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Corona virus, the non-asshole thread

Well if nothing else, the pandemic has provided more evidence to support Darwin's theory of evolution. Not just in cases like this, where the weak, dumb, or ignorant die off to strengthen the gene pool of a species, but also showing how evolution works with random mutations of the virus, with stronger variants (like Delta) beating out less strong variants. Survival of the fittest. 

I was at Costco today, (Raleigh re-instituted the mask mandate a week or so ago), they had an employee handing out masks at the door to anyone that didn't have one. Probably 95% of the people in there had masks on (though a few below their noses), and then a handful just walking around proudly without one (and I am sure un-vaxxed too), almost with a smirk on their face - daring anyone to say something to them. It made me think about stories like this, and I just thought, there is a good chance they will be in the hospital soon enough, begging for science to save them. 

I just hope my 10 year old, who goes back to in-person school tomorrow for the first time in nearly 18 months, will survive the evolutionary pressure of these kinds of bonehead people, until he is able to get the vaccine. 
I've had numerous patients who will tell you they won't take the vaccine because:"we don't really know what's in it"... 

Yet they don't ask twice when I give them a bag of meds that I say will help them feel better...

 
delta is beginning to show dangerous trends in pregnant women who are unvaccinated...not good 

 
Hey, just saw this, thanks. 

I worked the weekend and it was wild, holding 20+ in the Er some for 36+ hours. Last night, we intubated 5 (in my shift inherited 3 from days). It got to the point that the hospital can't provide enough O2 pressure to run the vents on a normal settings so they have to set the vents on higher than normal rates. We ran out of RSI drugs in our med room and had to get the pharmacy to bring more. The sad thing is, there is about a 17-20% survival rate once you get a vent. We're doing everything we can, HiFlow O2 cannula and a non Rebreather and they are still sating 80-85%. It's close to a death sentence. 
That is just ... scary af.

 
That is just ... scary af.
Yup. I said a that to say we're tired. Many are leaving the front, some the profession all together. Those that want to stay are taking contract jobs paying $4.5-$10k/week. There's no way small critical access hospitals can compete. It's the same reason I'm leaving, I'm tired of unsafe ratios and making 1/3 of what the travelers taking the same assignments make.

 
Hey, just saw this, thanks. 

I worked the weekend and it was wild, holding 20+ in the Er some for 36+ hours. Last night, we intubated 5 (in my shift inherited 3 from days). It got to the point that the hospital can't provide enough O2 pressure to run the vents on a normal settings so they have to set the vents on higher than normal rates. We ran out of RSI drugs in our med room and had to get the pharmacy to bring more. The sad thing is, there is about a 17-20% survival rate once you get a vent. We're doing everything we can, HiFlow O2 cannula and a non Rebreather and they are still sating 80-85%. It's close to a death sentence. 


I work with a number of nurses and physicians that for their own reasons are hesitant to take the vaccine. Some have a hx of clots, some are pregnant, or plan to be. Others just want more data and an FDA approval etc. We recently were told that vaccination was going to be required and there was, imo some justifiable backlash. 
Didn't you switch jobs?

I am not doubting some people have legit medical issues that concerns for side effects are real. But most of the people do not. 

I've had numerous patients who will tell you they won't take the vaccine because:"we don't really know what's in it"... 

Yet they don't ask twice when I give them a bag of meds that I say will help them feel better...
This is the irony. Not just that, but also all the artificial crap that's loaded into all of the processed foods everyone eats.  

Pfizer just got full approval from the FDA - good news.
Great news. 

Being reported that 75 doctors have walked out in protest of being swamped by the unvaxed 
IMO, there needs to be a decision be these hospitals to deprioritize the untaxed, and put them into the back of the line when hospital space and staff is scarce. 

 
Didn't you switch jobs?

I am not doubting some people have legit medical issues that concerns for side effects are real. But most of the people do not. 

This is the irony. Not just that, but also all the artificial crap that's loaded into all of the processed foods everyone eats.  

Great news. 

IMO, there needs to be a decision be these hospitals to deprioritize the untaxed, and put them into the back of the line when hospital space and staff is scarce. 
I did. I worked a notice. 2 shifts left. 

The issue many have is that the same hospitals that forced us to work for over a year unvaccinated taking unsafe ratios, making us reuse single use PPE, all while withholding raises and paying travelers 3x as much now want to force us to get vaccinated by a non FDA approved vaccine or they will be fire us. 

Also, the same people will write us up for eating lunch at the nurses desk because we don't have time or staff to take a lunch...then they bitch because you didn't clock out for the lunch they didn't provide staffing to cover... 

I think it's just a lot of fatigue and pushback against the status quo at this point.

 
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Didn't you switch jobs?

I am not doubting some people have legit medical issues that concerns for side effects are real. But most of the people do not. 

This is the irony. Not just that, but also all the artificial crap that's loaded into all of the processed foods everyone eats.  

Great news. 

IMO, there needs to be a decision be these hospitals to deprioritize the untaxed, and put them into the back of the line when hospital space and staff is scarce. 
RE prioritizing beds for vaccinated is illegal. EMTALA. We have to see and treat them, just like all the homeless people who pretend to be suicidal Everytime the weather is bad, and the drug seeking toe pains and the "chest pains" who use EMS as the tax payer funded Uber. 

 
Our ED physicians see like 12 pts a night at this point. All our beds are full holding admitted patients. 
Yeah I get that the entire medical system is overworked and under stress but how does Doctors walking out help the situation?  It seems to me that they're just making the situation worse for their peers who are still in the trenches.

 
I did. I worked a notice. 2 shifts left. 

The issue many have is that the same hospitals that forced us to work for over a year unvaccinated taking unsafe ratios, making us reuse single use PPE, all while withholding raises and paying travelers 3x as much now want to force us to get vaccinated by a non FDA approved vaccine or they will be fire us. 

Also, the same people will write us up for eating lunch at the nurses desk because we don't have time or staff to take a lunch...then they bitch because you didn't clock out for the lunch they didn't provide staffing to cover... 

I think it's just a lot of fatigue and pushback against the status quo at this point.
Sounds like piss poor hospital management. Not that it's an excuse. Probably a big part of the reason you, and others are leaving. 

RE prioritizing beds for vaccinated is illegal. EMTALA. We have to see and treat them, just like all the homeless people who pretend to be suicidal Everytime the weather is bad, and the drug seeking toe pains and the "chest pains" who use EMS as the tax payer funded Uber. 
Yeah, I figured there were laws around that... It's gotta be frustrating for the medical staff. And for patients that are vaxxed that get turned away due to insufficient space. 

 
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https://profoundnews.com/parents-are-not-okay-the-atlantic/

Parents are not OK.

It was two weeks, originally. Who couldn’t do two weeks with the kids at home? Two weeks to bend the curve. It was simple.

Then it was two months—because nothing bent—and, well, we did two weeks and that went okay, so two months would be doable, right? Right?

And then it was summer, and kids are always home in the summer, so how was that different? Sure, we can’t go anywhere, but we’ll just do a little more TV, a little more iPad, a little more of everything we’re already doing. Besides, school is just around the corner and finally they’ll go back.

Except they didn’t. Instead it was a year in limbo: school on stuttering Zoom, school in person and then back home again for quarantine, school all the time and none of the time. No part of it was good, for kids or parents, but most parts of it were safe, and somehow, impossibly, we made it through a full year. It was hell, but we did it. We did it.

Time collapsed and it was summer again, and, briefly, things looked better. We began to dream of normalcy, of trips and jobs and school. But 2021’s hot vax summer only truly delivered on the hot part, as vaccination rates slowed and the Delta variant cut through some states with the brutal efficiency of the wildfires that decimated others. It happened in a flash: It was good, then it was bad, then we were right back in the same nightmare we’d been living in for 18 months.

And suddenly now it’s back to school while cases are rising, back to school while masks are a battleground, back to school while everyone under 12 is still unvaccinated. Parents are living a repeat of the worst year of their lives—except this time, no matter what, kids are going back.

I am a father. I have a 6-year-old and a 16-year-old. And what I can tell you is that I am furious and I am afraid. I can also tell you that the only real difference between this year and last is that the most effective tool for keeping our kids safe—remote school—seems to be off the table. When cases were plummeting this spring, most every district and state board of education made the quick decision to stick a knife in remote school. It was awful last year, don’t get me wrong, and I understand what motivated that decision. But now we’re stuck with full-on, 30-kids-in-a-room, wide-open school as the Delta variant rages.

It’s a real monkey’s-paw situation, because, as a parent, all I’ve wanted for a year and a half is for my kids to go back to school—for their sake and for mine—but not like this. Now I’m stuck wishing that the thing that barely worked last year was still an option, because what’s looming is way worse.

School is only just starting and already kids are being quarantined in mind-boggling numbers: 20,000 across the state of Mississippi, 10,000 in a single district in Tampa, Florida. They’re getting sick too, with hospitalizations of kids under 17 across the country up at least 22 percent in the past month, by the CDC’s count, and each new week sets pediatric hospitalization records for the entire pandemic. The rapid increase of COVID-19 cases among kids has shattered last year’s oft-repeated falsehood that kids don’t get COVID-19, and if they do, it’s not that bad. It was a convenient lie that was easy to believe in part because we kept most of our kids home. With remote learning not an option now, this year we’ll find out how dangerous this virus is for children in the worst way possible.

Of course, things can be done to reduce the risk to kids, but those very things are fueling pitched battles across the country. Masking, the easiest solution to reducing the spread of COVID-19, is at the center of the fight. Fourteen states require masks in schools, eight have banned local districts’ ability to make them mandatory, and every other state has kicked the can down to the local level so that parents can brawl at school-board meetings. Florida has gone so far as to threaten administrators with fines and firings if they defy the mask ban, making it seem like some governors, legislators, and run-of-the-mill assholes just won’t quit until kids are stacked like cordwood. And all of this assumes that the fight should be over masks, and not reinstating the ability to hold school online until every child can be vaccinated.

It’s enough to bring a parent to tears, except that every parent I know ran out a long time ago—I know I did. Ran out of tears, ran out of energy, ran out of patience. Through these grinding 18 months, we’ve managed our kids’ lives as best we could while abandoning our own. It was unsustainable then, it’s unsustainable now, and no matter what fresh hell this school year brings, it’ll still be unsustainable.

All this and parents are somehow expected to be okay. We are expected to send our kids off into God knows what, to work our jobs and live our lives like nothing’s wrong, and to hold it all together for months and maybe now for years without ever seeing a way out. This is not okay. Nothing is okay. No parent is okay, and I’m not sure how we come back from this.

Parents aren’t even at a breaking point anymore. We’re broken. And yet we’ll go on because that’s what we do: We sweep up all our pieces and put them back together as best we can. We carry on chipped and leaking and broken because we have no other choice. And we pray that if we can just keep going, our kids will survive too.
 
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