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Tweety

Med-Surg
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Content by Tweety

  1. Good Morning! Fran, so sorry to read about your painful frozen shoulders. I hope you can get the PT you need. Not good news regarding the virus here in Florida. 1200 more cases when yesterday it was 800 and almost gave me hope we were beginning to flatten the curve some. That said my county saw an increase of "only" 13. The hospitals here have plenty of beds and nurses. In fact nurses aren't getting their hours. A friend of mine that works at one of the smaller hospitals in town said their census the other day 30. Ours was 150 patients when our usual this time of year is about 300 to 350. But medicine isn't only one segment of the economy hurting here. It's bad for most businesses, and we are huge on hospitality our our busy winter season was destroyed, but grocery stores, etc.. I definitely see people here following the rules of social distancing, wearing masks, etc. But I worry we were a little late on the compliance. They are still saying it's going to get worse before it gets better the next couple of weeks. Hopefully the end though is in site. I went to the grocery store and they seemed well stocked in things. I got some toilet paper, so I'm good for a couple of months probably. Someone near me said "who would have thought we'd be so excited to see toilet paper!". They still don't have any beans which is a staple food for me, something I eat daily and I'm getting concerned about that. I may go back early this morning to see if they restocked. I just noticed the app I have that I used to order subs from them also has a payment option that you scan rather than touch the pin pad and I will try that. My financial advisor called me yesterday to see how I was feeling and if I thought I might need some money from my account. I told him I was still getting a paycheck and didn't need any cash and wasn't hurting at the moment. He also told me my account loss to day was 20%. I knew it was bad. He advised me to stay the course if I could stomach that and I said I could. He's hopeful my retirement plans will remain unscathed in the long term. I'm hoping too. Going to do some of the yoga from the series I bought and take a beach walk later today. Without having the gym or yoga class I've still maintained my weight about 12 pounds less than I was for the last 20 years. Maybe when I work with weights again it will rise, but I'm pleased I'm not gaining during the lockdown and that I can still walk on the beach for exercise and relaxation. BP was a nice good-for-me 117/79 last night. Hope everyone has a great day.
  2. Tweety

    President Trump National Scandal

    So instead of just yakking about it then do you have any information on the demographics that you would like to discuss or just want to leave a jab at us talking about the overall death rate and leave it at that?
  3. Tweety

    President Trump National Scandal

    Gotcha. That does make sense. Thankfully the death rate remains low regardless and that's a good thing. It is all over the place with people not having symptoms, to mild symptoms to people like singer Christopher Cross saying it's the worst illness of his life. Reporter Chris Cuomo says it's no bed of roses either. Florida has a about 12,000 positive cases with "only" 220 deaths. But 1500 hospitalizations which means a lot of people at home with it and the hospitals here aren't overwhelmed.
  4. Tweety

    Monday April 6 2020

    Good Morning! Joe I hope the anxiety clears. I think we all are having underlying stress and anxiety that's pandemic related. Ted, that's a lovely composition as always. Enjoy your string of days off within the confines of what you can do. Dianah was glad to hear that you're doing better. Hang in there Stars. J22, at least now your son knows and can come up with a treatment and lifestyle plan. Had to stop and read your post BC, hope work is going well. You may remember Christopher Cross, whom was a famous singer from the 70's. He's recovering from Covid and says it was the worst illness in his life too. I wish people would use common sense and not have to close restaurants for take out. I have passed one take out restaurant and saw the same thing, but little small groups like couples and families weren't distancing but strangers were. My niece sent me $15 to use on "Door Dash" delivery and I might do that. I'm getting very tired of my own cooking and might support businesses. However, my diet is still currently going on.............. I'm about to start my "good week" and am off for three days. Have some household chores and will take my walk later.
  5. Tweety

    President Trump National Scandal

    Yes, I imagine a lot of the presumed deaths from influenza or ARDS were Covid. Likewise, a lot of us that were sick in the early part the year or last year might have had it and recovered. And yes, now that we know watching the death count, now at 9,600 rise so quickly in real time is indeed horrifying.
  6. Tweety

    Sunday April 5 2020 Palm Sunday

    Good evening. I have a friend that went to the store and he said most people are now wearing masks. I have a cloth one a coworker made me and I'll use that in public. I too have a fat head so it hurts my ears if I have it on too long. I also had two others, one for myself and another coworker that a ARNP gave me, that seemed to have mysteriously disappeared at work. I'd hate to think someone stole them but I can't find them. Work is okay. I made it through another week without floating to the rule out Covid Floor that I volunteered for, which has seen a steady amount of admits and thankfully discharges and transfers of negative tests. They said they are expected a surge in the coming weeks. The number of cases in Florida has risen dramatically but there has been an every so slightly flattening of the curve. We are doing roadside testing of people but only with a doctor's prescription 11-5 pm all next week. I've made my groceries last, but need to go tomorrow or the next day to stock up more. My new dog is a monster. A couple of days she drug my trash all over the house, and yesterday she chewed up a journal.
  7. Tweety

    President Trump National Scandal

    I totally agree there are many people not being tested who would be positive. I'm not sure the death rate would increase just because we have increased testing. The number of positives would increase, the number of deaths might increase because we would know the cause of death. But an increase in cases doesn't not necessarily mean an increase in the rate of death. Say if the average death is 1 out of 100 why would that rate change just because you test more people? Thanks for the article, it's requiring an update of my Flash player which I'm not in the mood to do after my shift. Maybe another time. Sorry.
  8. Tweety

    Presidential Election 2020

    I really hate that it's this early and I'm sure it won't get much talk until the time approaches, but lets get it started anyway. First turning backwards to the invention of the political meme 15 years ago with Howard Deans scream. LOL https://www.nbcnews.com/politics/meet-the-press/howard-dean-s-scream-turns-15-its-impact-american-politics-n959916?fbclid=IwAR0kAJcaY8YxTlci_Yga0QJ63MmqeFniIvS487N9nHwYqHJ021gpcppuwrQ
  9. Tweety

    President Trump National Scandal

    I don't believe the US as the best health care in the world. One has to look at our rates or chronic disease, infant mortality rates, our longevity, the number of people without healthcare and realize we are falling behind many countries. We do however have the most expensive healthcare system in the world, but our outcomes don't match our spending compared to other countries. That's another opinion. Here, there have been spotty reports of "I was totally symptomatic but turned away". A friend of mine got turned away because his "fever" was 99 and got on social media claiming he was symptomatic and not tested. There are of course people falling through the cracks and I wonder if sick people are even reporting to be tested. That would be me if I wasn't a nurse, I get sick, I stay home to get well and don't call a doctor. But here there is a lot of testing. In fact our hospital which has only a few positive cases is starting to get overwhelmed with "rule out covid" cases. Mercifully most "rule out" Covid are not hospitalized. Florida is being highly criticized for cutting taxes, and cutting the budget including pandemic preparedness programs during the good times. Again, I don't want to say "I told you this was a bad idea" but I told you so. We're getting into a "mask war" territory. With the public now scrambling for masks, hoarding them and selling at horrible prices. People on Amazon that ordered masks are being scammed. Trump is wanting to limit orders from other countries, and Canada has issued a tit for tat response saying it's a two way street and his orders from the US shouldn't be canceled because the US needs parts from Canada. This is also true in Germany where a ventilator maker CEO says he needs parts from other countries as we are a global economy. My final thought is ventilators aren't a panacea. They cry is "more ventilators so we can save people". In fact most people on the vents with Covid are so sick they die. If I get that sick I need a ventilator, I'm going to have my living will tattooed on my chest and ask them and my family not to put me on a vent. You can save my vent for someone else. I might just post thoughts but probably am not going to get into the Democrat vs. Republican and the blame game any more. So many mistakes happened, so many lessons to be learned. We need to get through this. We need to realize we are in this together.
  10. Tweety

    President Trump National Scandal

    I was amending my post to say the above. To me more testing does not necessarily raise or lower the rate of death per number of positive tests. It does seem to raise the number of positives in relation to poorer countries that don't do massive testing the way Europe and America does. But in my mind the math is the same in the US and Germany. The number deaths vs. the number of positive covid tests. Mercifully although 1200 people died yesterday, the over all rate is 8,492 out of 311,658. There are nearly 15,000 people in the US pronounced recovered.
  11. Good morning! Stars, I hope the husband gets well. Sorry he has to take it so easy and won't be able to help you much but hope that he mends quickly. Wish I was there to help. Rose, hope the pup is okay and that you got some rest. I had a nice day day off. Weather here is gorgeous, but we need rain. I did my walk on the beach since I figure if I was going to walk for my exercise, why not do it on the beach. Parked at best friends. Made 6.75 miles. A county deputy (the beach town has no city police and a are under the jurisdiction of the county troopers) was driving up and down the beach and didn't say a word to the workers. The beach is noticeably less crowded without tourists and spring breakers during our busy season but there were still plenty of walkers/joggers. Corona virus has essentially ended a very successful season at its height. We're not the only place hurting now of course. Thankfully I'm not furloughed and have a job to go to. Tensions do seem a bit high, and as a leader, I'm not sure how to get us through it, other than being my calm and reasonable normal self. A tech just last week was sent home early said "I don't have any PTO to be sent home early". So I let her stay. The next week (last Wednesday) she was saying she wanted the next day off on Friday. I mentioned "you said you don't have PTO to take time off". She snapped at me in front of a patient she was walking and some coworkers "I have money. My son is wealthy!" I mentioned, "well the stock market and economy is crashing, I'm holding to my money". Her, very loudly and rudely "My son is Rolls Royce wealthy and I don't need money, I am tired of you talking down to me." and she storms off with her patient leaving me stunned. I'm done with her. It's not the first time she went psycho on me. Sounds like I work with a bunch of lunatics. Sometimes I wonder am I the abnormal one. I'm seeing people that are frayed on a good stay, definitely fraying at the edges. But most of us are coping well. Thanks so much for listening to my daily rants. Stay home if you can and lets get through this.
  12. Tweety

    President Trump National Scandal

    I wouldn't think it would matter if the death rate is based on the number of positive people, not the people tested over all. The other thing about having a compliant population is true. They don't even jay walk in Germany and they are very clean and tidy people. Their public bathrooms are so clean in some areas I've been to you can practically drink from they clean them so much. So if the government says to social distance to safe virus free, they will do it. Not high-five and shake hands, pile shoulder to shoulder at the beach, have more than on person in a golf cart if that's the rule, and talk about a hoax and media overblowing the situation. Mercifully the death rate is low, although Trump himself said there would be a lot of deaths.
  13. Tweety

    President Trump National Scandal

    Our state has a very Trump-supporting Republican governor and quarantines visitors driving in from a list of states that included New York, and was something he did prior to shutting down the state. He wasn't criticized for this, but was criticized for not shutting down the state. We have more cases that California, a liberal state, that has about 15 more million people the most populous state. We are seeing a lot of New Yorkers coming down. A lot of them actually have 2nd homes here. Not sure how I feel about asking them not to come out of a war zone like a refugee to their own homes but the governors of more nearby states are asking them to stay home. We ordinarily have a lot of New Yorkers as snow birds. It's a matter of time before hate comes out against them and their cars are keyed and vandalized. I wonder though to they really quarantine. I bet they go shopping to stock up on food, Home Depot and places like that first.
  14. Tweety

    President Trump National Scandal

    I certainly do expect a punch back to Pelosi. 100% expected and fine by me. But I don't expect, nor do I think it's professional, to punch Governors in the stomach while they are down and call them "complainers" and blame them for the situation they are in. I didn't like it when he did it to Puerto Rico when they got hit buy the hurricane and I don't like it now. He's incapable of putting aside pettiness and finding some compassion. When someone is having an MI you don't stop and say "well you did it to yourself, heart disease is preventable, and some complainers, especially that woman in Michigan, you know the one.......". You fix the problem, learn and grow. You find compassion to help the suffering.
  15. Tweety

    President Trump National Scandal

    Fact check shows this to be true. Obviously Trump had three years to correct the situation so hearing the blame game from him is a bit off to me. But I'll give this. https://www.usatoday.com/story/news/factcheck/2020/04/03/fact-check-did-obama-administration-deplete-n-95-mask-stockpile/5114319002/
  16. Tweety

    President Trump National Scandal

    Yes, we were caught with our pants down. Remember the article about the maker of masks that said he approached the Obama administration (among others) to require are masks and emergency supplies be made in the US and not outsourced? The answer was no and that's biting us in the ass. I think that instead of blaming states in the here and now and kicking people while we're down, I think these kinds of things do indeed need to be looked into so we're ready the next time. Right now the mistakes of our past are biting our butts, but I'd like to see leadership getting us through it and not rubbing our nose in it. Then taking leadership into how we should proceed in the future. I do think states and hospitals will definitely increase their stockpiles, but with orders for supplies being in the billions not sure when this will be done.
  17. Tweety

    President Trump National Scandal

    Can someone explain what Jared Kushner is saying when he says "our stockpile". I know he's talking about the federal stockpile of emergency supplies, but what am I missing here. The stockpile, by definition, "is the nation's largest supply of life-saving pharmaceuticals and medical supplies for use in a public health emergency severe enough to cause local supplies to run out," according to the US government's website about the stockpile. This whole idea of he and his father placing the blame game on states for not being prepared is starting to really bother me. https://www.usatoday.com/story/news/politics/2020/04/03/coronavirus-jared-kushner-draws-backlash-our-stockpile-comment/2938648001/
  18. Tweety

    President Trump National Scandal

    I understand completely and am not advocating that they stay open. I'm just saying if the economic collapse continues for a long period of time it can't be sustained without extreme social unrest. Florida has an extremely large hospitality industry with as many 500,000 people furloughed from that industry alone..restaurants, theme parks, hotels, etc. It's not just "Hobby Lobby (whom I despise) or gun stores. Right now I favor shutdown over life's saved. Being who I am I also look at the future. https://www.politico.com/news/2020/04/01/unemployed-workers-benefits-coronavirus-159192
  19. Tweety

    The Congressional Thread

    I know we're not supposed to restart closed threads, but how about an AOC/Green Deal/Socialist thread? "The Latina Thing" https://news.yahoo.com/ocasio-cortez-fires-back-at-fox-news-over-latina-thing-segment-140426925.html I would think she knows how to say her name. I've seen bilingual people pronounce their name and other words while speaking in English with an accent. It's nothing to be made fun of. I think she would know how to say her name. Of course her firing back is a bit of her usual bravado and arrogance.
  20. Tweety

    The Congressional Thread

    Like I said, the expected response. https://www.foxnews.com/politics/republicans-pelosi-panel-coronavirus-oversight
  21. Tweety

    President Trump National Scandal

    I understand. With 10 million people applying for unemployment, those people hopefully won't starve and become homeless and get something. It's not like everything was pulled under the rug for them. Naturally some people will fall under the cracks and suffer. But also some people will pass on the infection and kill others. Today we will reach 6,000 deaths. A small number given 250,000 positive cases and it's encouraging but to me it's still stunning that we went from zero to 250,000 so fast. The unknown is when it will stop. It's not an easy situation. But I get it, worst case scenario if this goes on is that it can't be sustained and society will collapse. But it is too late because the economy is crashing, and states like Florida that delay shutting down are getting such backlash from the general public and health officials they are now shutting down the state. We need to do our best to get people back to work and on that I can agree. I do hope it's not too late to become worst case scenario as you describe.
  22. Tweety

    The Congressional Thread

    I'm not. She offered to shake his hand and he refused, then she ripped up his speech, and so it goes. At the end of the day I blame them both, but I love her stubborn fierce take no crap attitude. It's how she's made it this far and being 80 years old and being at the top of her game at the height of her career is admirable to me.
  23. Tweety

    Likelihood of a nursing draft with COVID19

    There is some talk about "hazard duty pay" for nurses. I am not on the front line as I'm not a critical care nurse, but volunteered to go to the "rule out Covid Unit". Right now nurses are stepping up and not being forced to care for these patients and the volunteer system is working quite well with plenty of staff. I don't know what's going to happen in the future, but I dread the idea of making nurses go into this situation that don't want to go, or that have health issues, or are caring for people with health issues.
  24. Tweety

    The Congressional Thread

    https://www.tampabay.com/news/nation-world/2020/04/03/in-time-of-crisis-trump-pelosi-relationship-remains-broken/
  25. Tweety

    Friday April 3 2020

    Good morning! Joe, have a good day. There's a Mexican restaurant here at the beach that is open for take out, at least for now. Some of the restaurants here sadly aren't getting enough take out orders and are starting to close as well. Stars, kind of wondering does that hospital not have room phones you can talk to your husband? Ted, hope you have a good shift. Wonder how you can go out shopping for presents. Here we can go to the grocery store, Walmart and Target. Herring, it's not stay at home when you visit people and stay six feet apart, but I get it. Enjoy if you must. Work for me was okay. We're still low census. They weren't able to give us a tech and I specifically told the night charge nurse that if they can't give us a tech to keep the nurse because our load was heavy without a tech. She put the nurse on call instead. At 0730 I called her in. Took her two hours to come in but she was a big help. Floated two of our night nurses whom I understood were volunteers to the "rule out Covid" unit as they opened up more beds as testing is complete. It was a bit of embarrassing drama that was quite disappointing. Instead of going when they were called as they were volunteers they made a fuss over nothing and I'll spare you the drama. One had said "I'm not going without proper PPE". I said "where did you here we didn't have PPE? We have it, but we just need to be careful and not wasteful. Don't make up drama that doesn't exist" This was the same nurse that shorted me the nurse when I asked her not to do that. We are not fond of each other at all. They've opened up more beds and the likelihood of me floating over there is getting higher as the days go on. My response will be "okay, you guys have a good day and I'll see you later". This is what signing up to be a volunteer will entail that you will be floated there...duh. Me being a volunteer means that perhaps my coworker that has real bad asthma and a weakened immune system doesn't have to go. One of the night coworkers just had chemo and them going and being volunteers keeps her from going. But don't volunteer and then whine and make stuff up. Sorry for the vent, but I don't like childish antics. Thankfully, there is a good number of volunteers going to that unit and forcing people to go that don't want to go isn't happening. Like Ted's facility, our positives, even if they aren't in distress go to a closed ICU unit. So I won't be front line, just quite close and if they turn positive, I'll be front line until they get transferred. They turn and get sick so fast. We had a walkie-talkie crash and die within a shift. Thankfully many of our "rule outs" do indeed rule out. We were able to discharge on home yesterday and one was moved to a regular med-surg floor. Off today.
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