Vaccine

MainMan" post=411086 said:
mjmaherjr" post=411085 said:
My personal favorite commentator on the whole corona thing and vaccines this past year is Scott Gottlieb on CNBC every morning pretty much. He's ex head of the FDA I don't find him to be political at all and he sits on the board of Pfizer and another company. This article from Forbes and him just popped up in my Facebook feed just now.   [URL]https://www.forbes.com/sites/c...o-speed-rollout-as-new-virus-variant-spreads/[/URL]


A couple of reasons why this may not work: 
1. Pharmacies may not be capable of storing the Pfizer and Moderna vaccines at ultra-cold temperatures. 
2. Walgreen and CVS are already contracted by the federal government to administer the vaccine at all nursing homes, assisted living facilities, etc nationwide. They may not have the manpower until that is over.

it is my understanding the Moderna vaccine does not need to be stored at the ultta cold temperatures like the Pfizer vaccine which is why it should make it to pharmacies 
 
Well thank you very much beast.  I definitely appreciate those words.  You are correct.  PPE was and still is at times limited. Up until about a week ago we still were getting masks once a week to use.  They have since given them out a little more frequently.  Gowns also can be issues from time to time.  I definitely have to give shout outs to all the people going into the rooms to treat of course the doctors physician assistants and nursing and pca's but also the respiratory therapist a lot of times gets the quiet treatment from the press and they get very involved.    Have to include housekeeping as well as they enter those rooms daily too.    I'm a physical therapist and we are definitely involved at the bedside for positioning bed mobility exercises and out of bed activities if appropriate and then for those that need we see them on our acute rehab service.  Although the numbers are ticking up I sure hope it doesn't come close to what was going on here in April and may into June.   Seems like many other states are going through that.  Feel bad for them and hope we can all hang on. 

Thanks again for the kind words!!
 
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Eric" post=411111 said:
Well thank you very much beast.  I definitely appreciate those words.  You are correct.  PPE was and still is at times limited. Up until about a week ago we still were getting masks once a week to use.  They have since given them out a little more frequently.  Gowns also can be issues from time to time.  I definitely have to give shout outs to all the people going into the rooms to treat of course the doctors physician assistants and nursing and pca's but also the respiratory therapist a lot of times gets the quiet treatment from the press and they get very involved.    Have to include housekeeping as well as they enter those rooms daily too.    I'm a physical therapist and we are definitely involved at the bedside for positioning bed mobility exercises and out of bed activities if appropriate and then for those that need we see them on our acute rehab service.  Although the numbers are ticking up I sure hope it doesn't come close to what was going on here in April and may into June.   Seems like many other states are going through that.  Feel bad for them and hope we can all hang on. 

Thanks again for the kind words!!



Eric where would you say your hospital is capacity wise to April ?
 
 
Mike, I'm pretty sure at our worst we were around 90% Covid.  I know that others the closer you got to the city were right at 100% Covid patients at the height.  

Edit
Ok so read your post again and you wanna know now how we compare to then.  I would guess percent wise around 70-80% less of Covid patients at this time compared to back then?
 
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Eric" post=411122 said:
Mike, I'm pretty sure at our worst we were around 90% Covid.  I know that others the closer you got to the city were right at 100% Covid patients at the height.  

Edit
Ok so read your post again and you wanna know now how we compare to then.  I would guess percent wise around 70-80% less of Covid patients at this time compared to back then?



thx yeah that's what I was wondering current capacity in the hospital 
 
 
Good point on the Moderna vaccine not needing super-cold storage. 

I think the pharmacy idea has promise, but it won't be able to take off until the two giants - CVS and Walgreens - are done with the nursing homes.
 
Eric (and others) - It's astounding that hospital workers were still only receiving one N-95 mask for a week.   I heard on TV that after one day, a used mask is only 25% as effective.   By the end of the week wearing the same mask may be less effective than nothing at all since on a daily basis the risk of that mask being contaminated with Covid increases tremendously, especially in a patient care setting where Covid is being treated.

I cannot imagine that there should be shortages of PPE after all this time, and can only imagine that hospitals are cutting corners with costs by doling out PPE in limited quantities.   I could be wrong, but...

As an FWIW, I've dealt with hospital admnistrators nearly my entire career, and typically C-suite executives in any facilitiy we were engaged at.   Considering their revenue, hospitals generally don't invest in leadership talent at a commensurate rate of for profit businesses in the private sector.    I'm generally against the creation of large multi-facility enterprises, with a cradle to grave network established for vaious reasons, but the positive aspect is that  it affords the opprtunity to hire the right talent through efficiencies gained by consolidation.   We do need to separate the bean counters (said derisively) from the caregiver leaders, because I firmly believe in patient care first.   Primarily, investments should be made in areas that improve patient care, with the goal not necessarily to maximize profits.    

I don't want to veer off course too much, but we do need healthcare facilities to protect ALL of their human assets.   A transporter exposed to Covid patients all day should rise above an admnistrator who sits in an office most of his day in terms of vaccination.   I've created some pointed LinkedIn posts on this subject.    

Again, Eric, MCNPA, and all other healthcare providers, thank you.   It has been trendy to say that, but as someone who spent five years at Mount Sinai Hospital early in my career, I sincerely appreciate the risk that you've accepted.   As incomprehnsibly horrific and sub-human the 9-11 attacks were, those responding did it in an acute way over the course of hours and days.   Our healthcare workers, though not exposed to the same acute dangers that 9-11 first responders faced, have gone to work for almost a year knowing that they could succumb to this deadly disease.    So, once again, a heartfelt thank you.
 
MainMan" post=411126 said:
Good point on the Moderna vaccine not needing super-cold storage. 

I think the pharmacy idea has promise, but it won't be able to take off until the two giants - CVS and Walgreens - are done with the nursing homes.
Fortuitously, for about 5 years or so, retail pharmacists have been certified in administering flu vaccines, which has taken the burden off other healthcare providers.   I've gotten my flu shots at a local CVS, and the efficiencies are a real time saver over waiting in a doctors office for an hour to be be seen, etc.    Having most trained pharmacists adminstering flu vaccines really gave our healthcare system a big shot in the arm (pun intended) in terms of readiness to broadly administer vaccines to the general public.  

For those with any doubts, pharmacy school is now a rigorous 6 years of undergraduate education.   At St. John's the average SAT score for incoming freshman is well above 1400, which would get you into a top 30 school nationwide.   Pharmacists graduate today with an entry level doctorate (PharmD), but very few pharmacists insist on being called doctor, which they worked very hard for.   I have to validate this but I've been told that pharmacy students at SJU must repeat any course with a grade lower than a C.   Three grades below a C in pharmacy school gets you dropped from the program, I've been told.   

CVS is of course now CVS health, which means they have broadened their scope to provide patient care services beyonf pharmacy.  

All of this is an incredible asset in administering Covid vaccines, and getting every eligible person vaccinated.   In terms of mandating vaccinations, I would hope health insurance companies would penalize individuals who aren't vaccinated by refusing to cover related medical expenses if an insured person gets Covid.    I think that makes sense because insurance companies are essentially risk takers who use actuarial morbidity tables in setting rates.  
 
mjmaherjr" post=411124 said:
Eric" post=411122 said:
Mike, I'm pretty sure at our worst we were around 90% Covid.  I know that others the closer you got to the city were right at 100% Covid patients at the height.  

Edit
Ok so read your post again and you wanna know now how we compare to then.  I would guess percent wise around 70-80% less of Covid patients at this time compared to back then?



thx yeah that's what I was wondering current capacity in the hospital 


Just found out they will be consolodating a couple floors which is the indicator the numbers are quickly rising here to dedicate another floor for covid.  
 
 
Good samaritan hospital in west islip just ordered 2 refrigerated tractor trailers to be used as temporary morgues.  20 covid deaths this weekend.
 
ShopRite just announced that 39 of its pharmacies in New Jersey will begin administering the vaccine to healthcare workers.

They must have been reading this thread.

 
 
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I reside in NYS but have spent the last 22 weeks in Florida where I was able to get the first shot of the vaccine this past weekend by merely registering on a website.  I will fly back to get the second shot.

it is unforgivable that New York State has been flatfooted in getting the drug out to the masses.  New York was seemingly unprepared for distribution despite the fact the release of thee vaccine was anticipated for, and planned by other states.
 
I reside in NYS but have spent the last 2 weeks in Florida where I was able to get the first shot of the vaccine this past weekend by merely registering on a website.  I will fly back to get the second shot.

it is unforgivable that New York State has been flatfooted in getting the drug out to the masses.  New York was seemingly unprepared for distribution despite the fact the release of thee vaccine was anticipated for, and planned by other states.
 
U.K. back into a 6 week lockdown o:)

But happy to report both my dad and Kira's mom, both front line workers, got their first shots of the Moderna vaccine today.
 
Beast of the East" post=411159 said:
Good samaritan hospital in west islip just ordered 2 refrigerated tractor trailers to be used as temporary morgues.  20 covid deaths this weekend.
I live in the Morningside Heights area of Manhattan, just a few blocks away from St. Luke's (now known as Mount Sinai Morningside). I've stayed here the entire time and probably the most haunting thing that will stick with me forever is the memory of when those refrigerated trailers showed up outside of the hospital early on in the pandemic last year. That and the completely empty streets with just ambulances going up and down Amsterdam Avenue. Was really hoping it wouldn't come to that again. 
 
Room112" post=411170 said:
Beast of the East" post=411159 said:
Good samaritan hospital in west islip just ordered 2 refrigerated tractor trailers to be used as temporary morgues.  20 covid deaths this weekend.
I live in the Morningside Heights area of Manhattan, just a few blocks away from St. Luke's (now known as Mount Sinai Morningside). I've stayed here the entire time and probably the most haunting thing that will stick with me forever is the memory of when those refrigerated trailers showed up outside of the hospital early on in the pandemic last year. That and the completely empty streets with just ambulances going up and down Amsterdam Avenue. Was really hoping it wouldn't come to that again. 
I have a friend that is a PT in private practice and hasn't treated anyone since the pandemic began and I do not think he intends to treat anyone after.   Still he had no trouble jumping the line to get vaccinated.   

I am not a fan of Governor Cuomo, but whatever his reasons, his decision to put himself at the back of the line to get vaccinated is laudible. 
 
MainMan" post=411165 said:
ShopRite just announced that 39 of its pharmacies in New Jersey will begin administering the vaccine to healthcare workers.

They must have been reading this thread.


Attention ShopRite Shoppers. Covid shots in aisle 13 next to the pepperwidge farm cookies so be sure to get a desert after your shot

 
 
I went to Pro Health this morning to get covid tests and there were 67 people ahead of me. They said its been non stop
 
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