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Author Topic: Personal Anecdotal "COVID" situation  (Read 1768 times)

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Offline josefamenendez

Re: Personal Anecdotal "COVID" situation
« Reply #15 on: April 24, 2020, 09:22:45 AM »
PS High fevers are a symptom of sepsis (urinary sepsis so common in the elderly),MRSA infection, bacterial pneumonia, Type A flu, and even dehydration . Maybe the COVID designation is a little too easy to rely on. Those other diagnoses can actually be treated successfully.
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Offline confederate catholic

Re: Personal Anecdotal "COVID" situation
« Reply #16 on: April 24, 2020, 02:34:14 PM »
Not everyone lives in the NE my stats are not wrong. We do our own IVs we have 2. We do not have anyone on any type of Iong term IV. We have exactly 1 feeding tube and normally we don't ever exceed 2-3. We do not use vendors for anything other than x-ray or lab work.
Priests are end of life essential personal. This is in every end of life guide. No one has said this is to end and my facility will not deny it. We allow them to do last rites. We will not allow them in presently for anything else.
No one here is dying of dehydration studies find contrary to your statement that:
With aggressive beginning AP, it is necessary to
remove spasm of pulmonary vessels and reduce blood
to them. Intravenous infusion on the contrary increase
blood  to the lungs. 
And:
The risks of receiving too much 
Fluid often depend on individual circuŠ¼stances, but they can include: excess fluid collecting inside the lungs, which can cause breathing difficulties and increased risk of pneumonia.

Secondly the guidelines require seven diagnostic tests including C&S to rule out all conditions mentioned as well as a positive pneumatic x-ray all before assuming COVID19. Which is only assumed until after other tests come back neg with positive x-ray.

My goodness with 60% on feeding tubes and IVs in the mix how do you have any time for patient care. Do you have one nurse to do just that?
No wonder your patients die at such a high rate. I don't get it here I've got 20+ patients to work with. 3 feedings at 15 ml per individual crushed medicine at 60% of those patients would take me 12 hrs.
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Offline josefamenendez

Re: Personal Anecdotal "COVID" situation
« Reply #17 on: April 24, 2020, 09:48:49 PM »
I would also include facilities that are considered LTACH's as well- but yes, there are facilities I go to that 90% are long term ventilator patients as well.
Most nursing homes around here have IV therapy, PICC lines and feeding  tubes. Many patients are on IV antibiotics including Vancomycin, hence the PICC lines.This is becoming standard. The level of care has bumped up in the past few years.
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Offline poche

Re: Personal Anecdotal "COVID" situation
« Reply #18 on: April 24, 2020, 11:31:00 PM »
Quote from: josefamenendez on April 24, 2020, 08:57:15 AM
Hello?
Nursing homes do not insert feeding tubes, at least gastric tubes surgically to the abdomen, but 60% of patients there have them for feeding patients!! Most All nursing homes now have IV therapy with IV's PICCS or other access provided by out side vascular vending companies. This I can attest to - at least in the northeast. I don't know where you get your IV pump statistics , but they are incorrect.  No priests can enter nursing homes that I am aware of unless they are making special circuŠ¼stances privately. AS far as I know now NO ONE but essential medical services can enter.
I do understand that the hospitals are denying access, but that doesn't change the fact that patients are dying from dehydration and lack of basic care (O2) in nursing homes , not COVID19 itself. I am not blaming nursing homes, they cannot turn into hospitals overnight- but it doesn't change the reality of the situation
According to the Chronicles of the Catholic in Lithuania it was very common for doctors in Soviet hospitals to refuse patients access to priests, even when they request it.    
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Offline confederate catholic

Re: Personal Anecdotal "COVID" situation
« Reply #19 on: April 25, 2020, 04:37:28 AM »
The NE is all about taking peoples money. Greed is the name of the game. It's still ok to have a facility that isn't always about obscene profit. Rural areas just don't have the money to exploit
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