What do you think about with current News and Opinions?

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Something to understand what nurses think about re the Current News and their opinions!

Specializes in Med-Surg.

Where I work we are seeing a rise in covid admissions because they are screened.  They come in with trauma, falls, abdominal pain and coincidentally are found to have covid, so they get listed as a covid admission.

So Fauci might be saying it because it's true.  The old "if this would have happened in the Trump administration is lame" because children's hospitalizations with the first variant were low and I don't like dealing in make believes.  

But I'm glad the Republicans can be outraged about children's hospitalizations, because they certainly didn't seem concerned when old people were dying.

I'll acknowledge the "liberal hypocrisy" of OSC being with her family on Christmas without a mask "while her constituents are in crisis" but won't comment much.  It's just too juicy for people not to spin.

Watching the Times Square Live Cam they seem to be in crisis mode.  (Sarcasm)

The free state of Florida had a record number of covid cases today, 76, 000 cases,  so that means DeSantis constituents are in a state of crisis too.  

https://www.newsweek.com/where-ron-desantis-photos-fuel-speculation-whereabouts-florida-governor-covid-19-1664577?fbclid=IwAR3S7dEk4Lrb5gFaBCfMstE6oLEDu53w2g7-hQNHQNf2940j8kq-6gy60zA

But AOC walked right into her criticism.  Surely she was only thinking about having a good time, but really she should have stayed home because she should have had the sense to know how it would be perceived.

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Specializes in NICU, PICU, Transport, L&D, Hospice.
4 hours ago, Beerman said:

You are well aware the DW audience and conservatives in general don't have a problem with her traveling.  The above is simply deflecting from the obvious hypocrisy of her vacationing while her constituents are in crisis, when earlier this year she criticized Cruz for the same.

Her choice of vacation spot, being a staunch vaccine and mask mandate and other covid restrictions proponent, where she chose to spend her time, and more importantly her money,  kinda seals the deal.  She spends her money in FL, while those in her district suffer economically due to covid restrictions that she supports.

And the response she gave today after the backlash, proves what a loon she is.

 

You are allowed to be upset or outraged and believe that this is an area of hypocrisy.  Clearly, the article you shared encourages such thinking and feelings.  

I'm not certain that the party of Gosar, Gohmert and Taylor-Greene have much room to talk about putting "loons" in Congress. 

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4 hours ago, Tweety said:

Where I work we are seeing a rise in covid admissions because they are screened.  They come in with trauma, falls, abdominal pain and coincidentally are found to have covid, so they get listed as a covid admission.

This has been happening since the pandemic began, at least in my neck of the woods.

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Specializes in Med-Surg.
8 hours ago, Beerman said:

This has been happening since the pandemic began, at least in my neck of the woods.

Oh sure.  Same here.  Anecdotally, I think it's happening more now.  But it could be my imagination just because there are more cases now than ever. We had several units open during delta with people covid specific symptoms only.  Now even with a record number of positive cases in the community while our admissions are rising overall, those units remain closed but those with other problems still nee to be admitted.  Again this is anecdotally and I know hospitalizations for covid are rising over all.  

The biggest problems where I work is not the covid admissions but the high number of staff out sick with covid.  Yesterday even the pharmacy manager was out delivering meds, the kitchen was short staffed, as was housekeeping and an already short staffed nursing situation was made worse. Three people on my small unit are out with covid.  I was offered $1,000 bonus to come in today.  I declined as I have burnout.

Back to the topic, I don't think the concern for children should be downplayed.   Here in Florida, the delta variant slammed the young and it was news then.  I'm glad that people are acting like they are concerned now, even if it's an anti-Fauci stance in origin.

Where I live we have a large children's hospital.  There's also huge resistance to masking in schools and forget about adding covid vaccines to the list of mandatory vaccines.

Quote

The outlook is different for children’s hospitals. At John Hopkins All Children’s Hospital in St. Petersburg, physicians are seeing a rise in the common cold, flu and COVID-19 cases. Ages 4 and under are not yet eligible to be vaccinated, and children with underlying conditions who get infected may face more serious illnesses.

“Our pediatric age group is the least vaccinated group that we have,” said Joseph Perno, the hospital’s vice president of medical affairs. “This is a population that’s very vulnerable and now you have a highly contagious variant that’s in the community.”

Perno fears what will happen when school resumes after Winter break, when children will start gathering in close quarters together.

“What we’re seeing now is a precursor for what is about to happen in the next couple of weeks, which is worrying.”

https://www.tampabay.com/news/health/2021/12/31/florida-hits-record-42600-covid-infections-a-day-as-omicron-rages/

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Specializes in CRNA, Finally retired.
13 hours ago, Tweety said:

Where I work we are seeing a rise in covid admissions because they are screened.  They come in with trauma, falls, abdominal pain and coincidentally are found to have covid, so they get listed as a covid admission.

So Fauci might be saying it because it's true.  The old "if this would have happened in the Trump administration is lame" because children's hospitalizations with the first variant were low and I don't like dealing in make believes.  

But I'm glad the Republicans can be outraged about children's hospitalizations, because they certainly didn't seem concerned when old people were dying.

I'll acknowledge the "liberal hypocrisy" of OSC being with her family on Christmas without a mask "while her constituents are in crisis" but won't comment much.  It's just too juicy for people not to spin.

Watching the Times Square Live Cam they seem to be in crisis mode.  (Sarcasm)

The free state of Florida had a record number of covid cases today, 76, 000 cases,  so that means DeSantis constituents are in a state of crisis too.  

https://www.newsweek.com/where-ron-desantis-photos-fuel-speculation-whereabouts-florida-governor-covid-19-1664577?fbclid=IwAR3S7dEk4Lrb5gFaBCfMstE6oLEDu53w2g7-hQNHQNf2940j8kq-6gy60zA

But AOC walked right into her criticism.  Surely she was only thinking about having a good time, but really she should have stayed home because she should have had the sense to know how it would be perceived.

Don't all patient diagnoses have to be listed on the chart?  As a caretaker or a QA person reviewing the chart,  I would want to know that the broken ankle also had covid and that standards of care were followed.  But, if the patient requires no treatment for incidentally picked up Covid infection, does the hospital get paid more?  I don't see anything nefarious about putting Covid on a patient's chart if the hospital does a test and it turns out positive.  

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Specializes in Med-Surg.
20 minutes ago, subee said:

Don't all patient diagnoses have to be listed on the chart?  As a caretaker or a QA person reviewing the chart,  I would want to know that the broken ankle also had covid and that standards of care were followed.  But, if the patient requires no treatment for incidentally picked up Covid infection, does the hospital get paid more?  I don't see anything nefarious about putting Covid on a patient's chart if the hospital does a test and it turns out positive.  

I don't know.

What I'm talking about is that a patient comes in with a broken ankle, they are admitted for a broken ankle.  They are screened in the ER and found to have covid.  So they are counted among the patients with covid in the hospital but covid is not their primary diagnosis. With so many covid positive people in the community this is not an unusual occurrence this week from what I hear where I work.   It's anecdotal on my part, I don't have stats just word of mouth and that the overall number reported by my facility has grown.  It's grown by about 40 to 50 a day in fact.

This is what Fauci is talking about.   People think this statement is downplaying covid but it's a part of the overall picture.  In my opinion.  

 

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Specializes in CRNA, Finally retired.
2 minutes ago, Tweety said:

I don't know.

What I'm talking about is that a patient comes in with a broken ankle, they are admitted for a broken ankle.  They are screened in the ER and found to have covid.  So they are counted among the patients with covid in the hospital but covid is not their primary diagnosis. With so many covid positive people in the community this is not an unusual occurrence this week from what I hear where I work.   It's anecdotal on my part, I don't have stats just word of mouth and that the overall number reported by my facility has grown.  It's grown by about 40 to 50 a day in fact.

This is what Fauci is talking about.   People think this statement is downplaying covid but it's a part of the overall picture.  In my opinion.  

 

I think I know what you are trying to say;  that somehow hospitals are participating in upcounting of Covid?  Do I have that right?  My point is that they are legally obligated to put that on the chart since they have done the test.  I asked you about the payment to find out of hospitals were grifting more payment with an non-sick Covid patient.  THAT would be another matter.  We have plenty of people in hospitals with multiple diagnoses that aren't bothering them at the time that they are admitted for their main diagnoses which required hospitalization.  The fractured ankle is in the hospital and he  does have Covid.  What would the alternative charting look like? It's just one of the requirements of charting that could be misleading but so is a lot of other stuff that we chart.  It's the stuff that makes researchers grind their teeth.  But, I may just be missing your point.  

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3 minutes ago, subee said:

I think I know what you are trying to say;  that somehow hospitals are participating in upcounting of Covid?  Do I have that right?  My point is that they are legally obligated to put that on the chart since they have done the test.  I asked you about the payment to find out of hospitals were grifting more payment with an non-sick Covid patient.  THAT would be another matter.  We have plenty of people in hospitals with multiple diagnoses that aren't bothering them at the time that they are admitted for their main diagnoses which required hospitalization.  The fractured ankle is in the hospital and he  does have Covid.  What would the alternative charting look like? It's just one of the requirements of charting that could be misleading but so is a lot of other stuff that we chart.  It's the stuff that makes researchers grind their teeth.  But, I may just be missing your point.  

I've always questioned since the beginning how do we know how many in the hospital are sick with covid vs there for something else with covid?  That seems it would be important to know.  I've never seen a answer.

Now, Fauci just said it's important to realize not all the children in the hospital with covid are sick with it.  Just wondering why now he is saying this, almost two years in?

Some say it's because a different administration,  and he's trying to downplay it all.  I don't that's it, but still wonder why this hasn't been addressed long agom

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Specializes in NICU, PICU, Transport, L&D, Hospice.
56 minutes ago, Beerman said:

I've always questioned since the beginning how do we know how many in the hospital are sick with covid vs there for something else with covid?  That seems it would be important to know.  I've never seen a answer.

Now, Fauci just said it's important to realize not all the children in the hospital with covid are sick with it.  Just wondering why now he is saying this, almost two years in?

Some say it's because a different administration,  and he's trying to downplay it all.  I don't that's it, but still wonder why this hasn't been addressed long agom

Long ago...as in 2020...the POTUS and his administration were engaged in creating confusion and chaos around the issue of covid.  They told lies and spread misinformation, they politicized the pandemic response and had all CDC communications reviewed through a political office before publication to the general public. Sometimes the politicians changed the CDC language to better suit the political rather than public health messaging and agenda.  That administration changed the way covid data was reported and collected. 

Don't you remember reading about this Trump effort last year and having concerns about the dishonesty and how that would impact our pandemic experience?

https://coronavirus.house.gov/news/press-releases/select-subcommittee-releases-new-evidence-trump-administration-s-political

https://www.forbes.com/sites/alisondurkee/2020/12/21/house-subpoenas-health-secretary-alex-azar-CDC-chief-robert-redfield-as-documents-suggest-trump-appointees-interfered-with-covid-19-reports/

 

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Specializes in Med-Surg.
1 hour ago, Beerman said:

I've always questioned since the beginning how do we know how many in the hospital are sick with covid vs there for something else with covid?  That seems it would be important to know.  I've never seen a answer.

Now, Fauci just said it's important to realize not all the children in the hospital with covid are sick with it.  Just wondering why now he is saying this, almost two years in?

Some say it's because a different administration,  and he's trying to downplay it all.  I don't that's it, but still wonder why this hasn't been addressed long agom

Part of the reason was that the initial variants for the first year or so didn't see an uptick in hospitalizations of children.  In fact children were presumed pretty much immune.  In this area I think children's hospitalizations started to go up with delta in the Summer and again now.  It might not have been an issue then.  Just speculating I don't know.

The scary thought to me is that covid will mutate in a way that will kill children the way it does old people.  

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Specializes in Med-Surg.
2 hours ago, subee said:

I think I know what you are trying to say;  that somehow hospitals are participating in upcounting of Covid?  Do I have that right?  My point is that they are legally obligated to put that on the chart since they have done the test.  I asked you about the payment to find out of hospitals were grifting more payment with an non-sick Covid patient.  THAT would be another matter.  We have plenty of people in hospitals with multiple diagnoses that aren't bothering them at the time that they are admitted for their main diagnoses which required hospitalization.  The fractured ankle is in the hospital and he  does have Covid.  What would the alternative charting look like? It's just one of the requirements of charting that could be misleading but so is a lot of other stuff that we chart.  It's the stuff that makes researchers grind their teeth.  But, I may just be missing your point.  

My point was what Fauci is saying is true in my hospital as well.  That's all I meant.

They are right to say "there are x number of patients in the hospital that are covid positive".   You seem to think I'm critical of this and I'm not.  There's no other way to report that I know of.

But like Beerman, I too would be interested in how many are hospitalized for covid only, and how many are covid positive but in for other reasons.  

 

 

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Specializes in CRNA, Finally retired.
2 hours ago, Tweety said:

My point was what Fauci is saying is true in my hospital as well.  That's all I meant.

They are right to say "there are x number of patients in the hospital that are covid positive".   You seem to think I'm critical of this and I'm not.  There's no other way to report that I know of.

But like Beerman, I too would be interested in how many are hospitalized for covid only, and how many are covid positive but in for other reasons.  

 

 

Gotcha finally:)  I'm sure the data about who is admitted with a primary dx. of Covid vs. the incidental finding of Covid is easy.  Just bring up the ICD codes along with the procedure codes and it should be obvious.

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