Coronavirus COVID-19 - Global Health Pandemic #106

[Simply Southern]

Well that shoots CDC guidelines all to heck, but worry not, I am sure the CDC
will come up with some sort of response ---:

For 45 yo, I worked under CDC guidance, and regulations. Even had team on site during a Legionnaire outbreak. I've always found these folks to be amazing, no longer the case,

When the CDC didn't recommends mask from day one, I lost all faith and the new leaders have no restored it and lead is down and still confusing road.

Most all of what CDC is putting out is 100% against what we in HC have been taught/the science about mask, isolation of infectious diseases.

How in the world do they think HC workers, scientist and infectious disease experts and some citizens believe this information. I keep hearing "the science shows" the data shows", well I'm a number/data/policy/ wanna read it for myself person. I've not seen not ONE dang chart, slide, reference to who or where this science and data Dr Walensky speaks of comes from. She's on one of the morning showing and the evening news several times per week.

Moo....

 

[Sundog]

Did they say what their reasons were against vaccines mandates?

Yes.

ETA: Sorry, that email got away from me before I finished it.

They pretty much voiced their displeasure as a united group, they are against the mandate, and feel that it should be personal choice. They were supported by crowds of angry residents who are against the mask mandate that from time to time over the last two years has been mandated in our county (not right now, now there is no mask mandate, although it is highly recommended). In our state, Ohio, it is up to businesses and other institutions (school districts, colleges and universities) to decide on mandates.

 

[ilovewings]

For 45 yo, I worked under CDC guidance, and regulations. Even had team on site during a Legionnaire outbreak. I've always found these folks to be amazing, no longer the case,

When the CDC didn't recommends mask from day one, I lost all faith and the new leaders have no restored it and lead is down and still confusing road.

Most all of what CDC is putting out is 100% against what we in HC have been taught/the science about mask, isolation of infectious diseases.

How in the world do they think HC workers, scientist and infectious disease experts and some citizens believe this information. I keep hearing "the science shows" the data shows", well I'm a number/data/policy/ wanna read it for myself person. I've not seen not ONE dang chart, slide, reference to who or where this science and data Dr Walensky speaks of comes from. She's on one of the morning showing and the evening news several times per week.

Moo....

For me the CDC lost credibility almost from the beginning of the
pandemic

 

[Sundog]

duplicate

 

[LadyL]

Expect more worrisome variants after omicron, scientists say

 

[jjenny]

I posted the guidelines from NIH on the previous thread. It is a tier system, highest priority to unvaccinated, by age, placing the scale vaccinated on the lower end for treatment. Much has been posted on this and last thread about this. Additional a component for ethnicity and a few other factors.

My 80ish neighbor fully vaccinated is in ICU can't get monoclonal antibodies but three prisoners, unvaccinated from the local jail did. The daughter watched this unfold, they were a higher priority set by the government.

Moo

Guidelines are just that, guidelines. I don't think hospitals must follow them.

 

[x_files]

For 45 yo, I worked under CDC guidance, and regulations. Even had team on site during a Legionnaire outbreak. I've always found these folks to be amazing, no longer the case,

When the CDC didn't recommends mask from day one, I lost all faith and the new leaders have no restored it and lead is down and still confusing road.

Most all of what CDC is putting out is 100% against what we in HC have been taught/the science about mask, isolation of infectious diseases.

How in the world do they think HC workers, scientist and infectious disease experts and some citizens believe this information. I keep hearing "the science shows" the data shows", well I'm a number/data/policy/ wanna read it for myself person. I've not seen not ONE dang chart, slide, reference to who or where this science and data Dr Walensky speaks of comes from. She's on one of the morning showing and the evening news several times per week.

Moo....

I always found it quite bizarre they NEVER recommended masks immediately in Jan of 2020.
They had about a two-week window of containment and I believe it was already too late by Jan. 20th.
I read a great book that terrified me: PREMONITION by Michael Lewis. The CDC dragged its feet in the most crucial time frame.

 

[Simply Southern]

So many ethical questions. And would the elderly get treated over the unvaxxed? Or would the unvaxxed trump over all?

Sophie's Choice in Spades.

Unvaccinated receives priority. NIH guidelines

 

[Cool Cats]

Unvaccinated receives priority. NIH guidelines

Unfortunately you are right. I had to research yesterday to believe it. Here is another example:

I-Team: 93-Year-Old Veteran Denied Treatment For COVID-19 As State Prioritizes Unvaccinated

The I-Team has learned that hospitals are not able to meet the increased demand for treatment,

not because of an issue with supply, but a shortage of staff and space to administer the treatments.

According to state-issued guidelines, providers are advised to prioritize the unvaccinated and the immunocompromised.

 

[LadyL]

making the best of a pandemic lockdown:

'How Canadian can you get?': Winter patios are a thing in Windsor

 

[Simply Southern]

Guidelines are just that, guidelines. I don't think hospitals must follow them.

If you want to continue to receive monoclonal antibody, the contact with HHS and NIH have control. Yeap, so might be deceitful but risk being dominated from any government program, fines, penalty. Its come a with pages and pages of strings.

You can't give what you don't have.

Here's a great link answers almost all questions.

COVID-19 RESOURCES FOR HEALTHCARE PROVIDERS

 

[Simply Southern]

Unfortunately you are right. I had to research yesterday to believe it. Here is another example:

I-Team: 93-Year-Old Veteran Denied Treatment For COVID-19 As State Prioritizes Unvaccinated

The I-Team has learned that hospitals are not able to meet the increased demand for treatment,

not because of an issue with supply, but a shortage of staff and space to administer the treatments.

According to state-issued guidelines, providers are advised to prioritize the unvaccinated and the immunocompromised.

Why's isn't the media reporting this???

Here the HHS site, easy lay read. Answers a million questions and clearly outline the tier process and equitable access.


COVID-19 RESOURCES FOR HEALTHCARE PROVIDERS

Early intervention with monoclonal antibody treatment may reduce the risk of severe illness and hospitalization for people with COVID-19 who are at high risk of developing more serious illness. This webpage includes resources that can help you ensure rapid access to monoclonal antibody treatment for your high-risk COVID-19 patients.

 

[jjenny]

Unfortunately you are right. I had to research yesterday to believe it. Here is another example:

I-Team: 93-Year-Old Veteran Denied Treatment For COVID-19 As State Prioritizes Unvaccinated

The I-Team has learned that hospitals are not able to meet the increased demand for treatment,

not because of an issue with supply, but a shortage of staff and space to administer the treatments.

According to state-issued guidelines, providers are advised to prioritize the unvaccinated and the immunocompromised.

Now there is an issue with supply as well. Two out of three antibodies don't work against Omicron. And as far as I am concerned, prioritizing un-vaccinated is ridiculous. It's basically rewarding bad behavior. It would be like prioritizing smokers for lung transplants. Only smokers are going to get lung transplants!

 

[SouthAussie]

So many ethical questions. And would the elderly get treated over the unvaxxed? Or would the unvaxxed trump over all?

Sophie's Choice in Spades.

From what I understand, there is a bit of leeway.

#1 The NIH "suggests" the prioritisation
#2 All vaccinated people are not excluded in the prioritisation (being elderly is not a factor, but I would think that there will be plenty of immunocompromised vaccinated elderly people).


the (NIH) Panel suggests prioritizing

" ...... and vaccinated individuals who are not expected to mount an adequate immune response (see Immunocompromising Conditions below).
https://www.covid19treatmentguideli...ient-prioritization-for-outpatient-therapies/

 

[Simply Southern]

I always found it quite bizarre they NEVER recommended masks immediately in Jan of 2020.
They had about a two-week window of containment and I believe it was already too late by Jan. 20th.
I read a great book that terrified me: PREMONITION by Michael Lewis. The CDC dragged its feet in the most crucial time frame.

Is got wind of "the virus" in Dec from a CDC friend. I immediately starting ordering and shopping all local sources. They knew this was coming. They started "pulling in" CDC field folks in Dec. Wish I could share what I knew then and now but not without harm to my source. Moo..

 

[x_files]

Is got wind of "the virus" in Dec from a CDC friend. I immediately starting ordering and shopping all local sources. They knew this was coming. They started "pulling in" CDC field folks in Dec. Wish I could share what I knew then and now but not without harm to my source. Moo..

I was up late at night reading Twitter when I first started seeing bizarre video footage of China. I knew we were about to be hit with something horrific.
I tried telling friends they thought I was nuts. So by Dec. 21st I caught wind of the upcoming pandemic and started hunkering down. I'm grateful I was up late that night.

 

[pocketaccent]

It's not really a puzzle. In US we have a lot of obesity and other comorbidities.

The Standard American Diet is really horrendous and is why so many are living with comorbidities and obesity. It's called SAD because it's sad.

Sugar, food additives, high fructose corn syrup, natural flavorings (MSGs), artificial colorings, trans fats, to name a few, are contained in eeeeverything on our grocery store shelves. Something needs to be done to make Americans healthy again.

 

[Simply Southern]

From what I understand, there is a bit of leeway.

#1 The NIH "suggests" the prioritisation
#2 All vaccinated people are not excluded in the prioritisation (being elderly is not a factor, but I would think that there will be plenty of immunocompromised elderly people).


the (NIH) Panel suggests prioritizing

" ...... and vaccinated individuals who are not expected to mount an adequate immune response (see Immunocompromising Conditions below).
https://www.covid19treatmentguideli...ient-prioritization-for-outpatient-therapies/

HC finance officers play a BIG part in medical care in the US. We take suggestions as, you better do it. Any violation, misstep, proven favoritism, kickbacks can and will result in fines, jail time and loss of the ability to Bill/participate in Medicare, Medicaid or another government entity.

I've dealt with the OIG on fraud. Had an employee in AZ go to jail for 5 years, 2 in GA, 2 years each. Neighbors son in law the Dr. 2 years jail.

US Federal Marshall arrive with a warrant and guns drawn (I kid you not), escort everyone out of the building, you take nothing other than a purse, they pad lock the doors. Then they bring in people, lots of people, bring their own copy machines/paper. They copy all the provider records, patient charts. They leave the provider copies and take the orginials. Then charges are filed and the nightmare begins.

Most smart folks follow all suggestions.

Moo..

 

[anneg]

Yes, the hospital would rather have quick cash and not file. Congress failed to require hospitals to notify the patient.

Have your friend call the hospital financial office and ask about assistance under any and all federal programs. I'll try to look up and research for you but I'm excepting the SNOW Apocalypse here in the Virginia mountains. I don't expect to have power later tonight, hit me up if I forget.

I hope you don't lose power. We are expecting sleet and freezing rain here in central NC so we may lose power too. In-person church services are canceled, but we wouldn't have gone anyway.

 

[CrimeAway]

This week's TWIV Clinical Update with Dr Daniel Griffin:

Timestamps are in the comments if you watch on YouTube.