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Member since: Mon Aug 23, 2004, 10:18 PM
Number of posts: 39,547

About Me

Whiteness is a scourge on humanity. Voting for Obama that one time is not a get out of being a racist card

Journal Archives

Shit. Just got this email from work

Nothing much has changed, but it’s certainly not getting better. I’ve bought faceshields from Amazon at I hate the googles they hand out. Please be careful out there, it’s not over by a long shot.

Dear Staff, Faculty, Trainees and Students,

Over the last two weeks, we have discovered a small number of patients with unexpected COVID-19 diagnoses at our hospitals. While some of these cases were the result of admission testing that returned positive for asymptomatic patients, we believe there has also been COVID-19 transmission from visitors and caregivers.

We have also had reports of staff congregating with other staff at work and outside of work, which has resulted in multiple staff-to-staff exposures.

These infections highlight the need for strict and 100% universal adherence to our safety protocols. They also come at a critical time in our response to the pandemic. The number of new cases is increasing in #### County, and we face the possibility of a second surge as the weather turns colder, holidays approach, and more of our time is spent inside.

Now, more than ever, we MUST work together to keep each other and our patients safe using the tools that we know work.

Stay Home When Sick: One of the lasting lessons of the pandemic is that we must stay home when sick. COVID-19 can present with many different symptoms. If you think you have a new symptom that could be caused by COVID-19, you need to stay home and arrange for a test using the ## Medicine employee testing website. Do not come to work if you have any symptoms of COVID-19 or other infectious diseases.

Masking: Wear a mask 100% of the time in the hospital. Six feet is not a “magic” distance that means everything is safe. Masks must be worn over your nose and mouth with NO exceptions. Masks are an evidence-based way to disrupt the spread of COVID 19. If you see anyone in your environment who does not have a mask or is not wearing it correctly, you need to say something. We all need to protect each other and our patients.

You can take your mask off when you are eating or drinking, but do not leave your mask off for any extended period of time when you are near other people, in a breakroom or in the cafeteria. Once you are done eating, place your mask back on.

All visitors must be masked for the entire time they are in the hospital and when they are in patient rooms. You are empowered to tell visitors they must wear a mask unless they have been given an Americans with Disabilities Act accommodation. If they do not comply with our masking requirements, please immediately inform your supervisor so that the appropriate action can be taken. Visitors will not be allowed to remain in the institution if they do not mask at all times.

Eye Protection: You MUST wear eye protection whenever you are working with patients. We need 100% compliance with this policy.

Shared Food/Potlucks/Celebrations: Food is not allowed to be shared with your colleagues for any reason, including birthdays, showers or retirement gatherings. Even if the food is individually wrapped and handed out by one individual, this is another change that we must make during the pandemic.

While we hope that the fall and winter seasons will go smoothly, we cannot count on that happening. COVID-19 will continue to be with us and often in unexpected ways. Both at work and in the community, we must assume that every person we meet may have COVID-19 and take the proper precautions not to get infected.

Thank you for your support as we continue our fight to control and end this disruptive and deadly pandemic.

The energy when dropping off our ballots was amazing

I’m in Washington state, Seattle to be specific, but we went down to an unincorporated part of the community of White Center to the library when a ballot box was. It’s a rough, diverse, working class neighborhood.

Man that dumpster sized ballot box was getting full! LOT’S of the under 30 crowd, people of all ethnicities, we were wearing masks and socially distancing as our turn came up, I just got out of the car and ran up, but it was like automatic, Respectful, met the eyes of young people and got that “we are in this together nod” you could see the pride. Feel the hope.

It was one of the best voting experiences I’ve ever had, and it lasted about a minute

So Revolution really was brought about by a need for Social Justice.

Remember those debates? The claim that economic justice would automatically bring in social justice?

We have neither.

But the fact that Black lives mattered less than other lives, repeatedly and chronically, this born out out reliably, by social science and statistics, and also born out by countless anecdotal accounts, finally brought to a crescendo by one more murder of a Black man by someone who who vowed to serve and protect, (and perhaps, a pandemic being a catalyst in some way) brought revolutionary action, with real change being proposed, well. Damn.

Black Lives Matter. Social Justice is a challenging, painful process and I still see people resisting it. Waiting for the anger to die down. Waiting for things to “go back to normal”

I just don’t see that happening.

Biden is crushing it on The View

He sounds like hope.

I haven’t been particularly enthusiastic with my support, I have to admit, but that single interview made me feel like we can make it through this.

Definitely impressed this time.

Flattening the Curve A great article on the response to the Corona virus

What my hospital is doing, is managing resources such as hand sanitizers, isolation gowns and masks. Other resources. I was in several areas today because of tasks I had to do, and each unit manages resources slightly differently. On three units, I had to ask the charge nurses for face masks. My unit is switching from disposable gowns back to our old yellow cloth one. Physical therapy will no longer be using the gyms in places, to save on wipes. Many other interventions.

Schools are closing in Seattle, NBA is being put on hold , vacations and business trips are cancelled everywhere, Trump is being a dick and blaming the entire EU.

All this sounds very ominous right? It’s scary, I agree.

This article describes the why of the response (excerpt Trump, he’s just a nasty, ignorant, piece of shit) given we were essentially without leadership at the National level with this outbreak, but science and scientists still rule facts and help with follow though. It’s a good read

The main uncertainty in the coronavirus outbreak in the United States now is how big it will get, and how fast. The Centers for Disease Control and Prevention’s Nancy Messonnier told reporters on March 9, “many people in the US will at some point, either this year or next, get exposed to this virus.”

According to infectious disease epidemiologist Marc Lipsitch at Harvard, it’s “plausible” that 20 to 60 percent of adults will be infected with Covid-19 disease. So far, 80 percent of cases globally have been mild, but if the case fatality rate is around 1 percent (which several experts say it may be), a scenario is possible of tens or hundreds of thousands of deaths in the US alone.

Yet the speed at which the outbreak plays out matters hugely for its consequences. What epidemiologists fear most is the health care system becoming overwhelmed by a sudden explosion of illness that requires more people to be hospitalized than it can handle. In that scenario, more people will die because there won’t be enough hospital beds or ventilators to keep them alive.

A disastrous inundation of hospitals can likely be averted with protective measures we’re now seeing more of — closing schools, canceling mass gatherings, working from home, self-quarantine, avoiding crowds — to keep the virus from spreading fast.

Epidemiologists call this strategy of preventing a huge spike in cases “flattening the curve,” and it looks like this:

“Even if you don’t reduce total cases, slowing down the rate of an epidemic can be critical,” wrote Carl Bergstrom, a biologist at the University of Washington in a Twitter thread praising the graphic, which was first created by the CDC, adapted by consultant Drew Harris, and popularized by the Economist. The chart has since gone viral with the help of the hashtag #FlattenTheCurve.


More: https://www.vox.com/2020/3/10/21171481/coronavirus-us-cases-quarantine-cancellation


I am at work. A big hospital with some of the sickest patients in the country. Tons of different infections that require isolation. My unit is a unit with a large immunosuppressive population. On my days off, the decision was made to pull all the hand sanitizer out of the halls and rooms


Also, there is a shortage

So, kicking it old school and washing my hands. A lot.

These southern Utah sites were once off limits to development.

He doesn’t need Romney as an excuse, but this makes me wonder..

These southern Utah sites were once off limits to development. Now, Trump will auction the right to drill and mine there

The Trump administration Thursday finalized plans to expand drilling, grazing and other forms of development across a broad area of southern Utah that used to be protected as two national monuments, Bears Ears and Grand Staircase-Escalante.

The decision comes more than two years after Trump dramatically cut the size of both monuments and will likely intensify a legal battle with tribes and conservation groups who have sought to have the protected areas restored.

The expanses of windswept badlands, narrow slot canyons and towering rock formations are sacred to several Native American nations and prized by paleontologists and outdoor enthusiasts. Bears Ears contains tens of thousands of cultural artifacts and rare rock art; in the rock layers of Grand Staircase, scientists have unearthed 75 million-year-old dinosaur fossils.

But the lands also harbor significant amounts of oil, gas and coal the administration hopes to develop. Officials from the Interior Department and U.S. Forest Service who manage the lands have said the new plans balance the region’s economic interests against the need to safeguard natural and cultural wonders.


What It Looks Like When a Hospital Erases $11.9 Million in debt

After our investigation, Methodist Le Bonheur hospital system erased thousands of patients’ medical debt. Many will no longer have to choose between those bills and their children or themselves. We want you to meet four of them.

In 2018, the massive nonprofit health care system sued her for just over $11,500 in unpaid hospital bills, plus $3,800 in attorney’s fees. In April, a Shelby County General Sessions Court judge ordered her to pay $150 per month toward the debt.

If she was lucky, the envelope contained only a warning. If she wasn’t, it was another attempt to garnish her paycheck, even though she wasn’t even getting one.

Nervously, she opened the letter. “As of August 1, 2019,” it said, “your total amount due is $0 for docket ROBINSON, and we have notified the court that this account has been paid in full.”

“I had to read it a couple of times just to make sure,” Robinson said. “I couldn’t believe it. I went crying around the house.”


'I've been a nurse for 30 years, and I understand why so many of us can't do it anymore.'

(I work in a decent hospital, but I see new nurses struggling, as our hospital is an inner city one that has a increasingly difficult clientele. We get hurt, often by repetitive tasks, bed up and down patients pulled up in beds, heavy doors pushed open dozens of times a day.. I never have less than 5 miles of ‘steps” We get assaulted (something my hospital has taken decisive steps about) we deal with life and death. We are exposed to every kind of infected body fluid that can get infected, which is everything.

We are fiscally responsible because our hospital doesn't always break even, and we know cutting staff or staff benefits is ALWAYS on the table. And it’s the right thing to do.

It’s a great profession, still, and I can’t imagine doing anything else.)

Nurses know that every time they take a blood sample, give a medication, administer a blood transfusion, care for patients having a procedure, and countless other seemingly mundane tasks, there is potential for harm.

I still remember, as a graduate nurse, feeling an overwhelming sense of responsibility; that a moment’s inattention or carelessness could cost someone their life, and, on the flip side of the coin, that my skills and knowledge could make a difference, even be lifesaving. Nearly 30 years later, I still feel it.

Last year a friend suffered severe burns after a gas bottle explosion. Amid surgeries, skin grafts, dressing changes and a lot of top shelf analgesia, he told me that what affected him daily, more than anything else, was how he was treated by his nurse.

He needed explanations and rationale that made sense to him. He struggled with the frustration and powerlessness he felt when he wasn’t heard. It would have been easy to label him a difficult patient but it was those nurses who really saw and heard him who made the difference.


At least I know who I absolutely won't be supporting in the primaries

As far as supporting, Leaning toward Biden, albeit somewhat reluctantly—-(and yes I have my reasons)because he’s pretty clearly going to get the nom, and I might as well start practicing.
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