COVID-19 front line update

simon520

Fixes humans and shoots everything else
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My friend is now on a ventilator and not doing well.

PPE requirements change alMost daily based on collective best practices. A lot is guesswork.

treatment options really don’t exist. It’s all “supportive care” where we try to keep you alive until your body recovers.

Most doctors are suffering. Overheard one of our infectious disease specialist colleagues discussing finances and as a business the group is slashing doctor salaries 30% to keep paying overhead- nurses/assistants salaries, rent. The majority of docs (outpatient) are seeing 90% fewer patients. This poor guy is working his ass off in the hospital exposing himself and they’re going to cut his salary. Yeah, I know. First world problems. But the orange man has really fucked us in CA by effectively cutting my salary over 10% due to losing SALT write offs and mortgage deduction caps. No raise in 6 years and my buying power has dropped at least 15-20%. While inflation has been rampant.

got a small bonus and kept 47% of it. My paycheck is 47% take home from gross Due to federal and state taxes. Got news for you- hard to run a family in CA with alimony (also now non deductible due to Orange asshole), taxes. Can’t imagine what new shit is going to be thrown at me due to paying for the stimulus.
 
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simon520

Fixes humans and shoots everything else
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Sorry got sidetracked.

still really hasn’t hit us- still waiting for the “surge.” We can’t transfer patients to other hospitals anymore.

you need a surgery we can’t do? Tough. Die here.

we also can’t get the old ones back to the Skilled nursing facilities. They won’t take em back due to fears of covid. I mean I get it...if it gets in there we’re gonna have 60% mortality and a real shit show on their hands and they’re not trained or equipped to handle isolation patients but our hospital starting to fill up with elderly demented patients who we can’t move.

business is actually way down. For the last few weeks the hospital has been pretty empty which makes me wonder when all these delays are going to be in a month or two. A lot of what I would admit are “chest pain rule outs” or folks with risk factors for coronary disease who have chest pain but no obvious initial heart attack but are at risk so we watch em overnight. The majority come out negative but 15% do have it so what’s happening to them are they just dying at home?
 
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simon520

Fixes humans and shoots everything else
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Disproportionately high number of illegal/undocumented individuals. Don’t know why. We ask about insurance only to see what services or medicines are available to the patient on discharge. We don’t discriminate or triage based on ability to pay.
So initially it’s irrelevant but later on it’s important. For example if you have insurance and you have a moderately severe infection but are stable to go home and just need another week of IV antibiotics we can almost always get that done at home but if you’re undocumented or uninsured you’ve got to take up a hospital bed for that week until you’re done. And we have to be super sure you’re fixed; you can’t see or we can’t guarantee you have outpt follow up so the uninsured always have longer stays for equivalent problems.

we cancelled all elective surgeries weeks ago. That’s starting to bite us in the ass- stable gall bladder patients are starting to show up with acute inflammation that would have been prevented had they had their gall bladders out previously.

people still get cancer and are still undergoing chemo. So they show up at the hospital with a fever and they have no immune system. Where the COVID is.
 
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The majority come out negative but 15% do have it so what’s happening to them are they just dying at home?
I've been wondering the same thing.

STEMI team hasn't been called in for 2 weekends in a row. Not getting called for 1 weekend hasn't happened in years, let alone 2 in a row. Elective cases are of course down by more than half.

Is steroid + immunosuppressant part of the treatment plan for covid pts with respiratory distress?
 

Rhino

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Disproportionately high number of illegal/undocumented individuals. Don’t know why. We ask about insurance only to see what services or medicines are available to the patient on discharge. We don’t discriminate or triage based on ability to pay.
So initially it’s irrelevant but later on it’s important. For example if you have insurance and you have a moderately severe infection but are stable to go home and just need another week of IV antibiotics we can almost always get that done at home but if you’re undocumented or uninsured you’ve got to take up a hospital bed for that week until you’re done. And we have to be super sure you’re fixed; you can’t see or we can’t guarantee you have outpt follow up so the uninsured always have longer stays for equivalent problems.

we cancelled all elective surgeries weeks ago. That’s starting to bite us in the ass- stable gall bladder patients are starting to show up with acute inflammation that would have been prevented had they had their gall bladders out previously.

people still get cancer and are still undergoing chemo. So they show up at the hospital with a fever and they have no immune system. Where the COVID is.

You have seen NOTHING YET... just keep watching our NYC system.. they now have cooperation between private and city owned hospitals for the first time in getting staff where its needed but even that is no where near what is needed. .

I dont see how the hospitals and staff will financially and emotionally stay afloat on a pronglonged fight. As more and more staff gets infected who will treat the sick?

My niece is a trama Nurse and I have given here any surplus PPE that I had.. hopefully it will last her and her immediate staff until supplies become more available.


Good luck my friend.

 

luckystrike

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'front line update'

Gimme a break


The front line is us, keeping clear of each other as we practice social distancing soon to progress to shooting each other for food...

...because the medical profession utterly failed all of us in proactively identifying the coming storm

Always reactive, with the same old excuses...this department was de-funded, that proposal wasn't funded, same old fucking story with you guys...


Suffice it to say, if the rest of had the same job performance, we'd be fired

Oh but not the untouchable, holier than thou medical establishment (& teachers)
 
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'front line update'

Gimme a break


The front line is us, keeping clear of each other as we practice social distancing soon to progress to shooting each other for food...

...because the medical profession utterly failed all of us in proactively identifying the coming storm

Always reactive, with the same old excuses...this department was de-funded, that proposal wasn't funded, same old fucking story with you guys...


Suffice it to say, if the rest of had the same job performance, we'd be fired

Oh but not the untouchable, holier than thou medical establishment (& teachers)
Whatever the medical profession has said has fallen on Trump's deaf ears.

The coronavirus and the ECONOMY would look far different had Trump acted sooner.

He didn't and we're all paying the price.

Nut swinger.

33003
 

Your Car Is Slow

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eh...you know full well had he laid out a full court press back in january wed still be going thru all this....and the story would simply be "how much did trump needlessly waste at the start of all this with his rhetoric".

again...you all focus on what he says....and ignore everything he actually does.
 

luckystrike

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Whatever the medical profession has said has fallen on Trump's deaf ears.

The coronavirus and the ECONOMY would look far different had Trump acted sooner.

He didn't and we're all paying the price.

Nut swinger.
Bullshit

A similar sequence of events unfolded in most western nations with the corresponding consequences



The first alarm is claimed by AI start up Blue Dot when their algorithms detected dire flight pattern changes last year (that is, first alarm outside of China after they killed off their own whistle blowers)

A start up, not any medical authority anywhere in the world, but a start up

I've lived in many countries spanning a spectrum of health care, from private to socialized, and it's the same story everywhere...always bellyaching for more funding while the internal waste and management incompetence is obscene

At 18:00 or local time every evening, people start banging pots and pans around the world in solidarity with the 'front line health care responders ', I'm like 'do your fucking job that's what you signed up for'

CNN nut swinger
 

luckystrike

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eh...you know full well had he laid out a full court press back in january wed still be going thru all this....and the story would simply be "how much did trump needlessly waste at the start of all this with his rhetoric".

again...you all focus on what he says....and ignore everything he actually does.
When Trump sealed off China back in January, out came the CNN nut swingers with claims of XENOPHOBIA!!!

I read a whole host of medical 'experts' counter that border shutdowns are ineffective at preventing spread, citing the SARS experience

Again, XENOPHOBIA!!!

Well look where we are now
 
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I remember when the founding fathers made sure to keep us all safe from pandemics...

The Fed is a joke, has been for 200 years or so...

The states should have been given power to make their own destiny, instead a bunch of immigrants and mercenaries were paid to march to the south and stomp out states rights.


So here we are, with a centralized fed, that wastes our tax money on the endless war machine, welfare, corporate kick backs in the form of gerrymandering, corruption, greed...
The list goes the fuck on....

Fuck the federal govt. Fuck the two party system... And fuck the global economy...

The isolationist movement in the 19teens, should have been adhered to.

But we shipped off our jobs as well as the middle class right to China, for what? Cheap sneakers.

The Fed needs to be eradicated... A reset...
A new country emerges... Hopefully several new countries... All the socialists can try their utopian bullshit in their own country... The rest of us work and produce for a living in our own country... See which one fairs better...

And tell China to fuck off, and they can take what we "owe" and burn it... Devalue the dollar to nothing... And pay em.
 
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there is always enough blame to go around on who didnt do enough...or did something wrong...or whatever.

all by folks who did little to nothing themselves.
Hey, don't you talk about luckystrike like that!
He knew about this problem before anyone else in our hemisphere, and he did casually mention it to us on 1/22/20.
He said,
Last words of the dying..."You had me at harrroooo, me so solly"
 

luckystrike

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I remember when the founding fathers made sure to keep us all safe from pandemics...

The Fed is a joke, has been for 200 years or so...

The states should have been given power to make their own destiny, instead a bunch of immigrants and mercenaries were paid to march to the south and stomp out states rights.


So here we are, with a centralized fed, that wastes our tax money on the endless war machine, welfare, corporate kick backs in the form of gerrymandering, corruption, greed...
The list goes the fuck on....

Fuck the federal govt. Fuck the two party system... And fuck the global economy...

The isolationist movement in the 19teens, should have been adhered to.

But we shopped off our jobs as well as the middle class right to China, for what? Cheap sneakers.

The Fed needs to be eradicated... A reset...
A new country emerges... Hopefully several new countries... All the socialists can try their utopian bullshit in their own country... The rest of us work and produce for a living in our own country... See which one fairs better...

And tell China to fuck off, and they can take what we "owe" and burn it... Devalue the dollar to nothing... And pay em.
I'd like to see every country on the planet default on all China debt

Let China pay for the fucking mess they created
 
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Fuck yes.... Are they going to sling a nuke? Id be happy at this point to end all life on the planet to make sure the chinks get eradicated out of existence... I would hate in a 1000 years from now, a Chinese exploration team discovers life on another planet...

I'm sure they would try and eat it.
 

agri

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If the culling could occur only with the bat eating Chinks I would be very happy.

Our Canadian government said 4 weeks ago shutting the border down was useless.
Now that all the travellers are back, and basically not screened and the virus is loose, now they shut the borders down!!!!!!!!!!!!!!!!!!!!
and they say don't wear a mask.
By doing so, pretty sure they expediated this yellow slant eyed virus.
As we cant buy a mask, or hand sanitizer, or sanitized wipes, my good ol sister has made some hand made masks.
better than nothing.
 

Rhino

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look at any emergency/crisis/disaster....

there is always enough blame to go around on who didnt do enough...or did something wrong...or whatever.

all by folks who did little to nothing themselves.

FUCKING AMEN. That is fact for every Disaster deployment I went on.

If your an American.. Stand the fuck up and help the situation where you can...

For the foreigners looking for America to come solve your fucking problems as you bitch online at WE ARE DOING to help our own people go fucking get YOUR fucking government leaders and your PEOPLE to solve your problems.... pisses me off watching people bitch then try and SELF HELP.
 
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CZLoco

artist formerly known as quad destroyer and...
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Carumba. Hope you are able to stay out of harms way.
 

busa10

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When Trump sealed off China back in January, out came the CNN nut swingers with claims of XENOPHOBIA!!!

I read a whole host of medical 'experts' counter that border shutdowns are ineffective at preventing spread, citing the SARS experience

Again, XENOPHOBIA!!!

Well look where we are now
This.
And while Trump was putting together the covid-19 task force Pelosi was handing out impeachment pens.
 
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This.
And while Trump was putting together the covid-19 task force Pelosi was handing out impeachment pens.
And while Americans are losing their lives in a pandemic, Adam Schiff's contribution to humanity is to work on plans for an investigation of people who actually are serving (unlike him) their constituents.
 
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