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Post by Deleted on May 13, 2020 17:23:33 GMT -5
I should add total deaths and hospitalizations continues to decline in Florida also- Florida managed its response much better than say NY state where the governor actually put covid patients into vulnerable nursing homes ( thank God that policy has been canceled ) - Florida is basically a road map on how states can protect the vulnerable, elderly in nursing homes and those with compromised immune systems I'm sure there will be limited flare ups in some parts of the country - but with enhanced testing and contact tracing , CDC should be able to address in timely fashion. Country cant stay closed forever- more life will be lost that way - time to open up with safety precautions is well past due Tony, with all due respect, the governor did not put Covid patients back in nursing homes - nursing homes are private businesses, regulated by the state but not run by the state, and as such can take covid patients IF and ONLY IF they can care for them - specific state guidelines exist for this. If a nursing home cannot meet the state's requirements, THEY must find another nursing home (one that can care for covid patients). If they cannot, they are legally bound to contact NYS DOH and state that and DOH will find a location for the patient. The recent change in the law states that HOSPITALS cannot discharge patients back to a nursing home if the patient tests positive in any case, even if the nursing home is equipped to take appropriate care of them. The state has had nothing to do with telling hospitals or nursing homes what to do with their patients. I realize many have strong negative feelings about our Governor but that is no excuse for distorting the truth. |
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OneIndian
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Post by OneIndian on May 13, 2020 20:22:39 GMT -5
I should add total deaths and hospitalizations continues to decline in Florida also- Florida managed its response much better than say NY state where the governor actually put covid patients into vulnerable nursing homes ( thank God that policy has been canceled ) - Florida is basically a road map on how states can protect the vulnerable, elderly in nursing homes and those with compromised immune systems I'm sure there will be limited flare ups in some parts of the country - but with enhanced testing and contact tracing , CDC should be able to address in timely fashion. Country cant stay closed forever- more life will be lost that way - time to open up with safety precautions is well past due Tony, with all due respect, the governor did not put Covid patients back in nursing homes - nursing homes are private businesses, regulated by the state but not run by the state, and as such can take covid patients IF and ONLY IF they can care for them - specific state guidelines exist for this. If a nursing home cannot meet the state's requirements, THEY must find another nursing home (one that can care for covid patients). If they cannot, they are legally bound to contact NYS DOH and state that and DOH will find a location for the patient. The recent change in the law states that HOSPITALS cannot discharge patients back to a nursing home if the patient tests positive in any case, even if the nursing home is equipped to take appropriate care of them. The state has had nothing to do with telling hospitals or nursing homes what to do with their patients. I realize many have strong negative feelings about our Governor but that is no excuse for distorting the truth. “New York has faced particular scrutiny for a March 25 state health department directive requiring nursing homes to take recovering coronavirus patients.” www.google.com/amp/s/www.pbs.org/newshour/amp/health/nys-cuomo-criticized-over-highest-nursing-home-death-toll |
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notomo
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Post by notomo on May 13, 2020 20:24:42 GMT -5
I should add total deaths and hospitalizations continues to decline in Florida also- Florida managed its response much better than say NY state where the governor actually put covid patients into vulnerable nursing homes ( thank God that policy has been canceled ) - Florida is basically a road map on how states can protect the vulnerable, elderly in nursing homes and those with compromised immune systems I'm sure there will be limited flare ups in some parts of the country - but with enhanced testing and contact tracing , CDC should be able to address in timely fashion. Country cant stay closed forever- more life will be lost that way - time to open up with safety precautions is well past due Tony, with all due respect, the governor did not put Covid patients back in nursing homes - nursing homes are private businesses, regulated by the state but not run by the state, and as such can take covid patients IF and ONLY IF they can care for them - specific state guidelines exist for this. If a nursing home cannot meet the state's requirements, THEY must find another nursing home (one that can care for covid patients). If they cannot, they are legally bound to contact NYS DOH and state that and DOH will find a location for the patient. The recent change in the law states that HOSPITALS cannot discharge patients back to a nursing home if the patient tests positive in any case, even if the nursing home is equipped to take appropriate care of them. The state has had nothing to do with telling hospitals or nursing homes what to do with their patients. I realize many have strong negative feelings about our Governor but that is no excuse for distorting the truth. How would you interpret the DOH order of March 25 to NH? “No resident shall be denied re-admission or admission to the NH solely based on a confirmed or suspected diagnosis of COVID-19. NHs are prohibited from requiring a hospitalized resident who is determined medically stable to be tested for COVID-19 prior to admission or readmission.” The order was changed after it came to light. We'll probably never know how much damage was done by this benighted directive.It's laughable to claim the nursing homes are regulated but some how free to make their own decisions on admission of sick residents with covid. No NH would defy a directive thereby jeopardizing licensure. |
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Post by Deleted on May 14, 2020 5:41:27 GMT -5
The March 25th order said "No resident shall be denied re-admission or admission to the NH solely based on a confirmed or suspected diagnosis of COVID-19." That is true albeit poorly worded. If the NH is able to care for COVID-19 patients (separate staff, PPU, isolated facilities), they cannot deny re-admission or admission SOLELY on the COVID-19 basis. In fact, the NH (in New York State) cannot accept a COVID-19 patient if they cannot care for them. There were nursing homes that had COVID-19 patients and were caring for them properly - the concern that the State was addressing was the fear that such homes didn't want the additional burden of more cases and would deny re-admission. Unfortunately, testing was not available during that period and suspected cases could not be confirmed. The intent of the order was to clarify the fact that residents could come back when well or if the NH was setup to care for that population. The Governor DID NOT PUT patients into any NH. The NH is required by law to provided NECESSARY care or they will not be paid for their services. If the NH could not care for them, the NH should try and find another site for them - if they could not, they were to notify the State DOH and the DOH would place the patient in an appropriate facility. Due to the alarming increase in the number of cases, the State was establishing facilities to just care for COVID-19 patients. As I said earlier, the State has since strengthened handling of NH patients by preventing hospitals from discharging if the patient tests positive, they must exhibit negative results before discharge back to the NH. The let's hang it on the Governor neglects those cases where NH's readmitted patients knowing full well that they weren't equipped to adequately care for them while, AT THE SAME TIME, protecting staff and other residents...
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glen
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Post by glen on May 14, 2020 6:15:03 GMT -5
It all really depends on what the DoH said when the nursing homes called saying they didn't PPE, etc. to handle C19+ cases. It appears that lots of nursing homes took in C19+ patients when they shouldn't have. It may have simply been a money grab, or it may have been that they were faced with damned if I do / damned if I don't situation.
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OneIndian
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Post by OneIndian on May 14, 2020 7:51:23 GMT -5
The March 25th order said "No resident shall be denied re-admission or admission to the NH solely based on a confirmed or suspected diagnosis of COVID-19." That is true albeit poorly worded. If the NH is able to care for COVID-19 patients (separate staff, PPU, isolated facilities), they cannot deny re-admission or admission SOLELY on the COVID-19 basis. In fact, the NH (in New York State) cannot accept a COVID-19 patient if they cannot care for them. There were nursing homes that had COVID-19 patients and were caring for them properly - the concern that the State was addressing was the fear that such homes didn't want the additional burden of more cases and would deny re-admission. Unfortunately, testing was not available during that period and suspected cases could not be confirmed. The intent of the order was to clarify the fact that residents could come back when well or if the NH was setup to care for that population. The Governor DID NOT PUT patients into any NH. The NH is required by law to provided NECESSARY care or they will not be paid for their services. If the NH could not care for them, the NH should try and find another site for them - if they could not, they were to notify the State DOH and the DOH would place the patient in an appropriate facility. Due to the alarming increase in the number of cases, the State was establishing facilities to just care for COVID-19 patients. As I said earlier, the State has since strengthened handling of NH patients by preventing hospitals from discharging if the patient tests positive, they must exhibit negative results before discharge back to the NH. The let's hang it on the Governor neglects those cases where NH's readmitted patients knowing full well that they weren't equipped to adequately care for them while, AT THE SAME TIME, protecting staff and other residents... I think the goal was to free up hospital space and seniors weren’t to be denied readmission or admission. You can parse words all you want, the end result was the same NH could not deny admission. Allowing positive CV19 seniors to be placed in NH was a boneheaded move by NYS. If this wasn’t the intent why is Cuomo backpedaling now? www.politico.com/newsletters/new-york-playbook/2020/05/11/after-5-000-deaths-state-changes-nursing-home-policy-nycs-tough-road-to-reopening-at-least-3-kids-dead-from-new-syndrome-489179 |
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Post by Deleted on May 14, 2020 9:16:30 GMT -5
I guess you see it as backpedaling (hindsight is always 20:20) while I see it as clarifying. Consider COVID-19 was not even recognized as being in NYC, let alone in NYS Nursing Homes until March. I can guarantee that there were no specific COVID-19 references in ANY regulations in ANY state pertaining to NH's as it didn't exist until late 2019 in Wuhan, China. NH patients who exhibited respiratory issues were either treated in the NH or sent to the hospital if more serious. Most that were sent to the hospital ended up in the ICU and on ventilators and the survival rate of those patients is only 20%. There was not testing for COVID-19 in March so any NH patient that was sent to the hospital and was mis-diagnosed as having seasonal influenza and then determined to be ok, was the cleared for return to the NH. I strongly doubt there were too many NH patients that were being returned to their NH once admitted to the hospital and ICU. Trying to characterize this as an overt act by the Governor is cheap politics at best. To bad Trump didn't allow the Obama Administration's Pandemic Playbook to be used instead of the FOX/Trump Team's "How Can We Keep This A'Hole In Office Playbook - Dirty Politics Edition"...
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notomo
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Post by notomo on May 14, 2020 12:34:43 GMT -5
I guess you see it as backpedaling (hindsight is always 20:20) while I see it as clarifying. Consider COVID-19 was not even recognized as being in NYC, let alone in NYS Nursing Homes until March. I can guarantee that there were no specific COVID-19 references in ANY regulations in ANY state pertaining to NH's as it didn't exist until late 2019 in Wuhan, China. NH patients who exhibited respiratory issues were either treated in the NH or sent to the hospital if more serious. Most that were sent to the hospital ended up in the ICU and on ventilators and the survival rate of those patients is only 20%. There was not testing for COVID-19 in March so any NH patient that was sent to the hospital and was mis-diagnosed as having seasonal influenza and then determined to be ok, was the cleared for return to the NH. I strongly doubt there were too many NH patients that were being returned to their NH once admitted to the hospital and ICU. Trying to characterize this as an overt act by the Governor is cheap politics at best. To bad Trump didn't allow the Obama Administration's Pandemic Playbook to be used instead of the FOX/Trump Team's "How Can We Keep This A'Hole In Office Playbook - Dirty Politics Edition"... Miss: I know you like to turn everything into reason #X why you hate Trump, but the NH blunder by Cuomo is huge. That conservative rag NYT has a reference to it in today's Gazette in an article about shielding NHs from corona lawsuits and loosening record keeping. According to you, that's the sort of stuff Trump would do, not the saintly AndyC. Maybe he was just too focused on closing barbershops and hair salons to notice the implications of what his DOH watchdog was doing to nh residents. Afterall, they were already quarantine and supposedly safe. |
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Post by Deleted on May 14, 2020 13:09:47 GMT -5
I guess you see it as backpedaling (hindsight is always 20:20) while I see it as clarifying. Consider COVID-19 was not even recognized as being in NYC, let alone in NYS Nursing Homes until March. I can guarantee that there were no specific COVID-19 references in ANY regulations in ANY state pertaining to NH's as it didn't exist until late 2019 in Wuhan, China. NH patients who exhibited respiratory issues were either treated in the NH or sent to the hospital if more serious. Most that were sent to the hospital ended up in the ICU and on ventilators and the survival rate of those patients is only 20%. There was not testing for COVID-19 in March so any NH patient that was sent to the hospital and was mis-diagnosed as having seasonal influenza and then determined to be ok, was the cleared for return to the NH. I strongly doubt there were too many NH patients that were being returned to their NH once admitted to the hospital and ICU. Trying to characterize this as an overt act by the Governor is cheap politics at best. To bad Trump didn't allow the Obama Administration's Pandemic Playbook to be used instead of the FOX/Trump Team's "How Can We Keep This A'Hole In Office Playbook - Dirty Politics Edition"... Miss: I know you like to turn everything into reason #X why you hate Trump, but the NH blunder by Cuomo is huge. That conservative rag NYT has a reference to it in today's Gazette in an article about shielding NHs from corona lawsuits and loosening record keeping. According to you, that's the sort of stuff Trump would do, not the saintly AndyC. Maybe he was just too focused on closing barbershops and hair salons to notice the implications of what his DOH watchdog was doing to nh residents. Afterall, they were already quarantine and supposedly safe. This is true only if you can test your staff (those that come in and out on a daily basis) - that's how folks in the NH got infected. Not sure how you link what I said to shielding NH's from corona lawsuits - that is an issue that dealt with the inability, due to the lack of any National policy or response on TESTING, and NH's were concerned about taking a patient in that might be carrying the disease. (I guess that's #XI although I'm sure I have raised way more than that - after all he's been in Office for more than the last three months). Trump's your guy - we all get it - enjoy it, as the saying goes you reap what you sow... |
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notomo
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Post by notomo on May 15, 2020 11:55:40 GMT -5
Miss: I know you like to turn everything into reason #X why you hate Trump, but the NH blunder by Cuomo is huge. That conservative rag NYT has a reference to it in today's Gazette in an article about shielding NHs from corona lawsuits and loosening record keeping. According to you, that's the sort of stuff Trump would do, not the saintly AndyC. Maybe he was just too focused on closing barbershops and hair salons to notice the implications of what his DOH watchdog was doing to nh residents. Afterall, they were already quarantine and supposedly safe. This is true only if you can test your staff (those that come in and out on a daily basis) - that's how folks in the NH got infected. Not sure how you link what I said to shielding NH's from corona lawsuits - that is an issue that dealt with the inability, due to the lack of any National policy or response on TESTING, and NH's were concerned about taking a patient in that might be carrying the disease. (I guess that's #XI although I'm sure I have raised way more than that - after all he's been in Office for more than the last three months). Trump's your guy - we all get it - enjoy it, as the saying goes you reap what you sow... You can't candy coat Andy's culpability. Not only did he blunder with the NH corona admission directive, he tried to minimize the damage by preventing law suits. That wasn't your fav whipping boy doing it but our very own police state of NY grand poobah. Yes, you reap what you sow right here under our noses. And it stinks. |
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Post by psycholojets on May 17, 2020 11:13:46 GMT -5
Were mistakes made over the last 78 days of this unprecedented crisis? Maybe, but at least our governor gets up in front of us every day with the good news and bad news and takes questions and faces the music without insulting the media members who are only doing their jobs. Also he reports science and real data rather than aspirations and total BS that put people's lives at risk. Coumo is not a perfect person but he is trying to do what keeps New Yorkers safe rather than protecting his own ass.
Sent from my LM-V405 using proboards
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indian82
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Post by indian82 on May 17, 2020 12:01:57 GMT -5
Were mistakes made over the last 78 days of this unprecedented crisis? Maybe, but at least our governor gets up in front of us every day with the good news and bad news and takes questions and faces the music without insulting the media members who are only doing their jobs. Also he reports science and real data rather than aspirations and total BS that put people's lives at risk. Coumo is not a perfect person but he is trying to do what keeps New Yorkers safe rather than protecting his own ass. Sent from my LM-V405 using proboards And we're back to....'but Trump'. I've heard several times that 'whataboutism' isn't a good defense. As far as re-opening, Cuomo was asked last week which phase barbers, hair salons and other personal services fall into under his plan. I couldn't believe he said he didn't know or hadn't thought of it - think he even deferred that to the localities - because he didn't know. He's been pretty specific about these phases but he couldn't tell when an important service like that which employs thousands across the state. These are independent contractors - probably mostly women, many supporting families on their own. While he's had several haircuts over the past couple months for his national TV facetime. Probably Trumps fault again. This has been 2 months, they're his phases and he doesn't know how to categorize a very important service that employs thousands and millions are looking forward to. This is just as important as restaurants. |
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SIENA1971
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Post by SIENA1971 on May 17, 2020 12:17:49 GMT -5
Were mistakes made over the last 78 days of this unprecedented crisis? Maybe, but at least our governor gets up in front of us every day with the good news and bad news and takes questions and faces the music without insulting the media members who are only doing their jobs. Also he reports science and real data rather than aspirations and total BS that put people's lives at risk. Coumo is not a perfect person but he is trying to do what keeps New Yorkers safe rather than protecting his own ass. Sent from my LM-V405 using proboards And we're back to....'but Trump'. I've heard several times that 'whataboutism' isn't a good defense. As far as re-opening, Cuomo was asked last week which phase barbers, hair salons and other personal services fall into under his plan. I couldn't believe he said he didn't know or hadn't thought of it - think he even deferred that to the localities - because he didn't know. He's been pretty specific about these phases but he couldn't tell when an important service like that which employs thousands across the state. These are independent contractors - probably mostly women, many supporting families on their own. While he's had several haircuts over the past couple months for his national TV facetime. Probably Trumps fault again. This has been 2 months, they're his phases and he doesn't know how to categorize a very important service that employs thousands and millions are looking forward to. This is just as important as restaurants. New York hair salons and barber shops to reopen in Phase 2 of regional plan As reported on CBS6 |
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gorvy
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Post by gorvy on May 17, 2020 13:32:21 GMT -5
Got my hair cut by my daughter she did a great job. No biggie.
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indian82
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Post by indian82 on May 17, 2020 20:30:07 GMT -5
And we're back to....'but Trump'. I've heard several times that 'whataboutism' isn't a good defense. As far as re-opening, Cuomo was asked last week which phase barbers, hair salons and other personal services fall into under his plan. I couldn't believe he said he didn't know or hadn't thought of it - think he even deferred that to the localities - because he didn't know. He's been pretty specific about these phases but he couldn't tell when an important service like that which employs thousands across the state. These are independent contractors - probably mostly women, many supporting families on their own. While he's had several haircuts over the past couple months for his national TV facetime. Probably Trumps fault again. This has been 2 months, they're his phases and he doesn't know how to categorize a very important service that employs thousands and millions are looking forward to. This is just as important as restaurants. New York hair salons and barber shops to reopen in Phase 2 of regional plan As reported on CBS6 He didn’t know that on Thursday. |
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