Please Stay Home

WeberWho

Very explicit content but I couldn't say it any better myself. 

https://youtu.be/e0-2XxgHIXk 

saluki2007

Foghorn said:

caliking said:

SmokenBonesATX said:

saluki2007 said:

My wife is a CRNA as well Mike.  Not only are they the ones doing what's described above, they are also the one's telling dip-sheet surgeons that the cases they are trying to push through are not critical and cancel the cases.  It's amazing how many surgeons across the country are doing this.  One was trying to get a c-section done on a woman who was 35 weeks pregnant because she didn't want to risk there not being any blood available in case something went wrong.  You might ask why would an OB doctor be worried about this, they wouldn't.  The patient is having their family practice doctor do it.  That's right, people still use family practice doctor's for major surgeries.

As a health care worker and a surgeon, all of the above is true. I have a tremendous amount of respect for my anesthesia colleagues and our group has been doing our best to support them. But it’s unfair to characterize all surgeons as “trying to push through” cases. Our hospital does over 500 elective surgeries a month. All of the surgeons across every specialty voluntarily stopped every elective, non-critical procedure 4 days before we were mandated to by our national leadership. We have surgeons volunteering to learn critical care medicine to support patients on ventilators and to work in the ER screening people. And yes, I still have to take call. I’m still the one that gets called when you need it most. We’re not all “dip-sheets.” Some of us get up every day, put ourselves in harms way, and then potentially bring that harm home to our families and children. 

Right now we need more positivity in the world. I’d ask for some grace and patience with our health care workers. Your support goes a long way. Thank you so much to everyone who has donated supplies. Your kindness is not unnoticed. 

Stay kind. Stay calm. Wash your hands. We can beat this. 

I’ll add a +1 to this. Many of us are making hard decisions, in different spheres of life. Out of compulsion. Out of need. Out of a sense of duty to others. 

Not a surgeon, but all non emergent cases have been cancelled here. Last week, chief of Anesthesiology called to discuss cancelling procedures, and I couldn’t cancel one in good conscience. She asked one question - would I want the procedure done if it were my child, and the answer was an immediate “yes“ for this one. The kid in question had been bouncing around from doctor to doctor, and suffering, for 3 years. I couldn’t say that it would be okay for her to suffer a few months longer. 

I may have taken a risk. Maybe not. But I don’t regret it. 

Yeah, 2 weeks ago we started using the criteria of "Will the patient sustain any significant disability, discomfort, or worse outcome if the case is delayed 90 days?".  Based on that one of our surgical oncologists cancelled 9 of her 10 planned thyroid cases - but did the large goiter that was causing some symptoms.  Our elective surgeons cancelled about 80% of their scheduled hernia operations and only did the most symptomatic or those most at risk of incarcerating and obstructing.  Most cancer operations (except thyroid as that rarely kills people and a 90 day delay isn't a problem) continued if the patient wanted to - many did not.  However, some of the private groups (dip-sheets?) saw this as an opportunity to do even more cases and gain market share.  That must have been going on in other cities around the state because earlier this week the Texas Medical Board came out with a statement that anybody continuing to do purely elective cases would risk loss of license.

I had heard about the Texas Medical Board decision b/c my wife's best friend is a CRNA at a physician's owned hospital in the Houston area.  They were doing exactly what you said in that they were taking advantage of the opportunity.  And let's just say they are using the term "discomfort" very loosely.  Finally Friday the anesthesia department threatened to walk out.  We'll see how this places out.

I'm hearing of this happen other places too, not just in TX.

Botch

Foghorn said:
However, some of the private groups (dip-sheets?) saw this as an opportunity to do even more cases and gain market share.  That must have been going on in other cities around the state because earlier this week the Texas Medical Board came out with a statement that anybody continuing to do purely elective cases would risk loss of license.

Good grief.  

ColbyLang

Went to Home Depot yesterday. Needed something for work as we are food manufacturers and are essential. 150 people there shopping like it was a regular weekend. Couldn’t believe it 

CTMike

Foghorn said:

Yeah, 2 weeks ago we started using the criteria of "Will the patient sustain any significant disability, discomfort, or worse outcome if the case is delayed 90 days?".  Based on that one of our surgical oncologists cancelled 9 of her 10 planned thyroid cases - but did the large goiter that was causing some symptoms.  Our elective surgeons cancelled about 80% of their scheduled hernia operations and only did the most symptomatic or those most at risk of incarcerating and obstructing.  Most cancer operations (except thyroid as that rarely kills people and a 90 day delay isn't a problem) continued if the patient wanted to - many did not.  However, some of the private groups (dip-sheets?) saw this as an opportunity to do even more cases and gain market share.  That must have been going on in other cities around the state because earlier this week the Texas Medical Board came out with a statement that anybody continuing to do purely elective cases would risk loss of license.

Glad to hear the Texas review board is taking it seriously, hopefully other states are as well.

alaskanassasin

Scrabblewordfinder.org website crashed... 

GATraveller

ColbyLang said:

Went to Home Depot yesterday. Needed something for work as we are food manufacturers and are essential. 150 people there shopping like it was a regular weekend. Couldn’t believe it 

The Home Depots here are only allowing a few in at a time. 

ColbyLang

GATraveller said:

ColbyLang said:

Went to Home Depot yesterday. Needed something for work as we are food manufacturers and are essential. 150 people there shopping like it was a regular weekend. Couldn’t believe it 

The Home Depots here are only allowing a few in at a time. 

Hahahaha. No ****, parking lot full. 

JohnInCarolina

GATraveller said:

ColbyLang said:

Went to Home Depot yesterday. Needed something for work as we are food manufacturers and are essential. 150 people there shopping like it was a regular weekend. Couldn’t believe it 

The Home Depots here are only allowing a few in at a time. 

I didn't see it for myself but my understanding is that Costco is doing the same.  Might be nation-wide.  

Dobie

JohnInCarolina said:

GATraveller said:

ColbyLang said:

Went to Home Depot yesterday. Needed something for work as we are food manufacturers and are essential. 150 people there shopping like it was a regular weekend. Couldn’t believe it 

The Home Depots here are only allowing a few in at a time. 

I didn't see it for myself but my understanding is that Costco is doing the same.  Might be nation-wide.  

I went to Costco today, haven’t been in a month. Got there early around 915 and they were already open. Had a disinfection station set up to give everyone a wiped down cart. Not busy as most were not out so not limiting entry while I was there. Had people wiping down all the common surfaces. Check out was spaced out every other register and only allowing a couple carts per lane to avoid clusters. They’re doing it well. Scored TP paper towels and as much meat  as I can freeze and some non perishable items also. No antibacterial soft soap still and I noticed no pork butts or chicken wings, besides that well stocked. Not planning to go back for a month now.

lkapigian

WeberWho said:

Very explicit content but I couldn't say it any better myself. 

https://youtu.be/e0-2XxgHIXk 

Fvcking Love It

JohnInCarolina

http://twitter.com/DrDenaGrayson/status/1244234237743697920?s=20

Okeejohn

CTMike said:

I was texting with a friend who is a nurse-anesthetist. She tells me that she has one N95 mask she’s had to use for two weeks now. Please keep your a$$ at home as much as possible to protect those like her on the front lines.

I agree. I am a nurse practitioner and work in a VA clinic and we have switched to Telemedicine (video or telephone).

HeavyG

Could be some interesting lawsuits coming with various states blocking travel between other states/cities/etc.

Canugghead

Interesting contrast in their speeches.
Canadian PM focuses on announcing aids available and asking people to stay home.
POTUS focuses on his accomplishments.

Gulfcoastguy

HeavyG said:

Could be some interesting lawsuits coming with various states blocking travel between other states/cities/etc.

It gets interesting. My state is on the other border of Louisiana, my house is about an 90 minute drive from New Orleans. Many New Orleans natives own second or vacation homes in the two closest towns to the Louisiana State line. It's nothing new, they did the same thing during the Yellow Fever outbreaks back in the 1800's. Telling them to go back to New Orleans would be violating theInterstate Commerce Laws plus several others. Even though most of our cases could be traced back to contact with New Orleans or with cruise ship workers and passengers. Our first confirmed case had come back from a Disney cruise.

Botch

This could've been faked, just sayin'....
 
https://www.tiktok.com/@jackneel/video/6809105130290531589?u_code=d6bli34ali0da4&preview_pb=0&language=en&timestamp=1585521710&utm_campaign=client_share&app=musically&utm_medium=ios&user_id=6695343986759468038&tt_from=copy&utm_source=copy&source=h5_m

milesvdustin

I wish I could stay home, but the prisoners cant behave by themselves. I go from home to work, and back again. Our leisure time has been spent on home projects and wandering our property 

DMW

milesvdustin said:

I wish I could stay home, but the prisoners cant behave by themselves. I go from home to work, and back again. Our leisure time has been spent on home projects and wandering our property 

Stay safe man, Rikers is a petri dish.

CTMike

HeavyG said:

Could be some interesting lawsuits coming with various states blocking travel between other states/cities/etc.

RI has done the same thing. I live about 10 miles from the RI border near the coast. A friend travelled in to RI to buy groceries as he lives in a border town. A National Guard checkpoint was set up, and because he has CT plates on his car, he was detained for a brief period for some questions. Once he explained what he was doing they let him pass. 

This is because of the CT/NY/NJ travel “advisory” issued by the CDC.

CTMike

Clearly the folks on this beach, St. John’s County officials, and the Florida Governor are idiots. 

This is from 2 days ago:

JohnInCarolina

Anyone out there still thinking this is just like H1N1?

GATraveller

I vote we close the borders to Florida and let Darwin sort it out.

fishlessman

sending a small crew to a local hospital to do some emergency work on their main boiler. masks, a nurse at the receiving dock taking temps and asking travel questions.  outbreak isnt bad here yet but they wont let us use our own masks, not sure hats the best idea.

two dollar tollbooth this morning will take a twenty if you dont have the change and you dont get your 18 dollars back, guess its time to sign up for an easypass.

CornfedMA

CTMike said:

Clearly the folks on this beach, St. John’s County officials, and the Florida Governor are idiots. 

This is from 2 days ago:

“Florida- a sunny place for shady people.”

thetrim

Florida is gonna Florida.

johnmitchell

https://www.youtube.com/watch?v=WxyH1rkuLaw 

Interesting view...

dmchicago

That guy looks like he hasn't slept in a month.

Interesting af, tho.

Gulfcoastguy

I just read in the paper that we have had the first Corvid fatality in our county. They said that he wasn’t a county or even State resident. The thing was that the hospital that he(or she) died in is about 400 feet from my back door.

nolaegghead

Gulfcoastguy said:

I just read in the paper that we have had the first Corvid fatality in our county. They said that he wasn’t a county or even State resident. The thing was that the hospital that he(or she) died in is about 400 feet from my back door.

Yeah, I don't think you need to worry about that proximity.

What I would worry about tho is your governor is pretty much in the same public safety boat as the president of Brazil.

God help you all.