emalider

https://www.google.com/amp/s/amp.azcentral.com/amp/5249389002 Personally, I would feel the same way you're feeling and would get together with this group 14 days after they got back from Arizona. Arizona's covid hospitalizations and death numbers appears to be steadily increasing (even after taking into account the lag in reporting the deaths).

That's the graph I was referencing in a previous post. Such a lie that it was "wrongly reported." Curious to see what the chart looks like after May 10th.

It's more intentionally misleading than that -- there are some April dates mixed in with May dates in the right end of the x-axis.

I was going by off the same reporter's tweet:

I don't really see it as dishonest. They are testing more, but there's also an increase in hospitalizations supporting the increase in cases. I may have missed some of the more crazy Twitter conversations, but the threads I read didn't seem too bad (Twitter considered). Sidenote: the length of stay for many of these patients can be quite long, which will start to affect hospital systems and which services they provide. Yes, you can have all the ventilators in the world, but patient outcomes will decrease when staff are caring for more patients than they're used to, these patients are requiring rapid interventions, and non-ICUs are converted into ICUs.

The best words. Might as well replace everything he says with herp derp.

The lockdown should have bought us time to flatten the curve, develop processes for mass testing/tracing, support hospitals by securing PPE/equipment/supplies, and pass legislation to support businesses and families affected by the lockdown. Whether it is the state vs federal responsibility is a different topic, but personally, the federal government should have led the response to allocate resources as necessary and support factories and our supply chain... but, incompetence. The people's protests and energy being put towards opening up the states is beyond misguided and should be directed at the government to hurry the f up and protect its people (both physically and financially). The ironic thing is this neglect was done in the sake of the economy to help re-elect Trump. If his stupid ass just did what was expected (listened to the experts and ctrl+c/ctrl+v other countries' policies), I have no doubt he'd be re-elected.

https://www.heart.org/en/health-topics/infective-endocarditis Bacteria can do it also!

Hopefully you and your wife are staying safe. Some of our icu team went to Tijuana to assess their situation and ways we can help provide support. From the sounds of it, it sounds pretty bleak. We're going to try to provide some telehealth support and some nursing protocols we've established, but unsure how much of an impact that will have, if any. The (relatively) good news is there are quite a few hospitals within the San Diego county that are able to help offload if the volume of covid patients continues to increase. But agreed, here's hoping we don't get to that point.

https://www.google.com/amp/s/www.sandiegouniontribune.com/news/health/story/2020-04-24/traffic-jams-border-while-officials-in-both-countries-examine-coronavirus-spikes%3F_amp%3Dtrue There was discussion in the last page about shortages. I can't speak for other areas in the US but south San Diego is currently going through a crisis. Tijuana is a major hot spot and the impact is starting to be felt across the border. One of the hospitals has converted at least one step down unit into a covid icu. There's active transfers of patients to help offload the volume of covid patients. There's already a shortage or anticipated shortage of thermometer probe covers, IV tube extensions, and medications (ex propofol) in my area. There's a huge focus on PPE (100% understandable) but the increasing demand for one-time use supplies, medications, and equipment like PAPRs is being overlooked (imo).

Ffuuuuuuckkk this simpleton.

This is going to sound super naive but shouldn't this only be an applicable thing if authorities are notified prior to a citizen's arrest (disregarding the entire notion it's fucking stupid, especially with rifles out like they were really trying to the community a favor)? I'm sure I already know the answer but pulling for some hope that justice is served.

From my experience, it's a combination of the workload (the patients we're seeing are sicker than many other ARDS patients), the additional stressors of caring for a novel disease, and the extra emotional burden in supporting people in isolation (happening also in non-COVID units). Thankfully we haven't been hit hard, so we've been able to process things and provide support when needed.

"I will eat your ass!" *Pause*

I became a huge fan of his after watching last week's 60 Minutes. The daughter's reaction after sipping the martini was wholesome as heck.

Fuck this guy.

Not much. Seraph Bunkers for some PVE content and Trials for PVP. So far it's been somewhat of a letdown content-wise.

Reviving the thread from the dead. Trials with @bladimir2k and played against some cheaters. Hopefully bungo banned 'em. (Running into walls was mostly intentional. Just so I could slide if to proc Antaeus Wards. )

"United States Virus" rolls off the tongue a little better.

It's a shitty feel to say the least. We're secure for now, but since the overall census has dropped, oversight into daily staffing is ridiculousssss. Unrelated: I'm hoping today is an outlier, but it was the first time in a month where afternoon traffic was quite noticeable...

Yea, most hospitals around here are like that to some degree. We have fully embraced the open visitation and family care model - it has its pros for sure, but this lax nature can be difficult to manage. I've come to appreciate the open nature, but it's more frustrating to have the signs out for the public to not be enforced and people just blatantly disregarding it.

Prior to COVID for flu season: At the public entry: "Please check in at the front desk. No visitors younger than 12 is permitted in patient care areas." At the elevators: "Please check in at the front desk. No visitors younger than 12 is permitted in patient care areas." In the elevators: "Please check in at the front desk. No visitors younger than 12 is permitted in patient care areas." At every elevator lobby: "Please check in at the front desk. No visitors younger than 12 is permitted in patient care areas." Prior to entering an inpatient unit: "Please check in at the front desk. No visitors younger than 12 is permitted in patient care areas." Visitor: *Walks in with a stroller* "We're here to see _______. Is it ok if my eight month old comes?"

From the information we've received, the healthcare worker infection rates typically happen when the hospital systems collapse (between the lack of PPE and untested McGuyver techniques like splitting the ventilator four ways [I don't even know how that would be feasible, and hope to god I don't ever have to provide care in that scenario]). Thanks for looking up the info. I'm in an ongoing discussion with peers on what's best practice and this could definitely change things up.

Not saying I don't believe you, but can you provide the details for these recommendations? The most recent journal article that pointed to aerolization for three+ hours was from the New England Journal of Medicine, which its testing has its critiques (namely, it being performed in a highly controlled environment with extremely saturated viral load testings, which is highly unlikely comparable to a person's viral load). The current recommendation (at least while the PPE shortage is happening) is droplet precautions except during aerosol-generating procedures (e.g, intubation, extubation, bronchoscopy, etc), where an N95 respirator or PAPR is required. Just found out yesterday: at a sister unit, our infection control team ran a small experiment (small sample size warning) where cultures were obtained from high contact areas (e.g, keyboard, door, floor, etc.) prior to a COVID+ patient being admitted. Upon admission, patient was swabbed, which came back positive, confirming a baseline for the test. Multiple nurses were asked to not change their behaviors to the best of their ability while maintaining personal safety as educated (i.e, don't wipe down keyboards more than you necessarily would). Along with the previous environment swabs, these nurses were swabbed in concerning areas, including hair, shoes, and scrubs. None of the swabs came back positive. We've been caring for COVID patients now for almost a month and we have had no staff exposures resulting in staff getting sick using the CDC guidelines. This small test is definitely not the end-all be-all by any means, but I understand why we've taken the stance for droplet precautions except during (and after) certain circumstances. Personally, I think six feet, social distancing, and good hygiene are fine. The bigger concerns are people wearing masks and/or gloves thinking they're safe, and the people not doing anything because they're selfish assholes. The gloves don't matter when you touch something "dirty" followed by touching something else that ultimately goes near your face - same goes for masks. Practice social distancing, good hand hygiene, and (as difficult as it is) stop touching your face. (Not you specifically.)

If you have them near you, Vons delivery service is pretty amazing. Used their service for a while now, and haven't had any issues.