Right now there is a serious issue with discharging patients from the hospital environment into skilled care. Since COVID, many nursing homes don't take admissions over the weekend, limit admissions to long term care (as opposed to transitional care which is short term - and better reimbursed), and often have wait times. This has the effect of increasing the length of time a patient is in the hospital unnecessarily, thus decreasing hospital capacity.
Yes, the nursing homes have staffing issues, but they pay for shit. Many of them pay less than $20/hour. You need to goto school to get your CNA license which isn't free. You can get many other jobs for better pay without the investment of education.
Source: I am a hospitalist physician. I work with nursing homes a great deal and my wife used to work at one as a CNA.
My other half works in a nursing home. They contract out their nursing, and that contractor pays $16 per hour for CNA’s. You could go nearly anywhere in the local city and make that much, or more, and you won’t have to clean the shit off grandpa.
Physician here. The best marker we have of covid prevalence is wastewater testing. With the availability of home kits (and no reporting) and people refusing to test when symptomatic, the old markers of positivity rates and number of positive tests aren't as valid. Even hospitalization numbers can fluctuate for multiple reasons. Municipal wastewater testing truly gives a sense of covid in a population.
That's what I've been thinking. I can't even recall the last time I heard of anyone I know taking a PCR covid test.
And that makes it challenging trying to manage behavior. I've definitely noticed a marked uptick in people I know that have gotten covid in the past couple weeks, but when I try to look at the data to validate my anecdotal experience, it's difficult to find compared to two years ago. Oregon, for example, has wastewater monitoring, but the page used to convey the data doesn't work on mobile and is confusing to use at best.
Let’s you know which disease you have so you can more accurately know how to protect others. If you’ve a cold, stay home…if you’ve the flu, stay in bed and isolated. If you have covidy stay isolated and get meals delivered to bedroom.with mask and use separate bathroom etc.
A test doesn’t fix covid but if we don’t test, you have to assume every respiratory infection is covid and that’s not ideal for those with kids that get sick on average 14 times a year.
Definitive diagnosis is kind of like, a thing in medicine. We like knowing what stuff is, so should things take a turn for the worse, the correct treatment can be applied. We try not to guess in medicine, or go “welp, no idea, good luck, kid!”
Did they need treatment? You test to determine treatment, otherwise don’t test and stay home if you can. Testing for the sake of knowing it’s harmful to society.
Wastewater-based emidemiology guy here. Thank you for your recognition of the field! I work at a competitor of Biobot, and what I find interesting is the article claiming Biobot data showing a plateau, as our data is showing a significant uptick over the month of August.
On a different note, the majority of funding for WBE and wastewater surveillance comes from state/federal coffers, so please ask your colleagues to write to your representatives and ask for more funding towards WBE.
Do Republicans really want to open the can of worms of forcing prosecutors to actually prosecute cases? Because I see that being far more beneficial to the left in the long run.
Yeah, prosecutorial and police discretion on what to arrest and prosecute is actually the very source of much discrimination. Making it so all crimes must be prosecuted is actually a good thing I think, because it would eliminate that discrimination where some people slide while others are harshly punished.
Having so many laws that you cannot follow them all, but it’s not a problem because they’re not enforced is a problem! It means that the government can come after anyone at any time. Forcing all breaches of law to be prosecuted to the full extent without being able to set priorities would thus require the removal of many laws, which would be good.
Probably should have started with a small leopard rather than choosing to back an obese leopard with a looong track record of chawing on people’s countenances.
These fabled good cops need to start being as pissed off at the shit cops as they seem to be about the rest of us being pissed off about the shit cops.
Remember when conservative sheriff’s around the country literally ran on platforms of not enforcing state covid mandates? And conservatives ate that shit up!
I don’t know why some people are surprised by this, they are perfectly consistent: if they agree with the law it’s good and should be upheld, if they don’t agree with the law it’s evil and is destroying our country.
there’s absolutely no point in listening to any of their rationale or arguments because that will just leave someone either confused or brainwashed. this is never about what’s the best thing to do. instead, it’s about power.
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