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iramurphy

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Everything posted by iramurphy

  1. What you describe is anecdotal. The fact that someone was given Hydroxychloroquine and Azithromycin and improved doesn’t mean it was necessarily due to the medications. Weigh your friends story against Keikla’s experience in a NY hospital in the center of the NY Covid outbreak and the collected evidence of other physicians, PA’s, Nurses and Nurse Practioners reported in the medical literature. What is your source? Those of us in the medical profession are curious. Your comments, (other than your friends recovery) is social media noise.
  2. Only the player knows how he feels and why he chooses to do what he does. How would anyone know if he is “mad”? You don’t do “power plays” to get more playing time. It’s really none of our business. He contributed to the program so good luck to Cam and thanks for your efforts.
  3. What about it? I have no idea what he does with his money. It’s none of my business. It would be great if he gave a big donation to UND, but many people will delay their major donations until later in life. People’s idea of a major donation varies. How much does he need to give to meet your expectations? Most people with tens of millions set up a trust. Maybe someday there will be money directed to UND for scholarships or another area important to Jackson.
  4. Net worth estimated at $70 million. What he does with his money is his business.
  5. There are a number of wealthy people who many of us would like to direct where their money goes. There is still plenty of time for Jackson to donate to UND.
  6. I recall he has given money to UND. UND used to provide an annual summary of donors. He has been included in the past. You weren’t “just asking” you referred to him as a “loser”. What the hell is the matter with you? Who are you to judge the guy? Your last sentence pretty much sums it up.
  7. “High horse”? To your knowledge? What knowledge? Jackson hasn’t indicated he has an issue with UND. When he was last here he was very gracious. You haven’t the faintest idea what you are taking about.
  8. 1. Yes to question one. Let her work at home. Question 2 would be no if she can work and yes if she can’t. There are way to many people disabled who could be working and the employers often have desk work or other work the person could do but too many providers write notes or sign disability forms for wrong reason. 2. This is tougher. If he is still immunocompromised, he should qualify for short term disability. Once immune system recovers or vaccine/ treatment available then he should return to work. It has already come up twice in last 2 weeks. One teacher had past history of asthma but nothing for over 5 yrs. They wanted note excusing them from work. They were doing online classes so I told them no dice. Second case was person who wanted note to miss work but his employer wasn’t an “essential “ business so he wasn’t working anyway. I told him if he was called back to work and wasn’t ready we would review then. Hopefully you are feeling better.
  9. If it’s 1973 it’s Bill Deutsch. I thought it was Mike and 1972. Helmets were silver
  10. Kelly Green. That is All American Mike Deutsch. Drafted by the Bears. Did well and likely to make the team. I believe he had cervical spinal stenosis found on his last physical which ended his very promising NFL career. Great athlete. Also lettered in track. He knew what his assignment was on each play and usually knew that of his teammates. Huge thighs, ran low to the ground, very difficult for one guy to tackle. Fullback was Mark Belmore. Also very tough to tackle. Great blocker. My junior year we were playing UNLV in Vegas. They had a stud MLB who was trash talking and throwing racial slurs about the white boy. Belmore got pissed so we were lined up to run the next play and he yelled at him “ok you f’in n..... we running right here” and pointed to where the play was going and yelled “I’ll meet you there”. One of most violent collisions on FB field I have seen. Problem was he did same thing next play. We only gained about 4 yds on the two plays. These to RB’s could play on any team any era.
  11. Guy in the middle is Mike Wirtz. Student manager. Great guy.
  12. All American Todd Thomas. Played for Kansas City Chiefs for about 3 years. Career cut short by injury. Was a Chemical Engineer. I was told he had over 45 patents. Unfortunately died young. I believe cut was cancer. One of the best to ever play here.
  13. Doesn’t mean anything if he isn’t rewarded. If he does really well, probably moves up and out of our pay range. In the meantime, reward him with a handsome 5 year extension that requires big payback by big school that would hire him away.
  14. That is why our health care organizations are struggling. It is the chaos that you and you colleagues face in uncharted waters with no true compass vs the rural areas and others where we have shut everything down in anticipation of what’s to come. I hope that we as a profession and as a country reassess having to rely on other countries for critical supplies and equipment
  15. Verbal visits are charged $15-25. The Visual/virtual visits are charged the same as the office visit. None of my virtual visits have lasted more than 20 minutes. (99213) Most of the clinic visits are 25-30 minutes (99214). Almost none of the virtual visits involve any physical. So although they are paid the same, revenues are down. Physical therapists are also doing virtual visits but can’t do modalities nor anything with equipment. In Minnesota the Governor doesn’t allow elective surgeries and Ortho Surgeon are doing very little so some specialties are suffering more than others. Lots a patients are canceling appointments. Most of my colleagues claim revenues down 70%. Once our supplies are replenished, our surgeons should be able to resume their outpatient procedures, but many patients will still postpone due to fears. Our clinics will close when we are needed in hospital or ER. Once the surge is over, I suspect it may be similar to starting a new practice with the advantage you have already a foundation of patients who have been seeing you prior to the crisis.
  16. This is likely the toughest decision these governors have had to make. I think it has to be piecemeal and organized based on the state/region. Each state is also going to have a plan in place if the return to work causes a surge. We are going to have to be disciplined as a society to follow the return to work plan to decrease risks and chance of failure. Will we have the resources if the plan includes regular antibody or CV-19 testing. It’s likely the media and the political parties will criticize because there will still be new infections. The fact is, the longer this goes on the shut down becomes more than an economic emergency it is a threat to people’s health if people and businesses have no income and the food pantries can’t keep up with the demand.
  17. I agree, but the political comment added nothing and many of us in the medical field who are willing to share thoughts, information and especially keikla’s NewYork experience are not willing to continue on this site if that crap gets going again. We can go back to PM’s between us because she has had a medical life changing experience in many ways similar to a soldier’s combat experience. I am learning from her despite almost 40 yrs experience including ER, ICU and combat as a medical officer. If someone else’s political rants are more relevant then what she is sharing then I’m on the wrong page. I’ve also learned a lot from business owners, employers and the rest of you sharing experiences and opinions. I’ve learned absolutely nothing from the political comments.
  18. I agree. The challenge is timing.
  19. Knock off the political crap. The majority of people are mature enough to do that. Give it a try.
  20. I have seen some similar studies that put New York City area, Seattle area and California in a separate group. I think the amount of travel from countries with high infection rates early on and populations are major factors but we will need to sort out all of the other variables to know what else could have been done, when it should have been done, what shouldn’t have been done and how to best prepare for future threats. I’m sure almost everyone else knows at least this much but the how going forward is the tough part. Which cities did better? Which countries did better? In the meantime, we struggle to find best treatment, and an effective vaccine as soon as possible. We also need to monitor best practice and most effective means of returning to work while at the same time we minimize risk, spread of the disease and death. I hope you are feeling better. Be safe.
  21. Pretty good article. Underlines the complexity of your world. In my simple mind, it seems to me, the multiple ways epidemiologists and scientist are trying to summarize rapidly changing data without constant variables, from multiple sources. The multiple sources aren’t using the same parameters to measure and collect data and statistics. Then, they try to apply that information to select models and try to hit a moving target in an ever changing environment. You live in a complex world with a difficult task if this is your world.
  22. You too. Get lost.
  23. Take this crap elsewhere. We had gone almost a day with only one other stupid post.
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