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Comfy Fleece Sweater posted:https://twitter.com/sannewman/status/1251646491283935232?s=21 https://twitter.com/JaseBennie/status/1251818152029089792?s=20 this is what liberalism does to people. politics is all spectacle to them. it doesnt affect them materially, so while they say they care about the homeless, the jobless, and those who cant afford the necessities of life, all they do is pretend these problems dont actually exist bc it doesnt affect them personally or their material circumstances.
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Apr 19, 2020 19:41
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lol Israel
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Apr 19, 2020 19:42
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lol I've left the house a handful of times for no more than 10 minutes at time since the shelter in place order was issued in the Bay area. considering going for a drive around town but with my luck I'll get owned by another driver and end up in the ER lmao hell yeah
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Apr 19, 2020 19:43
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a.lo posted:old people love skate parks Gen X, the inventors of the skateboard, are now old, so yes
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Apr 19, 2020 19:44
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Apr 19, 2020 19:44
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Apr 19, 2020 19:48
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MadJackal posted:What's your hospital's criteria to get tubed? When I left a week ago it was 1) proned 2) desatting <90% 3) tachypneic >30s and 4) <80 years old. Yeah we started using steroids too, it was initially thought to be a major no no but now it’s regaining favor and it does make sense. I don’t know where the initial recommendations to avoid steroids and Bipap came from, maybe Italy but it seems to have been wrong. We’ve gone back to at least trying the Bipap as long as we can get a good mask seal, we have a closed system with a filter so aresolization is less of an issue. I don’t have an age limitation, I’ll tube a 100 year old if they want it but my area of practice is the ER not the floor so we realize we’re working with an incomplete history and tend to be more about stabilizing at any cost and letting the rest get worked out later. We definitely do proning and look to desatting while on maximal oxygen therapy as intubation criteria. If there’s time we also use ABG data and tachypnea. I usually escalate max o2 > Bipap if still able to participate in Bipap > tube. Nodelphi has issued a correction as of 21:53 on Apr 19, 2020 |
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Apr 19, 2020 19:48
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Marshal Law did nothing wrong
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Apr 19, 2020 19:49
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https://twitter.com/philipoltermann/status/1251791927894323203?s=20 very confusing
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Apr 19, 2020 19:51
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https://twitter.com/QanonAnonymous/status/1251940243437043712?s=20 Ya know, if there was one message I could send out to the other parts of the US (the idea of the United States seems a bit fuzzy to me, does it to you?) is by all means, keep congregating together and don't wear any masks. We've already adapted to protect ourselves. Subsequently, you'll die alone on a nonrebreather.
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Apr 19, 2020 19:51
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mastershakeman posted:Is the 20% false negative what the news stories are saying was just due to the tests being done incorrectly? Or is that something else? I hadn't seen that mentioned before It’s hard to say but if you look at Abbott’s manual for the machine it says to do a nasopharyngeal sample but then the instructions sent to nursing we’re for an anterior nasal sample which is gentler. It’s led to inconsistent test collection methods across the system and guidance on the proper method is lacking.
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Apr 19, 2020 19:51
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people love seeing people work! maybe it will finally wake people up that they deserve wages that reflect that and benefits to boot!
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Apr 19, 2020 19:53
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Waiting to see where the pandemic hasn't gotten a foothold yet and deciding those are the places that can reopen (and therefore become as plague-blasted as New York) is a strategy almost designed to undo anything accomplished up to now. I thought cracking 30k dead was going to cause more of a stir, but it seems like the actual death toll is still pretty invisible to people. Probably a combination of everyone being isolated, the deaths mostly happening in private or within hospitals, and the victims mostly being older people who are already socially detached from anyone other than their families and other old people. Guess we'll have to check back in after another order of magnitude and see if that manages to shape public opinion at all. My guess is it'd start having an impact between 300k and a million, so maybe not until later this year.
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Apr 19, 2020 19:54
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Nodelphi posted:Yeah we started using steroids too, it was initially thought to be a major no no but now it’s regaining favor and it does make sense. I don’t know where the initial recommendations to avoid steroids and Bipap came from, maybe Italy but it seems to have been wrong. You're working the worst parts of this thing and I appreciate it. If you even know what I wrote about the ED in the past, then I'm sorry. gently caress worrying about blowing out alveoli, just get their sats up enough to transfer to the floors or the ICU. We'll take it from there.
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Apr 19, 2020 19:56
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oxsnard posted:After reading about it I'd rather put a bullet in my brain than have to go under a ventilator
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Apr 19, 2020 19:56
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Wow and I thought I hated people a lot already. This is a whole new level of hatred for those literal loving idiots protesting.
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Apr 19, 2020 19:58
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bblblbllbbluhhh I want a haircutttttt 
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Apr 19, 2020 19:58
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A full third of the US population should be forced to take Abilify or some other antipsychotic.
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Apr 19, 2020 20:00
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want a haircut? JOIN THE ARMY
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Apr 19, 2020 20:00
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Dolash posted:Waiting to see where the pandemic hasn't gotten a foothold yet and deciding those are the places that can reopen (and therefore become as plague-blasted as New York) is a strategy almost designed to undo anything accomplished up to now. Buffalo News published a story this morning saying the model for Western New York compared to NYC shows that WNY's peak won't be until June Chuds are not handling this news well
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Apr 19, 2020 20:01
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MadJackal posted:You're working the worst parts of this thing and I appreciate it. If you even know what I wrote about the ED in the past, then I'm sorry. Well we’re not that cavalier, like I said we try to avoid barotrauma if at all possible but every nursing home drops off people on the very edge of death with no paperwork and we often only have seconds to make a decision so we try our best to get it right more often than not. But there are inconsiderate and ill informed docs everywhere and the ER is no exception.
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Apr 19, 2020 20:01
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Lol someone just got pepper sprayed by security trying to enter a grocery store without a mask. I fully expect a news report soon.
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Apr 19, 2020 20:02
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Telsa Cola posted:Lol someone just got pepper sprayed by security trying to enter a grocery store without a mask. Hippity hoppity wear a mask on my property
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Apr 19, 2020 20:05
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Telsa Cola posted:Lol someone just got pepper sprayed by security trying to enter a grocery store without a mask. was it an old person?
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Apr 19, 2020 20:07
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what did Pompeo do that chuds are turning on him?
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Apr 19, 2020 20:07
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I'd probably unironically buy that, but  ethical consumerism says I have to wait until after the end quaran-times so that I don't buy it through the Bezos worker murder machineInceltown posted:Not sure about states but I've heard you can microwave a mom.  SardonicTyrant posted:Flared bases, people. You don't want to go to the doctor because you had something stuck in your butt. But what if the doctor's cute and totally into that sort of thing? snoo posted:I want a pseudopenis snoo posted:bblblbllbbluhhh I want a haircutttttt That
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Apr 19, 2020 20:07
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eric ciaramella posted:what did Pompeo do that chuds are turning on him? He made a black pact with the devil
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Apr 19, 2020 20:08
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a.lo posted:want a haircut? JOIN THE ARMY we're gonna shoot the gently caress out of this virus pewpew
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Apr 19, 2020 20:09
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I'm gonna trim and dye my hair soon like I have for a decade, what fuckin dumbass can't do that themselves
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Apr 19, 2020 20:10
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love that there's a choice between: * dnc strategy of do nothing but the minimal possible effort to support workers and literally nothing else except maybe more upper class relief * gop strategy of formenting astroturf protests with fox to undermine the health recommendations of trump's own advisors so the oligarchs can order all workers back to work regardless of risk then let them suffer and die without healthcare because gently caress being mildly inconvenienced or having less money love to have dems not realize that offering nothing over the gop's offer of "well go back to work and you'll maybe have some pittance of money and also lol its just the flu??" is very evil and dumb!! and we're on a course for more preventable tragedy in the hellscape that is america
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Apr 19, 2020 20:10
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TheWeepingHorse posted:Hippity hoppity wear a mask on my property
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Apr 19, 2020 20:11
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High point of my week so far: Being yelled at by a cardiologist who came down to the ER in a full PAPR about why are we letting “these people” in the ER (covid patients... many of whom are poc). I was standing there in my week old n95 mask. So many people are just awful and out of touch.
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Apr 19, 2020 20:12
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that's as many new york cops as have died from being shot since 1993 lol in the course of looking these numbers up, i also realized how many nypd have died to objectively hilarious causes. one dude was beaten to death with his own nightstick after hassling a dude on the train and another one died after being beat up by a student as a school dance. another one somehow fell down a fire escape while chasing a suspect
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Apr 19, 2020 20:13
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I need to acquire items from Amazon and I even have a credit but I've got this mental block where I don't want to buy anything. I don't know where it's coming from
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Apr 19, 2020 20:13
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lmao America is absolutely TurboFucked
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Apr 19, 2020 20:16
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Chinatown posted:lmao America is absolutely TurboFucked Brought to you by Intuit
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Apr 19, 2020 20:17
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Grizzled Patriarch posted:that's as many new york cops as have died from being shot since 1993 lol But will covid kill more NYC cops than traffic collisions
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Apr 19, 2020 20:17
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looks like we've crossed 40k deaths in the us
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Apr 19, 2020 20:18
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do not buy things from jeff bezos go make moonshine and salad from the dandelions in your neighborhood
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Apr 19, 2020 20:20
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The Saucer Hovers posted:do not buy things from jeff bezos everyone loving poisons the dandelions
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Apr 19, 2020 20:21
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