Put the pastor in jail with a bail his parishioners can't raise on their best day of fundraising and impound the building as evidence.
The parishioners will have to self-quarantine for at least two weeks.
March 31, 2020
By David J. Mitchell and Youssef Rddad
The pastor of Life Tabernacle Church in Central (click here) went ahead with an evening religious service Tuesday night just hours after city police cited him over allegations he violated a state order to limit crowd sizes during an outbreak of the novel coronavirus.
Pastor Tony Spell is accused of violating provisions of Gov. John Bel Edwards' emergency declaration six times over the past two weeks. Spell has ignored requests from city, parish and state leaders to suspend services at Life Tabernacle Church amid a surge in fatal coronavirus cases in Louisiana and the region.
"He will be held responsible for his reckless and irresponsible decisions that endangered the health of his congregation and our community," Central Police Chief Roger Corcoran said midday Tuesday shortly after Spell was fingerprinted and read his constitutional rights. "We are facing a public health crisis and expect our community's leaders to set a positive example and follow the law."...
Tuesday, March 31, 2020
The problem with the US Navy is Trump and the way he stereotypes this virus.
The CDC needs to put at least one expert at the table with the Joint Chiefs.
NOW!
PENCE DO YOU HEAR THIS!!!!!!!!!!!
The US Navy's peril in this is exactly reflective of the prejudices of the president. They represent the "type" of person that will get sick and it will be a bad case of the flu. Trump believes this is just going to be a difficult circumstance and some Americans will die, mostly the elderly.
If the US Navy needs to dock in Guam there is such thing as eminent domain and at least one representative from the CDC should be problem-solving this with the government and people of Guam.
There is no pretty please and every one of those soldiers is at risk for being ill, seriously ill and face deadly circumstances. There is more then sanitizing the ship. There needs to be a strong response to this very astute captain that knows his men and women aboard. If Guam is not a capable place to dock this aircraft carrier then the captain needs to pick a port.
The real problem here is that there is no real Secretary of the Navy that actually can make these decisions. There is only an Acting - Secretary of the Navy and Trump is controlling and inhibiting all the administration that is "acting."
Trump also has been buddying up with Putin to trade coronavirus secrets.
The Joint Chiefs has the power to carry out emergency measures without the president, SO DO IT!!!!!!
The CDC needs to put at least one expert at the table with the Joint Chiefs.
NOW!
PENCE DO YOU HEAR THIS!!!!!!!!!!!
The US Navy's peril in this is exactly reflective of the prejudices of the president. They represent the "type" of person that will get sick and it will be a bad case of the flu. Trump believes this is just going to be a difficult circumstance and some Americans will die, mostly the elderly.
If the US Navy needs to dock in Guam there is such thing as eminent domain and at least one representative from the CDC should be problem-solving this with the government and people of Guam.
There is no pretty please and every one of those soldiers is at risk for being ill, seriously ill and face deadly circumstances. There is more then sanitizing the ship. There needs to be a strong response to this very astute captain that knows his men and women aboard. If Guam is not a capable place to dock this aircraft carrier then the captain needs to pick a port.
The real problem here is that there is no real Secretary of the Navy that actually can make these decisions. There is only an Acting - Secretary of the Navy and Trump is controlling and inhibiting all the administration that is "acting."
Trump also has been buddying up with Putin to trade coronavirus secrets.
The Joint Chiefs has the power to carry out emergency measures without the president, SO DO IT!!!!!!
The US Navy needs help.
By Ryan Pickrel
An F/A-18F Super Hornet, assigned to the “Black Knights” of Strike Fighter Squadron (VFA) 154, launches from the flight deck of the aircraft carrier USS Theodore Roosevelt (CVN 71) March 18, 2020.
The acting Navy secretary (click here) said Tuesday that the service is responding to a coronavirus outbreak aboard a deployed aircraft carrier and working to get the majority of the crew ashore so that the ship can be cleaned and disinfected.
The first few cases aboard the USS Theodore Roosevelt were reported last Tuesday. Since then, the number of cases has spiked, with some outlets reporting that more than 100 sailors may have the coronavirus.
Capt. Brett Crozier, the carrier's commanding officer, wrote a letter to Navy leaders Monday warning of a worsening situation aboard the ship and urging the Navy to take decisive action to get sailors off the ship as soon as possible, the San Francisco Chronicle first reported.
Space for the homeless.
By J. K. Dineen
Bay Club San Francisco Tennis, (click here) the swanky 24-court tennis facility in San Francisco's South of Market, will become a temporary homeless shelter aimed at getting people off the street during the coronavirus pandemic, the club said Monday.
Paramedics remove a patient from an ambulance at the emergency room of Sha'are Tzedek hospital, March 30, 2020.
As the highly contagious coronavirus (click here) spreads around the world, Israel and the Palestinians struggle to contain a local outbreak that has virtually halted daily life and led to tens of thousands of people entering quarantine.
- 5,358 Israelis have so far tested positive for the coronavirus, with the vast majority of cases mild and 224 recoveries. Twenty patients have died, 94 are in serious condition and 76 are on ventilators. One Israeli tourist died in Italy.
- In the West Bank, 107 cases have been diagnosed so far. One woman in her 60s died. The Palestinian prime minister ordered a lockdown as of last Sunday. In Gaza, 10 cases were diagnosed, the first two after returning from Pakistan.
Sounds like a plan.
Walmart is important to many people. They supply a pick-up service for groceries and store items if people want to purchase in that manner. So, the management has made a good decision to not only check employees for exposure but, protect them from exposure from others.
Walmart and other grocers can actually have NO CONTACT pick-up.
The plastic bins that bagged groceries are placed in can be left at the side of the car or at the trunk and the employee can step away at least six feet. The driver loads the merchandise into the car. Then simply takes the entire trolly and crates back into the store for cleaning to be used again.
It sounds like people are finally getting the picture of what is involved in ending this virus.
March 31, 2020
By Melissa Repko
Walmart and other grocers can actually have NO CONTACT pick-up.
The plastic bins that bagged groceries are placed in can be left at the side of the car or at the trunk and the employee can step away at least six feet. The driver loads the merchandise into the car. Then simply takes the entire trolly and crates back into the store for cleaning to be used again.
It sounds like people are finally getting the picture of what is involved in ending this virus.
March 31, 2020
By Melissa Repko
Walmart (click here) will start taking employees’ temperatures when they report to work and tell them to stay home or seek medical care if they have a fever of at least 100 degrees.
The retailer also said it has ordered masks for employees and will offer masks and gloves for them to wear, if they choose.
Walmart is shipping infrared thermometers to all stores, distribution centers and fulfillment centers, which could take up to three weeks.
Walmart’s executive vice president of corporate affairs, Dan Bartlett, said Tuesday that temperature-taking will begin at distribution centers and fulfillment centers and in coronavirus hotspots, such as New York and Louisiana.
“In the meantime, we are going to continue to encourage employees to take their temperatures at home,” he said....
It is extremely difficult to close the State and National Parks completely.
Right now, senior citizens are better off isolated in the RVs on a campground than anywhere else. Some folks can go home, but, others are committed to traveling for years to see the country and have sold their homes knowing they had no plans to be there for a while.
I know what Michigan did and it seems a viable solution. The rustic areas are open and small campers can park there. The larger camper areas with cement parking spots, running water and electricity are open but there are no services. In other words, the RVs are welcome to be in the park and on a reserved camp spot, but, there are no services that may need the assistance of staff.
The same emergency services are available no matter if there is staff or not and it is a phone call away from the local EMS. Now, local in that respect is not necessarily swift, so seniors have to consider all that before they travel. The staff requirements are really minimal at this point and only require a ranger to make rounds once a day to take a census of the park and note any RVs or campers that have not paid the fee or CHECKED-IN. All the campers need to check-in and that can be done remotely in most cases from a phone at the main office which is now closed. It is important the park knows who is there.
Hiking trails is not a good idea and should be prohibited. Park rangers that monitor wildlife can and should continue their work. But, it is the interaction between people that need to be stopped and that can be done on a camp lot whereby people understand that milling around and jumping in a lake is all prohibited.
Stay at Home may actually mean Stay in your RV.
If the parks were to close people would be populating rest areas and that is a worse idea. Rest areas can't be closed because of the exempt activity of truck drivers.
The same emergency services are available no matter if there is staff or not and it is a phone call away from the local EMS. Now, local in that respect is not necessarily swift, so seniors have to consider all that before they travel. The staff requirements are really minimal at this point and only require a ranger to make rounds once a day to take a census of the park and note any RVs or campers that have not paid the fee or CHECKED-IN. All the campers need to check-in and that can be done remotely in most cases from a phone at the main office which is now closed. It is important the park knows who is there.
Hiking trails is not a good idea and should be prohibited. Park rangers that monitor wildlife can and should continue their work. But, it is the interaction between people that need to be stopped and that can be done on a camp lot whereby people understand that milling around and jumping in a lake is all prohibited.
Stay at Home may actually mean Stay in your RV.
If the parks were to close people would be populating rest areas and that is a worse idea. Rest areas can't be closed because of the exempt activity of truck drivers.
2019 Novel Coronavirus (COVID-19) Response (click here)
The National Park Service is modifying its operations on a park-by-park basis in accordance with the latest guidance from the Centers for Disease Control and Prevention (CDC) and state and local public health authorities. While most facilities and events are closed or canceled, many of our outdoor spaces remain accessible to the public. Before visiting, please check with individual parks regarding changes to park operations. If you choose to visit a national park, please ensure that you follow CDC and state and local guidelines to prevent the spread of infectious diseases and practice Leave No Trace principles. Updates about the NPS response, including safety information, are posted on www.nps.gov/coronavirus.
It gets real very quickly.
All New Orleans did wrong was to listen to the idea he virus was going to magically disappear. The drive to hold Mardi Gras was strong and that is all anyone needed to hear as it was not the emergency others thought it was. Now, it is a growing tragedy.
March 31, 2020
By Sam Karlin
Gov. John Bel Edwards talks about flattening the curve while addressing steps being taken to fight the Coronavirus during a press conference at GOHSEP Monday March 30, 2020, in Baton Rouge, La.
After seeing "sobering" increases (click here) in cases and deaths of the new coronavirus Tuesday, Gov. John Bel Edwards said he is doubling the number of beds in a temporary hospital being built in the Ernest N. Morial Convention Center in New Orleans to 2,000 beds.
“As you can all see from the numbers today we still have a long way to go," Edwards said, calling on residents to comply better with the state's stay-at-home order.
The state has already started building medical pods in the mammoth convention center and planned to have 1,000 beds in the facility by Sunday. The second 1,000 beds will be ready by April 20th, Edwards said at a press conference Tuesday....
March 31, 2020By Sam Karlin
Gov. John Bel Edwards talks about flattening the curve while addressing steps being taken to fight the Coronavirus during a press conference at GOHSEP Monday March 30, 2020, in Baton Rouge, La.
After seeing "sobering" increases (click here) in cases and deaths of the new coronavirus Tuesday, Gov. John Bel Edwards said he is doubling the number of beds in a temporary hospital being built in the Ernest N. Morial Convention Center in New Orleans to 2,000 beds.
“As you can all see from the numbers today we still have a long way to go," Edwards said, calling on residents to comply better with the state's stay-at-home order.
The state has already started building medical pods in the mammoth convention center and planned to have 1,000 beds in the facility by Sunday. The second 1,000 beds will be ready by April 20th, Edwards said at a press conference Tuesday....
This is due to lack of leadership.
Confidentiality is the issue and no patient is being compromised. If anything the staff is complaining to get help to protect them and keep their patients as safe as possible. Hospital CEOs and their Vice Presidents and Directors need to be talking to the public. If they did the community would comply better with "Stay at Home" orders and staff needs would move quicker.
The county leaders/freeholders should have a direct link to the hospitals to know their needs and move any government potential to help. State governors should have direct communication with the county managers/leaders/freeholders to know what is happening within their hospitals.
Basically, county leaders should be able to know the capacity of the hospitals, staff and needs. Report that to the governor. County public health departments are going to find themselves ill-prepared to be able to lead in relation to triaging the hospitals. That is an executive role and the government at the county level should be able to ORGANIZE an understanding of the supplies and patient beds.
The best role for the county public health authority is to ask the public to maintain their stay at home status and give DETAILS as to how and where to shop for food. The public health departments are best used to EDUCATE the public in this emergency.
This PANDEMIC is not a reason for a staff's firing. The hospitals need every one of their staff and should be increasing that staff at all levels to provide for the larger demand for hospital services.
The governors are the ones that will have to move heaven and earth to bring the supplies to their states and triage the need based on the supplies coming to them.
The problem with any compliance with the public is due to the ABSTRACT idea they could get sick and die because the authority is AT A DISTANCE from their own lives and they can't relate to anything except politically. Any REAL idea about their own safety has to be local to have real meaning to the people. Local authority is recognizable and immediate. Right? Local authority can call POLICE AND STATE POLICE WITH MASKS TO KEEP THE STREETS AND PARKS EMPTY.
Locally, the homeless are going to have to have a SPACE to remain safe. That can be a shelter or a park with tents, etc. The idea is to extend the INFECTION RATE over time so the hospitals can accommodate all that are ill in a real way. People wandering the streets are a potential vector. The homeless have to be addressed in a way that means they are safe. The homeless are not evil people and can have children. They are people unable to maintain housing in a country where housing, including rent, is unattainable.
During this time, there are efforts for quick tests, vaccines and medicines to help. These efforts take time, unfortunately, but, we don't' need a different monster attacking us by a poorly prepared medical regime and/or vaccines.
ALL AMERICAN HOSPITALS ARE PREPARED WITH QUALIFIED STAFF AND KNOWLEDGE TO HANDLE THIS CRISIS. THAT IS SAYING SOMETHING ABOUT THE PEOPLE OF THE USA. They are moral and value life. Now it is time to be the people we know we are and hold on to make a safe path for everyone.
The reason the hospital staff is talking to the public is that they don't believe they are heard and/or cared for by the hospital leadership. There are doctors and nurses among the administration, they need to come out from behind their desks.
This is not a staff issue, it is a leadership issue at all levels.
March 31, 2020
By Olivia Carville, Emma Court and Kristen V. Brown
Hospitals are threatening to fire health-care workers (click here) who publicize their working conditions during the coronavirus pandemic -- and have in some cases followed through.
Ming Lin, an emergency room physician in Washington state, said he was told Friday he was out of a job because he’d given an interview to a newspaper about a Facebook post detailing what he believed to be inadequate protective equipment and testing. In Chicago, a nurse was fired after emailing colleagues that she wanted to wear a more protective mask while on duty. In New York, the NYU Langone Health system has warned employees they could be terminated if they talk to the media without authorization....
The county leaders/freeholders should have a direct link to the hospitals to know their needs and move any government potential to help. State governors should have direct communication with the county managers/leaders/freeholders to know what is happening within their hospitals.
Basically, county leaders should be able to know the capacity of the hospitals, staff and needs. Report that to the governor. County public health departments are going to find themselves ill-prepared to be able to lead in relation to triaging the hospitals. That is an executive role and the government at the county level should be able to ORGANIZE an understanding of the supplies and patient beds.
The best role for the county public health authority is to ask the public to maintain their stay at home status and give DETAILS as to how and where to shop for food. The public health departments are best used to EDUCATE the public in this emergency.
This PANDEMIC is not a reason for a staff's firing. The hospitals need every one of their staff and should be increasing that staff at all levels to provide for the larger demand for hospital services.
The governors are the ones that will have to move heaven and earth to bring the supplies to their states and triage the need based on the supplies coming to them.
The problem with any compliance with the public is due to the ABSTRACT idea they could get sick and die because the authority is AT A DISTANCE from their own lives and they can't relate to anything except politically. Any REAL idea about their own safety has to be local to have real meaning to the people. Local authority is recognizable and immediate. Right? Local authority can call POLICE AND STATE POLICE WITH MASKS TO KEEP THE STREETS AND PARKS EMPTY.
Locally, the homeless are going to have to have a SPACE to remain safe. That can be a shelter or a park with tents, etc. The idea is to extend the INFECTION RATE over time so the hospitals can accommodate all that are ill in a real way. People wandering the streets are a potential vector. The homeless have to be addressed in a way that means they are safe. The homeless are not evil people and can have children. They are people unable to maintain housing in a country where housing, including rent, is unattainable.
During this time, there are efforts for quick tests, vaccines and medicines to help. These efforts take time, unfortunately, but, we don't' need a different monster attacking us by a poorly prepared medical regime and/or vaccines.
ALL AMERICAN HOSPITALS ARE PREPARED WITH QUALIFIED STAFF AND KNOWLEDGE TO HANDLE THIS CRISIS. THAT IS SAYING SOMETHING ABOUT THE PEOPLE OF THE USA. They are moral and value life. Now it is time to be the people we know we are and hold on to make a safe path for everyone.
The reason the hospital staff is talking to the public is that they don't believe they are heard and/or cared for by the hospital leadership. There are doctors and nurses among the administration, they need to come out from behind their desks.
This is not a staff issue, it is a leadership issue at all levels.
March 31, 2020
By Olivia Carville, Emma Court and Kristen V. Brown
Hospitals are threatening to fire health-care workers (click here) who publicize their working conditions during the coronavirus pandemic -- and have in some cases followed through.
Ming Lin, an emergency room physician in Washington state, said he was told Friday he was out of a job because he’d given an interview to a newspaper about a Facebook post detailing what he believed to be inadequate protective equipment and testing. In Chicago, a nurse was fired after emailing colleagues that she wanted to wear a more protective mask while on duty. In New York, the NYU Langone Health system has warned employees they could be terminated if they talk to the media without authorization....
Monday, March 30, 2020
There was a breaking news article stating the COVID-19 virus is airborne. I am trying to find a second source.
I didn't find a second alert. I guess we will have to wait for Dr. Anthony Fauci (click here).
I am not going to explain the difference between airborne and droplet until the issue presents itself as a real problem.
There is a reason why Trump seeks to remain inflammatory and distracting the public to fear of a virus, it is because his administration is horrible and he likes having a national emergency to carry out assaults against the American people.
Trump will whine and cry about the economy and how this is part of a stimulus to that failing economy. It is nonsense.
March 30, 2020
Washington - President Donald Trump (click here) is expected to relax ambitious Obama-era vehicle mileage standards and raise the ceiling on damaging fossil fuel emissions for years to come, gutting one of the United States’ single-biggest efforts against climate change.
The Trump administration is expected to release a final rule Tuesday on mileage standards through 2026. The change — making good on the rollback after two years of Trump threatening and fighting states and a faction of automakers that opposed the move — waters down a tough Obama mileage standard that would have encouraged automakers to ramp up production of electric vehicles and more fuel-efficient gas and diesel vehicles.
“When finalized, the rule will benefit our economy, will improve the U.S. fleet’s fuel economy, will make vehicles more affordable, and will save lives by increasing the safety of new vehicles,” EPA spokeswoman Corry Schiermeyer said Monday, ahead of the expected release....
My sincerest sympathies for her loss.
March 30, 2020
By Hannah Yasharoff
Maria Mercader (click here)
CBS News is mourning Maria Mercader, (click here) a longtime journalist with the news outlet who died in a New York hospital at 54 after battling coronavirus.
In a news release shared Sunday afternoon, CBS remembered Mercader as a "network veteran who covered breaking news for nearly three decades and, most recently, helped shape strategy for the network's correspondents and reporters."
Mercader battled cancer and "related illnesses" for more than 20 years and had been on medical leave "for an unrelated matter" since the end of February, CBS added....
continued...
I didn't find a second alert. I guess we will have to wait for Dr. Anthony Fauci (click here).
I am not going to explain the difference between airborne and droplet until the issue presents itself as a real problem.
There is a reason why Trump seeks to remain inflammatory and distracting the public to fear of a virus, it is because his administration is horrible and he likes having a national emergency to carry out assaults against the American people.
Trump will whine and cry about the economy and how this is part of a stimulus to that failing economy. It is nonsense.
March 30, 2020
Washington - President Donald Trump (click here) is expected to relax ambitious Obama-era vehicle mileage standards and raise the ceiling on damaging fossil fuel emissions for years to come, gutting one of the United States’ single-biggest efforts against climate change.
The Trump administration is expected to release a final rule Tuesday on mileage standards through 2026. The change — making good on the rollback after two years of Trump threatening and fighting states and a faction of automakers that opposed the move — waters down a tough Obama mileage standard that would have encouraged automakers to ramp up production of electric vehicles and more fuel-efficient gas and diesel vehicles.
“When finalized, the rule will benefit our economy, will improve the U.S. fleet’s fuel economy, will make vehicles more affordable, and will save lives by increasing the safety of new vehicles,” EPA spokeswoman Corry Schiermeyer said Monday, ahead of the expected release....
My sincerest sympathies for her loss.
By Hannah Yasharoff
Maria Mercader (click here)
CBS News is mourning Maria Mercader, (click here) a longtime journalist with the news outlet who died in a New York hospital at 54 after battling coronavirus.
In a news release shared Sunday afternoon, CBS remembered Mercader as a "network veteran who covered breaking news for nearly three decades and, most recently, helped shape strategy for the network's correspondents and reporters."
Mercader battled cancer and "related illnesses" for more than 20 years and had been on medical leave "for an unrelated matter" since the end of February, CBS added....
continued...
Hospitals are canceling clinic visits to keep people away from the possible exposure of COVID-19. The people being seen at health clinics are in need of medical attention and not an annual physical exam.
The population of ill citizens in the USA is going up, not coming down. I do not recommend anyone to go to the hospitals unless they are ill. The hospitals are busy.
I suppose their CEOs can be found in a phone call and ask tough questions that way, but, to gregariously go to hospitals looking for clues of wrongdoing is not a good idea.
My take on crime within this paradigm is a "wait and see," perspective. There is the issue of people taking advantage of the money flowing within that paradigm, but, fraud and wrongdoing will be caught.
The crime I am concerned about is COMPROMISE for profit. The medical STRUCTURE that protects people as well as takes care of them cannot be compromised by profiteers. I do not believe the sterilization system introduced by Mike DeWine was ever designed for N95 masks. Unless there are specifications released by the FDA and peer-reviewed those masks can only be used for surgical practices. The process is not proven to be used for N-95 masks. That type of application takes testing to ensure the intact capacity of the N-95 mask. The stakes for taking Trump's word for it are ill doctors and nurses.
This mask sterilization was only introduced by DeWine two days ago. Rushing to judgment about "an answer" rather than THE ANSWER is going to make things worse.
The population of ill citizens in the USA is going up, not coming down. I do not recommend anyone to go to the hospitals unless they are ill. The hospitals are busy.
I suppose their CEOs can be found in a phone call and ask tough questions that way, but, to gregariously go to hospitals looking for clues of wrongdoing is not a good idea.
My take on crime within this paradigm is a "wait and see," perspective. There is the issue of people taking advantage of the money flowing within that paradigm, but, fraud and wrongdoing will be caught.
The crime I am concerned about is COMPROMISE for profit. The medical STRUCTURE that protects people as well as takes care of them cannot be compromised by profiteers. I do not believe the sterilization system introduced by Mike DeWine was ever designed for N95 masks. Unless there are specifications released by the FDA and peer-reviewed those masks can only be used for surgical practices. The process is not proven to be used for N-95 masks. That type of application takes testing to ensure the intact capacity of the N-95 mask. The stakes for taking Trump's word for it are ill doctors and nurses.
This mask sterilization was only introduced by DeWine two days ago. Rushing to judgment about "an answer" rather than THE ANSWER is going to make things worse.
It is not going magically go away any time soon. The lives we are losing are very precious lives.
By Stephen L. Betts
Joe Diffie, (click here) a consistent country-music hitmaker throughout the Nineties, died Sunday due to complications related to COVID-19. His publicist confirmed the death to Rolling Stone. Diffie was 61.
With a traditional-leaning voice that drew comparisons to George Jones, Diffie populated his records with honky-tonk ballads and lighthearted novelty tunes, earning the Oklahoma native five Number One singles in the first half of the Nineties. These began with his debut release, the deeply moving “Home,” followed by “If the Devil Danced (In Empty Pockets),” “Third Rock From the Sun,” “Pickup Man,” and “Bigger Than the Beatles.” In all, Diffie charted 18 Top 10 singles, with the majority reaching the Top Five, including the 1993 radio staples “Prop Me Up Beside the Jukebox (If I Die)” and “John Deere Green.”
The singer was famously name-checked, as were a number of his best-known songs, in Jason Aldean’s 2013 single “1994.” “There are plenty of singers in this town, but not many with a range like his,” Diffie’s fellow Opry star Vince Gill told People magazine in 1993....
Taco Tuesday
March 27, 2020
By Mark King
Since my letter to you on March 13, (click here) things have been changing on a daily basis for us all. But I’ve noticed that one thing hasn’t changed: people are still coming together to help one another and show that they care. At Taco Bell, I’m incredibly proud of how our franchisees and team members are continuing to feed people’s lives with unexpected good and wanted to share a few ways we’re working together to make a larger impact....
A supply of ventilators means ventilators in use, ventilators at the ready and ventilators in for cleaning.
This gets a little crazy because of hospitals' cleaning crews when working with sterilizing and cleaning equipment are finite. There is not an unlimited number of people or cleaning equipment or cleaning solutions at the ready on any given day.
The cleaning regime (click here)
The hospital administrators are facing upping their game to bring on the personnel to handle the cleaning of more ventilators. I alluded to this the other day when I listed jobs in hospitals on "Indeed." A large number of patients need professional staff to bring THERAPEUTICS to return and increase their wellness. But, BEHIND THE SCENES are skilled and unskilled labor that makes a hospital run.
When breathing becomes an issue, there needs to be a ventilator at the ready. These events with breathing are instantaneous and not predictable. A physician ordering the therapeutics might suspect a person may need a ventilator, but, cannot say for sure it is going to be necessary. So, the inventory of ventilators at the ready is vital to saving lives.
HOW DID ALL THIS HAPPEN?
COVID-19 is a NEW virus. People do not have immunity and it is a deadly virus. So, the idea behind "stay at home" and "social distancing" when needed to obtain groceries and medicines is to allow hospitals to be successful in treating all the people that present with the need for help in defeating this virus once a person has contracted it.
This is about the availability of care, not so much as a virus. It is going to be wonderful when there is a vaccine, but, we aren't there yet.
Long ago there was such a disease as "Smallpox" (click here). It no longer exists anymore because of a vaccine.
The First World has many reasons to have difficulty dealing with this reality called COVID-19. A higher quality of wellness, extremely vibrant research and manufacturing that provides curatives and treatments to all Americans. All of a sudden a new virus manifested that will kill people because they have no vaccine or cure of any kind, except seeing people through the course of a deadly virus. Much of what people are dealing with is DENIAL of the emergency. "These things simply don't happen to us." Well. Today, they do.
The research to understand the virus, manufacturing of all supplies to hospitals and the search for a vaccine must go on and will go on past the PEAK number of cases that have the hospitals at a disadvantage.
It is a difficult time to deal with this PANDEMIC. But, in some ways the Third World is better prepared emotionally and psychologically than the First World to realize the emergency is deadly and people have to listen to those that can help and then modify their behavior. This time the First World will have to listen to those that can help and modify their behavior to end the hospital crisis.
By Mark King
Since my letter to you on March 13, (click here) things have been changing on a daily basis for us all. But I’ve noticed that one thing hasn’t changed: people are still coming together to help one another and show that they care. At Taco Bell, I’m incredibly proud of how our franchisees and team members are continuing to feed people’s lives with unexpected good and wanted to share a few ways we’re working together to make a larger impact....
A supply of ventilators means ventilators in use, ventilators at the ready and ventilators in for cleaning.This gets a little crazy because of hospitals' cleaning crews when working with sterilizing and cleaning equipment are finite. There is not an unlimited number of people or cleaning equipment or cleaning solutions at the ready on any given day.
The cleaning regime (click here)
The hospital administrators are facing upping their game to bring on the personnel to handle the cleaning of more ventilators. I alluded to this the other day when I listed jobs in hospitals on "Indeed." A large number of patients need professional staff to bring THERAPEUTICS to return and increase their wellness. But, BEHIND THE SCENES are skilled and unskilled labor that makes a hospital run.
When breathing becomes an issue, there needs to be a ventilator at the ready. These events with breathing are instantaneous and not predictable. A physician ordering the therapeutics might suspect a person may need a ventilator, but, cannot say for sure it is going to be necessary. So, the inventory of ventilators at the ready is vital to saving lives.
HOW DID ALL THIS HAPPEN?
COVID-19 is a NEW virus. People do not have immunity and it is a deadly virus. So, the idea behind "stay at home" and "social distancing" when needed to obtain groceries and medicines is to allow hospitals to be successful in treating all the people that present with the need for help in defeating this virus once a person has contracted it.
This is about the availability of care, not so much as a virus. It is going to be wonderful when there is a vaccine, but, we aren't there yet.
Long ago there was such a disease as "Smallpox" (click here). It no longer exists anymore because of a vaccine.
The First World has many reasons to have difficulty dealing with this reality called COVID-19. A higher quality of wellness, extremely vibrant research and manufacturing that provides curatives and treatments to all Americans. All of a sudden a new virus manifested that will kill people because they have no vaccine or cure of any kind, except seeing people through the course of a deadly virus. Much of what people are dealing with is DENIAL of the emergency. "These things simply don't happen to us." Well. Today, they do.
The research to understand the virus, manufacturing of all supplies to hospitals and the search for a vaccine must go on and will go on past the PEAK number of cases that have the hospitals at a disadvantage.
It is a difficult time to deal with this PANDEMIC. But, in some ways the Third World is better prepared emotionally and psychologically than the First World to realize the emergency is deadly and people have to listen to those that can help and then modify their behavior. This time the First World will have to listen to those that can help and modify their behavior to end the hospital crisis.
Political lies are dangerous.
The United States of America will never be able to say the country has the lowest per capita rate of infection.
NEVER.
The USA has already surpassed China with people infected with this virus and China has three times the people. I could go through the math but it is not required.
The reason that is the case is that conservative government is very, very slow to react to danger because their allegiance is to money and not people.
This may or may not be helpful IF the masks being sterilized are N95 masks. It is my understanding that this process is about surgical masks. They are not N95 masks.
March 30, 2020
Columbus - Ohio Gov. Mike DeWine (click here) is urging the Food and Drug Administration to fully approve the sterilization of masks in Ohio for healthcare workers and first responders amid the COVID-19 pandemic.
DeWine held a press conference Sunday to appeal to the country after the FDA's decision to limit an Ohio company's capability of sterilizing up to 160,000 masks a day in Ohio....
This is not the best science being used by Governor DeWine and if implemented in isolation units where the COVID patients are being cared for, it will cause illness to occur in the staff. My understanding is that the isolation equipment of N95 masks are in shortage, not surgical masks. If the procedure used for surgical masks is applicable to N95 masks then it should be valuable. I am not sure that is the case though. This is the report that clearly states surgical mask. Surgical masks are not N95 masks.
March 30, 2020
By Kristen Spicker and Thomas Gnau
The FDA gave full approval (click here) to Battelle to utilize new surgical mask sterilization technology, which can decontaminate up to 80,000 masks a day per unit....
If a sterilization process is applied to N95 masks that have not proven to work it could alter the QUALITY of the N95 and expose the wearer to the virus. The virus is very, very, very small and the N95 masks are manufactured to prevent a tiny, microscopic virus from reaching the wearer. A sterilization process could damage the ability of an N95 mask from being effective against a virus by allowing spaces that permit the virus to pass through.
THE FDA IS CORRECT IN LIMITING THE TECHNOLOGY. It is new and could have a much different outcome "in practice." Additionally, I doubt any surgical mask supply that is sterilized will require more than 10,000 masks. There are not that many surgeries per day in any one hospital. Again, surgical masks are not N95 masks.
...DeWine said in a release Sunday that the FDA "made the decision to limit Battelle to sterilizing 10,000 masks a day when they have the capability of sterilizing up to 160,000 a day in Ohio alone."...
There is nothing wrong with New York City having warehouses in New Jersey if it indeed is not a lie. There is only a river between them not 3000 miles of highway.
March 30, 2020
By Eliza Mackintosh
"Nothing (click here) would be worse than declaring victory before the victory is won." President Donald Trump, who repeatedly suggested last week that a win was near, announced yesterday that nationwide social distancing measures would be extended for another month, days after floating the possibility of getting Americans back to work as early as Easter (which is when deaths are currently projected to peak).
Trump's remarks came as top US infectious disease specialist Anthony Fauci offered up a stark new estimate: Between 100,000 and 200,000 Americans could die from the coronavirus, even if the US takes aggressive action. Fauci said that projection played a role in Trump's change of heart. The President acknowledged the gravity of the crisis in a somber press conference, referring to the virus' "viciousness" -- but not before rattling off several false claims and bragging about his TV ratings....
Tokyo Olympics is now July 23 - August 8, 2021.
Another report of a patient's experience where the eyes were involved.
March 30, 2020
By Lea Skene
Eleven East Baton Rouge residents (click here) have now died from coronavirus after three more deaths were reported over the weekend, the parish coroner's office confirmed Monday morning.
The first was a woman aged 33 with multiple underlying medical conditions who was hospitalized Friday and died the following day, East Baton Rouge Coroner Dr. Beau Clark said in a news release.
Another woman, age 88, died Sunday after almost a week in the hospital. She also had underlying medical conditions that made her particularly vulnerable to the effects of COVID-19, Clark said....
NEVER.
The USA has already surpassed China with people infected with this virus and China has three times the people. I could go through the math but it is not required.
The reason that is the case is that conservative government is very, very slow to react to danger because their allegiance is to money and not people.
This may or may not be helpful IF the masks being sterilized are N95 masks. It is my understanding that this process is about surgical masks. They are not N95 masks.
March 30, 2020
Columbus - Ohio Gov. Mike DeWine (click here) is urging the Food and Drug Administration to fully approve the sterilization of masks in Ohio for healthcare workers and first responders amid the COVID-19 pandemic.
DeWine held a press conference Sunday to appeal to the country after the FDA's decision to limit an Ohio company's capability of sterilizing up to 160,000 masks a day in Ohio....
This is not the best science being used by Governor DeWine and if implemented in isolation units where the COVID patients are being cared for, it will cause illness to occur in the staff. My understanding is that the isolation equipment of N95 masks are in shortage, not surgical masks. If the procedure used for surgical masks is applicable to N95 masks then it should be valuable. I am not sure that is the case though. This is the report that clearly states surgical mask. Surgical masks are not N95 masks.
March 30, 2020
By Kristen Spicker and Thomas Gnau
The FDA gave full approval (click here) to Battelle to utilize new surgical mask sterilization technology, which can decontaminate up to 80,000 masks a day per unit....
If a sterilization process is applied to N95 masks that have not proven to work it could alter the QUALITY of the N95 and expose the wearer to the virus. The virus is very, very, very small and the N95 masks are manufactured to prevent a tiny, microscopic virus from reaching the wearer. A sterilization process could damage the ability of an N95 mask from being effective against a virus by allowing spaces that permit the virus to pass through.
THE FDA IS CORRECT IN LIMITING THE TECHNOLOGY. It is new and could have a much different outcome "in practice." Additionally, I doubt any surgical mask supply that is sterilized will require more than 10,000 masks. There are not that many surgeries per day in any one hospital. Again, surgical masks are not N95 masks.
...DeWine said in a release Sunday that the FDA "made the decision to limit Battelle to sterilizing 10,000 masks a day when they have the capability of sterilizing up to 160,000 a day in Ohio alone."...
There is nothing wrong with New York City having warehouses in New Jersey if it indeed is not a lie. There is only a river between them not 3000 miles of highway.
By Eliza Mackintosh
"Nothing (click here) would be worse than declaring victory before the victory is won." President Donald Trump, who repeatedly suggested last week that a win was near, announced yesterday that nationwide social distancing measures would be extended for another month, days after floating the possibility of getting Americans back to work as early as Easter (which is when deaths are currently projected to peak).
Trump's remarks came as top US infectious disease specialist Anthony Fauci offered up a stark new estimate: Between 100,000 and 200,000 Americans could die from the coronavirus, even if the US takes aggressive action. Fauci said that projection played a role in Trump's change of heart. The President acknowledged the gravity of the crisis in a somber press conference, referring to the virus' "viciousness" -- but not before rattling off several false claims and bragging about his TV ratings....
Tokyo Olympics is now July 23 - August 8, 2021.
Another report of a patient's experience where the eyes were involved.
...Bruns didn't consider herself to be at risk for COVID-19. (click here) She was working from home and only going out to get supplies for her family and her mother who is battling lung disease from asbestos exposure. She almost always wore a mask. (at home) Please don't panic the public. The six feet of social distancing is working.
"The only thing I can think of is I was exposed to it at a place where I was picking up supplies," Bruns said.
She started feeling bad Friday March 20. By Monday she went to her doctors office for a coronavirus test.
"I had some abdominal pains, got a bad migraine and started having pain in my eyes, behind my eyes," Bruns said.
She was exhausted. Sleeping 19 hours a day and then came the cough. By Wednesday, still awaiting results, her symptoms worsened. She went to the ER, where they took another test and admitted her for dehydration. She was on some oxygen. When her test came back Friday, she was released to full in home quarantine....
I think this information is important because if this TRACT is the first manifestation of symptoms it can provide a clue to people to self-quarantine, BUT, also it means there is a method to understand the initial method of replication of the virus. It is attaching itself to neural DNA initally. That could be a point of study to find a way to end it.March 30, 2020
By Lea Skene
Eleven East Baton Rouge residents (click here) have now died from coronavirus after three more deaths were reported over the weekend, the parish coroner's office confirmed Monday morning.
The first was a woman aged 33 with multiple underlying medical conditions who was hospitalized Friday and died the following day, East Baton Rouge Coroner Dr. Beau Clark said in a news release.
Another woman, age 88, died Sunday after almost a week in the hospital. She also had underlying medical conditions that made her particularly vulnerable to the effects of COVID-19, Clark said....
Sunday, March 29, 2020
The next reassessment is April 30th.
"To slow the spread" (click here)
The White House guidelines have to be updated as most children are not in school and many people are home from work.
I don't like the way the president demeans other people that are capable of good work. I don't like it and for that reason, I don't watch the news conferences until the end. I don't like the way he insults people.
As far as the distribution of medical equipment and supplies, there is no reason to suspect there is wrongdoing. The distribution systems in the cities have to catch up with the demand and I am sure that is being evaluated as the demand has picked up. It is one thing to deliver much-needed equipment and supplies by tractor-trailer to a warehouse it is another thing to move them to the hospitals. Even the hospitals aren't ready to receive all these supplies. The distribution doesn't happen overnight.
I can only imagine the warehouse manager that has the street lined up with ten tractor-trailers and having to make room for the supplies. So, while the supplies are making it to the cities it is not necessarily making it to the hospitals in an expedited manner.
This entire paradigm is a difficult lift, but, I think the country is getting there. These issues need to be solved but it takes patience and not name-calling.
I don't like the way the president demeans other people that are capable of good work. I don't like it and for that reason, I don't watch the news conferences until the end. I don't like the way he insults people.As far as the distribution of medical equipment and supplies, there is no reason to suspect there is wrongdoing. The distribution systems in the cities have to catch up with the demand and I am sure that is being evaluated as the demand has picked up. It is one thing to deliver much-needed equipment and supplies by tractor-trailer to a warehouse it is another thing to move them to the hospitals. Even the hospitals aren't ready to receive all these supplies. The distribution doesn't happen overnight.
I can only imagine the warehouse manager that has the street lined up with ten tractor-trailers and having to make room for the supplies. So, while the supplies are making it to the cities it is not necessarily making it to the hospitals in an expedited manner.
This entire paradigm is a difficult lift, but, I think the country is getting there. These issues need to be solved but it takes patience and not name-calling.
Pulmocort and Bacrtrim
I have no idea what the treatment protocol is for COVID-19, but, I was looking at a scan posted online in a news article. It was a 3-D image of the lungs that rotated. The shaded areas were active virus and lung inflammation. Now, while something needs to be decided about ending the virility of the virus, there is something that can be done about the inflammation. I am thinking of the people in critical care and those not in critical care but in hospital beds and those in some areas of the country on homecare.
Inflammation is a defense mechanism of the lungs. But, in cases of asthma, it can also be part of the problem because the mucous can become thick rather than watery and actually block available lung space. That is why during an asthma attack a person needs to cough and deep breathe, which is counter-intuitive. Not the cough, but, the deep breathing.
If patients, especially those on vents are having inflammation, then they could be experiencing higher than normal antibodies, but, also a higher degree of mucous production. To inject or give intravenously any systemic steroids would in all likelihood suppress the immune response, but, if a critically ill patient is provided nebulizer treatments of medication like Pulmicort it would act in time to reduce the inflammation. In reducing the inflammation a physician could be providing more alveolar space, hence, more oxygen to the body.
My other thought is to have a back up to Zithromax. It is believed that Zithromax and Chloroquine are treatments, but, a patient's reaction to antibiotics may be questionable. I simply thought a back up of a broadspectrum antibiotic that also assists the kidneys and the ear infections these folks complain about would be a good alternative.
That is my two cents after seeing that video online in a news article.
Inflammation is a defense mechanism of the lungs. But, in cases of asthma, it can also be part of the problem because the mucous can become thick rather than watery and actually block available lung space. That is why during an asthma attack a person needs to cough and deep breathe, which is counter-intuitive. Not the cough, but, the deep breathing.
If patients, especially those on vents are having inflammation, then they could be experiencing higher than normal antibodies, but, also a higher degree of mucous production. To inject or give intravenously any systemic steroids would in all likelihood suppress the immune response, but, if a critically ill patient is provided nebulizer treatments of medication like Pulmicort it would act in time to reduce the inflammation. In reducing the inflammation a physician could be providing more alveolar space, hence, more oxygen to the body.
My other thought is to have a back up to Zithromax. It is believed that Zithromax and Chloroquine are treatments, but, a patient's reaction to antibiotics may be questionable. I simply thought a back up of a broadspectrum antibiotic that also assists the kidneys and the ear infections these folks complain about would be a good alternative.
That is my two cents after seeing that video online in a news article.
Saturday, March 28, 2020
Inspector Generals are very similar to FBI agents in their qualifications. They carry firearms, too. They operate independently and are appointed either by the president or the secretaries of the cabinet. The appointments by the president have to be approved by US Senate.
Council of the Inspectors General on Integrity and Efficiency (CIGIE) (click here)
The Council of Inspector Generals on Integrity and Efficiency was formed as an interim between the direct powers of the president and the Inspector Generals. I do not believe the Inspector Generals are an exact fit into the Executive Branch and the president does not have direct authority over the WORK of the inspector generals so much as appointments of some.
Signing Statement to "Workers First." (click here)
The Inspector Generals stand the line between corrupt, corruptible and honest government. The hiring and firing of IGs are within the powers of the president, however, all these activities have to be reported to Congress. In that understanding is the balance to "honest government."
If Donald J. Trump manipulated the oversight of the new IG to allow $500 billion to go unchecked to the financial markets he would be in violation of the law that clearly states there would be oversight through these standard mechanisms. The public would then be aware of his antics.
Council of the Inspectors General on Integrity and Efficiency (CIGIE) (click here)
The Council of Inspector Generals on Integrity and Efficiency was formed as an interim between the direct powers of the president and the Inspector Generals. I do not believe the Inspector Generals are an exact fit into the Executive Branch and the president does not have direct authority over the WORK of the inspector generals so much as appointments of some.
Signing Statement to "Workers First." (click here)
The Inspector Generals stand the line between corrupt, corruptible and honest government. The hiring and firing of IGs are within the powers of the president, however, all these activities have to be reported to Congress. In that understanding is the balance to "honest government."
If Donald J. Trump manipulated the oversight of the new IG to allow $500 billion to go unchecked to the financial markets he would be in violation of the law that clearly states there would be oversight through these standard mechanisms. The public would then be aware of his antics.
The United States of America is 17 percent of cases globally. The USA started this pandemic with 10 percent of the cases.
The USA is 5.86 percent of deaths globally, which includes a 17 year old boy. (click here)
The president should quarantine Florida and Louisiana to prevent such loose standards that promote disease from effecting the rest of the country. In quarantining Florida, it would end any migration of Americans that are carriers or sick from entering the state or form leaving the state.
The numbers of ill people are going to skyrocket because of the lack of good public health policy of the governors of Louisiana and Florida. These states need to maintain their people within their borders so they don't spread the disease nationwide again.
I am looking forward to the review by the FDA of the test cases of oral medication so that local doctors can prescribe them with a telephone call and/or at the time of a patient visit.
Americans expect Trump to interfere with the new legislation, "Workers First." He keeps bemoaning "get back to work" to undermine the legislation. There will be people that will return prematurely because of his moaning and they will endanger their lives and others because the pandemic in the USA is not resolved.
March 28, 2020
By Jeff Stein
President Trump (click here) on Friday took a step to immediately try to curb oversight provisions in Congress’ $2 trillion coronavirus spending package, seeking to assert presidential authority over a new inspector general’s office.
The move could presage a major battle between the White House and Capitol Hill as the Trump administration moves to implement the new law.
In a White House signing statement released Friday evening, Trump called “unreasonable” the law’s mandate that a new Special Inspector General for Pandemic Recovery notify Congress immediately if the White House doesn’t cooperate with an audit or investigation. The new inspector general is supposed to monitor how the Treasury Department extends loans and loan guarantees to businesses, among other things....
I would hope by now Americans realize they have a president that lies and manipulates chronically. I fully expected the presidential executive pen to come out as soon as the Worker's First bill became a law. Trump wants the financial markets to look good for his election and he will do whatever is necessary to do exactly that. He is not a strong supporter of the middle class, labor unions or anything that actually makes the American economy great. The Trump tax bill ignored the needs of the Middle Class, which speaks for itself and now he can't help himself from moaning about the fact everyone is not working regardless of the peril our country's people would face.
Trump cannot simply write an executive order that alters recently passed legislation that he signed.
The conscience of the Founder of "Shake Shack" has stronger ethical practices than Trump.
The USA is 5.86 percent of deaths globally, which includes a 17 year old boy. (click here)
The president should quarantine Florida and Louisiana to prevent such loose standards that promote disease from effecting the rest of the country. In quarantining Florida, it would end any migration of Americans that are carriers or sick from entering the state or form leaving the state.
The numbers of ill people are going to skyrocket because of the lack of good public health policy of the governors of Louisiana and Florida. These states need to maintain their people within their borders so they don't spread the disease nationwide again.
I am looking forward to the review by the FDA of the test cases of oral medication so that local doctors can prescribe them with a telephone call and/or at the time of a patient visit.
Americans expect Trump to interfere with the new legislation, "Workers First." He keeps bemoaning "get back to work" to undermine the legislation. There will be people that will return prematurely because of his moaning and they will endanger their lives and others because the pandemic in the USA is not resolved.
March 28, 2020
By Jeff Stein
President Trump (click here) on Friday took a step to immediately try to curb oversight provisions in Congress’ $2 trillion coronavirus spending package, seeking to assert presidential authority over a new inspector general’s office.
The move could presage a major battle between the White House and Capitol Hill as the Trump administration moves to implement the new law.
In a White House signing statement released Friday evening, Trump called “unreasonable” the law’s mandate that a new Special Inspector General for Pandemic Recovery notify Congress immediately if the White House doesn’t cooperate with an audit or investigation. The new inspector general is supposed to monitor how the Treasury Department extends loans and loan guarantees to businesses, among other things....
I would hope by now Americans realize they have a president that lies and manipulates chronically. I fully expected the presidential executive pen to come out as soon as the Worker's First bill became a law. Trump wants the financial markets to look good for his election and he will do whatever is necessary to do exactly that. He is not a strong supporter of the middle class, labor unions or anything that actually makes the American economy great. The Trump tax bill ignored the needs of the Middle Class, which speaks for itself and now he can't help himself from moaning about the fact everyone is not working regardless of the peril our country's people would face.
Trump cannot simply write an executive order that alters recently passed legislation that he signed.
The conscience of the Founder of "Shake Shack" has stronger ethical practices than Trump.
Absolutely NOT. This is the absolute worst time to have this discussion.
This discussion of health care professionals is unethical, disgraceful and amounts to waving the surrender flag. I am astounded this is even being considered. The problems are already solved to save every person with COVID-19.
To begin, if this practice was ever instituted, it would be a violation of the law. Ventilators have been proven to successfully support two patients at a time WHEN NEEDED. "Pressure Support" settings expand the COMPETENT ability of a ventilator. There is nothing wrong with that. Clinical trials can be ongoing during this pandemic.
This discussion of a universal DNR is not becoming to the USA. It is one step away from euthanasia and then we look like Russia.
This discussion puts USA medicine in direct conflict with professional standards.
Patients will not seek medical attention and die in their homes. There will be a "sacrificial lamb" culture entered into the USA culture in general. To put it plainly this is ludicrous.
The United States of America has faced worse case scenarios before and rose above it, that will hold true this time as well. The poor will make it through with all the same problems they had before. The idea of a universal DNR is out of the question. It will alienate Americans from medicine and return them to the anti-vaccine culture and wife's tales. Maybe that's the goal, but, this is really, really bad ethical standards for American medicine.
March 25, 2020
By Ariana Eunjung Cha
Hospitals on the front lines of the pandemic (click here) are engaged in a heated private debate over a calculation few have encountered in their lifetimes — how to weigh the “save at all costs” approach to resuscitating a dying patient against the real danger of exposing doctors and nurses to the contagion of coronavirus.
The conversations are driven by the realization that the risk to staff amid dwindling stores of protective equipment — such as masks, gowns and gloves — may be too great to justify the conventional response when a patient “codes,” and their heart or breathing stops.
Northwestern Memorial Hospital in Chicago has been discussing a do-not-resuscitate policy for infected patients, regardless of the wishes of the patient or their family members — a wrenching decision to prioritize the lives of the many over the one.
To begin, if this practice was ever instituted, it would be a violation of the law. Ventilators have been proven to successfully support two patients at a time WHEN NEEDED. "Pressure Support" settings expand the COMPETENT ability of a ventilator. There is nothing wrong with that. Clinical trials can be ongoing during this pandemic.
This discussion of a universal DNR is not becoming to the USA. It is one step away from euthanasia and then we look like Russia.
This discussion puts USA medicine in direct conflict with professional standards.
Patients will not seek medical attention and die in their homes. There will be a "sacrificial lamb" culture entered into the USA culture in general. To put it plainly this is ludicrous.
The United States of America has faced worse case scenarios before and rose above it, that will hold true this time as well. The poor will make it through with all the same problems they had before. The idea of a universal DNR is out of the question. It will alienate Americans from medicine and return them to the anti-vaccine culture and wife's tales. Maybe that's the goal, but, this is really, really bad ethical standards for American medicine.
March 25, 2020
By Ariana Eunjung Cha
Hospitals on the front lines of the pandemic (click here) are engaged in a heated private debate over a calculation few have encountered in their lifetimes — how to weigh the “save at all costs” approach to resuscitating a dying patient against the real danger of exposing doctors and nurses to the contagion of coronavirus.
The conversations are driven by the realization that the risk to staff amid dwindling stores of protective equipment — such as masks, gowns and gloves — may be too great to justify the conventional response when a patient “codes,” and their heart or breathing stops.
Northwestern Memorial Hospital in Chicago has been discussing a do-not-resuscitate policy for infected patients, regardless of the wishes of the patient or their family members — a wrenching decision to prioritize the lives of the many over the one.
Friday, March 27, 2020
I thought this was an interesting article. I think I found it most interesting because of the face masks they are wearing
Red eyes can be a symptom to many health issues including lack of sleep. But, in Kirkland, Washington a nurse believes this is an important symptom.
Amazon has these face masks in their online catalog. They should provide them to their workers. They can reuse them.
March 27, 2020
By Jak Connor
One nurse in Kirkland (click here) has noticed a common symptom throughout every patient she has treated with COVID-19. This symptom has surprisingly not been reported as a common symptom. Chelsey Earnest, who works at the Life Care Center in Kirkland, Washington, recently spoke to CNN and stated that she has noticed that every patient who has tested for positive for COVID-19 has had red eyes.
Many of the commonly reported symptoms, according to the World Health Organization, are; dry cough, fever, tiredness, shortness of breath, aches/pains, sore throat, diarrhea, nausea, or a runny nose. Earnest said, " It's something that I witnessed in all of them. They have, like ... allergy eyes. The white part of the eye is not red. It's more like they have red eye shadow on the outside of their eyes. We've had patients that just had the red eyes as the only symptom that we saw and go to the hospital and pass away."
She continued, " I've even had the disaster medical control physician say, 'Do they have the red eyes?' And I will say yes. And he'll say, 'I'll find you a bed.' It's just something about this, the way that it affects these patients"....
Trump said, "If they don't treat you right, don't call them." The president of Ukraine should be so lucky. He never knew what "treat him right" meant either.
Trump wants to find something that sticks to the wall for his campaign.
I find it interesting that the president and the Democrats have been effectively communicating during this national emergency. The executive order he signed today to initiate the Defense Production Act (DPA) began with a letter from Democrats. The Democrats have been correct about this national emergency from Day 1. It is UNFORTUNATE that Donald Trump DOESN'T SHOW RESPECT AND GRATITUDE FOR THEIR INSIGHT AND ATTENTIVENESS TO DETAIL. The door swings both ways. That goes for the Republicans, too.
On March 18, President Trump (click here) issued an executive order invoking the Defense Production Act (DPA) to prioritize the production of much-needed medical equipment and supplies to combat the novel coronavirus. This follows a March 13 letter signed by 57 House Democrats requesting the president to invoke the 1950 act to “begin mass production of supplies needed to address the ongoing Coronavirus Disease 2019 (COVID-19) pandemic.”
As the Centers for Disease Control and Prevention (CDC) notes, with the decrease in exports from countries affected by the virus and an increase in demand from medical professionals, certain manufacturers of personal protective equipment (PPE)—such as masks, eye protection and isolation gowns—have found satisfying the increased volume of orders challenging. In light of the public health challenges, the DPA has taken on a renewed significance. Recently, the Congressional Research Service published a report detailing policy considerations in employing the act in the face of the current pandemic....
Good night. I deeply appreciate the attentiveness of the American press as well.
Red eyes can be a symptom to many health issues including lack of sleep. But, in Kirkland, Washington a nurse believes this is an important symptom.
Amazon has these face masks in their online catalog. They should provide them to their workers. They can reuse them.
March 27, 2020By Jak Connor
One nurse in Kirkland (click here) has noticed a common symptom throughout every patient she has treated with COVID-19. This symptom has surprisingly not been reported as a common symptom. Chelsey Earnest, who works at the Life Care Center in Kirkland, Washington, recently spoke to CNN and stated that she has noticed that every patient who has tested for positive for COVID-19 has had red eyes.
Many of the commonly reported symptoms, according to the World Health Organization, are; dry cough, fever, tiredness, shortness of breath, aches/pains, sore throat, diarrhea, nausea, or a runny nose. Earnest said, " It's something that I witnessed in all of them. They have, like ... allergy eyes. The white part of the eye is not red. It's more like they have red eye shadow on the outside of their eyes. We've had patients that just had the red eyes as the only symptom that we saw and go to the hospital and pass away."
She continued, " I've even had the disaster medical control physician say, 'Do they have the red eyes?' And I will say yes. And he'll say, 'I'll find you a bed.' It's just something about this, the way that it affects these patients"....
Trump said, "If they don't treat you right, don't call them." The president of Ukraine should be so lucky. He never knew what "treat him right" meant either.
Trump wants to find something that sticks to the wall for his campaign.
I find it interesting that the president and the Democrats have been effectively communicating during this national emergency. The executive order he signed today to initiate the Defense Production Act (DPA) began with a letter from Democrats. The Democrats have been correct about this national emergency from Day 1. It is UNFORTUNATE that Donald Trump DOESN'T SHOW RESPECT AND GRATITUDE FOR THEIR INSIGHT AND ATTENTIVENESS TO DETAIL. The door swings both ways. That goes for the Republicans, too.
On March 18, President Trump (click here) issued an executive order invoking the Defense Production Act (DPA) to prioritize the production of much-needed medical equipment and supplies to combat the novel coronavirus. This follows a March 13 letter signed by 57 House Democrats requesting the president to invoke the 1950 act to “begin mass production of supplies needed to address the ongoing Coronavirus Disease 2019 (COVID-19) pandemic.”
As the Centers for Disease Control and Prevention (CDC) notes, with the decrease in exports from countries affected by the virus and an increase in demand from medical professionals, certain manufacturers of personal protective equipment (PPE)—such as masks, eye protection and isolation gowns—have found satisfying the increased volume of orders challenging. In light of the public health challenges, the DPA has taken on a renewed significance. Recently, the Congressional Research Service published a report detailing policy considerations in employing the act in the face of the current pandemic....
Good night. I deeply appreciate the attentiveness of the American press as well.
Subscribe to:
Posts (Atom)