Covid-19

[SemajParlor]

Kind of like how this country asked for this horrible response at the federal level from this idiot in charge.

[kmcrawfo]

Kind of like how this country asked for this horrible response at the federal level from this idiot in charge.

For the life of me I am still astounded how people continue to make this a left-wing vs. Right-wing or Progressive vs. Liberal situation in the country. Finally Governors and politicians are stopping this crap and working together across both sides of the aisle. People need to start realizing this is a deadly virus and will likely kill hundreds of thousands if not millions of people across the planet before this is over. Right now in Italy they have already decided that anyone over 80 years of age will no longer receive Medical Care even if in critical condition. Right now this may not seem like it is a deadly thing in our country but if our hospital system gets overloaded past capacity, then people will be left to die in the hallways in the streets like it is happening in Italy and other European countries. People need to wake up. That is not a single country on this planet has handled it is perfectly. The ones that have handled it the most quickly are communist and authoritarian type responses which we couldn't just doing this country. Also, Trump is not making the decisions at this point. He has a leadership team which he is allowing to make the decisions of what is happening. He is just a face piece at this point if that's not clearly obvious to everyone. Clearly, he is always the least prepared person on stage at each of these briefings which is why he is deferring to everyone. Obviously he could be handling this better and staying away from things like the Chinese virus or comments that he can not make come true, but he's not the only one overwhelmed and I don't think anyone could be doing a much better job in this horrible situation

[noteggs]

For the life of me I am still astounded how people continue to make this a left-wing vs. Right-wing or Progressive vs. Liberal situation in the country. Finally Governors and politicians are stopping this crap and working together across both sides of the aisle. People need to start realizing this is a deadly virus and will likely kill hundreds of thousands if not millions of people across the planet before this is over. Right now in Italy they have already decided that anyone over 18 years of age will no longer receive Medical Care even if in critical condition. Right now this may not seem like it is a deadly thing in our country but if our hospital system gets overloaded past capacity, then people will be left to die in the hallways in the streets like it is happening in Italy and other European countries. People need to wake up. That is not a single country on this planet has handled it is perfectly. The ones that have handled it the most quickly are communist and authoritarian type responses which we couldn't just doing this country. Also, Trump is not making the decisions at this point. He has a leadership team which he is allowing to make the decisions of what is happening. He is just a face piece at this point if that's not clearly obvious to everyone. Clearly, he is always the least prepared person on stage at each of these briefings which is why he is deferring to everyone. Obviously he could be handling this better and staying away from things like the Chinese virus or comments that he can not make come true, but he's not the only one overwhelmed and I don't think anyone could be doing a much better job in this horrible situation

Very nice post and most importantly, as you stated states and fed is working like it was designed to have the best chance to succeed.

[bobbiemcgee]

For the life of me I am still astounded how people continue to make this a left-wing vs. Right-wing or Progressive vs. Liberal situation in the country. Finally Governors and politicians are stopping this crap and working together across both sides of the aisle. People need to start realizing this is a deadly virus and will likely kill hundreds of thousands if not millions of people across the planet before this is over. Right now in Italy they have already decided that anyone over 80 years of age will no longer receive Medical Care even if in critical condition. Right now this may not seem like it is a deadly thing in our country but if our hospital system gets overloaded past capacity, then people will be left to die in the hallways in the streets like it is happening in Italy and other European countries. People need to wake up. That is not a single country on this planet has handled it is perfectly. The ones that have handled it the most quickly are communist and authoritarian type responses which we couldn't just doing this country. Also, Trump is not making the decisions at this point. He has a leadership team which he is allowing to make the decisions of what is happening. He is just a face piece at this point if that's not clearly obvious to everyone. Clearly, he is always the least prepared person on stage at each of these briefings which is why he is deferring to everyone. Obviously he could be handling this better and staying away from things like the Chinese virus or comments that he can not make come true, but he's not the only one overwhelmed and I don't think anyone could be doing a much better job in this horrible situation

Hey Doc, just had my first Telehealth session on the internet in lieu of actual doctor's office visit. Do you see this happening with your practice? Beats sitting in a waiting room with 10 other people.

[STL_XUfan]

Ohio suspending drive thru testing for lack of tests. Where the hell are the tests? Haven’t we been promised for weeks that they were coming?

[Lloyd Braun]

Hey Doc, just had my first Telehealth session on the internet in lieu of actual doctor's office visit. Do you see this happening with your practice? Beats sitting in a waiting room with 10 other people.

It likely easier with derm than other specialties but there is a limit to the level of visit one can code with a telemedicine visit, so I imagine specialists would shy away from this. Especially procedure-driven specialists such as derm and ortho. But it’s better than no visit at all... which will be the norm for most specialists the next few months.

My 2¢ regarding politics: it is impossible to separate this and politics as we rely on our government for protection. Why are people buying more guns and ammo? Is it because they fear they will run out and can’t buy any like toilet paper? Or do they fear over government foul play and want to ensure “well-armed militia?”
Regardless it is plain as say that Trump has done a shitty job in many facets: leadership, confidence in the CDC, ensuring proper testing, etc.. It has been and epic fail on the federal response. That has nothing to do with me leaning left. Conversely the state response has been an epic success. DeWine has shown decisiveness, leadership, and confidence in a plan of action. If you have the thought that the President doesn’t have much influence in this, close your eyes and picture DeWine in place of Trump and tell me the results would be the same. This is not about right wing vs left wing, this is about right vs wrong.

And finally.... WHERE ARE THE MF TESTS? People will die because there is not appropriate testing.

[Xville]

It likely easier with derm than other specialties but there is a limit to the level of visit one can code with a telemedicine visit, so I imagine specialists would shy away from this. Especially procedure-driven specialists such as derm and ortho. But it’s better than no visit at all... which will be the norm for most specialists the next few months.

My 2¢ regarding politics: it is impossible to separate this and politics as we rely on our government for protection. Why are people buying more guns and ammo? Is it because they fear they will run out and can’t buy any like toilet paper? Or do they fear over government foul play and want to ensure “well-armed militia?”
Regardless it is plain as say that Trump has done a shitty job in many facets: leadership, confidence in the CDC, ensuring proper testing, etc.. It has been and epic fail on the federal response. That has nothing to do with me leaning left. Conversely the state response has been an epic success. DeWine has shown decisiveness, leadership, and confidence in a plan of action. If you have the thought that the President doesn’t have much influence in this, close your eyes and picture DeWine in place of Trump and tell me the results would be the same. This is not about right wing vs left wing, this is about right vs wrong.

And finally.... WHERE ARE THE MF TESTS? People will die because there is not appropriate testing.

Turning the pandemic into a political discussion is the most tone deaf thing I have ever seen.

One good thing that I was hoping for out of this global health crisis was that people would come together, help each other and possibly stop blaming anyone and everyone who are on the opposite end of the aisle. I have seen quite a bit of that in different ways over the last couple of weeks. Then, I read posts like this.

[Lloyd Braun]

Turning the pandemic into a political discussion is the most tone deaf thing I have ever seen.

One good thing that I was hoping for out of this global health crisis was that people would come together, help each other and possibly stop blaming anyone and everyone who are on the opposite end of the aisle. I have seen quite a bit of that in different ways over the last couple of weeks. Then, I read posts like this.

The blame has nothing to do with the aisle and more to do with the shitty job that person has done while people do not get the adequate health care they need. To quote... well... you... “spare me your self-righteousness” and read what I actually wrote.

[kmcrawfo]

Hey Doc, just had my first Telehealth session on the internet in lieu of actual doctor's office visit. Do you see this happening with your practice? Beats sitting in a waiting room with 10 other people.

I am trying to quickly wrap up urgent surgeries on my melanoma and other more aggressive cancer patients. Then, I will be transitioning to 100% teledermatology.

I am not a germaphobe or someone who tends to panic, but this virus scares the sh@#t out of me. Not only from a virulence factor, but its potential ability to completely shut down our society and healthcare system. This virus can kill you even if you don't contract it like is happening in Italy and starting to occur in NYC

[kmcrawfo]

It likely easier with derm than other specialties but there is a limit to the level of visit one can code with a telemedicine visit, so I imagine specialists would shy away from this. Especially procedure-driven specialists such as derm and ortho. But it’s better than no visit at all... which will be the norm for most specialists the next few months.

My 2¢ regarding politics: it is impossible to separate this and politics as we rely on our government for protection. Why are people buying more guns and ammo? Is it because they fear they will run out and can’t buy any like toilet paper? Or do they fear over government foul play and want to ensure “well-armed militia?”
Regardless it is plain as say that Trump has done a shitty job in many facets: leadership, confidence in the CDC, ensuring proper testing, etc.. It has been and epic fail on the federal response. That has nothing to do with me leaning left. Conversely the state response has been an epic success. DeWine has shown decisiveness, leadership, and confidence in a plan of action. If you have the thought that the President doesn’t have much influence in this, close your eyes and picture DeWine in place of Trump and tell me the results would be the same. This is not about right wing vs left wing, this is about right vs wrong.

And finally.... WHERE ARE THE MF TESTS? People will die because there is not appropriate testing.

A few thoughts

1. The government has relaxed telederm regs and are now allowing docs to use office visit coding which will hopefully help provide some access to care and help some docs keep the lights on so to speak and not go out of business.

2. No one is dying because they are not getting tested. Just an inaccurate statement. If u are sick and in respiratory distress u r going to get treated regardless of your underlying diagnosis. People will die because the vast majority of this country is not taking this seriously and is continuing to congregate. The result may be an end up overwhelming our Healthcare System. At that point once again people will not be dying because they've not been tested they will be dying because our Healthcare System was overwhelmed.

3. Most of the management of this has been appropriately delegated to the states to manage. That is how this country was designed. Our federal government can provide guidance and assistance, but management decisions should be done at a state / local level. It is true some states have done an excellent job at this such as Ohio. Other states such as Florida baffle and how they do this date still have all the public beaches open for people are shoulder to shoulder. When I look out of my house in Florida and I see down the street right now 20 to 30 people shoulder to shoulder waiting in line at the ice cream, Donut and coffee shop even at this hour it just makes me shake my head wondering what on Earth are these people thinking

3. I do not know that the governor of Ohio would have done any better job at this. There are limitations Far too difficult to discuss as to why we have not had as many tests as we would like. The Food and Drug Administration has certain guidelines and restrictions which must be followed before any tests can be utilized or approved. The testing infrastructure in this come country was set up based on the H1 N1 flu epidemic which was extremely virulent. The Assumption was that infrastructure could support the amount of test we needed. We also had to verify virus strain and accuracy of the testing for what we had here. We have now done that and you are going to see that the testing ramps app astronomically in the next few days.

4. Everyone truly needs to stop pointing fingers at each other. For the most part politicians have stopped doing this unless there's complete idiot's such as AOC. Even She has finally stopped to some degree. There is no room for political leveraging at this point. This is real and I think hopefully the public will soon realize that. I am sickened by the comments I read on the foxnews.com website which seemed to talk about Trump re-election and conservative gibberish just as much as I am a liberal and Democrat gibberish that I see still lingering out there. It is not true or acceptable to say that it is impossible to not mingle politics and this virus. That is a blatantly false comment just as if we were in another world Wide war or similar conflict. There are times when our Country Must Stand United and this is one of them.

5. Things I do think Trump could do better and I wish he would do better. I wish he would stop calling this the Chinese virus. I do think calling it The Wuhan virus is fine as it did originate in Wuhan, but the designation of Chinese or China I think only adds inflammation to an already touchy topic. I also think he has a problem of not simply saying this is difficult this is hard and it will change and bad things will happen but we will be here to support you. I truly think our country would accept some humility in admittance that no everything has not been perfect, but it was unreasonable to expect everything to be perfect. We are learning from the situation we are adapting and we will do our best to develop and build a system to be ready the next time something like this happens. He needs to take his boxing gloves off and quit blaming past administrations as well. This is not the time for that. This is the time to unify all the assets and resources we have and focus like a laser beam on defeating this virus.