Texas governor to residents: "The safest place for you is at your home" due Covid-19 spike

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Heard on broadcast news + CNN:

6/23/20 -Texas Reports All-Time Daily High: 5,489 New COVID-19 Cases. Houston hospital ICU's full.. Texas Chrildrens hospital will now admit adults. Change in tone from Governor Abbott --who's high risk for catching virus himself

Texas governor to residents: "The safest place for you is at your home"

Quote

As Texas sees its highest numbers of positive tests and hospitalizations, Gov. Greg Abbott advised residents of the state to stay at home.

https://www.cnn.com/world/live-news/coronavirus-pandemic-06-23-20-intl/index.html

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"The hospitalization rate is at an all-time high," he said. "The coronavirus is serious. It's spreading in Brazos County, across the entire state of Texas."

https://www.npr.org/sections/coronavirus-live-updates/2020/06/23/882504575/5-489-new-covid-19-cases-texas-reports-new-all-time-daily-high

Hope my Texas colleagues have enough PPE!

18 minutes ago, damiorifice said:

Our country dies have a hopelessly political influence in its health policy.

We still tell people they should be eating lots of carbs 6x a day with an obesity epidemic. LOL, God forbid your blood sugar drop and you metabolize fat.

If we can’t get something as simple as nutrition right because of corn, sugar, and flour lobbies, what hope do we have of getting anything right?

Are you saying it was OK to just give up and let Covid take out what will probably be millions of Americans because there's heavy people around?

if so maybe you'd want to rethink that one.

31 minutes ago, MelsPool said:

Are you saying it was OK to just give up and let Covid take out what will probably be millions of Americans because there's heavy people around?

if so maybe you'd want to rethink that one.

Not sure how you made the jump from pointing out that we shouldn’t expect much from any of the branches of our government to obesity specific genocide.

4 minutes ago, damiorifice said:

Not sure how you made the jump from pointing out that we shouldn’t expect much from any of the branches of our government to obesity specific genocide.

I didn't. That is why I was careful to ask if that is what you meant. ( I also don't agree with your anti-government broad brush, but that's another story).

Specializes in Retired.
7 minutes ago, MelsPool said:

I didn't. That is why I was careful to ask if that is what you meant. ( I also don't agree with your anti-government broad brush, but that's another story).

Have you walked up and down the aisles of a grocery store without alarm?

Specializes in oncology.
1 hour ago, damiorifice said:

We still tell people they should be eating lots of carbs 6x a day with an obesity epidemic

Who is telling people they should be eating lots of carbs 6x a day with an obesity epidemic? I am not owning this. Not me or any of the health programs that are scientifically based. Are you talking about commercials? If so, advertising has always pushed what ever pays them to push. What about patent medical cures? we do have an act of the gov't - pure food and drug act that eliminates most of them. Yes, commercials are leading people to prefer high calorie, high fat and high sodium meals. It used to be cigarettes. BTW do you know why the manufacturers of cigarettes decided not to advertise? It wasn't because they felt people shouldn't smoke.

Your job as a nurse is going to be enlightening patients on the best nutritional practices. Maybe your patients will not change their diet based on one exposure to the rationale for better food choices. Yet, reinforcement on the better nutritional practices may yield a better response after repeated exposure. I have known patients to change!

Sometimes people listen and do change. It may take a life event to help them realize why healthy eating is better. But deciding early on in your professional health care career that teaching is futile will not help anyone. For the early decades my career, we proselytized about the dangers of smoking. The population that currently smokes has decreased substantially. Was it because of teaching or because it is not easy to smoke outside the home (in bars, work environments etc.)You may find this hard to believe but in my early days of nursing, we had to assign beds in double rooms based on sex and smoking. BUT we still discussed the benefits of smoking when we had a receptive patient. Change does happen but not has quick as we like.

Specializes in oncology.
53 minutes ago, Undercat said:

Have you walked up and down the aisles of a grocery store without alarm

I have walked my grandchildren through candy stores and never heard them want to consume every item for sale. Yes, there are lots of items for sale that are high fat, high sodium, high carbs. It doesn't mean every one has to buy them If they do not sell, they will be gone soon. Shelf space in a grocery store is expensive regarding slotting space.

1 hour ago, londonflo said:

I have walked my grandchildren through candy stores and never heard them want to consume every item for sale. Yes, there are lots of items for sale that are high fat, high sodium, high carbs. It doesn't mean every one has to buy them If they do not sell, they will be gone soon. Shelf space in a grocery store is expensive regarding slotting space.

Indeed, but when the government lets manufacturers use over 71 different names to identify sweeteners that have an impact on your glycemic index, how exactly are the common people supposed to know what to do? That’s the kind of governmental failure that disheartens me.

Specializes in Vents, Telemetry, Home Care, Home infusion.

Update: Texas COVID 7/16/20 stats --- 17% positivity

7/16: 129 confirmed deaths

image.thumb.png.123ececfbed00cfe6392883e8f54db27.png

Specializes in Adult Internal Medicine.

If “freedom-loving” states want to disregard federal phased reopening plans perhaps those states should be free to pickup the cost for COVID admissions.

Specializes in Psych.
10 minutes ago, BostonFNP said:

If “freedom-loving” states want to disregard federal phased reopening plans perhaps those states should be free to pickup the cost for COVID admissions.

We already met the criteria for phased reopening and everything was reopened appropriately. The socialists really want everything to shut down, and the hospital systems to go bankrupt, so they can nationalize healthcare (and everything else possible), but it's not going to happen. But I do agree, everyone should pay for their own hospital treatments vis-à-vis insurance, like virtually every other medical condition.

After all, money doesn't grow on trees. What if we nurses saw our next paycheck and it had "COVID Tax deductions" on it? Then Faucist commissars would simply say, "Oh, well, that's part of the great sacrifice we have to all make... if you don't accept a lower paycheck, you clearly don't care about society and everyone else and are a selfish monster". That's the emotional manipulation card they will try to pull on you.

Specializes in Adult Internal Medicine.
1 hour ago, A Hit With The Ladies said:

We already met the criteria for phased reopening and everything was reopened appropriately. The socialists really want everything to shut down, and the hospital systems to go bankrupt, so they can nationalize healthcare (and everything else possible), but it's not going to happen. But I do agree, everyone should pay for their own hospital treatments vis-à-vis insurance, like virtually every other medical condition.

After all, money doesn't grow on trees. What if we nurses saw our next paycheck and it had "COVID Tax deductions" on it? Then Faucist commissars would simply say, "Oh, well, that's part of the great sacrifice we have to all make... if you don't accept a lower paycheck, you clearly don't care about society and everyone else and are a selfish monster". That's the emotional manipulation card they will try to pull on you.

https://www.businessinsider.com/states-reopened-without-meeting-safety-criteria-coronavirus-case-surge-2020-6

How is Texas doing this week? Getting nervous yet?

A significant percentage of hospitalized and severe illness COVID patients are over 65 and on Medicare, I don’t know if you’ve ever looked at your paystub, but you can go ahead and do that and let us know what you see.

Lets play a little game: current there are 10,500 hospitalized cases in TX, more than 50% of those are over 65 and the avg cost per day is $38,000. That’s 20million a day in Medicare cost.

Specializes in Psych.
11 minutes ago, BostonFNP said:

How is Texas doing this week? Getting nervous yet?

Ah, classic "move the goalposts". Governor Abbott, and most other Southern governors, did right in reopening their respective states because the cases were ridiculously low when they were reopened.

12 minutes ago, BostonFNP said:

A significant percentage of hospitalized and severe illness COVID patients are over 65 and on Medicare, I don’t know if you’ve ever looked at your paystub, but you can go ahead and do that and let us know what you see.

Oh, you mean the same people who use hospital services disproportionately anyway?

And last I checked, it would take an act of Congress to increase Medicare payroll tax rates to offset budget deficits. Given how well Congress works, I anticipate that happening... probably never.

14 minutes ago, BostonFNP said:

Lets play a little game: current there are 10,500 hospitalized cases in TX, more than 50% of those are over 65 and the avg cost per day is $38,000. That’s 20million a day in Medicare cost.

Those costs would be spread out for an even longer period of time with lengthening life-spans. By your logic, if Coronavirus wipes out a significant proportion of elderly folks, we'd end up saving money in the long run!

But like I said before, the healthcare organizations should be pushing more and more people out with rapid discharges and to stadiums, where care will be far less expensive than in hospitals. I bet many of these people would benefit from an O2 tank and a nasal cannula put in the backseat of their cars, a packet of discharge papers, and a wave home goodbye.

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