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Mo shut down


Ron Burgundy

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Im trying to figure out what to make of the situation.  Im Schedule to work 6 nights at the Hospital in Salem MO for sleep studies starting Wed.   Not sure if its the smart thing to do or not, i would like one last paycheck before i dip into the savings but it seems irresponsible of a hospital to drag healthy people in to do a sleep study when it isnt deemed "essential".     Im a traveling sleep specialist , or i was.  And i dont want to offend anyone from Salem but it is where i see the worst hygiene in the 10 years ive been doing this, and i have been to over 40 hospitals.  Im just not sure i want to be even going there or not, i have to make a decision tomorrow.  Its close enough to St Louis where most people in MO are infected.......Any thoughts?????

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2 hours ago, mixermarkb said:

. It's a national disgrace how unprepared we were.

There is a good question in there.  Just how prepared should we be as a nation, as a state, as a community as a family.  Should the country stockpile 500 million N95 masks somewhere, should we have 200k ventilators stashed somewhere, should we mandate the hospitals have a certain number on hand, how much does it cost to stockpule inventory.  Should I as an individual have a month supply of everything I might need?  I don't know the answers, I know a lot of people who don't have room to store that much stuff, and realistically if sunddenly unable to go any further than 100 hards from my house and I still have elect and water I could do 30 days with out malnutrition setting too badly, might get tired of eating same stuff but wouldn't starve.  Just thinking about all the cold war stockpiles and shelters and Y2K stockpiles that I helped a family member haul to the dump. Now should we be more attentive and smarter in how we react in the future most certainly, exactly how well I aint smart enough for that right now.

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5 minutes ago, fishinwrench said:

If it's a nasty place then don't go!   If questioned why.....tell them the truth.  

"Your place is disgusting and I don't like being there even when there ISN'T a nationwide pandemic".   

The hospital isnt nasty but the people i typically see are, its actually a nice little hospital in comparison to what i see on the road

 

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40 minutes ago, MOPanfisher said:

There is a good question in there.  Just how prepared should we be as a nation, as a state, as a community as a family.  Should the country stockpile 500 million N95 masks somewhere, should we have 200k ventilators stashed somewhere, should we mandate the hospitals have a certain number on hand, how much does it cost to stockpule inventory.  Should I as an individual have a month supply of everything I might need?  I don't know the answers, I know a lot of people who don't have room to store that much stuff, and realistically if sunddenly unable to go any further than 100 hards from my house and I still have elect and water I could do 30 days with out malnutrition setting too badly, might get tired of eating same stuff but wouldn't starve.  Just thinking about all the cold war stockpiles and shelters and Y2K stockpiles that I helped a family member haul to the dump. Now should we be more attentive and smarter in how we react in the future most certainly, exactly how well I aint smart enough for that right now.

I'm not sure how much we should stockpile in normal times, but if your intelligence services are telling you in January what is happening in China has a real good shot at becoming a global pandemic, you pay attention, and start making plans then. You get the CDC, Ft. Dietrich, FEMA, and the other smart people about pandemics in the room, and you develop a plan about what supplies you may need, and how you are going to smoothly distribute them. Once you have a plan, you clearly communicate said plan to the country. You have consistent, science based messaging, with everyone on the same page, and not confusing briefings every day where each person seems to be making up their talking points on the way to the podium, only to have state governments contradict what your team says. You get people on board with hand washing, and social distancing, and international travel restrictions early, and you get widespread testing in place to see where you stand. You be proactive, instead of reactive, and you don't wait for the NBA to cancel their games on their own hook and cause a panic snowball rolling down a hill with no end in sight. You explain to the American public what is coming their way, show the intel, the same way we did when we went to war in the gulf. Americans will sacrifice a lot for a war worth fighting. If you frame it as such, you don't have to let the panic destroy the entire national economy. In other words, leadership.

 

what you DON'T do, is attend the intel briefings, get the crap scared out of you, then go out and sell your stocks because you know a crash is coming.

that's what we had red and blue congresspeople do, and it's criminal.

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47 minutes ago, aarchdale@coresleep.com said:

Im trying to figure out what to make of the situation.  Im Schedule to work 6 nights at the Hospital in Salem MO for sleep studies starting Wed.   Not sure if its the smart thing to do or not, i would like one last paycheck before i dip into the savings but it seems irresponsible of a hospital to drag healthy people in to do a sleep study when it isnt deemed "essential".     Im a traveling sleep specialist , or i was.  And i dont want to offend anyone from Salem but it is where i see the worst hygiene in the 10 years ive been doing this, and i have been to over 40 hospitals.  Im just not sure i want to be even going there or not, i have to make a decision tomorrow.  Its close enough to St Louis where most people in MO are infected.......Any thoughts?????

No way would I go. Too many people who may be infected but showing no symptoms. I also would not go to any appointments at any hospitals right now, if i was a patient. 

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41 minutes ago, aarchdale@coresleep.com said:

.Any thoughts?????

I managed to live 40+ years with apnea before sleep tests were popular, those folks can wait til fall. I don't believe the tests are in any way "essential", when balanced against the pandemic.  I wouldn't do it, cite your duty to your patients to keep them from being potentially exposed during the testing. 

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I've never desired to partake in international travel, and if the rest of you felt likewise this issue wouldn't have happened.    It's everybody with the whole "grass is greener" mindset that just can't be content staying (or vacationing) on the same side of the earth they were born on that brought this on.   If you wanna go to China, Japan, Guatamala, Africa, ect. then go....and STAY.    Otherwise you're just a mixing stick.   Pangea doesn't exist anymore for a reason.   

 

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I also tend to believe that for what we pay hospitals for care in this country, that they should have been way, way more proactive in keeping inventory on hand. Experts have been predicting a pandemic for decades. Hospitals should be required to keep enough stock on hand to deal with national emergencies, not unlike how banks are regulated and stress tested. 

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