Let'm die!

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NHSleddog

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Are those lying doctors the "smart" doctors we are supposed to be listening to or are those lying doctors the "dumb" ones we are not supposed to listen to? Clearly they are lying and being deceitful, but they are singing the party line, so they will get a pass I'm sure.

People that can't count are easily scared by numbers and scary "number related" cartoons.

I like how they even mention the cartoons they make up that are wrong. The cartoons are effective though they even get posted here.

Did you hear him say "we can talk privately about this later and see how we hand it up to marketing" MARKETING? - SMH
 
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jimh406

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Are those lying doctors the "smart" doctors we are supposed to be listening to or are those lying doctors the "dumb" ones we are not supposed to listen to? Clearly they are lying and being deceitful, but they are singing the party line, so they will get a pass I'm sure.
Not sure, but I’m sure letting people know that doctors are lying is called “misinformation” like other information that is out there that doesn’t match the narrative.
 
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sheepfarmer

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Well the older woman is proposing number presentation to make things sound scarier, nothing I am in favor of, but the other two have not lied yet in their presentation of the state or county data. They describe anyone who is moved out of the ICU after covid treatment to another part of the hospital for further treatment as "recovered".

In Michigan the rule the bean counters followed, at least early on, was that if you tested positive and did not die after a certain length of time you were therefore recovered. Only sick people were being tested. Recovered quite obviously doesn't mean as good as new.

A frien
d was moved out of the ICU covid ward to another floor and struggled with breathing issues for another 3 weeks before dying. As long as the folks counting the cases, deaths and recovering numbers TELL you on their website as they say they do it is not lying. The problem is the people that read it and don't know how to do statistics or even arithmetic.
 

Henro

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A quick internet search turned up this:

There are "624,434 physicians in the United States who spend the majority of their time in direct patient care..."

So someone finds a few that speak nonsense. Then uses this to imply all doctors believe the same as this insignificantly small number...

Makes sense, right?
 

jimh406

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So someone finds a few that speak nonsense. Then uses this to imply all doctors believe the same as this insignificantly small number...

Makes sense, right?
Makes as much sense as saying everyone needs to get vaccinated because it will help a few people that are at risk.
 

Nicfin36

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Makes as much sense as saying everyone needs to get vaccinated because it will help a few people that are at risk.
I heard Joe say those not vaccinated need to take the shot in order to protect the vaccinated. 🤔
 

Jchonline

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Which snake eats his tail most is up for debate. I tend to favor capitalism over socialism for the most part.

I remember being in Russia traveling on the trans siberian railroad 50 years ago, and I sure learned my lesson about socialism when I had to wait for two or three hours to get served at a restaurant. Both in the train and on the ground.

We may not like what we think we see, but a lot of that is probably because we’ve never have seen the other side of the coin.
Its even worse than waiting 2-3 hours here now. The restaurants just closed up shop. So many around just can't make it with all of these ridiculous regulations surrounding COVID.
 

Henro

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Makes as much sense as saying everyone needs to get vaccinated because it will help a few people that are at risk.
Please explain that to the those the over 650,000 that have died from this virus left behind...guess everyone has a different definition of what a few is...

Granted from this point forward there will likely be less deaths, simply because the pool of those likely to get infected and suffer serious results is shrinking. But still, an additional 50,000 deaths over the next year is probably not unrealistic. Just a few?
 

Tornado

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Tornado, allowed by whom to determine the number of nurses? The state? The company? Basically what do we have to do to get it changed?
This reply is a very rambling sorry for that, but I try to go over the issue in a way that gives some example into the problems of the industry from my perspective.

The regulations in long term care facilities is very strict, and it comes from all places. Some are state regulations, many are imposed by Medicaid and Medicare requirements. Medicaid and Medicare really are what keep long term facilities alive. This is how biden for example is able to mandate all healthcare workers be vaccinated. The mandate simply says any facility that receives funding from medicaid and medicare will be required to be fully vaccinated if they are to continue receiving funding. Well, that gives the long term facilities and MANY other healthcare facilities zero option. Without Medicaid and Medicare they die very quick deaths. Very few people in long term care are self funded patients.

The profit margin for many long term care facilities is also razor thin. Basically there is a minimum required nursing hours per patients in the facility. For every X number of patients you need X number of nurses. My wife has told me all the numbers and parameters before but I forget those details. The problem lately has been just meeting those nursing hours because of the staffing crisis. If you miss your required hours for the week, the facility has to go into what they call moratorium for a certain period of time. Moratorium means the facility can not accept any new admissions. If you continue to fail to meet hours you essentially end up costing the facility big money, and you catch the swift attention of your regional and corporate bosses in the company. Its a BIG no no to go into moratorium, to put it mildly. Its such an unforgiving environment. Not just in staffing but in everything these nurses do.

Everything is regulated so hard. Medication, charting, documentation, the amount of paper work alone is suffocating. Last week the state had surveyors show up at the building for review. They nearly got a very serious mark against them which resulted in corporate getting involved, everyone scrambling, because one of the nurses was monitored cleaning a glucose meter with alcohol wipes only, without using peroxide or a bleach solution. It was deemed improper improper cleaning of a device that could come in contact with a patient and they were hit with a Immediate Jeopardy tag, which is a serious infraction. They ended up having to dig up months of paper work, proof that the nurse was properly trained, proof that she had signed off on training. Over the next 30 days they will also have to show proof that they put in procedures to correct the issue. The nurse who did the improper cleaning wasn't even one of their employees, but a agency nurse, so they had to walk through with the regulators their procedures for training all agency nurses that come in to ensure they are properly trained. Just a nightmare over something seeming so small. Train every agency nurse that comes in? 100% impossible to do. Thankfully after working with the state reviewers all day, and having put in place all these measures, they removed the Immediate Jeopardy tag against them. The demands on what you "should be doing" are so unrealistic to the condition and reality on the ground that its just ridiculous. It is unattainable. So, my wife is constantly left feeling like nothing she does is good enough, she never wins, she never progresses. It is crushing, its depressing, it dashes any hope, any morale. It is the most grueling profession Ive ever witnessed. The two DON's before her at this building didn't even last 6 months before quitting. DON's at other area facilities she knows of have seen multiple turn overs as well in the same time frame. The turnover rate is through the roof. In 1 year my wife has trained and watch leave about 6 ADON's now (Assisstant director of nursing). Everytime they come in and put in their resignation notice it depresses her. ADON is the DON's right hand, and you need a good one. So my wife ends up trying to do the jobs of both most the time.

I've rambled forever here. The question was how to fix this monster. My wife could give you a few good bullet points on fixing the problem, but they are big things that likely arent going to happen. The problem is that medicaid and medicare are the monetary backbone of this industry. They pay what they pay, and they set the standard of care that must be met, so the companies meet that mark but do not exceed it, because if they exceed it they lose money. The profit margin is so thin that you cant afford to just over staff facilities. Ultimately that would be the fix though - MORE STAFF ON THE FLOOR. The ratio of # of patients to # of nurses needs to change. Nurses could take the time to sanitize every item properly if they didn't have to pack 20 hours of work into a 12 hour shift for example. The demands for each nurse to be 100% in compliance, and deliver good care at the same time, is 100% unattainable. Something is forced to let slip. If you could have just like 1 extra nurse added to the current ratios, it would immediately improve the problem.
 
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jimh406

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Please explain that to the those the over 650,000 that have died from this virus left behind...guess everyone has a different definition of what a few is...
Of course, you can’t help people who are already dead by getting more people vaccinated, and that’s if you believe those numbers aren’t inflated.

The numbers we all see is that almost all demographics have less than 1% chance of a serious complication. Even then, if we spent more effort to explain why some recover and some don’t, and let all treatments be used, those people would likely recover as well.
 
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Fastball

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My wife already faced the mandatory vaccinations and did chose to get vaccinated.

The second shot put her down for 3 days with a severe migraine. That means a "Hell no!!!" In her book when they started talking about a mandatory booster.

She's in the same boat as your wife. She's not the DON, but is a department head at a nursing facility. Over worked, over stressed is a daily occurrence. Facility is way understaffed.

Why put up with all that crap, when you can take a factory job making similar money, and 1/8th the stress 🤔🤔🤔 In some cases (CNA's) can go to a factory and make more money.
A migraine? Wow…that’s just terrible.
Certainly a reason not to vaccinate yourself against a highly virulent virus that killed over 700K (and counting) Americans. Good luck to you both.
 

Porcupine

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A migraine? Wow…that’s just terrible.
Certainly a reason not to vaccinate yourself against a highly virulent virus that killed over 700K (and counting) Americans. Good luck to you both.
You might feel differently if you had to suffer them frequently for a highly dubious benefit.
 

sheepfarmer

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This reply is a very rambling sorry for that, but I try to go over the issue in a way that gives some example into the problems of the industry from my perspective.

The regulations in long term care facilities is very strict, and it comes from all places. Some are state regulations, many are imposed by Medicaid and Medicare requirements. Medicaid and Medicare really are what keep long term facilities alive. This is how biden for example is able to mandate all healthcare workers be vaccinated. The mandate simply says any facility that receives funding from medicaid and medicare will be required to be fully vaccinated if they are to continue receiving funding. Well, that gives the long term facilities and MANY other healthcare facilities zero option. Without Medicaid and Medicare they die very quick deaths. Very few people in long term care are self funded patients.

The profit margin for many long term care facilities is also razor thin. Basically there is a minimum required nursing hours per patients in the facility. For every X number of patients you need X number of nurses. My wife has told me all the numbers and parameters before but I forget those details. The problem lately has been just meeting those nursing hours because of the staffing crisis. If you miss your required hours for the week, the facility has to go into what they call moratorium for a certain period of time. Moratorium means the facility can not accept any new admissions. If you continue to fail to meet hours you essentially end up costing the facility big money, and you catch the swift attention of your regional and corporate bosses in the company. Its a BIG no no to go into moratorium, to put it mildly. Its such an unforgiving environment. Not just in staffing but in everything these nurses do.

Everything is regulated so hard. Medication, charting, documentation, the amount of paper work alone is suffocating. Last week the state had surveyors show up at the building for review. They nearly got a very serious mark against them which resulted in corporate getting involved, everyone scrambling, because one of the nurses was monitored cleaning a glucose meter with alcohol wipes only, without using peroxide or a bleach solution. It was deemed improper improper cleaning of a device that could come in contact with a patient and they were hit with a Immediate Jeopardy tag, which is a serious infraction. They ended up having to dig up months of paper work, proof that the nurse was properly trained, proof that she had signed off on training. Over the next 30 days they will also have to show proof that they put in procedures to correct the issue. The nurse who did the improper cleaning wasn't even one of their employees, but a agency nurse, so they had to walk through with the regulators their procedures for training all agency nurses that come in to ensure they are properly trained. Just a nightmare over something seeming so small. Train every agency nurse that comes in? 100% impossible to do. Thankfully after working with the state reviewers all day, and having put in place all these measures, they removed the Immediate Jeopardy tag against them. The demands on what you "should be doing" are so unrealistic to the condition and reality on the ground that its just ridiculous. It is unattainable. So, my wife is constantly left feeling like nothing she does is good enough, she never wins, she never progresses. It is crushing, its depressing, it dashes any hope, any morale. It is the most grueling profession Ive ever witnessed. The two DON's before her at this building didn't even last 6 months before quitting. DON's at other area facilities she knows of have seen multiple turn overs as well in the same time frame. The turnover rate is through the roof. In 1 year my wife has trained and watch leave about 6 ADON's now (Assisstant director of nursing). Everytime they come in and put in their resignation notice it depresses her. ADON is the DON's right hand, and you need a good one. So my wife ends up trying to do the jobs of both most the time.

I've rambled forever here. The question was how to fix this monster. My wife could give you a few good bullet points on fixing the problem, but they are big things that likely arent going to happen. The problem is that medicaid and medicare are the monetary backbone of this industry. They pay what they pay, and they set the standard of care that must be met, so the companies meet that mark but do not exceed it, because if they exceed it they lose money. The profit margin is so thin that you cant afford to just over staff facilities. Ultimately that would be the fix though - MORE STAFF ON THE FLOOR. The ratio of # of patients to # of nurses needs to change. Nurses could take the time to sanitize every item properly if they didn't have to pack 20 hours of work into a 12 hour shift for example. The demands for each nurse to be 100% in compliance, and deliver good care at the same time, is 100% unattainable. Something is forced to let slip. If you could have just like 1 extra nurse added to the current ratios, it would immediately improve the problem.
Thanks Tornado, discouraging. Seems like only thing we (the tax paying public that contribute to Medicare and receive it) could do is lobby for change. With my local elected reps that’s like spitting in the wind, but doing nothing is not a good thing either. The money making companies would and do kill patients to solve the problem If it weren’t for Regs and inspections.Latest scandal I read about is over medicating patients because they don’t have the staff to care for them, so dope them up so they can’t move until they get gangrenous bedsores and die.
 
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Porcupine

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A quick internet search turned up this:

There are "624,434 physicians in the United States who spend the majority of their time in direct patient care..."

So someone finds a few that speak nonsense. Then uses this to imply all doctors believe the same as this insignificantly small number...

Makes sense, right?
Don’t minimize this.

The individuals in question manage, supervise and direct the 624,434 doctors who are actually directly caring for patients.

They’re telling them what to do, and in many cases what to think, and frequently overriding their expertise.
 

Porcupine

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Jun 15, 2021
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Thanks Tornado, discouraging. Seems like only thing we (the tax paying public that contribute to Medicare and receive it) could do is lobby for change. With my local elected reps that’s like spitting in the wind, but doing nothing is not a good thing either. The money making companies would and do kill patients to solve the problem If it weren’t for Regs and inspections.Latest scandal I read about is over medicating patients because they don’t have the staff to care for them, so dope them up so they can’t move until they get gangrenous bedsores and die.
So it’s not an over regulation/excessive administration problem, it’s a healthcare workers want to kill their patients issue?

”Hey Jimmy, if we kill off a couple extra patients this week we might be able to get off early on Friday.”
 

Porcupine

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Almost every single person working in healthcare is being impacted by COVID patients. Make no mistake even the bean counters are dealing with it DAILY, HOURLY. Even in smaller clinics outside hospitals (with all the restrictions, scheduling, precautions, testing, changes to normal process). Assuming COVID is only impacting those nurses in hospitals treating a COVID patient directly is absolutely inaccurate. Heck even the IT people have to drop everything they are working on all the time to work on COVID initiatives. It is pretty much everyone.
I’d suggest to you that the nurses and the system in general are dealing more with the consequences of our wildly inappropriate response to CoViD than CoViD. There really is no medical reason for the upheaval.
 
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