COVID-19

notredomer23

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For years I thought California would be the first failed state in the union due to budget/ finances. I was wrong. Their elected officials might voluntarily destroy their economy.

Pretty sad to watch, and I think we're going to see a ton of people leave for Arizona and Texas.

https://www.businessinsider.com/los-angeles-county-stay-home-orders-end-july-2020-5

Los Angeles' stay-at-home order is likely to last in some form until the end of July

All of this Los Angeles news is very clickbaity. For example restaurants will have dine in at some capacity starting next week.
 

TorontoGold

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All of this Los Angeles news is very clickbaity. For example restaurants will have dine in at some capacity starting next week.

I was reading local Toronto news and they were saying that a bunch of restaurants were not doing takeout in the US. Was that common for most states in the height of the pandemic?

Seems like a punitive step to take. Glad to see some of the restrictions being lifted in general for restaurants (with proper safety).
 

Polish Leppy 22

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All of this Los Angeles news is very clickbaity. For example restaurants will have dine in at some capacity starting next week.

This isn't. And really unnecessary for a school to be making a decision about September in May.

https://www.sfgate.com/education/ar...eep-campuses-closed-through-fall-15265534.php

CSU schools to keep campuses closed through fall semester, chancellor says

I'm torn. Part of me feels awful for the millions who will suffer from these decisions. The other part of me says...hey, you voted these clowns in. They didn't elect themselves.
 

BobbyMac

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This isn't. And really unnecessary for a school to be making a decision about September in May.

https://www.sfgate.com/education/ar...eep-campuses-closed-through-fall-15265534.php

CSU schools to keep campuses closed through fall semester, chancellor says

I'm torn. Part of me feels awful for the millions who will suffer from these decisions. The other part of me says...hey, you voted these clowns in. They didn't elect themselves.

This is not good. Cal State has 20+ campuses and a half million students.

Might be time to build that wall... on our side of the Colorado River to keep out the refugees. Hopefully they follow the Raiders to Vegas.
 

ACamp1900

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This is not good. Cal State has 20+ campuses and a half million students.

Might be time to build that wall... on our side of the Colorado River to keep out the refugees. Hopefully they follow the Raiders to Vegas.

I started at Cal St (both as a knucklehead undergrad and with working in a Higher Ed) and can assure you those students haven’t been going to class for years to begin with,...
 

Woneone

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https://www.syracuse.com/coronavirus/2020/04/coronavirus-timeline-in-ny-heres-how-gov-cuomo-has-responded-to-covid-19-pandemic-since-january.html

It wasn't until 21 March that Javits was even listed as an option. By that time, there were 10,356 cases due to exponential growth:



It was around 3 April when it (Javits) opened: https://www.voanews.com/science-health/coronavirus-outbreak/covid-19-surges-ny-javits-center-starts-taking-infected

The letter you listed is dated 25 March. The guidance, by the way, is the same type of guidance that we received.

As Legacy discusses, above, it's not like you just release a patient into the wild, there are strict discharge protocols involved. What has to happen, however, is you have be assured (as the hospital) that you can d/c your patient somewhere. We had multiple "patient dumps" at our ER, because the post-acute facilities are not bound by the same regulations (EMTALA) that we are. Result: we get stuck with a patient that just sits in our acute bed.

It's a complex problem, with many moving parts and no easy solutions. So again, I ask you, what would you have done?

I ask this because I genuinely don't know --

Was this only for those admitted to Hospitals that required treatment? The vast multitude of cases, even those 65+ don't require hospitalization (I believe the rate is somewhere at 15% for 65+).

Were these individuals diagnosed, and even if not admitted, returned? Or was admitting someone a requirement if they tested positive beyond a certain age?
 

Irishize

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https://www.syracuse.com/coronavirus/2020/04/coronavirus-timeline-in-ny-heres-how-gov-cuomo-has-responded-to-covid-19-pandemic-since-january.html

It wasn't until 21 March that Javits was even listed as an option. By that time, there were 10,356 cases due to exponential growth:



It was around 3 April when it (Javits) opened: https://www.voanews.com/science-health/coronavirus-outbreak/covid-19-surges-ny-javits-center-starts-taking-infected

The letter you listed is dated 25 March. The guidance, by the way, is the same type of guidance that we received.

As Legacy discusses, above, it's not like you just release a patient into the wild, there are strict discharge protocols involved. What has to happen, however, is you have be assured (as the hospital) that you can d/c your patient somewhere. We had multiple "patient dumps" at our ER, because the post-acute facilities are not bound by the same regulations (EMTALA) that we are. Result: we get stuck with a patient that just sits in our acute bed.

It's a complex problem, with many moving parts and no easy solutions. So again, I ask you, what would you have done?

I would’ve done what I noted before: send them to the Javits Convention Center &/or the Naval carrier that has since been sent away by your boy Cuomo &/or the temporary triage/hospital set up by those evil Christian humanitarians (The Samaritan Purse).

But that’s not the point is it? The point is Cuomo is quoted multiple times demagogueing the fact that “loss of one precious life” is not worth re-opening or an increase in the Dow..etc. No one uses scare tactics regarding “Killing Grandma” more than the Left yet this dumb ass ensures their death rates explode even higher by sending an infected patient to the most vulnerable patient profiles that exist. That’s like starting a campfire on a windy day when there’s wildfire warnings posted everywhere.

He’s been caught in multiple lies about it. He doubled down on it & now he has totally reversed course so don’t tell me he couldn’t have “stopped the bleeding” by utilizing the venues I mentioned before. Compare the # of confirmed cases & deaths that you noted early on to now. Now ask yourself why they increased EXPONENTIALLY!

10,356 total cases, 58 total deaths in New York

Yet in the 47 days that he allowed this there were 5000 deaths. I’m no hospital administrator...but that’s a staggering # of deaths that pales in comparison had he used the myriad of resources at his disposal to send these COVID patients anywhere other than a nursing home. And even if some of those venues weren’t ready (which is debatable), he still didn’t have to let it drag on to the point of 5000 deaths and then plead ignorance to the media before admitting it was wrong & reversing course. So as the corona bro’s would say: “what if it were your mother, grandmother or wife whose life was taken through the irresponsibility & greed of a politician?” What would you have done then?

Could his earlier decisions had something to do w/ carrying over Medicaid expenditures from the previous year & now it’s even worse?

https://nypost.com/2019/11/05/cuomo-grapples-with-exploding-medicaid-costs-overruns/

I’ll play your game though: What would you have done w/ the subway system when it was obvious to even a blind person that it’s a freaking incubator for spreading the virus? You sign off on his decision to finally clean/sanitize it TWO WEEKS ago? I don’t blame Cuomo for the previous 110 years that the subways were never cleaned....but if you can’t blame him for not shutting them down at least temporarily (you know like he did a few weeks ago) to sanitize them, then it’s just obvious we will agree to disagree b/c at the end of the day Cuomo has a D after his name & I’m pretty confident that’s what this all boils down to or you wouldn’t be letting this idiot off the hook for all the havoc he’s wreaked.

https://apnews.com/4042f05613ee4259...n=SocialFlow&utm_medium=AP&utm_source=Twitter

And you & Legacy do realize that there are over half a million residents in not for profit NH in NY?
 
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ab2cmiller

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[TWEET]https://twitter.com/_MiguelHernan/status/1260625031119409156[/TWEET]
 
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Legacy

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I'll put forward some considerations. I imagine with NH patients positive for COVID-19 it comes down to how many people you can save, triaging based on medical standards, and where they are safer.

NH patients can vary with medical comorbidities and levels of mentation. Some with cardiopulmonary conditions have a much smaller chance of survival should they become critical. Some "sundown" with changes in mentation or they have a degree of dementia. For them changes in their living situations on environment is very difficult. Staff at NH have gotten used to handling certain behaviors. Some have DNR orders that must be respected. Hospitals can be dangerous with hospital acquired infections.

If you have a NH patient that does not meet medical criteria for admission and you do not want to place them in unfamiliar situations since they would do as well or better back at their NH, the choice is obvious. I know which one I'd choose for my mom or grandma.

However, if they are verging on crossing the line and becoming someone you would admit, an Observation ward - if you have a bed - in the hospital is preferable or the outside facilities would be the way to go. Otherwise the term is "warehousing" when you would send them to the Comfort or Javits. Families get notified and participate in decision-making. I'd bet as this evolved, the NH was in touch with all the families and had guidance in case their loved one became positive or sick or was transferred. The ER is in touch with families for status reports and guidance when possible. Otherwise, physicians assume everything possible should be done.

If we are talking NYC, for instance, hospitals did not have enough staff either, so that's a consideration.

A physician sending a patient back to their NH, who has sent them the person's history, conditions, meds and plans of care, merely has to write follow-up orders like "Continue with previous orders and Monitor for worsening signs to return to ER." There's an expectation that the care will be safe due to familiarity. A physician who transfers a patient to an outside facility has more concerns and will want to comprehensively convey all NH care orders and may wish to speak with the admitting physician there. Optimally, the NH has telehealth to report changes in the patient returned there.

You probably saw the lines of ambulances waiting to get into ERs. Disaster plans that are part of every hospital and urban planning was in effect and hospital administrators were regularly communicating on resolving this in the most efficient and safe manner.

But as Oahu said, no one can legally be turned away from an ER unless they are on Divert, which except for this pandemic, a disaster, or mass shooting, is usually resolved quickly. The law is abbreviated EMTALA. I imagine all have seen the stretchers with patients in the ER waiting for beds and heard of physicians intubating there.

So as much as some would like to politicize this, these are medical decisions, with hospital administrators and community health leaders involved in their roles. Mayors and Governors get involved if hospital admins cannot work issues out and regulations are involved. Perhaps concessions were made by the NH heads in response to Cuomo. He's ordered that NH cannot discrimminate based on their COVID status, that staff must be tested twice a week, and that if NH cannot provide appropriate care including PPE for all staff they will lose their license.

Other states who have not encountered the surge that NYC did or any resistance to taking NH patients back may be proactive on this issue with their NHs.

Maybe in the future or with another wave, places like the Javits Center or one erected in your city for this, triage can be done outside of the ER, for instance over Telehealth so that all don't get sent to a hospital ER, but can be fully evaluated and cared for at the outside facility with electronic medical records that make medical communication easy and accurate. In the future, everyone will have advance directives. There is always a post-disaster review to see what mistakes were made, what could have been done better, and what needs to be planned for in the future.
 
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Ndaccountant

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I am happy to say that my father appears to be recovering quite well. He was admitted, which was a significant scare. Thankfully, he was able to turn it around and he returned home. Appreciate all the thoughts and kind notes recently. Where there is faith, there is victory. Cheers!
 

BGIF

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I am happy to say that my father appears to be recovering quite well. He was admitted, which was a significant scare. Thankfully, he was able to turn it around and he returned home. Appreciate all the thoughts and kind notes recently. Where there is faith, there is victory. Cheers!

Happy homecoming,
 

irishnd31

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I am happy to say that my father appears to be recovering quite well. He was admitted, which was a significant scare. Thankfully, he was able to turn it around and he returned home. Appreciate all the thoughts and kind notes recently. Where there is faith, there is victory. Cheers!

Great to hear my friend.
 

Irish#1

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I am happy to say that my father appears to be recovering quite well. He was admitted, which was a significant scare. Thankfully, he was able to turn it around and he returned home. Appreciate all the thoughts and kind notes recently. Where there is faith, there is victory. Cheers!

Excellent!
 

Irish#1

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I have no idea who this guy is, but another example of someone trying to take advantage of the PPE loan program. Claims he has a monthly payroll over $1M a month. He gets a loan for a little over $2M then spends $1.4M on himself. Dude used over $1M of the money to buy jewelry, lease a Rolls Royce and pay child support. The best part is this statement from his attorney.

"There has been considerable confusion among small business owners about PPP guidelines - particularly around the question of whether and how business owners are permitted to pay themselves a salary or take an owner's draw.


Maurice Fayne, 'Love & Hip Hop: Atlanta' star, arrested for fraud, federal officials say
By Konstantin Toropin and Theresa Waldrop, CNN

Updated 11:46 PM ET, Wed May 13, 2020
Maurice "Mo" Fayne has been charged with federal bank fraud, federal officials said.

(CNN)Maurice Fayne, who stars in VH1's "Love & Hip Hop: Atlanta," has been arrested and charged with federal bank fraud after misusing funds from a Paycheck Protection Program ("PPP") loan, federal officials said Wednesday.

Fayne, also known as "Arkansas Mo," runs a corporation called Flame Trucking, and he submitted a PPP loan application for the company on April 15, stating that the business had 107 employees and an average monthly payroll of $1,490,200, according to an affidavit for the criminal complaint.

Flame Trucking asked for a loan of $3,725,500 and certified that the loan proceeds would be used to "retain workers and maintain payroll or make mortgage interest payments, lease payments, and utility payments, as specified under the Paycheck Protection Program Rule," the affidavit alleges. United Community Bank ultimately funded the loan for $2,045,800 in late April, according to the affidavit.

Fayne then used more that $1.5 million of the funds to buy $85,000 in jewelry, including a Rolex watch, a diamond bracelet, and a 5.73 carat diamond ring for himself, the US Attorney's Office for the Northern District of Georgia said in a release.

Fayne also leased a 2019 Rolls-Royce Wraith, and paid $40,000 for child support, according to the statement. "At a time when small businesses are struggling for survival, we cannot tolerate anyone driven by personal greed, who misdirects federal emergency assistance earmarked for keeping businesses afloat," said Chris Hacker, Special Agent in Charge of FBI Atlanta, in the statement.

An attorney for Fayne pointed to the "considerable confusion" about PPP guidelines when asked by CNN about the charges against her client.
"There has been considerable confusion among small business owners about PPP guidelines -- particularly around the question of whether and how business owners are permitted to pay themselves a salary or take an owner's draw. I hope these issues to be better fleshed out in the weeks and months to come," attorney Tanya Miller said in a statement. "For obvious reasons, we cannot try these allegations in the media," Miller said. "We will provide the appropriate response in the proper forum once all the information has been provided to us."

The PPP loan program from the federal government aims to help small businesses and their workers survive during the Covid-19 pandemic. The loans are for businesses with 500 or fewer employees to pay workers' salaries, rent and utility costs.
In an interview with federal agents last week, Fayne said he used the PPP loan to "pay payroll and other business expenses" of the company, and "Fayne expressly denied that he used any of the PPP loan proceeds to pay his personal debts," according to the court document.

Federal agents searched Fayne's residence in Dacula, Georgia, May 11, where they also discovered about $80,000 in cash, including $9,400 that Fayne had in his pockets, court documents say.

Fayne told the agents that he had used the PPP loan to buy the jewelry, and when asked if he had used any of the loan on the Rolls- Royce, he said, "Kinda, sorta, not really," according to the affidavit.
 

Legacy

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Prisons and COVID

Prisons and COVID

Since many prisons have now done or are doing widespread testing, the results are eye-opening and have implications about this virus.

Ohio
Mass testing in Ohio prisons show that they are some of the greatest hotspots in the country. Marion Correctional Institution, an hour north of Columbus, has reported four deaths, but has more than 2,000 prisoners and at least 160 staffers who tested positive for the virus. That's more than 80% of the prison population has contracted COVID-19.

At least 3,792 inmates across Ohio state prison facilities have received positive diagnoses for COVID-19 since Ohio Department of Rehabilitation & Correction began testing on April 11. Incarcerated people make up 20% of the state’s entire coronavirus cases. 12 inmates have died.

One of many reasons the coronavirus has been difficult to contain in Ohio’s prisons is because they are overcrowded at about 130% capacity. In Ohio, Gov. Mike DeWine recommended the release of about 300 inmates in the state prison system, out of a total population of 49,000. Most of those 300 inmates are older or pregnant.

“We are getting positive test results on individuals who otherwise would have never been tested because they were asymptomatic,” the Ohio Department of Rehabilitation & Correction said in a statement. “The total tested and total pending are part of the large mass testing currently underway.”

Ohio estimates they’ve run at least 5,000 tests. States like Texas, California, Florida and Georgia have larger prison populations than Ohio, but have run significantly fewer tests and are reporting fewer positive results.

Other States with High Incarcerated Populations
With around 157,000 incarcerated people, Texas currently has the largest prison population in the country, but just 814 inmates have been tested for the coronavirus, according to the Texas Department of Criminal Justice (TDCJ). Of those tests, 438 have tested positive.

California has the second-largest prison population with around 129,000 inmates. 694 of them have been tested, which has resulted in 129 positive tests. And in Florida, which has the third-largest prison population, just 378 prisoners (out of around 98,000 inmates) have been tested for the COVID-19. 119 were positive.

On April 21, health officials in California recommended that mass testing of asymptomatic people should begin across the state, citing environments like prisons and nursing homes as a priority.

Other states have turned to releasing inmates to help social distancing behind bars. Pennsylvania recommended release of 1,800 prisoners. Some experts recommend reducing the population so that there's one prisoner per cell.

How many of the positive tests are asymptomatic?

Kansas and Asymptomatic Prisoners
At Lansing Prison in Kansas, 694 Lansing inmates test positive for COVID-19; 86% show no symptoms

As far as I know, none of the prisoners have been sent to outside medical facilities. It's not clear how many of the staff ended up hospitalized. Certainly, should prisons see more staff out sick or quarantined and prisons running at excess capacity, the situation becomes more dangerous.

Prisons are effectively self-contained similar to the cruise ships or aircraft carrier, whose residents were quarantined. Those prisoners released undoubtedly are instructed to self-quarantine when they left their ships. Should it turn out that most of the positive cases there and are asymptomatic are in a younger age group, that has implications for the general population, the need for mass testing and transmissions as we open up our states.
 
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Sea Turtle

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Since many prisons have now done or are doing widespread testing, the results are eye-opening and have implications about this virus.

Ohio
Mass testing in Ohio prisons show that they are some of the greatest hotspots in the country. Marion Correctional Institution, an hour north of Columbus, has reported four deaths, but has more than 2,000 prisoners and at least 160 staffers who tested positive for the virus. That's more than 80% of the prison population has contracted COVID-19.

At least 3,792 inmates across Ohio state prison facilities have received positive diagnoses for COVID-19 since Ohio Department of Rehabilitation & Correction began testing on April 11. Incarcerated people make up 20% of the state’s entire coronavirus cases. 12 inmates have died.

One of many reasons the coronavirus has been difficult to contain in Ohio’s prisons is because they are overcrowded at about 130% capacity. In Ohio, Gov. Mike DeWine recommended the release of about 300 inmates in the state prison system, out of a total population of 49,000. Most of those 300 inmates are older or pregnant.

“We are getting positive test results on individuals who otherwise would have never been tested because they were asymptomatic,” the Ohio Department of Rehabilitation & Correction said in a statement. “The total tested and total pending are part of the large mass testing currently underway.”

Ohio estimates they’ve run at least 5,000 tests. States like Texas, California, Florida and Georgia have larger prison populations than Ohio, but have run significantly fewer tests and are reporting fewer positive results.

Other States with High Incarcerated Populations
With around 157,000 incarcerated people, Texas currently has the largest prison population in the country, but just 814 inmates have been tested for the coronavirus, according to the Texas Department of Criminal Justice (TDCJ). Of those tests, 438 have tested positive.

California has the second-largest prison population with around 129,000 inmates. 694 of them have been tested, which has resulted in 129 positive tests. And in Florida, which has the third-largest prison population, just 378 prisoners (out of around 98,000 inmates) have been tested for the COVID-19. 119 were positive.

On April 21, health officials in California recommended that mass testing of asymptomatic people should begin across the state, citing environments like prisons and nursing homes as a priority.

Other states have turned to releasing inmates to help social distancing behind bars. Pennsylvania recommended release of 1,800 prisoners. Some experts recommend reducing the population so that there's one prisoner per cell.

How many of the positive tests are asymptomatic?

At Lansing Prison in Kansas, 694 Lansing inmates test positive for COVID-19; 86% show no symptoms

As far as I know, none of the prisoners have been sent to outside medical facilities. It's not clear how many of the staff ended up hospitalized. Certainly, should prisons see more staff out sick or quarantined and prisons running at excess capacity, the situation becomes more dangerous.

Prisons are effectively self-contained similar to the cruise ships or aircraft carrier. Should it turn out that most of the positive cases there and are asymptomatic are in a younger age group, that has implications for the general population, the need for mass testing and transmissions as we open up our states.

This shit is pissing me off. We should have just had the elderly and sickly stay home instead of the entire country.
 

Blazers46

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This shit is pissing me off. We should have just had the elderly and sickly stay home instead of the entire country.

Thats bad politics, we cant get a new President unless we completely destroy the economy. No Italics. But it pisses me off as well.
 

Legacy

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This shit is pissing me off. We should have just had the elderly and sickly stay home instead of the entire country.

I prefer to let science and health determine the proper course of action.

Thats bad politics, we cant get a new President unless we completely destroy the economy. No Italics. But it pisses me off as well.

Irate and pissed off, too.

Sen. Kennedy slams acting DHS secretary for lack of coronavirus answers
BY NIV ELIS - 02/25/20 12:17 PM EST

Sen. John Kennedy (R-La.) slammed acting Department of Homeland Security (DHS) Secretary Chad Wolf
on Tuesday for Wolf's lack of answers during a tense grilling on the U.S. response to the coronavirus outbreak.

In a subcommittee hearing on the 2021 DHS budget, Wolf failed to provide specific answers Kennedy's questions, including one on how many people are predicted to become infected with the new strain of virus.

“We’re working with HHS to determine that,” Wolf said, repeatedly deferring to the Department of Health and Human Services.

“Yes, sir, but you’re head of Homeland Security and your job is to keep us safe,” Kennedy shot back, often talking over Wolf. “Don’t you think you ought to check on that?”

Kennedy, visibly irate, appeared to get more frustrated when Wolf couldn't provide specific answers as to how many respirators and masks are available and how many would be needed for a wider outbreak. Wolf also struggled with precise mortality rate for the virus and how it compares to the flu.

“You’re the secretary, I think you ought to know that answer,” Kennedy said at one point.

Kennedy also flashed anger when Wolf told him a vaccine could be only a matter of months away, contradicting testimony from a congressional briefing earlier in the day that found it would take 12 to 18 months.

“Who’s on first here? What’s on second?” Kennedy said, referencing the classic Abbot and Costello comedy sketch on miscommunication.

“Your numbers aren’t the same as CDC’s,” he added.

The spread of coronavirus has become a significant concern to health experts, though the World Health Organization said it was not yet ready to label it a pandemic. The vast majority of cases have been confined to China, though a recent outbreak in Italy has caused fears of a more global platform for the virus. Only 50 cases have appeared in the U.S., most of which were found in Americans infected abroad who were then repatriated.

Like many members of President Trump’s cabinet, Wolf is serving in an acting capacity. He was designated for that position in November, a month after his predecessor Kevin McAleenan — also an acting secretary — stepped down. DHS has not had a confirmed secretary since Kirstjen Nielsen left the post in April 2019.

DHS and HHS share responsibility for implementing the federal response to a pandemic. Seems more like the Three Stooges, Senator Kennedy.

A bipartisan Pandemic Preparedness and Response Act was passed in 2005 with appropriations, estimated costs of a pandemic and details for a federal response to minimize costs below that do not include "the economic effects of pandemic on commerce and society".

The Senate version,

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) The Department of Health and Human Services reports
that an influenza pandemic has a greater potential to cause
rapid increases in death and illness than virtually any other
natural health threat.
(2) Three pandemics occurred during the 20th century: the
Spanish flu pandemic in 1918, the Asian flu pandemic in 1957,
and the Hong Kong flu pandemic in 1968. The Spanish flu
pandemic was the most severe, causing over 500,000 deaths in
the United States and more than 20,000,000 deaths worldwide.
(3) The Centers for Disease Control and Prevention has
estimated conservatively that up to 207,000 Americans would
die, and up to 734,000 would be hospitalized, during the next
pandemic. The costs of the pandemic, including the total direct
costs associated with medical care and indirect costs of lost
productivity and death, are estimated at between
$71,000,000,000 and $166,500,000,000. These costs do not
include the economic effects of pandemic on commerce and
society. (cont)

Governors and Mayors of both parties are responsible for opening up businesses safely in their communities.
 
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Circa

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This shit is pissing me off. We should have just had the elderly and sickly stay home instead of the entire country.

This whole thing has a lot to do with China owning way too many politicians and corporations In our country and many others.
They have too much money involved and I really hope the investigations take place, and not some rediculous pharse that scares the shit out of free thinkers.
If,.. they (China) held back knowledge of a virus for 2 months and bought up all of the PPE just to corner the market and then raise prices and destroy economy's... (Supply/Demand) across the Entire World. It's an Act of War.
Their inherent type of social warfare and communism has been a leading factor into our failing Dollar.


<div style='position:relative; padding-bottom:calc(81.20% + 44px)'><iframe src='https://gfycat.com/ifr/GreatIllFinnishspitz' frameborder='0' scrolling='no' width='100%' height='100%' style='position:absolute;top:0;left:0;' allowfullscreen></iframe></div><p> <a href="https://gfycat.com/greatillfinnishspitz">via Gfycat</a></p>
 

Irishize

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I am happy to say that my father appears to be recovering quite well. He was admitted, which was a significant scare. Thankfully, he was able to turn it around and he returned home. Appreciate all the thoughts and kind notes recently. Where there is faith, there is victory. Cheers!

That’s great news & we need all of that we can get these days. Thanks for sharing!
 

SonofOahu

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Radiolab had a really interesting podcast, a few days ago:

<iframe frameborder="0" scrolling="no" height="130" width="100%" src="https://www.wnyc.org/widgets/ondemand_player/wnycstudios/#file=/audio/json/1018435/&share=1"></iframe>

The discovery that COVID-19 could be more of a blood illness than a respiratory one gives me some pause. My MIL has a clotting condition, and my wife is a carrier for said genetic issue. With a predisposition to DVTs, COVID-19 could be a serious concern.
 

SonofOahu

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I ask this because I genuinely don't know --

Was this only for those admitted to Hospitals that required treatment? The vast multitude of cases, even those 65+ don't require hospitalization (I believe the rate is somewhere at 15% for 65+).

Were these individuals diagnosed, and even if not admitted, returned? Or was admitting someone a requirement if they tested positive beyond a certain age?

No. If the patient didn't meet certain criteria, you wouldn't admit. For one thing, you burn through a lot of PPE (which we all still don't have in safe amounts) working with COVID patients. Second, you need to keep beds open for the worst off.

If a patient had safe oxygen-saturation levels in his/her blood and could walk out of your ED, you would probably release the patient back to where he/she came from. With a disease that can turn as quickly as COVID-19 can, you see where that's a problem. A patient can walk out of an ED and 12 hours later be in serious trouble. That's one thing that's really messed up with this disease, we just don't know what to expect. Not enough data.
 

SonofOahu

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I would’ve done what I noted before: send them to the Javits Convention Center &/or the Naval carrier that has since been sent away by your boy Cuomo &/or the temporary triage/hospital set up by those evil Christian humanitarians (The Samaritan Purse).

But that’s not the point is it? The point is Cuomo is quoted multiple times demagogueing the fact that “loss of one precious life” is not worth re-opening or an increase in the Dow..etc. No one uses scare tactics regarding “Killing Grandma” more than the Left yet this dumb ass ensures their death rates explode even higher by sending an infected patient to the most vulnerable patient profiles that exist. That’s like starting a campfire on a windy day when there’s wildfire warnings posted everywhere.

He’s been caught in multiple lies about it. He doubled down on it & now he has totally reversed course so don’t tell me he couldn’t have “stopped the bleeding” by utilizing the venues I mentioned before. Compare the # of confirmed cases & deaths that you noted early on to now. Now ask yourself why they increased EXPONENTIALLY!



Yet in the 47 days that he allowed this there were 5000 deaths. I’m no hospital administrator...but that’s a staggering # of deaths that pales in comparison had he used the myriad of resources at his disposal to send these COVID patients anywhere other than a nursing home. And even if some of those venues weren’t ready (which is debatable), he still didn’t have to let it drag on to the point of 5000 deaths and then plead ignorance to the media before admitting it was wrong & reversing course. So as the corona bro’s would say: “what if it were your mother, grandmother or wife whose life was taken through the irresponsibility & greed of a politician?” What would you have done then?

Could his earlier decisions had something to do w/ carrying over Medicaid expenditures from the previous year & now it’s even worse?

https://nypost.com/2019/11/05/cuomo-grapples-with-exploding-medicaid-costs-overruns/

I’ll play your game though: What would you have done w/ the subway system when it was obvious to even a blind person that it’s a freaking incubator for spreading the virus? You sign off on his decision to finally clean/sanitize it TWO WEEKS ago? I don’t blame Cuomo for the previous 110 years that the subways were never cleaned....but if you can’t blame him for not shutting them down at least temporarily (you know like he did a few weeks ago) to sanitize them, then it’s just obvious we will agree to disagree b/c at the end of the day Cuomo has a D after his name & I’m pretty confident that’s what this all boils down to or you wouldn’t be letting this idiot off the hook for all the havoc he’s wreaked.

https://apnews.com/4042f05613ee4259...n=SocialFlow&utm_medium=AP&utm_source=Twitter

And you & Legacy do realize that there are over half a million residents in not for profit NH in NY?

What would you have done while the facilities weren't stood up yet? Or what would you do if you don't have enough staff to man the other facilities?

Let me educate you to another issue that you aren't aware of or don't consider. The biggest risk to patients/residents in a facility is not other patients/residents, it's the staff treating them. Many of the staff, especially at lower-skill positions like housekeeping, CNAs, and food-service workers are employed at multiple facilities. They serve as vectors for infection.

Even physicians and nurses are risks, because physicians often go from facility to facility and nurses have to be hands-on with damn near everyone on the unit. You could have had zero positive patients in the facility and still had multiple outbreaks. How do you think the Kirkland clusters got so bad?

NY should have absolutely shut down the subways for terminal cleaning. To not do that was inexcusable. Like I said, though, surface contact is a far second to standing in the same enclosed air-space as a COVID-positive person.

If you really want to educate your self on transfer practices, go ahead and read through the CMS toolkit: https://www.cms.gov/files/document/covid-toolkit-states-mitigate-covid-19-nursing-homes.pdf. Or, you could just continue to be a dick and throw out stupid statements like "your boy..." I don't expect much out of you, frankly. Happy reading, though.
 

BGIF

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NEWS MAY 16, 2020 / 12:24 AM / UPDATED 3 HOURS AGO
Crowds at Wuhan clinics fear coronavirus testing could rekindle disease
Brenda Goh

WUHAN, China (Reuters) - As Wuhan, the Chinese city where the COVID-19 pandemic began, revs up a massive testing campaign, some residents crowding the test centres expressed concern on Saturday that the very act of getting tested could expose them to the coronavirus.

Safety has become a hot topic on social media groups among the 11 million residents of Wuhan, people told Reuters as they converged on open-air test sites at clinics and other facilities. Many said, though, that they support the voluntary campaign.

Wuhan health authorities sprang back into action after confirming last weekend the central Chinese city’s first cluster of new infections since it was released from virtual lockdown on April 8.

The new cases - all of them people who had previously shown no symptoms of the disease - spurred Wuhan authorities to launch a citywide search for asymptomatic carriers of the virus, aiming to gauge the level of COVID-19 risk.

“Some people have expressed worry in the (social media) groups about the tests, which require people to cluster, and whether there’s any infection risk,” said one Wuhan resident who asked not to be named.

“But others rebutted those worries, saying such comments are not supportive of the government.”

Safety has become a hot topic on social media groups among the 11 million residents of Wuhan, people told Reuters as they converged on open-air test sites at clinics and other facilities. Many said, though, that they support the voluntary campaign.

Wuhan health authorities sprang back into action after confirming last weekend the central Chinese city’s first cluster of new infections since it was released from virtual lockdown on April 8.

The new cases - all of them people who had previously shown no symptoms of the disease - spurred Wuhan authorities to launch a citywide search for asymptomatic carriers of the virus, aiming to gauge the level of COVID-19 risk.

Some people have expressed worry in the (social media) groups about the tests, which require people to cluster, and whether there’s any infection risk,” said one Wuhan resident who asked not to be named.

“But others rebutted those worries, saying such comments are not supportive of the government.”

The unprecedented scale of testing indicates the official level of concern, some experts say. Others say it is an extremely costly exercise and question its effectiveness.

At a testing kiosk in Jianghan district in central Wuhan, a volunteer was patrolling and spraying disinfectant at a long line of people.

Many people observed social distancing, such as queuing 1 metre apart, and there were signs to remind them. But just as many did not. In some cases, volunteer workers were not insisting that they comply.

At another open-air testing kiosk, where throat swabs were taken, yellow and black stickers on the ground kept people from converging.
 

Irishize

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What would you have done while the facilities weren't stood up yet? Or what would you do if you don't have enough staff to man the other facilities?

Let me educate you to another issue that you aren't aware of or don't consider. The biggest risk to patients/residents in a facility is not other patients/residents, it's the staff treating them. Many of the staff, especially at lower-skill positions like housekeeping, CNAs, and food-service workers are employed at multiple facilities. They serve as vectors for infection.

Even physicians and nurses are risks, because physicians often go from facility to facility and nurses have to be hands-on with damn near everyone on the unit. You could have had zero positive patients in the facility and still had multiple outbreaks. How do you think the Kirkland clusters got so bad?

NY should have absolutely shut down the subways for terminal cleaning. To not do that was inexcusable. Like I said, though, surface contact is a far second to standing in the same enclosed air-space as a COVID-positive person.

If you really want to educate your self on transfer practices, go ahead and read through the CMS toolkit: https://www.cms.gov/files/document/covid-toolkit-states-mitigate-covid-19-nursing-homes.pdf. Or, you could just continue to be a dick and throw out stupid statements like "your boy..." I don't expect much out of you, frankly. Happy reading, though.

Predictable...and consistently pretentious. We get it...you work at a hospital. Congrats but you keep avoiding the point. Cuomo has continued to contradict himself at every turn and it’s led to needless deaths especially considering he’s had plenty of time to minimize them.

Could he have prevented them all? Nope. But to wait as long as he did and not house them in one or all of the facilities I mentioned, he exponentially increased his state’s death toll. The facilities were there but you want to ignore that so you can detour the conversation back to how you run your hospital. I’m sure you’re doing a great job (that was not meant in an Eddie Haskell tone...I’m being sincere) but it has nothing to do w/ how Cuomo screwed the pooch.

I’ll just agree to disagree but I still stand by the fact that if this dude had an R after his name, your tone would be a 180 from where it’s been. At least be intellectually honest about that. Good day, sir. I hope you can get outside and enjoy some Vitamin D this weekend! May God bless you & your hospital during this tumultuous time.
 

Legacy

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Predictable...and consistently pretentious. We get it...you work at a hospital. Congrats but you keep avoiding the point. Cuomo has continued to contradict himself at every turn and it’s led to needless deaths especially considering he’s had plenty of time to minimize them.

Could he have prevented them all? Nope. But to wait as long as he did and not house them in one or all of the facilities I mentioned, he exponentially increased his state’s death toll. The facilities were there but you want to ignore that so you can detour the conversation back to how you run your hospital. I’m sure you’re doing a great job (that was not meant in an Eddie Haskell tone...I’m being sincere) but it has nothing to do w/ how Cuomo screwed the pooch.

I’ll just agree to disagree but I still stand by the fact that if this dude had an R after his name, your tone would be a 180 from where it’s been. At least be intellectually honest about that. Good day, sir. I hope you can get outside and enjoy some Vitamin D this weekend! May God bless you & your hospital during this tumultuous time.

IMO, you can make your points without the comments about another poster, especially if they choose to detail the problems they face for the general community. Posters don't have to take the time to do so.

I also appreciate that you spent the time to thank Oahu for his work since he has inevitable responsibility for the efficient operation of his hospital and must respond to backlogs that are able to be resolved. I'll add my kudos. Really tough work and tough decisions that I imagine are consistent with those of all other administrators in his city, too.

I've made the point that a Gov gets involved on regulatory issues which hospital administrators may ask him to address, so that a state's disaster planning within a community works.

Staff burnout with working extra shifts that may amount to more than sixty hours a week then going home to isolate from their families. They are worried about transmitting infections to non-COVID patients with shortages of PPE and watching many more patients in their care die than anyone is used to, especially having connected with those families.

I'm sure he has morning meetings with his staff and the medical staff to discuss how to resolve all the issues they encounter with any recs for solutions. In NYC, while NHs express their concerns to their local hospitals that they send patients including having their residents go quickly downhill after being sent back from the hospital after a negative test. That would happen if they were in the ER halls or at the Javits Center.
 

Legacy

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What would you have done while the facilities weren't stood up yet? Or what would you do if you don't have enough staff to man the other facilities?

Let me educate you to another issue that you aren't aware of or don't consider. The biggest risk to patients/residents in a facility is not other patients/residents, it's the staff treating them. Many of the staff, especially at lower-skill positions like housekeeping, CNAs, and food-service workers are employed at multiple facilities. They serve as vectors for infection.

Even physicians and nurses are risks, because physicians often go from facility to facility and nurses have to be hands-on with damn near everyone on the unit. You could have had zero positive patients in the facility and still had multiple outbreaks. How do you think the Kirkland clusters got so bad?

NY should have absolutely shut down the subways for terminal cleaning. To not do that was inexcusable. Like I said, though, surface contact is a far second to standing in the same enclosed air-space as a COVID-positive person.

If you really want to educate your self on transfer practices, go ahead and read through the CMS toolkit: https://www.cms.gov/files/document/covid-toolkit-states-mitigate-covid-19-nursing-homes.pdf. Or, you could just continue to be a dick and throw out stupid statements like "your boy..." I don't expect much out of you, frankly. Happy reading, though.

To follow up, there are NHs that do not deliver an expected level of care. Others are very good. The first have Nursing Assistants (NA) who do not use gloves (whether available or not) in situations that they should and add to possibilities of infections. They also could be working at multiple NHs and may return to homes with multiple families. Anther family member may work in meat packing or any other low wage jobs that are considered essential. Perhaps those NAs are asymptomatic or testing is not being done there.

As we move to opening up the economy, NY is faced with the subways which are perfect places for transmission. The subs will do their best to clean probably daily after the initial terminal clean. This virus has attacked the soft underbelly of our population and what drives our economy.
 
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