Cases rising or dropping by you?

Which states?

The decisions of the Navy ships were never up to NY.
The WH and Pentagon were the ones deciding who to treat and what the admit procedures were.
Mercy was sent to only allowed to relieve pressure in the city by only accepting non-COVID patients. The Comfort was also initially only meant for non-COVID patients, but Cuomo requested to the WH for the ship to admit COVID-positive patients as well. But, the admit protocols were overly complicated.

U’re right. Cuomo kept saying the hospitals were overwhelmed; however, never took advantage of the availability of the Mercy ship. They could have easily relieved the Hospital by transferring low to moderate acuity patients to Mercy openIng up the census for COVID-positive pts.
 
U’re right. Cuomo kept saying the hospitals were overwhelmed; however, never took advantage of the availability of the Mercy ship. They could have easily relieved the Hospital by transferring low to moderate acuity patients to Mercy openIng up the census for COVID-positive pts.

I think you missed the part where I wrote that the admit protocols (from WH and Pentagon) onto the ship put up an unnecessary hurdle.

Here’s an excerpt from an article I read online:
New York Gov. Andrew Cuomo said this week federal “protocol" also prevented the ship from accepting residents of a Brooklyn nursing home that lost 55 people to the virus.
 
No-one really pulled at this particular thread but I would love to hear an explanation over what protocol or hurdle prevented the ships and field hospitals from taking in patients.
 
No-one really pulled at this particular thread but I would love to hear an explanation over what protocol or hurdle prevented the ships and field hospitals from taking in patients.
I had the same questions. But having worked for a VA Medical Center before, I knew there had to be a lot of governmental protocols.

This doesn’t completely spell it out, so you sort of have to read between the lines quite a bit, but what is said gives one a good idea of what their official capabilities were.

https://news.usni.org/2020/03/29/usns-mercy-is-open-for-business-says-hospital-ships-top-doc
And this is from when the ships had been onsite for a while, but taken very few patients:

https://www.google.com/amp/s/www.ne...ort-navy-hospital-ship-patients-1495928?amp=1
I kind of understand what they’re saying here. They’re in a war zone and need help, but all they’re hearing is no, we can’t. I also get what a pp is saying, why not transfer some patients in who were low to moderate acuity non-Covid patients. But I think what they felt they needed help with was with Covid patients, as their care was such a drain on resources and staff; in other words, it would’ve helped give them a break. That’s when higher ups got involved to see what the delays were and how they could expedite getting some more patients onboard, including those with Covid, which originally, was not in their realm.
 

We just had (a tie) for the single highest new cases in one day. Our positivity rate has also climbed steadily for the past 2 weeks.
 
https://www.click2houston.com/health/2020/09/21/young-houston-doctor-dies-from-covid-19/

As someone who has family and friends go through med school and residency to achieve their dreams of becoming a doctor, this kind of news is very heartbreaking. And the symptoms she had....
Young and (presumably) healthy.
That is very sad. It sounds like she had a history of asthma and other respiratory illnesses. She died a medical hero, who no doubt saved others’ lives. May she RIP. ❤

Unfortunately there have been by many others lost from the front lines, too. It is a very hard place to be and I don’t think we’ve seen the full emotional or physical fallout from it yet. People are still working hard: 😞

https://www.fr24news.com/a/2020/08/...e-workers-around-the-world-lost-to-covid.html
 

I was just thinking about this today. I read an article that Dr. Fauci was telling people to prepare to hunker down this fall and winter and that a second wave is coming. I was wondering if people thought we would have another shutdown, or if they would not take such drastic measures. Maybe not a total shutdown, just tighten things up.
 
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I had the same questions. But having worked for a VA Medical Center before, I knew there had to be a lot of governmental protocols.

This doesn’t completely spell it out, so you sort of have to read between the lines quite a bit, but what is said gives one a good idea of what their official capabilities were.

https://news.usni.org/2020/03/29/usns-mercy-is-open-for-business-says-hospital-ships-top-doc
And this is from when the ships had been onsite for a while, but taken very few patients:

https://www.google.com/amp/s/www.ne...ort-navy-hospital-ship-patients-1495928?amp=1
I kind of understand what they’re saying here. They’re in a war zone and need help, but all they’re hearing is no, we can’t. I also get what a pp is saying, why not transfer some patients in who were low to moderate acuity non-Covid patients. But I think what they felt they needed help with was with Covid patients, as their care was such a drain on resources and staff; in other words, it would’ve helped give them a break. That’s when higher ups got involved to see what the delays were and how they could expedite getting some more patients onboard, including those with Covid, which originally, was not in their realm.
Thanks for taking the time to share these, I read them both and remember lots of articles like that but no matter how closely I look they are all evasive of the root cause. To me it does make sense they would not want to invite the infection that has ravaged ships onto a ship, that would have been a horrendous error so it's completely reasonable they only wanted non-covid patients. Both articles do mention dhow the patients need to go through a standing hospital and then be transferred to one of the boats as if they were within the hospital network so I still think these sorts of comments support that this has all to do with the benjamins, the hospital administrators said they wanted help but they really wanted fed money to make more money and when they got help instead of money they got boxed into a corner. (Notice I am not at all lumping nurses or Dr's into this, I think they genuinely wanted help in the form of extra hands). Played out like when you give a homeless person with a sign asking for lunch a sandwich and they get mad, the sign says they want lunch but what they want is a $20 for something else. Early on there were conversations about how many of the most stricken hospitals were all in the red before this and later when there was a push to reopen I was reading all the complaints from hospital administrators about how the stalling of elective procedures (gravy) was ruining the bottom line so we needed to get those back up and running. Now I get that these facilities require funding but in a crisis you need to put things aside and do the math later, that's in the oath, too bad administrators don't need to take an oath.

I often contemplate those amazing field hospitals the army corps of engineers set up, no explanation about why they were quietly pulled down with little if any use but I suspect it was the same reason. Those facilities were extraordinary and for a moment there I thought things were finally coming together.

Honestly, I want an account from all parties of why it played out the way it did and I want to know what has changed so that when the next wave hits, which seems inevitable, we won't be in the same frantic position with facilities, Dr's and Nurses stretched beyond their limits. Not sure I'll ever hear any explanation through the news or whatever but the questions still aren't going anywhere, they are going to linger.
 
I was just thinking about this today. I read an article that Dr. Fauci was telling people to prepare to hunker down this fall and winter and that a second wave is coming. I was wondering if people thought we would have another shutdown, or if they would not take such drastic measures. Maybe not a total shutdown, just tighten things up.
I don’t think things will totally shut down again, but I can definitely see a need for tighter restrictions.

Wisconsin is one of the states continuing to get worse, among the worst in the country right now, but other than an extended mask mandate, nothing is changing. We need to crack down on college students and parties/bars.
 
I don’t think things will totally shut down again, but I can definitely see a need for tighter restrictions.

Wisconsin is one of the states continuing to get worse, among the worst in the country right now, but other than an extended mask mandate, nothing is changing. We need to crack down on college students and parties/bars.

Close the bars and schools and require masks. That seems to be the winning formula.
 
Wisconsin is one of the states continuing to get worse, among the worst in the country right now, but other than an extended mask mandate, nothing is changing. We need to crack down on college students and parties/bars.
Interesting thing I learned this morning about Wisconsin numbers. They only count the first test result for a person in the number of tests. So my son was tested in June, his test came back negative and was counted as a negative test then. If he gets tested again and comes back negative, he will not count in the total number. If he tests positive, he will count as a positive test but not in the general number of tests. So while numbers are coming back higher, they are not as high as what the Governor would like you to believe.
 
The local news was covering there's a rapid test that is opening up at our mall with a 96.7% accuracy rate. The results come back within around an hour. The test however appears to cost $80. They also said it's slightly less invasive than normal nasal swaps. The tests don't go back as far by virtue of the test they just need to get far enough in to be considered wet. Apparently the test themselves has been in use for around 3 months already elsewhere.

I think the cost will prohibit some people from being able to get it but if you have the means and you need results ultra fast this is a great addition to the market of tests used in my area. I wish we could get to the point where majority of our tests can come back and accurately within a few hours at most rather than days to over a week or more than a week.
 
Interesting thing I learned this morning about Wisconsin numbers. They only count the first test result for a person in the number of tests. So my son was tested in June, his test came back negative and was counted as a negative test then. If he gets tested again and comes back negative, he will not count in the total number. If he tests positive, he will count as a positive test but not in the general number of tests. So while numbers are coming back higher, they are not as high as what the Governor would like you to believe.
Yeah, there are several ways to count test results, and of course any possible alternatives can lead to politicizing of results.

Florida counts all tests except repeat positives -- because repeat positives are not NEW cases. Your state is not counting any repeat tests.

As a practical matter -- to tell how your state is progressing -- I don't think it really matters which system you use, as long as you are consistent.

However, different reporting systems obviously will yield different results, so it's difficult to compare one state's results to another.
 
Close the bars and schools and require masks. That seems to be the winning formula.

Seems like closing the bars and keeping the schools open would be worth trying, what with schools being somewhat more essential than bars... It seems to be working fairly well in my state. Bars & nightclubs and movie theatres are about the only things still closed, and our cases are generally flat despite the localized outbreaks around several colleges. And that's three weeks in to the K-12 school year with most schools offering at least some in person option and many almost fully reopened.
 
As a practical matter -- to tell how your state is progressing -- I don't think it really matters which system you use, as long as you are consistent.
Except when you are using positivity rate as a benchmark. By taking more and more tests out of the pool of returned tests it is artificially increasing the positivity rate. To take it an extreme, I'm a member of an Indian tribe in WI. If they test everyone on the reservation, say 2,000 people and get 100 positive results that would be a 5% positivity rate, the next week they test the same 2,000 people plus one more and get five positive cases, that would be a 500% positivity rate.
 
The local news was covering there's a rapid test that is opening up at our mall with a 96.7% accuracy rate. The results come back within around an hour. The test however appears to cost $80. They also said it's slightly less invasive than normal nasal swaps. The tests don't go back as far by virtue of the test they just need to get far enough in to be considered wet. Apparently the test themselves has been in use for around 3 months already elsewhere.

I think the cost will prohibit some people from being able to get it but if you have the means and you need results ultra fast this is a great addition to the market of tests used in my area. I wish we could get to the point where majority of our tests can come back and accurately within a few hours at most rather than days to over a week or more than a week.

My sister lives in Orange County CA and she recently had her son tested. They did 2 tests for a total of 4 probes. One was a rapid and the other a test that took a few days for results. Insurance covered the longer test and then she had to pay out of pocket $125 for the rapid. I think she said the rapid wasn’t as accurate but she was still willing to pay for peace of mind.
 





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