How to Avoid an Initial Tretinoin Gel Outbreak

When is a contact not a contact?

This question sounds absurd at first glance, but it is vital in the medical field, after all, not every medical employee can be quarantined for two weeks after every contact with an infected person. The correct question is, under what conditions does a risk contact count as uncritical and does not result in any restrictions?

The RKI gives the answer with the recommendations for dealing with contact persons:
https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Kontaktperson/Management.html

This text is difficult to digest for non-experts, tables 1-3 are important, the column headings A and B mean A = near field, B = high aerosol load. To cut a long story short: If the employee wears correct protective equipment for near-field contacts (column A) or if the employee AND the patient wear MNS, then a category 1 contact becomes a category 3 contact:
https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Kontaktperson/Grafik_Kontakt_allg.pdf?__blob=publicationFile
These rules for dealing with contact persons apply in a highly critical environment. Errors are punished very quickly and very severely by secondary infections. This means that the use of the MNS is very much evidence-based, not in the sense of scientific studies, but in the sense of empirical effectiveness. These rules apply primarily to the healthcare system, but can also be used, with certain restrictions, for everyday situations. In everyday life, too, it can be assumed that wearing everyday masks for the infected person and the contact person may not prevent all but a large part of the transmission.

These updated rules are from October 19. 20, Mr. Reinhardt's appearance on Markus Lanz's talk show was on Wednesday, October 21, 2020. Lt. Wikipedia biography, Mr. Reinhardt is currently still working in the branch:
https://de.wikipedia.org/wiki/Klaus_Reinhardt_(Mediziner)

That means that his slip with Markus Lanz is problematic in two respects. As President of the German Medical Association, he is considered the eminence for factual issues; as an employer in a doctor's practice, he is responsible for the occupational safety of his employees and for hygiene concepts in his practice. If he does not live up to his responsibility as an employer or his responsibility as President of the German Medical Association, he should at least ask himself whether he is in the right place in this position. At least in my personal perception, he has remained rather pale when it comes to other important topics, regardless of whether it is about promoting young talent, networking in the healthcare system, GOÄ reform or structural planning for hospitals.

As President of the German Medical Association, Mr. Reinhardt should also have noticed that we are currently experiencing a loss of control of the SARS-CoV-2 epidemic. Beyond all the figures, there is a small indication of this: Up until Thursday, October 15, 2020, the RKI had the official report of the daily infection numbers just in time for the end of work, so that the usual suspects could practice them To gloss over numbers:
https://www.aerzteblatt.de/nachrichten/117421/RKI-mektiven-Rekordwert-bei-SARS-CoV-2-Neuinfektiven
Since that day we have received the daily new infections as an estimate for the daily news or as a corrected value on the following day. This is the result because health authorities, laboratories and numerous other actors are working to the limit and the epidemic can no longer be dealt with in regular working hours. When is the worst over? In short, only when we get reliable figures again at 4:00 p.m. punctually. A President of the German Medical Association should also know such details. To create confusion in a critical situation, that is what one expects from the political opponent, not from a leading figure.
on Sunday, October 25, 2020 at 12:00

@wilhem - Just think differently

Dear Wilhelm, So you believe that the interviews and the situation in the hospitals mentioned were made up? It's not about the fact that it is like this all over Belgium, but rather in Brussels. And it doesn’t help those you see there that the numbers you mentioned do not confirm this, you’re not there in the hospital, but are sitting at home and looking at the numbers on the computer.
Dear Wilhem,

yes, I actually think that the pictures are absurdly exaggerated and thus depicted as incised! Why do i think so? Well ... there are several reasons. On the one hand, one should be aware that in the last few years or decades the European health systems have been consistently cut to the limit and almost completely transformed into profit-oriented forms of business. That e.g. in Germany after the first lockdown was lifted, hip and knee operations immediately had the highest priority again. also make you thoughtful. Unfortunately, I have unfortunately not been able to find the corresponding article here in the Ärzteblatt where, among other things, this fact could also be read in a subordinate clause. The fact that doctors, nurses and caregivers are still being sent into quarantine WITHOUT symptoms in connection with a positive PCR test is another decisive factor for a possible overloading of very specific clinics or regions.

But what makes me even more skeptical about Belgium is the following memorandum, which has now been signed by 653 doctors, 2118 medical assistants and 16,162 citizens who work and live in Belgium. This memorandum, which is also very extensive and informative, does not contain a single statement that relates to an overload of the Belgian health system or even declares the supposedly extraordinary danger of Sars-Cov-2 as the cause.

Excerpts:

"We, doctors and health professionals, would like to express our grave concern about the development of the situation in recent months in connection with the SARS-CoV-2 virus outbreak. We urge politicians to be independent and critical of the situation Decision-making process and the mandatory implementation of corona measures. We demand an open debate in which all experts are represented without any form of censorship. After the initial panic about covid-19, the objective facts now show a completely different picture - it There is no longer any medical justification for emergency measures. Current crisis management has become completely disproportionate and is causing more damage than it is good. We demand an end to all measures and demand the immediate restoration of our normal democratic governance and legal structures and all of our civil liberties.

"In the last few months, newspaper, radio and television producers seemed to be almost uncritical behind the panel of experts and the government, when the press was supposed to be critical and prevent unilateral government communication. This has led to public communication in our news media that was more like propaganda than objective reporting. "

"In our opinion, it is the job of journalism to get news as objectively and neutrally as possible, with the aim of finding the truth and critically controlling power, while also giving dissenting experts a forum in which to express themselves can."

"This view is also supported by the journalistic code of ethics!" >>> https://www.rvdj.be/node/63

"The official version that a lockdown was necessary, that this was the only possible solution and that everyone was behind this lockdown, made it difficult for people with a different point of view, but also for experts, to express a different opinion. Alternative opinions were ignored or ridiculed. We have not seen open debates in the media where different opinions could be expressed ...... "

Reading the full declaration can be recommended in principle and without restriction! >>> https://docs4opendebate.be/de/offener-brief/
on Sunday, October 25th, 2020 at 12:24 pm

@isnydoc - It's just not in my nature to lie

... that's why he doesn't get up ... clean, what a magic!
Dear Mr. isnydoc,

even if your poetic talents are really almost impressive, I have to admit that in some of your contributions I find it really very difficult to read out the deeper meaning or the views you convey with them. Well at least now I know what is meant by "Mummenschanz" and I thank you very much for that!

The following survey can be used to identify what kind of devastating fruit that widespread and media misinformation carries.

In a survey by the company "Kekst CNC", numerous people in five countries (USA, UK, D, Sweden and France) were asked about their opinion on the number of sick people and deaths from Covid-19. The result is amazing, said Lewis.

The number of Covid-19 sufferers, measured against the total population, was estimated 46 times too high and the number of deaths even 300 times too high.

Respondents in England believe that 4.6 million people have died from the corona virus. In reality there were 46,000. In the US, respondents believe that 29.5 million have died from the virus, instead of the 155,000 officially reported.

Lewis writes that this result was the result of fake and government-sponsored news and actions that caused millions of people to feel exaggerated and fearful. >>> https://www.kekstcnc.com/insights/covid-19-opinion-tracker-edition-4

However, not only doctors should be sufficiently aware that fear and severe stress make you sick or that the human immune system is weakened over the long term.
on Sunday, October 25, 2020 at 12:27 p.m.

If you only believe your own sources

Dear Andre B. We just don't agree, you only believe your sources, ntv or the Tagesschau
https://www.tagesschau.de/ausland/coronavirus-belgien-101.html
are not credible sources for you .... You do not believe a journalist, even if you live on site and speak to nurses t, but if you dismiss all of this with enthusiasm, there is no discussion either. Do you really believe that the texts are made up of someone, that the case numbers are made up there? Nor did I say that it is the same everywhere in Belgium, but that I tightened it up in Brussels, you could look at it and ask yourself whether you have to act there or not. The fact that this letter was written does not change anything. I also don't think a lockdown makes sense. But to simply ignore such increasing burdens in Belgium, as you do, is too one-sided for me. In addition, the letter was written on September 5th, i.e. 7 weeks ago when the numbers were completely different. From the beginning of September until today, the hospitalization of COVID patients has increased tenfold https://datastudio.google.com/embed/reporting/c14a5cfc-cab7-4812-848c-0369173148ab/page/uTSKB
But, that's probably not that bad either, and you're sure to find a source that sees it differently.
on Sunday, October 25th, 2020 at 12:45 pm
changed on 10/25/2020 12:47:40

@wilhem - In the past through the telescope, today through the electron microscope

Dear Andre B. we just don't agree, you only believe your sources, ntv or the Tagesschau https://www.tagesschau.de/ausland/coronavirus-belgien-101.html are not credible sources for you .... you journalists don't believe any journalists even if you live there and speak to nurses, but if you dismiss all of this with enthusiasm, there is no arguing either. Do you really believe that the texts are made up of someone, that the case numbers are made up there? Nor did I say that it is the same everywhere in Belgium, but that I tightened it up in Brussels, you could look at it and ask yourself whether you have to act there or not. The fact that this letter was written does not change that. I also don't think a lockdown makes sense. But to simply ignore such increasing burdens in Belgium, as you do, is too one-sided for me. In addition, the letter was written on September 5th, i.e. 7 weeks ago when the numbers were completely different. From the beginning of September until today, the hospitalization of COVID patients has increased tenfold https://datastudio.google.com/embed/reporting/c14a5cfc-cab7-4812-848c-0369173148ab/page/uTSKB But, that's probably not that bad either and you are sure to find a source that sees it differently.
If only some of the so concerned citizens had already dealt with the general structure or potential overloading of foreign health systems, then the current sight would now be much less surprising or even frightening. Unfortunately, however, it is to be assumed that only very few people are able to deal with such things more intensively or even make more in-depth statements about the health system in their own country.

And no, because 653 doctors, 2118 medical assistants and 16,162 citizens who are based in Belgium + the official figures from the Belgian health authorities and from EUROMO are completely sufficient for me to be able to make valid statements.

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