lynnerself
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Post by lynnerself on May 18, 2020 17:41:56 GMT -5
A judge has ruled that our governors restrictions are "null and void". Note that the suit was brought by churches and the ruling by a judge in a rural county. The governor said she would immediately appeal to the State Supreme Court.
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Deleted
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Post by Deleted on May 18, 2020 18:18:17 GMT -5
In my county, there have been 10 deaths. 4 of those have been in the Marshallese community. The Marshallese are allowed to live and work in the US but Medicaid was taken away in 1996 so most have no health insurance. The Marshallese have been hit hard in this area. There are 5 people of Marshallese descent in the ICU currently. The mayor of Dubuque is asking Congress for help in getting health care for these people, as in getting them coverage under Medicaid. Due to the radiation they have been exposed to on the islands, they have a lot of pre-existing conditions. I had never heard of the Marshallese, so did a Google search. I’d never heard of the Marshall Islands either, let alone the situation of the people who are from or still live there, and the reason the US kind of “owes” them. I’ll count that as my learning something new today. Thanks.
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Post by Deleted on May 18, 2020 18:26:27 GMT -5
My state opened things before my county did. Counties that had their own health department were allowed to choose a later date than the state chose. We weren’t far behind though. Restaurants have opened their dining rooms, more stores are open, and I think gyms, barbers, hair dressers and nail salons are all back in business.
It doesn’t matter to me though. I’m still cooking and eating at home, and my nails, eyebrows and hair will continue to just do what it do.
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Post by Deleted on May 18, 2020 18:59:16 GMT -5
A local Catholic church closed today after opening early on May 4 because 3 priests have tested positive. All three priests were actively involved in the public masses. Another priest died on May 13 but hasn't been officially diagnosed as a Covid-19 death because he was 79. This is one of the two local parishes attended by most of my community's Catholics, many from the low-income immigrant community packed tightly into local apartments.
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Post by Deleted on May 18, 2020 19:03:26 GMT -5
A judge has ruled that our governors restrictions are "null and void". Note that the suit was brought by churches and the ruling by a judge in a rural county. The governor said she would immediately appeal to the State Supreme Court.
I saw that. It's stupid because in areas like mine the law said they won't enforce the restrictions. I guess they could still face problems with the state, but no judge needed here.
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Deleted
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Post by Deleted on May 18, 2020 19:09:12 GMT -5
A local Catholic church closed today after opening early on May 4 because 3 priests have tested positive. All three priests were actively involved in the public masses. Another priest died on May 13 but hasn't been officially diagnosed as a Covid-19 death because he was 79. This is one of the two local parishes attended by most of my community's Catholics, many from the low-income immigrant community packed tightly into local apartments. That's tragic! Is that the church in Houston? They also mention in the article I found that the priests live in "the Redemptorist Community"- so they were also sharing living quarters, meals, etc. My church is extremely unlikely to reopen before May 31 and maybe not even then, and most of our members live in either single-family housing or in a condo with maybe one other person.
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jerseygirl
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Post by jerseygirl on May 18, 2020 19:21:49 GMT -5
NJ opened beaches for Memorial Day and curb side pickup from stores(?) But the governor won’t release ANY information on the task force, not even to doctor in charge of public health Not names of who is in task force, nothing
Very weird
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teen persuasion
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Post by teen persuasion on May 18, 2020 21:12:05 GMT -5
Our library has curb side pick up. You put a hold on the books that you want. They designated five parking spots in the lot with a number and put a table outside each one. They email you when your book is ready just like always. Only now instead of going in to pick it up you call the circulation desk and give them your name. They check out your book for you and bring it out in a bag. You don't get out of your car until they leave. They're all wearing mask and gloves too. Books are returned by the drop off slot only. IDK how big your library is but it works for our city library pretty well it seems. While I miss going into the library at the same time this system is rather nice. We're a tiny little village library. No parking lot, we are on a residential street (the library is in a historic house, not large). Biggest drawback right now is the online system-wide holds software is turned off, because of no ILL. I'm not sure if they can turn it on selectively (so patrons can only place holds on items in their branch). We are creating a Google form to use to request items, or they can call us during working hours. It'll be more work, and I'm sure the no-tech readers will want to browse, that's just the way they work. Bigger libraries are putting checked out bags of items in a foyer, but we don't have one. We have a tiny airlock entry, but the inner door has no glass, so we have no sightline. Might do a table across the entry stairs, might be pesky to bring it in/out daily. The region getting to reopen took everyone by surprise, we all expected another few weeks before we might go back, maybe longer. We are at the brainstorming part, right now, aiming for June 1. Haven't heard from one coworker yet; she was iffy on working thru this, due to her spouse's lung issues. We'd hate to lose her, but completely understand the risk she's assessing.
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teen persuasion
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Post by teen persuasion on May 19, 2020 14:13:09 GMT -5
Now the libraries in my county want to do a joint reopening next Wednesday, so if the board approves we will try. Staff meeting this week to discuss plans.
The state document about safety procedures is insane (and changes as more is learned). They want someone to question every staff member before work every day about possible exposure (and keep records). Might need to take temps daily (but can't record individual's health info like temps). Might need to get similar info for tracking purposes from patrons we come in contact with (but can't demand this). Keep this info for possible contact tracing. Ugh.
Now I understand why a local businessman was tweeting his elaborate plans for when he could reopen production, and that he'd hired someone *just* to maintain compliance.
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 14:24:46 GMT -5
Now the libraries in my county want to do a joint reopening next Wednesday, so if the board approves we will try. Staff meeting this week to discuss plans. The state document about safety procedures is insane (and changes as more is learned). They want someone to question every staff member before work every day about possible exposure (and keep records). Might need to take temps daily (but can't record individual's health info like temps). Might need to get similar info for tracking purposes from patrons we come in contact with (but can't demand this). Keep this info for possible contact tracing. Ugh. Now I understand why a local businessman was tweeting his elaborate plans for when he could reopen production, and that he'd hired someone *just* to maintain compliance. To walk into the hospital, my office, or any nursing home, we get screened and our temperature taken, and has been that way for about 2 months. Not sure why it should be different anywhere else
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teen persuasion
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Post by teen persuasion on May 19, 2020 14:49:23 GMT -5
Now the libraries in my county want to do a joint reopening next Wednesday, so if the board approves we will try. Staff meeting this week to discuss plans. The state document about safety procedures is insane (and changes as more is learned). They want someone to question every staff member before work every day about possible exposure (and keep records). Might need to take temps daily (but can't record individual's health info like temps). Might need to get similar info for tracking purposes from patrons we come in contact with (but can't demand this). Keep this info for possible contact tracing. Ugh. Now I understand why a local businessman was tweeting his elaborate plans for when he could reopen production, and that he'd hired someone *just* to maintain compliance. To walk into the hospital, my office, or any nursing home, we get screened and our temperature taken, and has been that way for about 2 months. Not sure why it should be different anywhere else In a medical facility, I'd expect that, you should expect to possibly run into C19 patients. If my region is ready to reopen, I'd hope that the numbers are low enough to not expect to run into symptomatic people visiting the library. They are not taking contact info at the grocery store. My DH had a follow up doctor appt today (delayed from a procedure early March); surprisingly, they did not take his temp.
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Deleted
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Post by Deleted on May 19, 2020 14:51:54 GMT -5
Asymptomatic people and those not yet showing symptoms of COVID don't have fevers. They mentioned on the news that taking temperatures isn't a very good way to determine if someone has it or not.
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andi9899
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Post by andi9899 on May 19, 2020 15:01:39 GMT -5
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 15:11:22 GMT -5
To walk into the hospital, my office, or any nursing home, we get screened and our temperature taken, and has been that way for about 2 months. Not sure why it should be different anywhere else In a medical facility, I'd expect that, you should expect to possibly run into C19 patients. If my region is ready to reopen, I'd hope that the numbers are low enough to not expect to run into symptomatic people visiting the library. They are not taking contact info at the grocery store. My DH had a follow up doctor appt today (delayed from a procedure early March); surprisingly, they did not take his temp. I would venture to say that medical facilities are some of the safest places to go. Precautions here are strict, and we are very cognizant about the risk of spread and do everything to minimize exposure. Once you get out of this environment, the risk is unknown. I am more concerned about catching outside of here, now that we have had our experience. People are idiots, and have no concern for others in the outside world. If you(general, not specific you) do not recognize the risk involved from other people, you are being naive.
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teen persuasion
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Post by teen persuasion on May 19, 2020 15:26:46 GMT -5
In a medical facility, I'd expect that, you should expect to possibly run into C19 patients. If my region is ready to reopen, I'd hope that the numbers are low enough to not expect to run into symptomatic people visiting the library. They are not taking contact info at the grocery store. My DH had a follow up doctor appt today (delayed from a procedure early March); surprisingly, they did not take his temp. I would venture to say that medical facilities are some of the safest places to go. Precautions here are strict, and we are very cognizant about the risk of spread and do everything to minimize exposure. Once you get out of this environment, the risk is unknown. I am more concerned about catching outside of here, now that we have had our experience. People are idiots, and have no concern for others in the outside world. If you(general, not specific you) do not recognize the risk involved from other people, you are being naive. I do recognize the risk. That's the paradox - we'd be screening the three of us that work in the library (not all at the same time, per state rules), but not the uncounted patrons we serve daily. With only 3 of us, we are like family. We essentially check on each other's well being as a matter of course, even before the pandemic. But that random pile of returned books and videos I get to handle from the dropbox? No idea who put it in, or where it last was. Can't screen it, take it's temp, test it...
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 15:29:47 GMT -5
I would venture to say that medical facilities are some of the safest places to go. Precautions here are strict, and we are very cognizant about the risk of spread and do everything to minimize exposure. Once you get out of this environment, the risk is unknown. I am more concerned about catching outside of here, now that we have had our experience. People are idiots, and have no concern for others in the outside world. If you(general, not specific you) do not recognize the risk involved from other people, you are being naive. I do recognize the risk. That's the paradox - we'd be screening the three of us that work in the library (not all at the same time, per state rules), but not the uncounted patrons we serve daily. With only 3 of us, we are like family. We essentially check on each other's well being as a matter of course, even before the pandemic. But that random pile of returned books and videos I get to handle from the dropbox? No idea who put it in, or where it last was. Can't screen it, take it's temp, test it... They should be screening your customers too. Everybody, not just employees are screened at both the hospital and the office building. Your risk is increased by the more interaction ou have. So, unless no one enters the building but you 3, you can be put at risk by some idiot who doesn't believe this is a problem
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teen persuasion
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Post by teen persuasion on May 19, 2020 15:35:43 GMT -5
I do recognize the risk. That's the paradox - we'd be screening the three of us that work in the library (not all at the same time, per state rules), but not the uncounted patrons we serve daily. With only 3 of us, we are like family. We essentially check on each other's well being as a matter of course, even before the pandemic. But that random pile of returned books and videos I get to handle from the dropbox? No idea who put it in, or where it last was. Can't screen it, take it's temp, test it... They should be screening your customers too. Everybody, not just employees are screened at both the hospital and the office building. Your risk is increased by the more interaction ou have. So, unless no one enters the building but you 3, you can be put at risk by some idiot who doesn't believe this is a problem Thus the phase one of curbside pickup only, no traffic into the library. But unlike other takeout retail, we get returns. That's the possible vector for us. We've been quarantining items for so many days (director has been working alone on site for the last 2 months). So we are reinventing the wheel.
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Post by The Walk of the Penguin Mich on May 19, 2020 15:50:24 GMT -5
Now the libraries in my county want to do a joint reopening next Wednesday, so if the board approves we will try. Staff meeting this week to discuss plans. The state document about safety procedures is insane (and changes as more is learned). They want someone to question every staff member before work every day about possible exposure (and keep records). Might need to take temps daily (but can't record individual's health info like temps). Might need to get similar info for tracking purposes from patrons we come in contact with (but can't demand this). Keep this info for possible contact tracing. Ugh. Now I understand why a local businessman was tweeting his elaborate plans for when he could reopen production, and that he'd hired someone *just* to maintain compliance. To walk into the hospital, my office, or any nursing home, we get screened and our temperature taken, and has been that way for about 2 months. Not sure why it should be different anywhere else I just got called for a reminder about my mammoslam tomorrow. I was told that I need to wear a mask and expect to be screened before I entered the building. Other than the need for a mask to enter, this isn’t much different from when I entered the doctor’s office building to pick up a prescription mid March.
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Post by The Walk of the Penguin Mich on May 19, 2020 15:53:17 GMT -5
I would venture to say that medical facilities are some of the safest places to go. Precautions here are strict, and we are very cognizant about the risk of spread and do everything to minimize exposure. Once you get out of this environment, the risk is unknown. I am more concerned about catching outside of here, now that we have had our experience. People are idiots, and have no concern for others in the outside world. If you(general, not specific you) do not recognize the risk involved from other people, you are being naive. I do recognize the risk. That's the paradox - we'd be screening the three of us that work in the library (not all at the same time, per state rules), but not the uncounted patrons we serve daily. With only 3 of us, we are like family. We essentially check on each other's well being as a matter of course, even before the pandemic. But that random pile of returned books and videos I get to handle from the dropbox? No idea who put it in, or where it last was. Can't screen it, take it's temp, test it... According to this, it looks like this is not as much of a risk as they once thought. www.yahoo.com/lifestyle/cdc-coronavirus-mainly-spreads-through-persontoperson-contact-and-does-not-spread-easily-on-contaminated-surfaces-153317029.html
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 16:23:32 GMT -5
I have not been that concerned about anything but person to person contact. That is where the major risk of spread is. If this spreads by aerosol, still an open question, that would increase the risk of being in an enclosed space. On surfaces, not so much
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teen persuasion
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Post by teen persuasion on May 19, 2020 19:24:52 GMT -5
Thanks, Mich. I'd gotten the sense that masks were shifting to more important than surfaces, but hadn't heard anything official. Just remember all the early emphasis on disinfecting surfaces, especially the schools spraying everything, Asia spraying down sidewalks, etc. Guess that's just the learning curve for a new disease - figuring out what is important, and what's not so much. But the state directives were all about wiping down touched surfaces frequently, so it seems still a focus.
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oped
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Post by oped on May 19, 2020 19:26:30 GMT -5
Pulse ox might be better than thermometer for asymptomatic.
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 20:19:46 GMT -5
Pulse ox might be better than thermometer for asymptomatic. Actually, no. Hypoxemia occurs in people who are sick, does not happen in asymptotic people
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oped
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Post by oped on May 19, 2020 20:35:43 GMT -5
Should I have said atypical or potentially early ? I’ve read more than one article on silent hypoxia and covid.
But given the lung developments shown on what researchers called asymptomatic patients in the cruise ship study, I’m not sure why the assumption would be that asymptomatic people would not register low blood oxygen saturation.
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 20:40:56 GMT -5
Truly asymptotic patients do not get hypoxic. People who get hypoxic have other symptoms. The silent hypoxia is people who do decompensate without a lot of symptoms who then crash, but the truly asymptotic do not
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oped
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Post by oped on May 19, 2020 20:42:29 GMT -5
How do you explain the abnormal lung films in asymptomatic patients that were studied? They weren’t really asymptomatic? Just had undetectable symptoms?
And When it comes to functional efforts to control infection, does this designation matter?
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 20:49:27 GMT -5
Yes, very few people with the abnormal x rays will not be truly asymptotic. They will be short of breath on exertion, cough, fatigued, rapid respiration’s or some other subtle symptoms. It is extremely rare for someone who has that degree of abnormal x rays to have no symptoms
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pulmonarymd
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Post by pulmonarymd on May 19, 2020 21:05:18 GMT -5
To clarify, if you are talking plain cxr, significant abnormalities will always lead to symptoms. People can have mild abnormalities on CT scans with a paucity of symptoms. But people who develop hypoxia, will have some sort of respiratory symptoms. The scary thing about this disease is how rapid people can decompensate, so it is important to not ignore the symptoms
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movingforward
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Post by movingforward on May 20, 2020 12:38:07 GMT -5
Gyms opened on Monday. I was there Monday morning and today. There was nobody even remotely close to me while exercising. My gym is huge to begin with and now with only a handful of people there i basically had the entire cardio level to myself. A cleaning person was walking around cleaning all the machines.
Still felt way safer to me than going to the grocery store. Groceries will get delivered tomorrow.
The gym took temperatures at the door. That was the one thing I didn't like. It is useless information and it caused me to have to get closer to someone than I was comfortable with. Had I not had my temperature taken, I could have never gotten within 8 feet of anyone while I was there. The staff is wearing a mask and I wear one until i get to my machine, wipe everything down and get settled to workout. Still, just seemed like unnecessary exposure to someone.
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teen persuasion
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Post by teen persuasion on May 20, 2020 13:52:18 GMT -5
Scratch me going back to work.
Directors had a conference call, apparently the TYPE of library we are affects which phase we fall into. So as an association library, we can't open until phase 4, including curbside pickup. System is checking with lawyers, but until we hear otherwise, we aren't reopening with some of the others next week.
This is the big problem with the "rules" - they are confusing, inconsistent, have big loopholes, and a whole bunch of gray area. I mean, really - why reopen the bigger library in the county seat (159 Covid-19 cases) but block the small library in the town next door with 13 cases, based on how our charter is worded?
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