Jump to content

Leaderboard

  1. NeverMarryAStripper

    NeverMarryAStripper

    Certifiably Surly


    • Points

      53

    • Posts

      14737


  2. BradInATX

    BradInATX

    Full Members


    • Points

      46

    • Posts

      8514


  3. Pato del Muerto

    Pato del Muerto

    Certifiably Surly


    • Points

      39

    • Posts

      50494


  4. Mrs Whiggins

    Mrs Whiggins

    Full Members


    • Points

      39

    • Posts

      15473


Popular Content

Showing content with the highest reputation on 06/23/20 in all areas

  1. As @ChiTownDoc said, we did have capacity in March and April due to the cancellation of elective procedures, the lockdown, and people's general fear of catching the virus by coming to the hospital. This also coincided with a severe drought in appropriate PPE. Both are no longer the case. I don't have any statistics to show you to back this up, but from my years in trauma, I can tell you that traumatic surgical patients tend to come in waves. There is nothing obvious connecting them; there no reason for why they should all be happening at the same time, but they come and go in clusters with some staying longer than others. Elective procedures are generally a steady stream of patients for us: we always have a few. So when we're in the middle of a trauma peak, we're either close or at capacity (thirty beds in my home unit). Our medical ICU, where non-traumatic head bleeds, DKA, sepsis, drownings, people swimming in comorbidities, et al go, is also thirty beds. When COVID started, they designated half of those to be the COVID ICU. We were able to make it through April and May with just those fifteen beds because Austinites did an excellent job in flattening the curve compared to many other places in the country. Bit by bit, we got better, though still not wholly acceptable, PPE. (Example: when I was last in the COVID ICU a few weeks ago for a stretch of shifts, I brought my personal respirator from home so as to not have to reuse N95s, which is what got me my first confirmed exposure to SARS-CoV-2 on the first time I was sent to the COVID ICU. And to further clarify the ridiculousness, if a manager had caught me doing that, I probably would have been sent home without pay for violating their policy against using personal PPE. Another reason I work nights) Sounds like things are/were well in hand, right? Wellllll...Austinites are no longer doing a good job at wearing masks, socially distancing, or socially isolating among ourselves. We are in a trauma peak. We have elective surgeries occurring. Our COVID ICU has expanded to past twenty of the thirty beds in the medical ICU, which means that the trauma ICU now has to take the standard MICU patient population that overflows due to a lack of beds on that floor. We. Are. Full. Our med/surg COVID floor, once kept to a single floor, has expanded to a floor and a half now. We have hemorrhaged ICU nursing staff since the middle of April, and the nurses that have stayed are burnt out with incredibly low morale. The gallows humor that exists among ICU nurses, especially on nights, is a lot more gallows than it is humor now. There is a mental health crisis occurring among nurses and the response of administration is buy boxes of doughnuts, hand out t-shirts, encourage us to do yoga, and then to make sure the public knows that they [the administration] consider us heroes. To anyone who says we've got plenty of doctors and nurses ready to jump in...uh what? There has been a nationwide nursing shortage for the past thirty-plus years, and Texas is no exception. Furthermore, cross-training to a new specialty of nursing takes a lot time plus supervised experience. You can't just jump into it. An OR nurse cannot just start taking ICU-level patients. OR nurses barely do any patient care. That is not a knock on them; it's just the reality of that type of nursing. A PACU nurse cannot just start taking ICU-level patients or med/surg patients. They see patients for thirty minutes-to-an-hour, tops, and their patients are always stable, hence why the patient went to PACU from the OR to begin with. An ED nurse cannot just start taking ICU-level patients. They have the skills to stabilize and acutely manage critically-ill patients, but they don't have the research skills, practical skills, or intuition an ICU nurse has. Not to mention, I'm not sure I've ever met an ED nurse that knows how to actually document care.. (I kid, a little) A med/surg nurse cannot just start taking ICU-level patients. They do not have the knowledge or experience to titrate critical vasoactive, inotropic, paralytic, or sedating medications (all of which are currently used on ICU-level COVIDs). They can't assist with line placement or intubation. They can't make more than a couple of critical decisions in a life-threatening moment because they are never really in those situations. When a code happens, you what occurs? An ICU nurse runs up to the floor to manage the code until doctors can get there because we know what the fuck we're doing in a code and they don't. Like OR nurses, this is not a knock on them. It's just a different type of nursing. A med/surg nurse cannot just start taking an even heavier assignment. M/S nurses at night already have five-to-six patients every shift, which isn't exactly super safe (but safe enough for the state of Texas, I guess). That is a struggle, even for very experienced RNs. Can we really ask them to start taking eight-to-ten patients per shift? And if they're COVID+ on top of everything else? An outpatient dialysis nurse (tons of them here in Texas/the south) can't just start taking hospitalized patients. It's entirely different! I don't know what the fuck they do, but it certainly isn't hospital patient care. And before you just think I'm jerking off to myself about how awesome, smart, talented, beautiful, and fabulous my fellow ICU nurses and I are—though it's true, we are all of those things—no ICU nurse could just flip a switch become a med/surg nurse. On rare occasions when we are floated to help on a M/S floor, they are only allowed to give us three patients in a shift because our brains are educated and wired to handle two (three max) critical patients at a time, not five-to-six not very sick patients, and not very sick patients require a different type of care. A type of care we don't really know how to provide very well. Nor could we do any of the other types of nursing right away. It's literally impossible. If things get truly desperate, people will die due to nursing shortages. I can't speak to or for doctors, but if there are any that want to start training to help out in the ICU as ancillary nursing staff, we haven't been told about it. Stay at home as much as you can. Wash your hands as often as you can. When you do go out, wear a fucking mask and stay the fuck away from other people and don't bitch about it. One more fun anecdote: so we are testing everyone who is admitted to the hospital now (with bullshit exceptions for external tests, even ones a week old). We had two elective surgical patients come in a bit ago, and both were swabbed when they came in. Both negative. A few days later, some suspicious symptoms, and they were retested and came back positive. Oops! Did they have it when they came in and we had a bum first test? Did they get it from us? Did they spread it to any of us while we were doing our jobs and being all up in their business? We'll never know because administration won't tell us shit. Nevermind the fact that we are starting to have nurses test positive as well, and admin's response is that we probably got it at the grocery store, so we can't blame them. Lol okay.
    26 points
  2. No, those are statues of limitation.
    23 points
  3. Story I don't think I've told. In the early 90s, my dad's dad died and left his farm/ranch land to my grandmother within an estate. Then my grandmother died a few years later. My dad's brother wanted to sell it off but my dad didn't, so the old man bought out his brother and bought the land from the estate. A lot more complicated than that, but essentially what happened. About 200 acres on two different parcels in Wilbarger Co, within 1.5 miles from the Red River. At the time, it was irrigated alfalfa and pasture land on one piece and cotton on the other. My dad had an arrangement with the son of a family friend where he would farm the land for free and they would split the cost/income. Well, they dude flaked out and after 3 years, the land had gone to shit. Equipment just left on the place, a harvest of baled alfalfa left on the ground, the irrigation system broken down and virtually useless. The guy had asked another young, local farmer to pick the cotton one year, so he did. And then the next year, he planted the cotton again, on his own. Then called my dad. Old man says, "Treat it and the hay piece as it was your own. Send me the bills." Over the next 3 years, that guy completely transformed the property. Rebuilt it...all on a handshake deal. My dad had never even officially met him. So, about year 4 the new farmer calls and says, "We need to talk. I haven't paid you a dime for the lease and you are paying all of the bills" They meet and the guy shows my old man a market rate for a lease. My dad said it wasn't good enough....take the number...divides it in half and gives it back. He said, "Treat it as your own...send me the bills". They have had that arrangement for years. Since then, he has converted the pasture to additional farm production and converted that entire parcel to irrigated corn. The other piece had an old house, a large milk barn and two other structures that he burned down to get rid of the tax piece on the buildings. (He meant to burn one at a time, but it got away from him and they all burned down at the same time. Said it was a complete and utter shit-show. The local school turned out to see the fire...as did a couple of volunteer fire departments) He said he called my dad to let him know if he got a phone call about a devastating fire at his place, to just ignore it....all under control.. I went to meet the guy 2 years ago to introduce myself as my old man was having health issues and I wanted to reassure him that whatever arrangement they had would continue and that if and when we sold it, he would have first option. He then told me, "When I bought my first acreage a few years ago, I was sitting in the parking lot of the bank. The first person I called was your dad to thank him. Not my parents or my grandparents. It was because of his generosity with this arrangement that I was able to buy my first land."
    22 points
  4. Dotard: I SHIT MY PANTS! Sychophants: The president didn't shit his pants. He was obviously joking. Dotard: NO, I DEFINITELY SHIT MY PANTS!
    17 points
  5. Mike Pompeo, Mike Pompeo, Mike Pompeo fuh-king blows.
    14 points
  6. The crowd peaked when he got close to "kung flu." It's like a bad comedian where the masses just want him to cut to the catch phrase. Except instead of a catch phrase, they just want him to get to the racism. "Do the racisms! We're here for a racism! Oooohhh. Here it comes. He's gonna do a racism!"
    12 points
  7. Yeah, because there's zero chance that this would lead to said track official being publicly shamed and possibly losing his job for daring to deny Bubba's truth. Everyone did what any intelligent person would do ... they kept their fucking mouths shut and let the farce play out.
    11 points
  8. So it seems we are just going around in circles here.
    11 points
  9. I just want California to do better, because I want Texas to not have many Californians.
    11 points
  10. Oh lord here we go. We are all aware of Lincoln's most famous quote about freeing none of the slaves. The historical consensus is that the war is about slavery. If you read primary documents the Confederates will flat out tell you that. VP Alexander Stephens: Georgia Declaration of Succession Texas Virginia South Carolina Mississippi
    10 points
  11. Because anyone with an ounce of desire for self- preservation isn’t stepping in front of the racial justice bulldozer at this moment.
    9 points
  12. 9 points
  13. I'm actually excited about this one. First, it makes perfect sense for the EU to do this. But the ability to mock Trump about how we're viewed on the world stage is undeniable and can be brought up repeatedly by Biden and others, if they're smart and have the balls. And if there's any large business ramifications, well, even fucking better. Ramp up the pressure. Let this unhinged lunatic denounce every other free nation in the world publicly and lets see how far that gets him
    9 points
  14. Brian Perroni (With Aggy Vision) (And without Aggy Vision)
    9 points
  15. The consequence should be that they get to find a new school for their kids.
    9 points
  16. Well.... No noose is good news.
    8 points
  17. Once found myself going through security with Ron at LAX. To say he fit the stereotype to a T was a fucking understatement. He was in sweat pants and a tie-dyed shirt looking and smelling like he had been on a shoot all night. He had a fucking Barney the dinosaur book bag with him, a simple box and another book bag. The TSA starting haggling with him about what was in the the box. His response "polaroid camera". THEN the best thing of all time. As the Barney bag makes it through the scanner it tips some of its contents out on the floor. He scoops it up and hurries along but I realize that one thing had not been scooped up. It is a condom. So I ask you was that condom on the floor from the Hedgehog like catching a foul ball at the World Series?
    8 points
  18. So. A hand loop on a rope used to pull down an overhead door. Neither a hate crime, nor a hoax. Just good, old-fashioned hysteria-driven stupidity.
    8 points
  19. Saw one last month in Freer. First one I have seen in South Texas in a couple decades. And I spend a lot of my time down there.
    8 points
  20. I'm not going to get lost down the rabbit hole of Dayton being the worst coach on staff, but he is and always has been the worst coach on Herman's staff at Texas. Indefensibly bad. A RB coach should be your single best recruiter on staff. Period. End of discussion. They should not only not have to be micromanaged about their own position, and their targets and roster numbers, a RB coach should be mentioned by MOST of your other recruits and should be the guy that is involved in every high profile recruitment. That's the actual fucking job. there are endless examples (imagine the difference in this roster, not just at RB, if Herman had kept Traylor on board as RB coach) but turn your own question around on for a second... is there any reason why a guy that is the RB coach at the University of Texas, with the rich RB history and the resources here, should need to be micromanaged by his HC just to recruit his own room? He's just bad at his job.
    8 points
  21. Mama, just killed 120,000 menPut a pandemic against their headPulled aside their masks, now they're deadMama, my presidency had just begunBut now I've gone and thrown it all away
    8 points
  22. My FIL has a 5-600 acre ranch between Llano and Fredericksburg that goes back two generations. Three if you count my wife. He’s ‘retired’ now and runs about 100 pair cow/calf operation because it’s a passion of his. He leases to hunters which supplement the taxes and other expenses. We call it the ranch but he calls it home. He says that when I show up to help it’s like losing two good men.
    7 points
  23. 7 points
  24. Similar data here: https://austin.maps.arcgis.com/apps/opsdashboard/index.html#/39e4f8d4acb0433baae6d15a931fa984 To sum it up: - In Austin, since the protests, black/hispanic hospitalizations are down; white hospitalizations are way up. - Majority of other cities in the country where there were huge protests are not seeing the same spikes, including the epicenter of it all in Minneapolis. - The five cities in the country that are seeing the biggest increases right now are all in states that were on the very forefront of re-opening and rolling back facemask restrictions. Time to bury the political bullshit and stop trying to force a square peg into a round hole with the "but the protests!" nonsense, folks.
    7 points
  25. I am a very cynical person and the moment this was reported, this always reeked of NASCAR manufacturing this story to show how much of a stance they will take against racism. Like they were trying too hard and wanting to make it too obvious. And the next day, all the drivers standing behind Bubba and all the stations were covering NASCAR. No one ever covers or talks about NASCAR at that level. They got what they wanted. To show their hard stance against racism. I never once believed someone sneaked into a garage with as many cameras and security as they have to hang up a fucking noose. And now it's just passed off as "whoopsy daisy we made a boo boo and all is ok now". But mission accomplished. They got to show the world what they wanted to and got eyes on their sport that never gave a shit before. It was obvious from the jump what was going on but if you said it, you were called out for being a racist. I am all for the BLM and the movement in general but this stunk the second it was reported. I have zero idea if Bubba and his team were apart of this to get his name out there more but I have no doubts this was manufactured for attention. People kept saying "why would NASCAR plan this, that is such a black eye for their sport". Well this is the perfect way to do it. Have it come out later that it was an honest mistake. Now they get to wash their hands of any racist shit happening inside their premises. It was never going to be a fan or another driver/team member because that would definitely be a black eye. This kind of reminds me of when Lebron told us someone painted the N word on his fence, you know, inside the premises of his palace that has 985845 cameras rolling and security at all times but he never had a picture or video of it and had it painted over before the cops came. Riiiiiiiight. We have enough racism in this world without people trying to manufacture their own to get everyone riled up.
    7 points
  26. the folks throwing outrage sure don't get off that easy. Plenty of (what they thought were) easy shots were thrown. Again, it's hardly limited to this incident. People need to wake the fuck up and be gotdam human. Yes, we have serious work to do with regard to equality and justice. Finding a threat in every damned thing in society isn't where we correct it. There's a good order of both humility and courage required of folks wanting to solve this. It seems to be the farthest thing from anyone's mind right now. Our country is a 4 year old throwing a fit on the floor. We need a glass of water in the face in the worst way. After we tear all of this shit up, the work is still going to be there waiting for us. Will we trust one another? Not a chance in hell, the way things are going.
    7 points
  27. I just want to say I’m in before you are half way to Gettysburg and have to turn around because she made up with her sister and has to see her right now!
    7 points
  28. Milroe retweeted Jaden Alexis's Texas offer today.
    7 points
  29. That remains perhaps the most jaw-droppingly amazing thing about Trump. He lies about, literally, everything. Even when there's no point or purpose in doing so. He lies about everything, from the helpful to the harmful, the serious to the mundane. Lying is not what he does. Lying is what he IS. It's his default communication. I've known addicts....they don't lie at the rate that Trump does. It's actually astounding -- it was before he became president, it certainly is now. You cannot trust a single thing he says. If he says he had a burger for lunch today, the truth is actually most likely that he ate something else for lunch. The degradation of the Office of POTUS by this constant cascade of lies is incalculable.
    7 points
  30. Scaramucci, Scaramucci, will you do the Bongino? America is Whitening, very very frightening me.
    7 points
  31. I plugged TX nunbers into my national model (same assumptions). I we saw an uptick in transmitivity (0.09 to 0.12) starting around May 22-26, which coincides pretty well with Memorial Weekend and second reopening. This held flat/slightly declined the rest of that week. The current surge of cases come from June 5 onward with around 0.20 transmissivity. Conincides pretty well with mass public gatherings. June 11th is the last day with full hindcasting as of yesterday's numbers, so we are still seeing "protest surge" right now - if that's what this is. For perspective: the national average was steady at 0.10 for two months and has grown to 0.13 since start of June.
    7 points
  32. One side makes mistakes due to ignorance. Trumpists embrace ignorance to maintain their constant state of anger, hate, and fear. Compare the leadership: BLM has worked to manage emotions, avoid violence, and seek to improve race relations by encouraging equal treatment at the hands of law enforcement. Trump calls both sides good people when one side is white supremecist. Trump accepts the inclusion of bad actors and encourages them. Trump supporters embrace anti-science idiocy and don't care if they put others in jeopardy, all at the behest of their leader! Trumpists criticize slight imperfection and error in their opposites while shrugging off gross imperfections and error and even crimes in their own side. What is the Bible saying? Something about motes and logs? Here we are watching rigthists clutching their pearls over where will this iconoclast demonstration end. Oh dear, they won't be happy until they topple Abe Lincoln himself! That's a convenient way to dodge why they/we are cheering the destruction of our country's embrace of hagiography. We're also seeing an unprecedented sympathy between white and black. But let's shun that and fret over details or, evidently in the case of bringing up the Holocaust vandalism, cook up some fake news. Let's consciously lay the likely acts of white fucking supremecists at the feet of BLM. Wow. Just fucking wow. Trumpists can fuck right off.
    7 points
  33. This is technically considered a death wish, right?
    7 points
  34. “When the history books are written about this crisis, is anyone actually going to believe that America’s abysmal performance and its high death rate was because of some bureaucratic impediment at the CDC?" Kayyem said. “The core of America's problem is a White House that clearly was not pressed into action in January. And every flaw — from CDC and testing to FEMA and the stockpiles to the supply chain and the states — every systemic problem is rooted in White House malfeasance." https://www.politico.com/news/2020/06/23/trump-cdc-overhaul-coronavirus-335039
    7 points
  35. One is a lifestyle choice, one is a virus. When the medical community realized the impacts of secondhand smoke, the government took steps to reduce the chances of being exposed to it by banning its use indoors, forcing smokers into designated spots that non-smokers can avoid, etc. We are doing less for a virus that kills people within a month of exposure by not making masks mandatory (at a minimum), unlike smoking that can take years/decades to impact the person that, again, is doing it by choice. Your take is fucking dumb.
    7 points
  36. You're legitimately asking what the difference between cigarette smoking, a voluntary activity that isn't contagious, and a highly-contagious viral global pandemic is? You made that equivocation in your mind and thought "hey, what a great point I've just made! let me post it for the world to see. Good one slorch!"?
    7 points
  37. There are tens of thousands of cities, states and countries in the world. We've been in Covid times for about 100 days. So there are a million plus reporting days on record by now. You're asking if it's a conspiracy that out of those million reporting days we've covered most of the numbers between 100 and 999?
    7 points
  38. I will be in charge of this operation. Breakers will be flipped. Lives will be saved. Don't replace the wall plate. It's a great conversation piece for when you have guests over.
    6 points
  39. 6 points
  40. It's always the ones you least expect...
    6 points
  41. Jesus you are such a butt hurt pussy.
    6 points
This leaderboard is set to Chicago/GMT-05:00


×
×
  • Create New...