No. It's not.The data you are using for these numbers is flawed.
You claim it is, but there's very little actual evidence to support that claim.
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No. It's not.The data you are using for these numbers is flawed.
The hospital is ‘full’ because there are no nurses and ancillary staff. Not because there are no beds. If they can afford to pay travelers they can afford to pay staff nurses. Problem is there are a number of jobs these days for nurses that don’t require adverse schedules. Weekends, holidays, nights etc that pay nearly as well. Let alone all the abuse that the nurses take from patients that now feel like they are a customer not a patient.Most hospitals across the country are in serious financial situations because of covid. They're still trying to climb out of the financial hole.
Increased LOS means less turnover, less patients. When the hospital is full, that means it's going to take longer for a bed to open up for an admitted patient who's still camping out in the ER. That means the ER has less beds to work with. Less patients, longer wait times.
Hospitals are not paid by the day. They're paid based on the diagnosis codes. An admission for respiratory failure with pneumonia is expected to discharge in x number of days and cost Y to care for so they will reimburse Z amount. If they are there longer than that, the hospital isn't making any more money.
It started by Joe and Kamala saying they wouldn’t get a vaccine that Trump promoted. Facts.No. Vaccine skepticism grew because of rightwing media pundits badmouthing it, while pushing useless medications like ivermectin and HCQ.
And MOST of those mainstream pundits were fully vaccinated, themselves.
Buddy, you know he knows every ding. Do what I do. Make some popcorn, protect you and your family and enjoy da Sunday fundamentals. Best to you.Point of the whole post is to show that what Joes Place has been pimping, and what others have said in the past taking issue with his opinion, have basically been echoed by a leading physician expert, who has talked to other leading physician experts.
Our local Holiday Inn Express ‘doc’ has been directly refuted. Naturally. Yet double down he does.
All he has to say is, ‘well maybe I could be mistaken…..these are good points…..I’ll defer to the scientists etc….” Nope.
Amen. Watching some NFL then gonna catch the Hawks at Carver later. Hoping for an exciting if not dominant win! I could do without another OT thoughBuddy, you know he knows every ding. Do what I do. Make some popcorn, protect you and your family and enjoy da Sunday fundamentals. Best to you.
Have fun my friend. Go hawks!Amen. Watching some NFL then gonna catch the Hawks at Carver later. Hoping for an exciting if not dominant win! I could do without another OT though
All true. Nurses have been abused and under paid for years, especially in Iowa (who I think still is around #48 in the country in average pay). Covid was the final straw for many, and I don't blame them. But it's has caused us and must systems to have to shut beds down. Which hurts patients. Hopefully administrators will learn some things from this and fix them going forward. But I have my doubts. And we already know insurance companies won't ever do anything helpful. And I'd still rather work with Medicare than Aetna or UHC. Waiting for private insurance auth to send a patient to post acute causes delays in discharge, often several days if you hit the weekend.The hospital is ‘full’ because there are no nurses and ancillary staff. Not because there are no beds. If they can afford to pay travelers they can afford to pay staff nurses. Problem is there are a number of jobs these days for nurses that don’t require adverse schedules. Weekends, holidays, nights etc that pay nearly as well. Let alone all the abuse that the nurses take from patients that now feel like they are a customer not a patient.
Being a nurse is hard and the nurses I know are constantly reassessing the current employment environment and choosing non hospital, or even, non clinic jobs. That is the problem along with constant attempts by Medicare to erode payments for physician services and facility fees.
Edit: right now, the percentage of COVID admissions locally is less than 5% of bed capacity. I know it is very similar where you are. So while, in the past, in Nov of 2020 and Nov-Feb 2021 for example, COVID was a huge problem, there have been many months that it hasn’t been and other factors are at play that aren’t DIRECTLY due to COVID.
Scientists have also been underpaid 😉All true. Nurses have been abused and under paid for years, especially in Iowa (who I think still is around #48 in the country in average pay). Covid was the final straw for many, and I don't blame them. But it's has caused us and must systems to have to shut beds down. Which hurts patients. Hopefully administrators will learn some things from this and fix them going forward. But I have my doubts. And we already know insurance companies won't ever do anything helpful. And I'd still rather work with Medicare than Aetna or UHC. Waiting for private insurance auth to send a patient to post acute causes delays in discharge, often several days if you hit the weekend.
True. 4 years of bench work was enough for me. The last year (2010) I made $13/hour with no benefits, on a department of defense grant. I was really grateful I got in to med school. I really didn't want to have to get a Ph.D.Scientists have also been underpaid 😉
Good for you. I have taken the tact that if people don't appreciate scientists, we provide 0 clinical work product. Doctors can start giving patients elixirs again.True. 4 years of bench work was enough for me. The last year (2010) I made $13/hour with no benefits, on a department of defense grant. I was really grateful I got in to med school. I really didn't want to have to get a Ph.D.
Echo that and @JWolf74. I also spent 2 years doing bench work as a research assistant with a UIHC PI whose office was in the VA. God I hated it. Couldn’t wait to move on. So God Bless ya for what you do!Scientists have also been underpaid 😉
Good for you. I have taken the tact that if people don't appreciate scientists, we provide 0 clinical work product. Doctors can start giving patients elixirs again.
I work with numerous mds. They don't pay what we want. We cease work.
It started by Joe and Kamala saying they wouldn’t get a vaccine that Trump promoted.
Point of the whole post is to show that what Joes Place has been pimping
Millions? Must not be an internist.If I quit, it will cost my MD owner, many of his own millions. He knows who butters his bread. Speaking of which, might be a good time to threaten to quit again
Oh, he is. He's raised a fair bit of cash over the years and put in his life savings.Millions? Must not be an internist.
It was way easier back in the day to do really well as a primary care doc, especially if you were seeing your patients in the hospital as well. But they also saw tons of people. I honestly think the development of the EMR and (mainly) documentation requirements have really cut down on productivity.Oh, he is. He's raised a fair bit of cash over the years and put in his life savings.
Yes, he wants to get out of his clinical practice. I agree.It was way easier back in the day to do really well as a primary care doc, especially if you were seeing your patients in the hospital as well. But they also saw tons of people. I honestly think the development of the EMR and (mainly) documentation requirements have really cut down on productivity.
I could probably get you a job driving a ready mix truck. Go get your CDL...If I quit, it will cost my MD owner, many of his own millions. He knows who butters his bread. Speaking of which, might be a good time to threaten to quit again
I went to school with Steve Streb and Adam Manatt was around in law school. I have had my brushes with concrete 😉I could probably get you a job driving a ready mix truck. Go get your CDL...
Overall death numbers didn't change much after we had the vaccine compared to before we had vaccine despite the fact that the most vulnerable died early.I think it is important to recognize the difference between the vaccine in Jan 21 vs today.
Delta was very deadly and Large numbers were seriously ill due to delta. The vaccine reduced the risk of death significantly with delta.
Fast forward to today. The dominant strains are not causing servere disease like delta did. the vaccine does not prevent infection, nor does it prevent spread. So we have to ask ourselves, what does the vaccine actually do.
Last time I looked, phizer and Moderna have not released their age stratified data so we would actually know who is is the most risk and who benefits the most from the vaccine. I still have no idea how they apply a broad vaccine recommendation when the risk of serious illness and death is so low for young people.
However you want to interpret their comments, the majority of Americans interpreted their comments as raising doubts about vaccine efficacy. Political expediency at its finest. Mission accomplished.No. They did not.
They raised doubts IF the recommendations of FDA and review bodies were over-ruled by the Executive Branch to "release a vaccine before election day".
That did not happen, but it was a viable concern.
WHO is funded by Bill Gates, big scientistRight? People claiming "remdesivir doesn't work" and it not recommended by WHO, when you can go directly to WHO's and NIH's sites and see that it is still a medication listed as effective against the virus.
Total clowns here that deny facts....
Are you sure? Most hospital systems are in serious debt due to Covid. Where you getting your info?A couple comments. U.S hospitals raked in billions in supplemental payments if an inpatient tested positive for Covid so there’s clearly an incentive to diagnose it. Nothing additional if they died. In my experience, death certificates are frequently done in a haphazard fashion with no clear guidelines, leaving plenty of leeway when filling one out. It seems clear that Covid deaths were over reported, possibly substantially, and for those clamoring for more science, one has to ask why the science hasn’t been done? It wouldn’t be complicated to assess this. Pretty clear an investigator is risking repercussions in many institutions if he/she pursues this question.
1. People being afraid to go to the emergency room with real problems due to COVID fearIf you think Covid deaths are "overcounted", then what are the reasons for the high mortality rates in 2022 in the US?
Be specific.
Obesity, processed foods, sugars, gyms, closing, not being able to exercise, pharmaceutical medicine to name a few. Lifestyle choices.If you think Covid deaths are "overcounted", then what are the reasons for the high mortality rates in 2022 in the US?
Be specific.
Our local 25 bed hospital pulled in $4.5 million in PPP.Are you sure? Most hospital systems are in serious debt due to Covid. Where you getting your info?
How much a given organization received via PPP is just one data point. Without other context there is no way to know how far those dollars stretched. What were there corresponding expenses? All organizations were obligated to maintain full employment for all staff for 8 weeks, etc.Our local 25 bed hospital pulled in $4.5 million in PPP.
A big one that belongs on your list is the postponement of all kinds of elective surgeries for months. True...some of those did not result in deaths, but deferred medical care did impact MANY.1. People being afraid to go to the emergency room with real problems due to COVID fear
2. People not being able to get into their PCP and needing to do virtual visits
3. Nursing staffs being short and causing delays in the emergency rooms and clinics and that delay leads to worse outcomes in non COVID illnesses
4. People being seen and discharged from ED’s and urgent care due to what was presumed to be COVID based on symptoms. The tests for COVID taking hours to result later in the pandemic and days early on causing people to be discharged to home with presumed diagnosis. Yet they really had more serious bacterial illnesses that were missed due to cognitive anchoring.
Those good enough? Now do I have data to support this? No. I haven’t looked for it. But just off the cuff I’d surmise that these factors played a role and maybe a significant one.
Overall death numbers didn't change much after we had the vaccine compared to before we had vaccine
Good thing we have things like "math" and "statistics" to show them they're entirely wrong.However you want to interpret their comments, the majority of Americans interpreted their comments as raising doubts about vaccine efficacy.
So? They're funded by lots of entities.WHO is funded by Bill Gates
Are they?1. People being afraid to go to the emergency room with real problems due to COVID fear
Obesity, processed foods, sugars, gyms, closing, not being able to exercise, pharmaceutical medicine to name a few. Lifestyle choices.
It's behind a paywall. I made assumptions based on your stellar other work.
I'm sure it's similar to every other time an article like this has been posted in the last 3 years
Jorden-esque level pivot here.At this point, almost 3 years in, why does someone care if the death numbers have been over or underestimated? What point are they trying to make? Even if overestimated, are they trying to say millions of people didn't die as a result of covid?