Unreal. I also saw the chicks licking the toilet seats for the "Corona Challenge".dakshdar wrote: ↑Thu Mar 26, 2020 10:47 amKind of like this guy:
https://nypost.com/2020/03/25/man-licke ... irus-cops/
Yay humanity!!
Unreal. I also saw the chicks licking the toilet seats for the "Corona Challenge".dakshdar wrote: ↑Thu Mar 26, 2020 10:47 amKind of like this guy:
https://nypost.com/2020/03/25/man-licke ... irus-cops/
One of the funny things about living in FL was always how many folks from NYC would tell you how great NYC was...while they lived in FL after moving from NYC.
Also due to the fashion industry, a lot of Chinese folks actually live in Italy as cheap labor to make them fancy clothesshel311 wrote: ↑Thu Mar 26, 2020 11:18 am Saw a quote where Fauci attribued the issues in Italy to an influx of Chinese tourists right before their boom started.
For as brutal as the rise in total cases has been for the US, they seem to have done a solid job to this point, along with Germany, in keeping death rates much lower than the other highly infected countries.
At the hospital I have to remain calm and act as if I am resilient, so I am coming here to let off some steam. I had begun to feel better with more PPE in house, and now I am getting kicked in the gut again. I just reviewed the regional ventilator report. The worst hospital has predicted one more day of vent availability before running out, the best hospital about a week, and in our system we have roughly 4 days of ventilator supply left based on our current current burn rate. The COVID patients who get intubated have a fairly high mortality rate, likely somewhere in the neighborhood of 50%. And typical duration of mechanical ventilation is in the range of 10-14 days, including those that die.
All hospitals are slated to be mandated to follow a state ventilator rationing model. First, the state declares that we are transitioning to "crisis care", and this absolves the docs of liability. Each hospital has an ethics team separate from the bedside docs that decides who gets a shot at a ventilator, based on 4 categories of priority. The ethics team tells the bedside doc to terminally extubate those that are in the category of lower predicted survival to allow us to give the vent to a patient with a higher predicted survival. The families are not allowed to visit, so they get a call that the ventilator is not going to save their loved one. That vent is then going to someone who has a better chance of survival. I am working to think through what information we give to the families to relieve their distress but also to be honest, still a work in progress.
We are also doing drills to ventilate 2 to 4 patients with one vent. This is uncharted territory for us. The theraflo filters can prevent cross contamination, but the patients must all share one set of settings, so getting the minute ventilation and oxygenation right with one setting for multiple patients is going to be a unique and unprecedented challenge. Maybe we can use some tricks like longer length of tubing to decrease pressure/volume for some patients. And maybe we can do a side bleed in of oxygen to the tubing of the patient who needs that. Clearly it will be an iterative process.
I was praying that we would never get to this place. I needed to put this down in writing. Sometimes writing helps me process what I am struggling to process. I have to get back to work now. Please stay safe and stay well!
I don't know much about unemployment law/processes, but I'm aware of a few individuals that are going 1 week on, 1 week off with their employer. No idea how stuff like that factors in.Wasted Memory wrote: ↑Thu Mar 26, 2020 9:50 am
Are these numbers actual lost jobs or does it include people who have jobs but are not currently working?
Either way it's a staggering number but some of them, fortunately, will be able to go back to work once the self quarantine is lifted, or lightened.
I trust the workers at Chick-fil-a far more than most of any other source of food right now, lol.shel311 wrote: ↑Thu Mar 26, 2020 10:50 am When I told my wife I had Chick Fil A while on lunch at work last week, she was like, "NOOOOO, you shouldn't be eating at restaurants"
Meanwhile, all the food in the house we eat comes from grocery stores...with people doing shit like this. But yea, they're much safer!!
A man needs his Spicy Deluxe!shel311 wrote: ↑Thu Mar 26, 2020 10:50 am When I told my wife I had Chick Fil A while on lunch at work last week, she was like, "NOOOOO, you shouldn't be eating at restaurants"
Meanwhile, all the food in the house we eat comes from grocery stores...with people doing shit like this. But yea, they're much safer!!
Seriously, not even close. Couldn't agree more.
You ain't lying!
Let that sink in... I can't imagine being a nurse right now eitherWeasel wrote: ↑Thu Mar 26, 2020 11:52 am From a physician forum I frequent, an ER doc in Washington state:
At the hospital I have to remain calm and act as if I am resilient, so I am coming here to let off some steam. I had begun to feel better with more PPE in house, and now I am getting kicked in the gut again. I just reviewed the regional ventilator report. The worst hospital has predicted one more day of vent availability before running out, the best hospital about a week, and in our system we have roughly 4 days of ventilator supply left based on our current current burn rate. The COVID patients who get intubated have a fairly high mortality rate, likely somewhere in the neighborhood of 50%. And typical duration of mechanical ventilation is in the range of 10-14 days, including those that die.
All hospitals are slated to be mandated to follow a state ventilator rationing model. First, the state declares that we are transitioning to "crisis care", and this absolves the docs of liability. Each hospital has an ethics team separate from the bedside docs that decides who gets a shot at a ventilator, based on 4 categories of priority. The ethics team tells the bedside doc to terminally extubate those that are in the category of lower predicted survival to allow us to give the vent to a patient with a higher predicted survival. The families are not allowed to visit, so they get a call that the ventilator is not going to save their loved one. That vent is then going to someone who has a better chance of survival. I am working to think through what information we give to the families to relieve their distress but also to be honest, still a work in progress.
We are also doing drills to ventilate 2 to 4 patients with one vent. This is uncharted territory for us. The theraflo filters can prevent cross contamination, but the patients must all share one set of settings, so getting the minute ventilation and oxygenation right with one setting for multiple patients is going to be a unique and unprecedented challenge. Maybe we can use some tricks like longer length of tubing to decrease pressure/volume for some patients. And maybe we can do a side bleed in of oxygen to the tubing of the patient who needs that. Clearly it will be an iterative process.
I was praying that we would never get to this place. I needed to put this down in writing. Sometimes writing helps me process what I am struggling to process. I have to get back to work now. Please stay safe and stay well!
Wasted Memory wrote: ↑Thu Mar 26, 2020 12:06 pmQue up George telling us how Chic-Fil-A is good but over rated.
Seems like they maybe should have found a better way to state what they were doing. Not sure what, maybe along the lines of "rather than reducing everyone's pay by XX% during this time of crisis..."