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Covfefe-19 The 12th Part: The Only Thing Worse Than This New Board Is TrumpVirus2020

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One scary note here in Boston - most hospitals have flipped ICUs to "disaster documentation levels", which means that the enormous amount of constant patient documentation of these high acuity patients is reduced to allow for more time for actual patient care. We dropped this in June, and now we're back. So far it's just ICUs, but soon enough it'll be other patient units.

I’m with Kepler on this. Can you please expand on this a little more?
 
Sorry - meetings all day and you need to use proper industry vocabulary and the habit just... sticks...

Acuity = amount of care a patient needs. High acuity = requires lots of care. Patients in the ICU are monitored like crazy and the amount of documentation is substantial. When we go to "disaster documentation" the amount of documentation required is significantly reduced, which frees staff up to actually take care of the patients instead of spending 2/3 of their work day hovering over a computer and entering all kinds of assessments. The ICU in my hospital is at about 90% capacity right now (only 20 beds - it ain't big), and staffing levels are very difficult to maintain when there isn't a pandemic on.

Now that we're 9 months into the pandemic we're a lot better at caring for patients - we don't admit them as quickly as we did in April and we don't jump to intubation as quickly either (I'll leave the actual healthcare professionals to explain that, all I do is determine workflows and match them to IT infrastructure). As such, we have fewer admitted patients per infection, but those that are admitted are, on balance, probably sicker than they were in April. If you don't need to be in the hospital, most hospitals try to keep you out. You can see this in the CDC numbers - case fatality rate has been pretty steady since June or so, and is much reduced from early on.


My parent company (second biggest employer in MA) is also rapidly ramping up our telemedicine infrastructure in anticipation of future outpatient closures. It's my understanding that they do not intend to close clinics again, but are preparing in case it's necessary.
 
SD gov won’t discourage people to stop mixing households on thanksgiving.

osterholm just said it’s profoundly dumb. What does he know

the dakotas are an embarrassment
 
They said it couldn't be done...but today the US has reached a glorious milestone!! That is right WE CRACKED 200K CASES IN ONE DAY!!
 
They said it couldn't be done...but today the US has reached a glorious milestone!! That is right WE CRACKED 200K CASES IN ONE DAY!!
tenor.gif
 
Dang yo

dont you have a deductible where coinsurance kicks in? Even when I had four MRIs, a CT, an ultrasound, an X-ray, and two dozen blood draws I didn’t get to 5k OOP

In theory yes, still fighting over some bills because I shouldn’t have paid for some at all since they were covid related- but my insurance company is of course saying my symptoms were not covid related because it’s not one of the most common
 
Lol. Fuuuuuuuuck them with a cheese grater.

Thats just insane

The best part? They’re also my employer

a lot of people are gonna be fighting this for years as insurance companies try to say it’s related or not related
 
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