducted in the same way everywhere and quick tests that are borderline garbage

even the WHO says that a positive test with no symptoms is not a covid case

before that happens its not even worth discussing the cases, if you want to be realistic

btw, afaik we still have to figure out how vaccinated spread the virus, iirc they spread delta quite a lot in israel

we will have to live with infections


Just get the vaccine, problem solved. Turns out most vaccinated already have better odds against delta variant. Science FTW

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1001354/Variants_of_Concern_VOC_Technical_Briefing_17.pdf


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Jul 18 2021 11:07am
Quote (SylvesterStallone @ Jul 18 2021 11:13am)
Stopping smoking would be much easier in given example than getting their food addiction sorted out.
being 400lb, having diabetes and not being able to move bcos of it is caused by food addiction which is absolutely horrible. I can't even imagine begin addicted to something, that you CAN'T live without, such as food.
cigarettes are optional, and stopping smoking is much easier as well as motivating right after a day. when I stopped, I was proudly saying "i didnt smoke since yesterday morning".
if you wanna take care of diet, there might be weeks before any progress is seen.

cigarettes being more dangerous than obesity...i doubt. idk, but i doubt. i might be wrong of course.
but as you said, you can see lots of 80 y/os smoking, but how many 80 y/os do you see that are 400 lb?

my grandad's brother died in the age of 93 or 97. dno. but he was smoking since the age of 15. home made tobacco which is a lot stronger than a commercial one, wrapped in paper from books without filters.
he was 150lb though
as I said, I haven't personally seen a single obese person of that age


You should come to rural areas. There's a ton of people who are 70+ and still absolutely massive. I worked in a hospital for two years and I can tell you from experience, there's plenty of morbidly obese old people.

However, it's not a fair comparison, because as you get older you get less good at absorbing things from your diet which biases you to lose weight no matter what.

His statement wasn't about what's easier to quit. It's about what's worse for your health. Smoking is about the worst thing you can do, including ballooning up to 400lb and getting diabetes.
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Jul 18 2021 11:09am
Quote (RedFromWinter @ Jul 18 2021 11:34am)
Just get the vaccine, problem solved. Turns out most vaccinated already have better odds against delta variant. Science FTW

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1001354/Variants_of_Concern_VOC_Technical_Briefing_17.pdf

https://i.imgur.com/MijbiBo.png


Looking at table 8 and 9, that's more or less what I've seen. Delta is still spreading from vaccinated individuals, but the vaccines are still effective at reducing symptoms and preventing serious disease, which makes them highly valuable tools against delta even if they aren't as effective as against the main strains.
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Jul 18 2021 11:20am
Quote (NetflixAdaptationWidow @ Jul 18 2021 06:07pm)
You should come to rural areas. There's a ton of people who are 70+ and still absolutely massive. I worked in a hospital for two years and I can tell you from experience, there's plenty of morbidly obese old people.

However, it's not a fair comparison, because as you get older you get less good at absorbing things from your diet which biases you to lose weight no matter what.

His statement wasn't about what's easier to quit. It's about what's worse for your health. Smoking is about the worst thing you can do, including ballooning up to 400lb and getting diabetes.


haven't worked in a hospital so can't say from experience there.
I know what I see in a city I grew up in, which has around 400k ppl, and now in a smaller town which has around 60k. I don't really see old and obese people, but that might just be the case of people's habits and area I'm in.
For example, my 400k ppl city has 1 mcdonalds that's barely ever busy and there is no other fast food restaurants except about 10-15 places that sell home made hamburgers for like €10-15.
We don't even have pizza places. It's proper legit restaurants you have to call for deliveries if you wanna have one.
genuinely healthy city, but then I guess more than half of that population is smoking actively so....yeah :D

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Jul 18 2021 11:49am
Quote (SylvesterStallone @ Jul 18 2021 12:20pm)
haven't worked in a hospital so can't say from experience there.
I know what I see in a city I grew up in, which has around 400k ppl, and now in a smaller town which has around 60k. I don't really see old and obese people, but that might just be the case of people's habits and area I'm in.
For example, my 400k ppl city has 1 mcdonalds that's barely ever busy and there is no other fast food restaurants except about 10-15 places that sell home made hamburgers for like €10-15.
We don't even have pizza places. It's proper legit restaurants you have to call for deliveries if you wanna have one.
genuinely healthy city, but then I guess more than half of that population is smoking actively so....yeah :D


Anyway, back at the start of this, Johnny said "95% of people in hospital with covid had at least one serious medical condition", when in reality the statement was just "underlying medical condition".

IMO this shows a more general inability to read for comprehension that I find with basically everybody who, for instance, denies the efficacy of the vaccines, denies the risk Covid presents to the public, claims untested treatments have "near 100% efficacy", etc. etc.
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Jul 18 2021 11:58am
Quote (RedFromWinter @ 18 Jul 2021 18:34)
Just get the vaccine, problem solved. Turns out most vaccinated already have better odds against delta variant. Science FTW

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1001354/Variants_of_Concern_VOC_Technical_Briefing_17.pdf


https://i.imgur.com/MijbiBo.png


This report is from June 22, so it's based on mid-June data, which is kinda old. During this timeframe, Delta was primarly spreading through school children or young adults, which are at lower risk of hospitalization by default. Alpha cases at that time were the ones from old infection chains and affected more persons of higher age. Without controlling for potentially different age structures of the Alpha and Delta patients, these numbers might be quite biased.

I doubt that protection against hospitalization among the fully vaccinated is much lower for Delta than for Alpha, but at the same time, I have a really hard time believing that the vaccines are better at preventing hospitalization against the more dangerous variant, the one which shows higher transmissibility and partial immune escape in terms of incomplete vaccinations or symptomatic disease.

This post was edited by Black XistenZ on Jul 18 2021 12:00pm
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Jul 18 2021 12:00pm
Quote (Black XistenZ @ Jul 18 2021 12:58pm)
This report is from June 22, so it's based on mid-June data, which is kinda old. During this timeframe, Delta was primarly spreading through school children or young adults, which are at lower risk of hospitalization by default. Alpha cases at that time were the ones from old infection chains and affected more persons of higher age. Without controlling for potentially different age structures of the Alpha and Delta patients, these numbers might be quite biased.

I doubt that protection against hospitalization among the fully vaccinated is much lower for Delta than for Alpha, but at the same time, I have a really hard time believing that the vaccines are better at preventing hospitalization against the more dangerous variant, the one which shows higher transmissibility and partial immune escape in terms of incomplete vaccinations as well as symptomatic disease.


The table shows they are indistinguishable. Pretty large confidence intervals.
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Jul 18 2021 12:05pm
Quote (NetflixAdaptationWidow @ 18 Jul 2021 20:00)
The table shows they are indistinguishable. Pretty large confidence intervals.


Yeah, that too. Unfortunately, similar data is missing (as far as I could see when skimming over) in the latest PHE technical briefing.

I just wanted to give a substantive argument why higher protection in one specific category (hospitalization) against the variant which has proven more dangerous in every other category seems kinda implausible.
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