Opti
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Post by Opti on May 28, 2020 8:19:57 GMT -5
I have a co-worker, and she's not the only one, who likes to put their mask down to talk to me or others. I finally found the video of visualizing droplets when people speak. I hope when I forward it to her it will help. Is anyone else experiencing issues like this and how did you fix it? (Video is mid way down in the article. I saw this on TV.) www.inverse.com/mind-body/video-shows-how-far-droplets-spray
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movingforward
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Post by movingforward on May 28, 2020 16:37:03 GMT -5
What are the protocols in your workplace? We are back in the office next week and I sent the entire team a list of "rules" which includes people having to wear a mask when they are less than 6 feet away from one another. We are a small organization and everyone has their own office. There are times when people will need to have discussions though and they need wear a mask when doing so.
What is leadership like where you work? Have they clearly stated what is expected of everyone during the pandemic?
I only have one employee that I am really concerned about. He and his wife both are very unconcerned about the virus. They are itching to get back into the church, are seeing their grandchildren regularly, and all around aren't taking it seriously. He makes me nervous...he keeps his mask in his pocket...
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pulmonarymd
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Post by pulmonarymd on May 28, 2020 16:47:33 GMT -5
This is where the senior leadership"s behavior is important. In my office, I wear a mask anytime I am out of my office. I only remove it if I am in my office alone, and can close the door. Anyone who doesn't do so, will then hear from me. If I do it, you do it, no questions asked. And, there are few medical reasons that one cannot wear a mask. Every single patient in my office wears one too, including people on oxygen, no exceptions.
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Cheesy FL-Vol
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Post by Cheesy FL-Vol on May 28, 2020 16:53:03 GMT -5
This is where the senior leadership"s behavior is important. In my office, I wear a mask anytime I am out of my office. I only remove it if I am in my office alone, and can close the door. Anyone who doesn't do so, will then hear from me. If I do it, you do it, no questions asked. And, there are few medical reasons that one cannot wear a mask. Every single patient in my office wears one too, including people on oxygen, no exceptions. How do you deal with hearing impaired patients?
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pulmonarymd
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Post by pulmonarymd on May 28, 2020 17:04:34 GMT -5
HAven't had to do so yet. We do telehealth visits, and we could do a chat instead of speaking, so that is one option, and a good one for a routine follow up visit with a stable patient. For patients who prefer sign language, we use an interpreter. But your question (and your issue, if I remember previous posts) is a difficult one without a good answer. For a well visit, if there was no other way to communicate, I would likely bite the bullet and do it without the mask, as an exception. If they were ill, we would likely have to use some sort of written or typed communication.
So much of this is uncharted territory, and some of the things we are doing are killing me right now. We are not routinely allowing visitors into the ICU. It is horrible in every way, but necessary to maximize the safety of the most people. Your question is another one of those things.
I know that is not an adequate answer, and I am sorry. Wish I had a better one. I, like everyone else, do not want to get this, and I would be devastated to know I infected one of my patients, especially a high risk one.
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Cheesy FL-Vol
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Post by Cheesy FL-Vol on May 28, 2020 17:30:37 GMT -5
HAven't had to do so yet. We do telehealth visits, and we could do a chat instead of speaking, so that is one option, and a good one for a routine follow up visit with a stable patient. For patients who prefer sign language, we use an interpreter. But your question (and your issue, if I remember previous posts) is a difficult one without a good answer. For a well visit, if there was no other way to communicate, I would likely bite the bullet and do it without the mask, as an exception. If they were ill, we would likely have to use some sort of written or typed communication. So much of this is uncharted territory, and some of the things we are doing are killing me right now. We are not routinely allowing visitors into the ICU. It is horrible in every way, but necessary to maximize the safety of the most people. Your question is another one of those things. I know that is not an adequate answer, and I am sorry. Wish I had a better one. I, like everyone else, do not want to get this, and I would be devastated to know I infected one of my patients, especially a high risk one. I could see a solution to be a doctor opening up a blank word document and displaying on a screen for the patient to see typed responses from the practitioner. Tedious and takes up precious doctor/patient visit time, but a good solution. Does televisit chat have encryption to protect patient privacy? As far as sign language, a large percentage of hearing impaired people do not know ASL. I have a lifelong profound hearing loss, but grew up in a hearing family. I do not know sign language.
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haapai
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Post by haapai on May 28, 2020 17:39:21 GMT -5
Don't get me started on how many of my coworkers don't wear masks before the store opens, or wear masks over their mouths but not their noses, or remove their masks whenever they are in the back rooms or around people that they like or choose to show favor toward.. Young people do it, 50+ people do it, management does it, uneducated fools do it.
ETA: Or about how my dad, raised hearing but now profoundly deaf (two cochlear implants) is dealing with mask-wearers. Dad, despite unwittingly being quite dependent on lip-reading and in his late seventies, is adapting to masks quite well, which makes me wonder wtf is wrong with the twenty-something and thirty-somethings that I work with.
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Artemis Windsong
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Post by Artemis Windsong on May 28, 2020 17:44:09 GMT -5
When I wear a mask in public: 🔵 I want you to know that I am educated enough to know that I could be asymptomatic and still give you the virus. 🔵 No, I don’t “live in fear” of the virus; I just want to be part of the solution, not the problem. 🔵 I don’t feel like the “government is controlling me;” I feel like I’m being a contributing adult to society and I want to teach others the same. 🔵 The world doesn’t revolve around me. It’s not all about me and my comfort. 🔵 If we all could live with other people's consideration in mind, this whole world would be a much better place. 🔵 Wearing a mask doesn’t make me weak, scared, stupid, or even “controlled.” It makes me considerate. 🔵 When you think about how you look, how uncomfortable it is, or what others think of you, just imagine someone close to you - a child, a father, a mother, grandparent, aunt, or uncle - choking on a respirator , alone without you or any family member allowed at bedside. 🔵 Ask yourself if you could have sucked it up a little for them. Artwork:Teafly Copied and posted. Can you do the same?
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pulmonarymd
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Post by pulmonarymd on May 28, 2020 17:53:57 GMT -5
HAven't had to do so yet. We do telehealth visits, and we could do a chat instead of speaking, so that is one option, and a good one for a routine follow up visit with a stable patient. For patients who prefer sign language, we use an interpreter. But your question (and your issue, if I remember previous posts) is a difficult one without a good answer. For a well visit, if there was no other way to communicate, I would likely bite the bullet and do it without the mask, as an exception. If they were ill, we would likely have to use some sort of written or typed communication. So much of this is uncharted territory, and some of the things we are doing are killing me right now. We are not routinely allowing visitors into the ICU. It is horrible in every way, but necessary to maximize the safety of the most people. Your question is another one of those things. I know that is not an adequate answer, and I am sorry. Wish I had a better one. I, like everyone else, do not want to get this, and I would be devastated to know I infected one of my patients, especially a high risk one. I could see a solution to be a doctor opening up a blank word document and displaying on a screen for the patient to see typed responses from the practitioner. Tedious and takes up precious doctor/patient visit time, but a good solution. Does televisit chat have encryption to protect patient privacy? As far as sign language, a large percentage of hearing impaired people do not know ASL. I have a lifelong profound hearing loss, but grew up in a hearing family. I do not know sign language. Yes, the site we use is HIPAA compliant, so we can type responses in a box. Have used it when audio quality is not good, and it is a good solution. Best choice of a bunch of less than optimal options for people with heating issues, given the circumstances. ASL is interesting. It is always amazing how quick some people are with it. I always have to make sure I am speaking facing the patient when there is an interpreter, a little difficult when you are use to talking at the person who you think you are conversing with. Our policy is to use the form of communication that the patient prefers. A little more difficult in current circumstances, unfortunately
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Opti
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Post by Opti on May 28, 2020 19:48:38 GMT -5
What are the protocols in your workplace? We are back in the office next week and I sent the entire team a list of "rules" which includes people having to wear a mask when they are less than 6 feet away from one another. We are a small organization and everyone has their own office. There are times when people will need to have discussions though and they need wear a mask when doing so. What is leadership like where you work? Have they clearly stated what is expected of everyone during the pandemic? I only have one employee that I am really concerned about. He and his wife both are very unconcerned about the virus. They are itching to get back into the church, are seeing their grandchildren regularly, and all around aren't taking it seriously. He makes me nervous...he keeps his mask in his pocket... I don't think its a leadership or protocol issue. I think its because she's so used to getting close to people to talk, she doesn't think. I think in her mind she does it so people hear her better.
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thyme4change
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Post by thyme4change on May 29, 2020 12:39:44 GMT -5
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pulmonarymd
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Post by pulmonarymd on May 29, 2020 13:07:26 GMT -5
Doesn't address the asymptomatic spreaders. Until the contribution to the spread of the disease by those individuals is understood, I think this is premature advice. If it is determined that there is only a small risk from them, then I think we can remove our masks.
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apple 2
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Post by apple 2 on May 29, 2020 13:10:37 GMT -5
I see a lot of people driving, alone in their cars with masks on. Makes no sense to me.
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teen persuasion
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Post by teen persuasion on May 29, 2020 13:22:13 GMT -5
Umm, that sounds like an old message in an evolving situation. Before, when we needed to save all PPE for medical professionals, they said we shouldn't use masks unless symptomatic. But now we have more masks, and we've learned that a large number of people may be asymptomatic, possibly 80%. Not a good message to put out there (or leave out there, if outdated). Especially when my state government says everyone must wear masks when you can't socially distance. Just signed an executive order, that businesses can refuse entrance if you don't wear a mask.
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billisonboard
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Post by billisonboard on May 29, 2020 13:40:21 GMT -5
I see a lot of people driving, alone in their cars with masks on. Makes no sense to me. I spoke previously with my wife on this issue when it came up on Facebook. She told me she wears hers in the car when she is headed out from a long shift working at her grocery store job dealing with people who refuse to wear masks nor social distance and is going to stop at the post office on the way home. She says she does it to minimize the handling of the mask. She did add a "fuck the people who feel they need to comment on it" to our conversation.
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Tiny
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Post by Tiny on May 29, 2020 13:40:52 GMT -5
I see a lot of people driving, alone in their cars with masks on. Makes no sense to me. I can speak to this... you aren't suppose to put on and take off the mask. Maybe they are between "stops" that require the mask to be worn? For example: if I'm going to the bakery, the grocery store, the Walgeens: I drive without the mask until I get to the bakery - I put the mask on before leaving my car to go into the bakery. I leave the mask on when I get in the car and then drive to the grocery store. I leave the mask on after I've loaded my groceries and returned the cart and then drive from the grocery to the Walgreens. I remove the mask when finally back in my car and am heading home. (When I make grocery runs for friends - I put the mask on before going into the grocery and I leave it on until I'm done dropping the stuff off at assorted houses. It isn't until I'm on my way home that I remove the mask.) If you've only got one shop shopping with no other stops - then I can see taking the mask off in the car. TBH the masks I have aren't that uncomfortable. aDDED: I like to think that I am accessorizing with a mask. I spent some time making sure I had a mask that matches my outfit (white with blue polka dots if I'm wearing my blue sweatshirt) or mood (silly bunny nose, whiskers and buck teeth). I too am in the "STFU" if you (generic you) don't like it that I'm wearing a mask. If you (generic you) wouldn't comment on my clothes or hair or car or any other personal thing - then the mask is off limits too.
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apple 2
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Post by apple 2 on May 29, 2020 13:55:51 GMT -5
I see a lot of people driving, alone in their cars with masks on. Makes no sense to me. I spoke previously with my wife on this issue when it came up on Facebook. She told me she wears hers in the car when she is headed out from a long shift working at her grocery store job dealing with people who refuse to wear masks nor social distance and is going to stop at the post office on the way home. She says she does it to minimize the handling of the mask. She did add a "fuck the people who feel they need to comment on it" to our conversation. Thanks for explaining, not sure what the attitude is all about. jeeeze...
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billisonboard
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Post by billisonboard on May 29, 2020 14:15:46 GMT -5
I spoke previously with my wife on this issue when it came up on Facebook. She told me she wears hers in the car when she is headed out from a long shift working at her grocery store job dealing with people who refuse to wear masks nor social distance and is going to stop at the post office on the way home. She says she does it to minimize the handling of the mask. She did add a "fuck the people who feel they need to comment on it" to our conversation. Thanks for explaining, not sure what the attitude is all about. jeeeze... What does a facepalm mean to you?
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apple 2
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Post by apple 2 on May 29, 2020 14:19:37 GMT -5
Thanks for explaining, not sure what the attitude is all about. jeeeze... What does a facepalm mean to you? Frustration.
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billisonboard
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Post by billisonboard on May 29, 2020 14:32:34 GMT -5
What does a facepalm mean to you? Frustration. If you were indicating frustration with your inability to make sense of a choice that other people were making, I owe you an apology for attitude.
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movingforward
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Post by movingforward on May 29, 2020 15:14:05 GMT -5
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billisonboard
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Post by billisonboard on May 29, 2020 17:21:27 GMT -5
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movingforward
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Post by movingforward on May 29, 2020 17:36:14 GMT -5
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billisonboard
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Post by billisonboard on May 29, 2020 18:20:57 GMT -5
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movingforward
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Post by movingforward on May 29, 2020 18:37:15 GMT -5
It demonstrates the mixed messages we have all received since day one. There has been no consistency. People hear one thing from our so called leadership and something different from medical professionals. Even the medical professionals haven't been consistent. Don't wear a mask, but now wear a mask. This doesn't effect children, except now it does effect children.
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billisonboard
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Post by billisonboard on May 29, 2020 19:01:33 GMT -5
It demonstrates the mixed messages we have all received since day one. There has been no consistency. People hear one thing from our so called leadership and something different from medical professionals. Even the medical professionals haven't been consistent. Don't wear a mask, but now wear a mask. This doesn't effect children, except now it does effect children. I have not received mixed messages. I have heard consistently from reliable sources this was a developing situation and everything was subject to change. Granted there is background noise but there is always that.
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movingforward
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Post by movingforward on May 29, 2020 19:14:32 GMT -5
It demonstrates the mixed messages we have all received since day one. There has been no consistency. People hear one thing from our so called leadership and something different from medical professionals. Even the medical professionals haven't been consistent. Don't wear a mask, but now wear a mask. This doesn't effect children, except now it does effect children. I have not received mixed messages. I have heard consistently from reliable sources this was a developing situation and everything was subject to change. Granted there is background noise but there is always that. I'm glad you feel that way. Most people I know in real life don't seem to feel the same.
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pulmonarymd
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Post by pulmonarymd on May 29, 2020 19:25:33 GMT -5
It demonstrates the mixed messages we have all received since day one. There has been no consistency. People hear one thing from our so called leadership and something different from medical professionals. Even the medical professionals haven't been consistent. Don't wear a mask, but now wear a mask. This doesn't effect children, except now it does effect children. People are ignorant, sorry to say. An infection we have never seen has sprang up out of nowhere. To not understand that information will change rapidly is ridiculous. We had to learn on the fly, and change as new information came available, why can’t the general public do the same. I know s we hit. Because we have an narcissistic ass as a president. If he supported the medical folks, we would be in a better situation. Medicine is messy, but eventually comes to consensus. That takes time. We have lost patience and deference to expertise. The amount I have personally learned about this disease in 2 months is significant. Is it enough, no, but we have to start somewhere. And we will do better. The fault for our current situation is our politicians and ourselves because of our inability to sacrifice, understand nuance, and nuance
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movingforward
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Post by movingforward on May 29, 2020 21:23:07 GMT -5
It demonstrates the mixed messages we have all received since day one. There has been no consistency. People hear one thing from our so called leadership and something different from medical professionals. Even the medical professionals haven't been consistent. Don't wear a mask, but now wear a mask. This doesn't effect children, except now it does effect children. People are ignorant, sorry to say. An infection we have never seen has sprang up out of nowhere. To not understand that information will change rapidly is ridiculous. We had to learn on the fly, and change as new information came available, why can’t the general public do the same. I know s we hit. Because we have an narcissistic ass as a president. If he supported the medical folks, we would be in a better situation. Medicine is messy, but eventually comes to consensus. That takes time. We have lost patience and deference to expertise. The amount I have personally learned about this disease in 2 months is significant. Is it enough, no, but we have to start somewhere. And we will do better. The fault for our current situation is our politicians and ourselves because of our inability to sacrifice, understand nuance, and nuance What you all do on a daily basis is incredible and greatly appreciated. The media and our politicians, sadly, have not done us any favors. I have one employee who seems to think this is no big deal. He doesn't social distance or wear a mask. He does in the office because i make him, but he tells me he doesn't do it elsewhere. Then I have 2 employees that are completely scared to death. They believe this thing stays in the air for long periods of time and can travel great distances. They think that people can get it multiple times and that even when you are outside with not a single person anywhere in sight that you might still be able to contract it. I'm not sure where they are getting this stuff...
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pulmonarymd
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Post by pulmonarymd on May 29, 2020 21:39:07 GMT -5
People are ignorant, sorry to say. An infection we have never seen has sprang up out of nowhere. To not understand that information will change rapidly is ridiculous. We had to learn on the fly, and change as new information came available, why can’t the general public do the same. I know s we hit. Because we have an narcissistic ass as a president. If he supported the medical folks, we would be in a better situation. Medicine is messy, but eventually comes to consensus. That takes time. We have lost patience and deference to expertise. The amount I have personally learned about this disease in 2 months is significant. Is it enough, no, but we have to start somewhere. And we will do better. The fault for our current situation is our politicians and ourselves because of our inability to sacrifice, understand nuance, and nuance What you all do on a daily basis is incredible and greatly appreciated. The media and our politicians, sadly, have not done us any favors. I have one employee who seems to think this is no big deal. He doesn't social distance or wear a mask. He does in the office because i make him, but he tells me he doesn't do it elsewhere. Then I have 2 employees that are completely scared to death. They believe this thing stays in the air for long periods of time and can travel great distances. They think that people can get it multiple times and that even when you are outside with not a single person anywhere in sight that you might still be able to contract it. I'm not sure where they are getting this stuff... There are great things about the ready availability of information, but this is a situation where it is detrimental. Having a little time between new information coming out and being reported allows for it to be verified. But we now have instantaneous reporting, which allows for us ncorrect and conflicting information to be reported. This requires more critical reading of all that is reported. Instead, spin and hype is placed on it, confusing people. The genie is out of the bottle. This required more effort on our part to parse our informaion, and we are not up for the challenge
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