A few comments. Below I have attached the letter I received yesterday from my dad's nursing home. As I previously noted, they locked things down completely there on 3-4. I know Randy Bufford, the founder and CEO of Trilogy, which has like 170+ LTC facilities in 4 states. He's been very transparent about what they are doing. Ditto for the new leadership regime at American Senior Communities. I work with Dr. Kevin Neese who is the medical director at roughly 30 LTC facilities in IN. Dr. Neese is a hospitalist by training and has worked at St. V's, Community South, and he just finished 3 years at IU downtown where he took care of arguably the sickest patients in the state. At one point he was the CMO/COO at one of the Evansville hospitals. He said one problem is that they keep getting conflicting info from all parties - the ISDH, CMS, the CDC, the NIH, etc. He said people mean well, but it has created a process where every facility interprets things differently. My take is this is just like anything else. The well managed places figure this out and do the right thing, and the places with crappy leadership deliver the tragic results like we have seen in Anderson.
Re how these are counted, my son, who is a Purdue actuarial science grad, actually is managing the death records analytics for the state. This is a new position as they have realized historically, the state has had a major garbage in, garbage out problem with this, and his job is to help clean this up. As I posted last week, there are CDC guidelines as to how to record these deaths. I will talk to him this weekend about this. As you might imagine, the state had zero analytical rigor behind this, and I am pretty sure the idea to clean this up came out of the opioid crisis. Again the state is not the entity filling out the death certificates. They all have to be signed by an MD.
Finally a comment being that I am over 60 and one of the dinosaurs on here. I would not be surprised if I had this in February and was one of the folks who did not have the classic symptoms. I had unrelenting fatigue, rubbery legs and this dull headache. This went on non-stop for over three weeks. Honestly I felt like I had a terrible hangover the entire time. Had I been in a job where I needed to be on my feet, there would have been no way. On about week 4 I came down with what I figured was rotovirus - crippling nausea, vomiting, diarrhea and the worst headache I have ever had. I was in the fetal position for about 60 hours. I had dx influenza when I was HS soph in 1973, and the agony was about the same. I am blessed to have not missed a day since '73, but I missed two days of work with this. After I recovered from this, I gradually got better and am fine now. I work with a doctor who had pretty much identical symptoms to mine, and the college daughter of one of the pharmacists I work with had an identical course like me. I hope I get enrolled in the NIH trial. If not, even if I have to pay out of pocket, I am going to get tested for the antibodies. That will likely cost me about $350. If I don't have the antibodies, I am going to be pretty wary to hang out much, at least for a few months.
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