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wathe

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Everything posted by wathe

  1. I think so. It's my kid's favourite style for comfort. It's also a very satisfying style to sew (cloth version)
  2. I've seen them described as "boat-style", because they look like a little folded paper boat.
  3. No such thing as diversion here - the next nearest hospital is too far away. We just have to suck it up and cope. ETA; I wish we could divert. but then we'd be in diversion all the time. We have. permanent "Ambulance Off-Load" nursing assignment.
  4. They are in emergency departments, as per NYT article. Blocking emergency department beds. Fewer beds available to provide emergency care to incoming patients in the department. Who will then get cared for in "non-traditional patient care spaces", AKA chairs in hallways, waiting rooms, alcoves, closets ,etc, by staff who are run off their feet trying to manage the bed-spaced inpatients as well as the never ending stream of incoming ED patients. This is my life. Working in a bed-blocked ED is very un-fun. ETA - I'm not in Alabama. I'm in chronically bed-blocked ED elsewhere.
  5. wathe

    Regeneron

    Yes. But only 15% reduction in mortality. Nowhere near as effective as vaccination.
  6. wathe

    Regeneron

    The Ontario Science Table quotes a 19% reduction in mortality with remdesivir. They do not quote a reference. I think it's safe to assume that that's a relative mortality reduction, not absolute. UpToDate (expensive professional medical information database) summarizes the evidence for remdesivir, with references, on their "COVID 19: Management in hopistalized adults" page. I believe that they've continued to provide access to their covid pages for free.
  7. Here recently a parent was fined $880 for sending a child to daycare with covid symptoms: https://www.cbc.ca/news/canada/toronto/vaughn-parent-fined-covid-19-daycare-1.6142610
  8. wathe

    Regeneron

    By a lot. $30-40 per dose vs $2000-2500 per dose. Almost a hundred fold difference.
  9. I'm sorry. She's an indirect victim of hazing. It's really not OK. I'm angry on her behalf. An inclusive, respectful, welcome to the team event would have been so much better.
  10. wathe

    Regeneron

    @ktgrok, @Pawz4me Yes, the dose itself is free of cost to the patient, but the administration may not be (and given what I think I know about US healthcare, I'm guessing that administration almost certainly will not be free of cost to the patient.) The government has said it will provide these doses at no cost to patients, though healthcare facilities may charge fees related to administration. From NYT: Under deals that each company struck with the federal government, the doses will be free of charge, although some patients, depending on their insurance coverage, may have to pay for administering the drug, which must be infused by a health care provider. Looks like the total number of doses purchases=d by the US government 1.5 million. That's not going to be enough to ensure free and timely access for all. Also, this is an expensive drug. $2000-$2500 per treatment. Someone (your government, your tax dollars) is paying for that.
  11. We have some in our department. None of the reasons are logical to me. All the same reasons for vaccine hesitancy as in the general population (HCW, of course, are regular people too).. Mostly fear: fear of something new, fear based on misinformation (including conspiracy types), fear based on ignorance (of how vaccines work, ie worried about their DNA). A few crunchy types who don't believe in vaccines at all. Some head-in-the-sand believing that they won't get sick because they're young and healthy and don't have risk factors. Some worried about vaccine complications or side effects. Vaccine uptake definitely correlates with level of education here: All MD's in my group are vaxed, at the earliest possible opportunity.
  12. All that tells us is that the coach doesn't understand what hazing is. Which in of itself is problematic.
  13. Exactly. That's hazing - purposely making her uncomfortable without her consent or foreknowledge, by a group with social power. It's not OK
  14. You know, I think that your school admin needs to know about this.
  15. This is hazing. Purposely causing discomfort (sleep deprivation), embarrassment (being given costumes to wear), harrassment (surprised awake at night in own home, kidnapped), regardless of member's willingness to participate, in a group context with a power differential.
  16. Faceshields protect eyes and face against droplets. They also decrease surface contamination of the mask. Covid is spread by both droplets and aerosols. It's true that face shields don't protect against aerosols, but protection from droplets remains important. IPAC wisdom is that glasses are not adequate to protect against droplets and/or splash. Standard safety glasses (with side shields) are also inadequate - they are meant to protect against impact. To protect against droplets and splash, you really need either goggles with indirect vents, or a faceshield. Faces shield plus mask studies (both with simulators) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7922468/ https://pubmed.ncbi.nlm.nih.gov/24467190/
  17. You need the perfect balance of fit, filtration and comfort. n95 have great filtration, but often too uncomfortable to wear properly for very long pleated disposable ear loop masks have great filtration and comfort, but sloppy fit Cloth masks are comfy, can have great fit, but filtration seems to be poor A really good and inexpensive solution is p disposable pleated earloop mask under well fitting cloth mask. Disposable mask provides the filtration, cloth mask fixes the fit, and the combination is comfortable enough to wear properly
  18. We supposedly have zero tolerance for violence and harassment, and abuse complete with signs. It’s bull. 1). You don’t know it’s going to happen until it happens 2). Violence and harassment and abuse are part some patients’ presentations : intoxication, dementia, psychosis, even personality disorders, and just the stress of being in an overcrowded emergency department. Nobody is at their best. We can’t refuse care to people who are medically unstable, and to evaluate medical stability, you have to assess the patient. zero tolerance policies look good on paper, but are actually impossible in EDs.
  19. Getting spit on at work is unpleasant. So is getting screamed at, sworn at, cat-called, pinched, hit, slapped, swatted at, scratched, bitten, licked, kicked, bodychecked, having a book thrown at your head from behind, and having a chair thrown at you. Ask me how I know. #EmergLife.
  20. I'm 20+ years in as well. We aren't allowed to go on diversion or bypass. The next nearest hospital is too far away. We just have to suck it up and cope. I'm sure that you are right. The fall-out from this pandemic in health care systems is going to last for years and years.
  21. I'm on team do pretty much nothing: Wash in the morning while showering with whatever bar of soap is in the shower (usually a no name version of Ivory or Dove). Sunscreen on days that I will be out in the sun, especially early in the season - but I am not consistent, especially later in the season. Weeks that I'm camping I do even less - just wipe with a wet wash cloth at the end of the day, skip the soap.
  22. I am glad to see a bigger effort to move toward gender parity this year. It's unbelievable to me that women's sprint canoe is in the Olympics for the first time this year (previously is was only men). There is nothing particularly male about canoe!
  23. Yes, disposable pleated surgical mask under well-fitting cloth mask is a really great quick and easy solution. Disposable surgical masks are made from melt blown polypro with excellent filtration, but have a sloppy fit. The cloth mask serves to fix the fit, so has to be well-fitting, but its filtration doesn't really matter; even a thin, single layer, cheapie one is fine, so long as it fits well.
  24. I don't think it's available everywhere. The only MAB we use here is tocilizumab, for very sick hospitalized patients. Monoclonal antibody cocktails aren't approved and aren't used outside of trials. I see that bamlanivimab has had its FDA EAU withdrawn in April. ETA: MAB's certainly aren't used here for patients who aren't very, very ill. Canada does tend to lag behind the US in approving drugs. I think that our singe-payer, publicly funded health care system is part of the reason for slower uptake of new drugs, especially for vey expensive drugs like MABs. If the state/tax-payer is going to be paying for it, then efficacy had better be a certainty.
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