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re: ER Nurse observations.

Posted on 3/24/20 at 8:14 am to
Posted by chitiger91
Lake Bluff IL
Member since Apr 2016
3120 posts
Posted on 3/24/20 at 8:14 am to
This virus is not the killer you make it out to be, I don’t understand where you people get this info from. It kills .00000000001% (like 100 ppl worldwide) who aren’t in the @risk group, mostly because likely those people took 0 care of themselves when they got sick. The rest are in compromised health situations that would theoretically put them at risk of death from anything! If you just mind your hygiene (only good thing that’s come from this) like everyone should’ve been doing forever this is nothing more than the common flu. Who cares about asymptomatic carriers? Just don’t French kiss grandpa you’ll be fine.
Posted by lsunurse
Member since Dec 2005
129047 posts
Posted on 3/24/20 at 8:15 am to
I wonder if they realize their hospital leadership is likely part of the group (but not commenting) looking for possible helpful suggestions for conserving PPE, etc.

Which means they can see all the dumb comments from the nurses bashing their facility. Not very smart.
Posted by noonan
Nassau Bay, TX
Member since Aug 2005
36905 posts
Posted on 3/24/20 at 8:15 am to
quote:


Do you know how difficult it is to “quarantine” with a family?

Tests should be available.


Will the test make it easier to quarantine?
Posted by CivilTiger83
Member since Dec 2017
2525 posts
Posted on 3/24/20 at 8:15 am to
quote:

That tells you who had it the day of the test. What about the next day, like the original guy said? It doesn't work.



A town in northern Italy has zero cases after they did widespread testing and quarantined the people who came back positive. It does work, and it has shown to work.
Posted by Pandy Fackler
Member since Jun 2018
14592 posts
Posted on 3/24/20 at 8:16 am to
quote:

Coronavirus pandemic or not , people have been going to the ER for non emergencies for a very long time.



Wuhan virus though is weeding that shite out.

Here lately, ED volume is really low. We're seeing much fewer bullshite cases. This has been going on now for a few weeks.

Yesterday for instance, we admitted about 20 patients through the ED, which isn't alot and all were legit for all sorts of various ailments.

Also, the census where I work is really low. We have beds a plenty and this is probbably the case for every acute care hospital in the greater New Orleans area.

Posted by EarlyCuyler3
Appalachia
Member since Nov 2017
27290 posts
Posted on 3/24/20 at 8:17 am to
Correlation not causation. And at any rate, who's going to make them appear over night and pay for them?
Posted by Mo Jeaux
Member since Aug 2008
59269 posts
Posted on 3/24/20 at 8:19 am to
quote:

A town in northern Italy has zero cases after they did widespread testing and quarantined the people who came back positive. It does work, and it has shown to work.


Do you have a cite for this? My understanding is that the entire country is under quarantine. Are you saying it is town specific, and that this town is not under quarantine?
Posted by Bushwackers
Ridin' shotgun with Reese Bobby!
Member since Dec 2006
3789 posts
Posted on 3/24/20 at 8:20 am to
Thanks for the info. You had me until “do not touch your face”. Nail biting and booger picking are some hard habits to break.
Posted by SloaneRanger
Upper Hurstville
Member since Jan 2014
7991 posts
Posted on 3/24/20 at 8:20 am to
quote:


A town in northern Italy has zero cases after they did widespread testing and quarantined the people who came back positive. It does work, and it has shown to work.



But you have to test everyone since more than half of the people with this thing are completely asymptomatic. Is that a viable approach for this country?
Posted by ashy larry
Marcy Projects
Member since Mar 2010
5568 posts
Posted on 3/24/20 at 8:24 am to
quote:

People will not be happy until everyone who wants a test gets a test. This is ominous to me, but it is our nature. As more are tested, more are going to be positive, and in numbers that will make the general public further shite themselves.


I do disagree with this. Tests are important for a few reasons.

1) Everyone has accepted that the number of actual cases significantly exceeds the confirmed cases. BUT data is important. And saying testing isn't important is like saying we really don't need to know anything about the true nature of spreading and infections. While the most important number at this point is, how many people are being hospitalized. Without widespread testing, we don't have an accurate number to say x% of positive tests require hospitalization. This will significantly help the states and cities that haven't been hit hard yet. We test people for the flu even though we know the test won't change the fact that the patient needs to go home, hydrate, separate from others, and rest until you are symptom-free for 24 hours.

2) once someone has it, they know (minor symptoms or not) to stay the frick home.

3) once the positive testing person is free of symptoms, they can go about their business without worrying about catching it again. they re-infection rate is so small it isn't worth worrying about. There are a lot of people the think they had it, and it would be nice if they are right.

quote:

4. Wash your hands, watch a little less news, don't touch your face, eat better, and or take vitamin C.



Posted by CivilTiger83
Member since Dec 2017
2525 posts
Posted on 3/24/20 at 8:24 am to
quote:

This virus is not the killer you make it out to be, I don’t understand where you people get this info from. It kills .00000000001% (like 100 ppl worldwide) who aren’t in the @risk group, mostly because likely those people took 0 care of themselves when they got sick. The rest are in compromised health situations that would theoretically put them at risk of death from anything! If you just mind your hygiene (only good thing that’s come from this) like everyone should’ve been doing forever this is nothing more than the common flu. Who cares about asymptomatic carriers? Just don’t French kiss grandpa you’ll be fine.


ChiTiger91, I think the risk is overstated, but you are way off on your 0..00000000001% number. Best case scenario the true case fatality rate is around 0.1% for the overall US population.

Do you know who is considered in the at risk group? ... Otherwise healthy 30-50 year overweight people, of which I am sure this board has many in that category. I know you don't give a flip about grandma or Type I diabetics or people with Crohn's disease or people recovering from cancer treatment, but its not all or nothing.

If we can effectively test all symptomatic patients and try to test family members and colleagues to find asymptomatic patients, then that would greatly reduce the R0 of the disease without shutting down the country. It is the cheapest/least invasive/least costly way of getting our country back to work.
Posted by Pandy Fackler
Member since Jun 2018
14592 posts
Posted on 3/24/20 at 8:26 am to
(no message)
This post was edited on 3/24/20 at 9:05 am
Posted by latxwoman
Member since Mar 2019
750 posts
Posted on 3/24/20 at 8:27 am to
quote:

Let's just start testing everyone a la New York, and show that the mortality of this thing is shockingly low compared to the hysteria.


Great idea. If we did this, we could quarantine those that are positive until they need hospitalization or die. Then we could do a two-week stay home order to let it burn through, just in case quarantines were not followed.

Once this is over, we could all return to work. Once everything is disinfected for safety. Wala. Pretty easy.
Posted by CivilTiger83
Member since Dec 2017
2525 posts
Posted on 3/24/20 at 8:27 am to
quote:

But you have to test everyone since more than half of the people with this thing are completely asymptomatic. Is that a viable approach for this country?



Testing symptomatic people and their families is a start. I am sure there are some ways by following the infections to relatively easily figure out a large chunk of who the asymptomatic cases are. Without testing we don't stand a chance. It's what South Korea and Singapore relied on to effectively stop the virus. It's very cheap relative to the alternatives. What is the harm?
Posted by chitiger91
Lake Bluff IL
Member since Apr 2016
3120 posts
Posted on 3/24/20 at 8:34 am to
Well it’s just a few here, we also give them a sucker on the way out and a coin for the vending machine
Posted by Pandy Fackler
Member since Jun 2018
14592 posts
Posted on 3/24/20 at 8:35 am to
quote:

quote:
Lmao I work for a series of hospitals in downtown Chicago, NONE of which are over run



Ok...but you are in Chicago.


Could it just be possible...maybe...that other areas are having totally different situations than where you are?



What I'm seeing sorta dovetails with that. If there's a hospital in the greater New Orleans area that's over run with anything, I don't know about it.

The level of suspected covid admits however is really high.
Posted by tigerinthebueche
Member since Oct 2010
36791 posts
Posted on 3/24/20 at 8:37 am to
quote:

The economic fallout will be worse than this virus





frickING THIS. WAKE UP PEOPLE
Posted by latxwoman
Member since Mar 2019
750 posts
Posted on 3/24/20 at 8:38 am to
quote:

Do you know how difficult it is to “quarantine” with a family?
--

Truth. Son was at LSU until they let them out, and we just found out two students tested positive at the university-- ( and likely more) that attended up until the end of school. He's sitting in my home, and I have no idea if he went to class with this person, or interacted with them. My 19-year-old daughter is an issue too, she keeps sneaking out to have a social life. She does not get that she could interact with someone who may make my 72-year-old Mom with COPD sick. My husband was working in a crowded office up until the 20th- his coworkers could be asymptomatic as well.

This is the real issue, the lack of real strong commitment up until it was really too late to contain this-- and some people's very blatant disregard of how serious it can be.

I mean let's be real, how do you do social distancing with those you love ? It is impossible. Especially when you are cooped up in a home.
This post was edited on 3/24/20 at 8:40 am
Posted by saderade
America's City
Member since Jul 2005
25755 posts
Posted on 3/24/20 at 8:39 am to
quote:

3. Tests are just data points. Nothing can be done. Only the symptoms can be treated. Not the virus. So what difference does it make?
Because there are shite ton of people that are asymptomatic or have mild symptoms and are still leaving the house to go to work, the grocery, etc. The more people we know that are positive, the easier it is to stop the spread. See South Korea
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27040 posts
Posted on 3/24/20 at 8:40 am to
quote:

Here lately, ED volume is really low. We're seeing much fewer bullshite cases.


It is fear of the ER. We are seeing people avoiding ERs when they absolutely should be coming in. Not COVID related. Chest pains with a CABG history. People on blood thinners having syncopal episodes and going to Urgent Cares.
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