Were I in charge of a hospital, admission for Covid-19 treatment

[malaise]

would require answering a simple question - did you/the patient wear a mask? Do you/the patient think masks work?
No mask, no entry - why should my staff die treating people who have no respect for others.

Go home and die - and fuck you.

[blueinredohio]

1. Sounds right to me.

[Rorey]

2. And insurance shouldn't cover them either.

They're deliberately increasing risk for themselves and others, and increasing costs for everybody.

[FoxNewsSucks]

18. Their insurance should jack their rates up.

I posted a few months ago that the easiest solution to getting people to wear masks is the speed limit model. Pass out tickets, insurance for those who get maskless tickets goes up.

Government entities and insurance companies get windfalls of fines and rate hikes, they'd be all over it.

[Rorey]

25. That sounds great!

[Lancero]

3. Go home and die, that's a pretty good decriptor of Republican healthcare plans.

Not exactly good company to be in, but hey - you do you.

What else are you going to judge on? No cast for the kid who fell from the tree after foolishly climbing it, despite knowing better? No healthcare at all, because the person is obese and deserves their poor health as punishment? Lets just let that person OD'ing die, idiot deserves it for doing drugs. I know, lets not allow that woman to abort because she should have had enough self respect for herself to keep her legs closed!

Seriously. This is you. Healthcare should be for everyone, not just the people we think 'deserve' it.

[malaise]

4. When last I checked falling from a tree is still an accident

It is very different from exposing others to a deadly pandemic.

If you do not believe the advice of experts, don't expect them to treat you. Why should anyone's ignorance expose others to this deadly pandemic.

[LisaL]

14. Why climb a tree to begin with?

NT

[FoxNewsSucks]

17. There's a huge difference

between an honest accident during ordinary behavior and DELIBERATELY spreading a deadly disease, while ridiculing those who try to slow that spread.

[malaise]

19. +1,000

That simple

[greymattermom]

26. There is a surcharge for smokers.

Why not for refusing to wear a mask? Smokers put up with it and pay more.

[Try Harder]

28. False equivalence

None of your examples endanger the health of another person/s. Kid in the tree - bad judgment, inexperience; obese patient - limited access to quality food and genetics, od'ing drug user - poor judgment and/or predisposition; right to choose - self explanatory. Imposing ones political action or defiance on others, in the middle of a raging pandemic. You are nothing short of a criminal. If you can't wear a mask, make damn sure you have a face shield, or better yet, stay home.

[LisaL]

5. And for a patient with a lung cancer, are you going to ask if they smoked?

For a patient with liver failure, are you going to ask if they drunk?
For a patient with heart failure, are you going to ask if they exercised?
Face it, people do stupid things day in and day out, we don't deny treatment based on that.

[malaise]

6. You are missing the point

Neither the lung cancer patient nor the one with the failing liver is spreading a communicable disease because of willful ignorance.

[NurseJackie]

8. ...

[malaise]

9. And a deadly global pandemic to boot

Don't they still lock up AIDs patients for spreading the disease?
Wear a fucking mask.

[LisaL]

11. So before treating AIDS patients you would ask if they slept around?

NT

[malaise]

12. No - the only point I made re AIDS is that knowingly spreading it

was a crime and not wearing a mask should be a crime. If you think Covid is a hoax don't come to my hospital

[LisaL]

13. I am glad you don't actually have a hospital.

NT

[EllieBC]

32. Like AIDS patients?

Hey did you maybe think your risky behaviour got you here?

Because that’s the shit conservatives pushed for in the 90s. Lie down with dogs you get fleas. Don’t do that.

[malaise]

34. Not one AIDs patient endangered hospital staff

That is all

[EllieBC]

50. No that is not all.

In the 80s and 90s they weren’t always sure and they were sometimes a danger to hospital staff. It was a communicable disease with no real treatment or hope. So yes their decisions were affecting innocent people but giving them care was still the right thing to do.

I like how “revenge feels good” is thrown around as a smug nastyism when it comes to putting child murderers to death but covid patients? You’re all in. So weird.

[malaise]

55. I'm not all in for any deaths except those who refuse

to show some respect for others and wear a mask. Why should I endanger the hospital staff for stupid people?

[Ms. Toad]

58. Did you sleep through the 80s?

https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6353a4.htm

During 1985–2013, 58 confirmed and 150 possible cases of occupationally acquired HIV infection among HCWs were reported to CDC; since 1999, only one confirmed case (a laboratory technician sustaining a needle puncture while working with a live HIV culture in 2008) has been reported (1; Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, unpublished data, 2014) (Figure). Among the 58 confirmed cases, the routes of exposure resulting in infection were: percutaneous puncture or cut (49 cases), mucocutaneous exposure (five), both percutaneous and mucocutaneous exposure (two), and unknown (two). A total of 49 HCWs were exposed to HIV-infected blood, four to concentrated virus in a laboratory, one to visibly bloody fluid, and four to unspecified body fluids. Occupations of the HCWs with confirmed or possible HIV infection have varied widely (Table).

AIDS is much harder to transmit, but there were transmissions from patient to hospital staff, especially before we knew it was blood born.

[ahoysrcsm]

72. Would wearing a mask lessen the spread of COVID-19?

Would requiring those that are possibly infected to wear a mask in public spaces slow the spread?
If you pull your mask down should you not be ejected from the public space?

[Ms. Toad]

75. I was responding to a very specific assertion:

Not one AIDs patient endangered hospital staff

That statement is false. Numerous health officials acquired HIV/AIDS from their patients through the 80s.

My opinions on masks are well known here, from long before anyone else came around to agreeing with them - as is my history of chastizing Fauci for telling white lies about them being unnecessary in order to protect medical supplies, as well as reporting local entities who refuse to enforce the state-wide mandatory mask order.

[ahoysrcsm]

77. And I was replying to your statement as a whole.

Numerous health officials acquired COVID-19 from their patients through the 2020 pandemic.

[Ms. Toad]

79. I made zero assertions relating to health officials acquring COVID 19 from their patients.

Go pick a fight with someone who has not been a strong advocate of masks since early March.

[ahoysrcsm]

89. Not sure, I think it was where you got a bloodborne illness...

confused with an airborne illness.

[Ms. Toad]

91. If you're going to jump into a sub-thread, read the sub-thread.

You jumped in the sub-thread about the threat HIV/AIDS patients posed to health care workers by asking non sequitur questions about transmission of COVID 19.

I responded to a false assertion that no HCW was ever endangered by a person with HIV/AIDS with proof that the assertion was false. Period. Since I wasn't talking about an airborne illness, there was nothing for me to confuse.

You seem confused about the concept of a limited discussion in a sub-thread. This one was limited to whether patients with HIV/AIDS ever posed a risk to a HCW.

[ahoysrcsm]

92. Yep confused. I uderstand a lot of healtchare workers got sick...

by treating patients that had COVID-19. If only people would wear a mask, maybe we could slow the cases of COVID-19.

The same is not true with AIDS, as it is a blood borne disease.

[Ms. Toad]

93. I agree as to COVID 19 - and I've been working since March to convince people to wear masks

direct conversations, sharing research, making masks, not going out of the house since March without a mask, reporting every single business in which I see unmasked customers to the health department, and now to the BWC (now in charge of enforcement), pleading with family members not to have thanksgiving outside of the family, wearing a mask inside my home when it became clear my family members were not being as safe as they should be (I've been wearing a mask 24/7 - in my home, aside from eating for a week and a half.)

That said, for the first decade HIV/AIDS, health workers were at risk from their patients. It was lower risk, but it was not zero risk. Health care work is sometimes bloody. Needle sticks happen - my SIL, in the same era, was infected with Hep C from a needle stick - it could just as easily have been HIV. Scalpels sometimes slice through gloves and fingers. Simultaneously, some HIV/AIDs patients were hiding their infections because of the stigma associated with the disease - even from healthcare workers they knew they might expose. From a culpability viewpoint, that is equivalent to going to work with COVID 19 symptoms - or not wearing a mask when you know you have been exposed. In that same era, we actively considered asking a gay male friend of ours to be a sperm donor. We learned later that he was already HIV+ at the time. That he hadn't disclosed his status to friends who were close enough to consider him as a sperm donor speaks volumes to the need many felt to conceal their HIV status - which did put health care workers (and potentially sex partners/family members at risk).

So, although ease of transmission is different - there is some similarity between those with HIV/AIDS who exposed others rather than disclosing and individuals who have not been wearing masks - resulting in exposing HCW.

My sole purpose in responding to the inaccurate post was to point out that the behavior of HIV/AIDS patients (in having unprotected sex and failing to disclose status in the era before universal precautions) sometimes put HCW at risk in the same way (if not severity of risk) that people currently not wearing masks does now.

Definitely, the level of risk is vastly different - but that's only because HIV/AIDS is much harder to transmit from person to person, not because faling to use barrier protection when engaging in sex (once the transmission route was known) is somehow less culpable behavior than not using a barrier to protect onesself from airborne transmission of COVID 19. In fact, I've been using the analogy of sexual interactions to try to make the point to my family of how their out-of-family social interactions put me at risk - that they are not merely taking the risk for themselves, but that I am - in effect - interacting without a mask with everyone they interact with without a mask. Hence, my decision to wear a mask at home 24/7.

And - like HIV/AIDS resulted in universal precautions being implemented to protect HCW (and their subsequent patients) from HIV/AIDS - I expect we will see similar universal precautions implemented to protect HCW from COVID 19 as we learn more about how it is transmitted..

[ahoysrcsm]

94. I appologize, I was confused.

[Towlie]

7. Right. Should a hospital reject a car crash victim if the accident was their fault?

 
?

Even if the driver was drunk and endangering others on the road it still wouldn't make sense. If the OP were in charge of a hospital he wouldn't be for long.

[FoxNewsSucks]

16. There would be consequences for that drunk driver.

[treestar]

40. Too many false equivalencies

Drunk drivers don't wilfully cause the accident, even where they are the cause, it is not a decision they rationally made.

[Ms. Toad]

60. Drunk drivers willfully drink before climbing behind the wheel of their car.

That is the basis on which we hold them criminally liable. It is every bit as much a choice as choosing not to wear a mask.

[treestar]

42. False equivalent

None of those are contagious.

[peggysue2]

70. I agree with this, LisaL

Even though the ignorantce and stupidity drive me wild and even though I recognize this ignorance has spread the virus and is about to overwhelm our medical facilities, the idea of withholding treatment and care is just wrong and unethical. For all the reasons you listed. People do stupid things everyday, take careless risks, live unhealthy lives and expose others to danger. But we don't withhold treatment and aid.

Because if we do we're no better than them.

I want justice. But I want this extremism fought out in the courts, in the arena of public opinion through wisdom and reason and example. We cannot wage this battle in our ICUs. Because if we do we'll lose the war against extremism by becoming extremists.

Just saying.

[NurseJackie]

10. You're not the only one who feels this way.

[FoxNewsSucks]

15. Couldn't agree more.

At the very least, send them to the end of the line.

It's beyond no respect. These brainwashed MAGATs are deliberate in their behavior.

[malaise]

20. Why should my staff be killed by these deliberate superspreaders

Sorry - not even sure I want them at the back of the line - go home and die.

[NurseJackie]

21. It's called TRIAGE. Their willingness to spread the disease...

... is a perfectly valid evaluation-point when determining whether they should be treated before someone else.

[Towlie]

61. You may be a nurse but you must have been absent from nursing school that day.

 
?

Triage is the process of determining the priority of patients' treatments by the severity of their condition or likelihood of recovery with and without treatment.

It's way beyond credibility that the medical profession would ever endorse triage decisions based upon whether the doctor thinks the patient deserves to live.

[Ms. Toad]

65. It depends on the triage process.

It isn't phrased that way - but a lot of organ triage is based on who deserves to live.

You damaged you liver by drinking? Only have one week to live? Too bad. You don't deserve a liver yet, since you're just going to destroy the new liver. (6 months of demonstrated sobriety is required, no matter how dire your personal situation is.)

You were smoking marijuana under a prescription from your doctor? Off the transplant list - you were required to abstain, and since you've now proven you can't follow medical directions, no organ for you.

Triage in emergency situations is a bit different - that is a matter of sorting out where to spend your time. When the triage is to decide on which patients to spend precious resources, evaluating behavior is frequently part of that calculation, since pastt behavior often predicts future behavior.

[Towlie]

66. Can doctors favor the heterosexuals? The people who go to their church? The members of their party?

 
?
 
I'll bet Joe Biden would be horrified by what some of the people in this thread are advocating.

[Ms. Toad]

68. Those aren't behavior- based indicators of future ability/willing to care for scarce resources. N/t

[FoxNewsSucks]

87. This isn't about a prejudice.

If you were a medical provider, on or off duty, and came upon a situation where a robber shot and gravely wounded their victim. At the last instant, the victim stabs the assailant.

You can only help one survive, which would you pick? The victim or the assailant?

[NurseJackie]

67. LOL!

It's the same reason that a chronic unrecovered alcoholic shouldn't get a new liver transplant rather than someone else who isn't.

I totally agree with the OP. Fuck 'em. Send 'em home to fend for themselves and decrease the surplus population... as the old story goes.

[malaise]

35. Why - is he or she transmitting a pandemic to my hospital staff?

I would accept Covid 19 convicts from prisons where they were not protected from teh virus.

I am simply not accepting andti-maskers and hoax believers. Fuck them - go home and die.

[Ms. Toad]

62. More likely, go home and become mini-superspreaders.

Then there will be even more innocent people you will be unable to treat.

[treestar]

43. Yet more false equivalence

They are being punished by the incarceration; whatever they did to get there does not bear directly on their illness.

[Mr. Ected]

23. Insurance companies lobbied for helmet requirements for motorcyclists

And seatbelts for passengers in automobiles.

Less claims to pay out.

Trumpers should go on the record as far as their adherence to masks-only in public laws. If they refuse to wear them, they can opt for home self-treatment for COVID. Freedom, you know, to die in their own beds.

[malaise]

36. Great post

[Rebl2]

24. That is my

thought too, but you know they will just lie and say yes they wore a mask, because that’s what they do-lie!!! Also no hospital is going to turn away a patient (unless they have no space) because of the oath they take to treat the sick and injured.

[FoxNewsSucks]

51. True, and we're at the point of hospitals

running out of space.

They have one bed left and two people show up - I say the person who took precautions gets it, and the MAGAt anti-mask hoax-believing spreader gets sent home.

Limited resources should first go to people who did the right thing.

[Martin Eden]

27. Death Panels

For those who willfully chose death for themselves and carelessly influcting it on others.

Here's an idea for a national mask mandate that doesn't infringe on "peronal freedom":

You can be exempt from wearing a mask if you register your exemption in a national database -- which also excludes you from medical treatment for COVID-19.

[malaise]

37. Following Mr. Ected's post

Let's see which insuane company calls for a mask mandate first.

[treestar]

44. They should willingly sign, because they think it's a hoax anyway

Would be interesting to question them why not - are they just saying it is a hoax to protect their Fuehrer or do they really think it is a hoax?

[Martin Eden]

63. Put their signature where their mouth is

Then we'll see how genuine is their belief.

[Silent3]

29. While clearly this can't be done in the way you describe, and we treat many people who might be...

...deemed "undeserving" in many other circumstances, I would say that it might be perfectly ethical at a hospital which has surpassed capacity, and the hospital must triage patients because they simply cannot treat everyone, for those who have flouted safety precautions, and who have endangered others, to have that count against their priority for access to limited treatment.

[certainot]

30. when i saw the title i knew what i would ask....

[EllieBC]

31. We don't ask addicts if they tried rehab or heart attack patients

if they considered maybe not living off a diet of bacon and soda pop.

So I guess by your standard we should?

[malaise]

38. JFC - do addicts or heart attack patients transmit deadly global pandemics to hospital staff?

Geez!

[highplainsdem]

33. I understand the sentiment. But there are a lot of people getting medical care for

illnesses other than Covid, and for injuries, who are needing treatment because of their own foolishness.

If people were all smart about their health (including their diet), took proper care of themselves, and avoided unnecessary risks, we'd have much lower health care costs. (And FWIW, I've known doctors and nurses who sucked at taking proper care of their own health.)

It's especially aggravating in a pandemic. I've had times I wished the anti-maskers had to sign papers relinquishing their rights to medical care if they catch Covid, and making them liable for the expenses of anyone they infect.

But our system doesn't operate that way.

Besides, most anti-maskers would deny being anti-maskers if they needed treatment for Covid.

[malaise]

39. how many of those potential patients are spreading a deadly

global pandemic? to hospital staff?

[treestar]

45. In this case, they don't have it because of their own foolishness

But others would get it. They got is from someone else, and we don't know of the foolishness or lack thereof of that someone else. They went around exposing others to it. Contact tracing might even indicate who got it from them. The mask is to protect others from you; is they have it and refused to wear the mask, they exposed others.

[BobTheSubgenius]

41. I admit to being very conflicted about the central point here.

The ability to hold opposing thoughts in your head is supposed to be an indicator of being a liberal, but maybe it's not so good, at times.

Viscerally, I like the idea of making them lie in the bed they've made, but I know that at least the vast majority of the medical profession believes in treating everyone. Doctors even swear an oath, and the vital nature of their work and the ethics therein protect them from certain legal consequences, at times.

All that said, it's worth noting that hospitals here (Victoria BC, and I imagine through the rest of the province) have signs prominently posted that abusive behavior, physical or verbal, can get you escorted from the property, or arrested. So tolerance of certain behaviors certainly has limits.

I also realize that these seem to be two different situations, but there is overlap. Willingly spreading a virus can be prosecuted as assault, or attempted murder.

Here is part of a legal opinion, and it surely seems to give the OP's proposition a certain amount of oxygen. (pun intended)

Only someone acting to intentionally infect another, and successfully doing so, would face a 25-year prison term (the maximum for a class B felony). An unsuccessful attempt to infect, or acting with “reckless disregard,” would be a class D felony. That is punishable by a maximum of five years in prison.

[malaise]

47. Totally agree but since I am not a doctor I'd be merely protecting

my hospital staff including the doctors.
Great post -thanks for that part of the legal opinion and love the pun.

[FoxNewsSucks]

53. That's the point that it seems some here are missing.

They know, have been informed, and deliberately choose to go around infecting others.

[lindysalsagal]

46. "Oh, sorry! That's just a hoax. You're fine. Go home.'

Thoughts and prayers.

[malaise]

48. Yep

F you and your hoax too

[FoxNewsSucks]

52. Perfect.

and a lot more polite than I'd likely be to them.

[NurseJackie]

71. No worse than the flu.

Take two aspirin, drink plenty of fluids and get some bed-rest.... you'll be fine. Just fine.

[Proud Liberal Dem]

54. No

People that buy into that nonsense are every bit the victims as the ones who didn’t. Viruses don’t discriminate and everybody deserves treatment. It’s how AIDS victims were treated. It was wrong then and it’s wrong now.

[mtnsnake]

56. I agree it's a nice idea, but the only problem is

that every single anti-masker would lie through their teeth when asked that question.

[Zeus69]

57. Bingo

[Zeus69]

64. Good post

Hospitals definitely have protocols for when beds are scarce. They also have people who spent years studying ethics in medicine who come up with protocols that try to balance a ton of factors.

If someone drinks and drives and runs into a mass public gathering, killing many people in the process, does that person get denied care for their injuries? Obesity and smoking are huge public health hazards in that they create an incredible financial burden (that we all pay for indirectly) on the health care system. Should those people be denied a hospital bed when they have an exacerbation?

As far as the pandemic, if a person went out to a restaurant, wore a mask but removed it while eating/drinking and then caught Covid, does the doctor get to refuse care? If a person went into a hardware store once without a mask, does a doctor get to deny care? And then, if you do allow that to happen, how do you prove it? As mentioned, people will just lie about it.

Deciding who to treat based on your opinion of the actions that brought them to the hospital is a non-starter.

[ahoysrcsm]

73. Should we require everyone to wear a mask/face cover when in public spaces?

Would wearing a mask lessen the spread, AKA lower the curve?
It worked once earlier in the year, why are we not promoting it today?

[malaise]

78. The Southern Hemisphere skipped flu season this year

https://www.rnz.co.nz/national/programmes/sunday/audio/2018767843/near-extinction-of-influenza-in-nz-as-numbers-drop-due-to-lockdown

Mask wearing and social distancing for Covid-19 has all but cut influenza cases in New Zealand this year, with only six flu isolates detected in this country from April to August.

As we move into the spring/summer period where flu is always uncommon in New Zealand, Professor Michael Baker offers his analysis on the flu season numbers and why masks continue to be so important.

He said there has been "near extinction of influenza in New Zealand following our very effective Covid-19 response", as numbers vanished from the two standard systems for surveillance - resulting in a 99.8 percent reduction in flu cases.

According to Baker, there were usually 1600 more deaths in winter, compared to other seasons, and around a third of those were caused by influenza, mostly in older people with long-term health conditions.
----------------------------
https://www.abc.net.au/news/2020-07-23/coronavirus-restrictions-cause-flu-cases-to-drop-australia/12480190

Hundreds of Australian flu deaths have been avoided because of the lockdown measures used to prevent the spread of COVID-19, experts say.

Key points:
Australia has not recorded any flu deaths since April, with only 36 deaths recorded this year compared to 430 in the same period last year
Experts say school closures, physical distancing, hand hygiene and border closures all played a part in reducing the number of flu cases
There was also an uptick in influenza vaccinations this year, with 2 million more doses being administered
The latest national statistics, obtained by the ABC, reveal from January to June 2020, there were just 36 deaths from the flu.

That compares to 430 deaths in the same period for 2019.

Ian Barr, deputy director of the World Health Organization Collaborating Centre for Reference and Research on Influenza, said it was "great news" as influenza was very hard to combat.

"I think if we could get this sort of effect every year, we'd be very happy," Professor Barr said.

[ahoysrcsm]

90. Thanks for posting, I had missed this earlier.

[LizBeth]

69. Being stupid results in no medical care?

I get the gist of your statement, but...

[roamer65]

74. I started wearing a near hazmat full face respirator yesterday.

It’s time.

I am fighting to stay out of the hell that I know is coming. It’s good for me and others if I do.

[bluestarone]

76. I've said THIS many times here. (not same wording but same thoughts)

NO mask the GO HOME! We treat ONLY the ones that care!

[malaise]

81. Why should any hospital endanger its staff for these cretins

You don't believe in masks - go home and die

[bluestarone]

82. Exactly

Insurance companies should NOT cover expenses for covid if they make a choice not to wear a mask. Just as if they refuse to wear a seatbelt! THIS could be our answer. Insurance co. need to state that NO MASK, NO INSURANCE!!!

[Blue_true]

80. I am down with that.

Why should people that don’t believe in something be treated for what they don’t believe in? Better to spend the limited beds trying to save innocent people that got infected by one of those idiots.

[malaise]

83. THIS

Better to spend the limited beds trying to save innocent people that got infected by one of those idiots

[RobinA]

84. I Guess We Can

be glad you aren’t in charge of hospital admission, then. That really isn’t the approach that would be considered professional in health care.

[RobinA]

86. I Can't Believe

I’m reading this crud on a liberal board. Ugh. Healthcare is not supposed to be transactional. Healthcare’s job is not to punish people for bad behavior. Which is really what this is about. A worker who gets sick from a mask-wearing patient is no different from one who gets sick from a nonmask-wearing patient. Sick is sick.

[mopinko]

88. sometimes i think most of the posters here are smart ppl.

then i read a thread like this, and boy. zooo000ming right over so many heads.

in the middle of a pandemic, we CANT AFFORD to risk losing medical personnel treating assholes who dont give 2 shits about anyone but themselves.
i agree w you malaise. you took your chances, now go home and take some more.
maybe you'll be fine. maybe you'll die.
you rolled the dice. you lost. dont except the other players to loan you the money to pay your losses.

[malaise]

95. Yep - they can do what they want and kill the hospital staff

Not in my effin' hospital. Mind you I would expect thoughtless, irresponsible people to lie when they are now desperate so I get those posts that ask me about that.

[mopinko]

96. the only trouble, besides the fact that they lie,

is that in most places contact tracing is so bad. they might not even know how they got it. so, it's hard to sort it out.
i think, in my hospital you best give me all your contacts while you can still breathe and talk.

i have often, in my life, wished for a magic wand. i have a dear friend who is the same. we get together and solve the world's problems all the time. so many have such simple solutions.
but it seems only us old ladies have the vision to see them. we are both witches, me irish and she a scot. we both have 3 eyes. and we have both been to hell and back more than once.

i was so happy to see that joe's pick for ambassador to the u.n. is 68. just what the world needs. she looks more like 48, but i suspect, as a black woman, she has been to hell and back a few times herself.

if i get this shit, i want to come to your hospital.

[malaise]

98. The good news and the bad news

My hospital is hypothetical

[mopinko]

101. well, it's a bit far for me.

tho, an excuse to come to jamaica would be great.

[malaise]

103. LOL

[mopinko]

104. ferealz, i will get down there one of these days.

my beloved nephew is setting up an expedia cruise franchise.
my first stop will be ireland, but damn i love me some cruises.

took one to alaska years ago. it taught me the ins and outs of not getting nickel and dimed to death.
ie-pay the fee, and bring your own booze.
bring some hot sauce cuz the food is sooooo bland.
pick you shore trips wisely, but plan to do them. in alaska, we took a helo ride and stood on a glacier. we could have done a dog sled, but not that day. i got a cool vest at that stop w a husky on it. i think that stuff is cheaper if you buy it w the tix.
bring money to shop on the shore stops. i still wish i had spent some money in the little town that was all shops. could have gotten a nice diamond ring for a souvenir.
and smoked salmon, and art, and...
also, let the cabin staff know you will tip on the last day. if you rly want to be cheap, put out the 'do not disturb' sing. but the towel art is worth the tip.

not till there is a vaccine, tho. damn i hate this plague.

[malaise]

111. You'll never see me on a cruise

I have siblings who love them

[mopinko]

115. yeah, they seems like a good deal. then you get nickel and dimed.

but they are fun. and rly, when you get the tricks, they are a good deal.

[marie999]

97. Right, let's do away with "First, do no harm.".

[malaise]

99. The anti-maskers will not be allowed to harm my staff

Go home and die from the hoax

[marie999]

106. Then they should get another profession.

Doctors and nurses are not allowed to judge their patients.

[malaise]

107. I'm the hospital administrator not a doctor or nurse

and anti-maskers will not be allowed to endanger my doctors, nurses or other hospital staff.

[marie999]

108. You need to get another job. You are not fit to run a hospital.

[malaise]

109. ROFL

[marie999]

110. This is my last post for you.

I am going to ignore you.

[malaise]

112. OK

Bye!

[former9thward]

100. Are you going to ask a heart patient what they have been eating?

Thank goodness you are not in charge of anything.

[malaise]

102. The heart patient does not have a deadly global pandemic

and is not going to infect my hospital staff. If you think Covid is a hoax and refuse to wear a mask go home and die.

[pwb]

105. Nah. That is Puke thinking.

Divisive and mean. We love everybody no matter what.

[nolabear]

113. You'd lose your license, your job and possibly your freedom.

Depends on what you mean by “running a hospital.” Are you the CEO? The hospital can be sued out of existence. Chief Medical Officer? Your license is toast. Just head admin? That job is gone and you will likely be held liable once the cops haul you physically away.

Personally I think it’s an awful fantasy but thank goodness it’s just that.