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

A Hit With The Ladies, BSN, RN · Jun 25, 2020

Just now, Nurse SMS said:
Nobody just randomly yanks out meds and starts tossing them at people hoping something sticks. It's called Evidence Based Practice.

And that's basically what they've been doing with the Corona, because it's "novel" and they have just used whatever they can since there's been no prior research (for obvious reasons) on what is and isn't efficacious with Coronavirus treatment.

Hence why they used hydroxy and ventilator management and the corticosteroids in the first place.

2 minutes ago, Nurse SMS said:
I too am now questioning if you are even in the field.

And I could care less!

3 minutes ago, Nurse SMS said:
and the rationalization of your opinions using talking heads with an agenda from the news as an excuse for your exemplary lack of critical thinking and irrational proposals.

Yeah we all saw the smashing success of "critical thinking" talking heads like Fauci and Birx day in and day out. They've had months but they failed.

A Hit With The Ladies, BSN, RN · Jun 25, 2020

4 minutes ago, Wuzzie said:
Only in certain situations and the evidence, while promising, has not been fully proven.

Nothing is "fully proven". But dexamethasone has already been shown to be effective for critically ill COVID patients so steroids (thus far) are the way to go:

https://www.sciencealert.com/who-urges-more-dexamethasone-production-for-worst-covid-19-cases

6 minutes ago, Wuzzie said:
I find it strange that you are fighting masks and social distancing, despite the abundance of evidence supporting it

I have no issues with people voluntarily wearing masks and social distancing, but I do have an issue with it being coerced. If you want to quarantine, quarantine your heart away! Nobody is pushing you to be less than six feet away from someone else.

7 minutes ago, Wuzzie said:
Do you have any ICU experience? Are you actively caring for Covid patients? On what are you basing your conclusions.?

I don't respond to ad hominem attacks. What I can say is, just for your information, I've cared for Corona-positive patients and they are not all even symptomatic, much less ventilator bound and fighting for their lives. Don't believe the media hysteria. This may not be the flu, but it's far more like the flu than it is Ebola.

lifelearningrn, BSN, RN · Jun 25, 2020

1 hour ago, A Hit With The Ladies said:
Nope. They need to be better at admitting people to ICUs. Just because 97% of TMC's ICU beds are occupied doesn't mean that 97% are on vents. I bet many of these people could be given PO corticosteroids and sent right on home. Weren't vents actually causing a greater fatality rate and that they were trying to use less vents?
Plus, keep in mind that TMC is one of the world's best hubs for tertiary-level medical care. A lot of regional hospitals probably just jumped the gun and transferred them straight away as soon as they got back "presumptive COVID" or "COVID-positive" for diagnoses. They probably are just fine for occupancy's sake.

ICU is for critically ill patients. Vent or not. Why do you insist on burying your head in the dirt??

I find it funny that you don't believe COVID-19 is a big deal, but joined the union and signed a petition for hazard pay during the pandemic. Why would you want hazard pay, if this wasn't that big a deal? Just curious.

A Hit With The Ladies, BSN, RN · Jun 25, 2020

Just now, lifelearningrn said:
ICU is for critically ill patients. Vent or not. Why do you insist on burying your head in the dirt??
I find it funny that you don't believe COVID-19 is a big deal, but joined the union and signed a petition for hazard pay during the pandemic. Why would you want hazard pay, if this wasn't that big a deal? Just curious.

1) You'd be surprised how many patients who would be better off in a step-down or even med-surg unit get admitted to the ICU for observation purposes.

2) I joined the union before the Corona thing. And why would you not want more money?

allnurses Guide · Jun 25, 2020

1 hour ago, A Hit With The Ladies said:
Because they said corticosteroids are the 1st class of drugs that have been shown to reduce COVID mortality.
Really, unless you can't breathe and need to be on a vent, or your blood pressure's so low that you need to be on pressors, then you shouldn't be in an ICU. A lot of these hospitalized people ought to be discharged and told to stay at home to recover.

This is just exemplary ignorance.

allnurses Guide · Jun 25, 2020

22 minutes ago, A Hit With The Ladies said:
And that's basically what they've been doing with the Corona, because it's "novel" and they have just used whatever they can since there's been no prior research (for obvious reasons) on what is and isn't efficacious with Coronavirus treatment.
Hence why they used hydroxy and ventilator management and the corticosteroids in the first place.
And I could care less!
Yeah we all saw the smashing success of "critical thinking" talking heads like Fauci and Birx day in and day out. They've had months but they failed.

This is a jumbled mix of red herrings, political smoke screens and generalizations. Do facts figure in anywhere in your assertions and, if so, could you share your scientific sources?

Failed how, if this is "no big deal" as you have asserted?

Wuzzie · Jun 25, 2020

51 minutes ago, A Hit With The Ladies said:
Nothing is "fully proven". But dexamethasone has already been shown to be effective for critically ill COVID patients so steroids (thus far) are the way to go:
https://www.sciencealert.com/who-urges-more-dexamethasone-production-for-worst-covid-19-cases

So are these the same patients you want to give a PO dose of Decadron to and just send them home? That is, after all what you suggested in an earlier post. How do you suggest we do this with critically ill patients.

51 minutes ago, A Hit With The Ladies said:
I have no issues with people voluntarily wearing masks and social distancing, but I do have an issue with it being coerced. If you want to quarantine, quarantine your heart away! Nobody is pushing you to be less than six feet away from someone else.

You seem to be conflating quarantine and mask-wearing. They are entirely different things.

52 minutes ago, A Hit With The Ladies said:
I don't respond to ad hominem attacks. What I can say is, just for your information, I've cared for Corona-positive patients and they are not all even symptomatic, much less ventilator bound and fighting for their lives. Don't believe the media hysteria. This may not be the flu, but it's far more like the flu than it is Ebola.

I don't think you know what an ad hominem attack is. I was asking for your experience to try to figure out how you were coming to such bizarre and seemingly uneducated conclusions. Nobody here has said that all patients are critically ill...nobody. So far the only person throwing around hyperbole is you.

allnurses Guide · Jun 25, 2020

Dallas County just announced they are returning to suspending elective surgeries.

lifelearningrn, BSN, RN · Jun 25, 2020

45 minutes ago, Nurse SMS said:
Dallas County just announced they are returning to suspending elective surgeries.

Houston, Austin and San Antonio as well.

allnurses Guide · Jun 25, 2020

12 minutes ago, lifelearningrn said:
Houston, Austin and San Antonio as well.

Yes, looks like it came from the governor.

A Hit With The Ladies, BSN, RN · Jun 25, 2020

Quote
Houston-area hospital executives told reporters Thursday they had adequate capacity for all patients who needed care and hospitals regularly operate with full intensive care units, even outside the pandemic. “It’s a little bit more complex than absolute numbers of beds,” said Memorial Hermann Chief Executive David Callender.

https://www.wsj.com/articles/texas-orders-some-hospitals-to-halt-surgeries-amid-coronavirus-outbreak-11593099383?mod=hp_lead_pos3

It would be a lot better to ensure that anyone and everyone with a COVID-diagnosis doesn't get to clog up a hospital bed for weeks on end. Hopefully the hospital administrators will be much more effective in discharging COVID people who aren't crashing home, while only putting those who are genuinely in poor shape in the ICU. Be fair but assertive here. Say, "I'm sorry, there's no cure for Coronavirus. We can give you some steroids to take every day but you need to stay home. Unless you are having trouble breathing there's really not much we can do for you. Here are your discharge papers."

Wuzzie · Jun 25, 2020

56 minutes ago, A Hit With The Ladies said:
It would be a lot better to ensure that anyone and everyone with a COVID-diagnosis doesn't get to clog up a hospital bed for weeks on end.

What is your basis for saying this is happening at all. It certainly isn't happening at any hospital that my nurse friends work at. These are the kind of statements that are making you lose any credibility. You keep making broad generalizations with no facts to back them up at all.