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Showing content with the highest reputation on 04/09/2020 in all areas

  1. I can give you my numbers, but I only work in coding, billing, and consulting, so I do not have direct patient care. I work for 4 different companies in Dallas, Houston, and Ft Worth, and we have patients in every major hospital. Between the approximately 1200 patients whose paperwork I process (including their coding) and submit to both insurance and CMS, we've had 22 deaths in the last three weeks related to respiratory illnesses. I do about $100,000 worth of claims a day, and I read about 6000 patient notes on a weekly basis. Deaths are NOT being recorded as Coronavirus (U07.1) deaths when they have not yet had positive test results back. They might be doing that regularly in some places, but not anything I've seen (and I'm still only seeing a small percentage of the overall). Since we're still getting caught up on testing, a number of patients have died on day 3-4, and we're still waiting test results for them on day 10-11. They are being coded for pneumonia or R99 for the most part. This means that there are currently deaths that have NOT and NEVER WILL BE reported as Coronavirus (I have 7 specifically right now), and many more that will be investigated (hopefully, but there's a major backlog right now) and added later. As the CDC has stated is simply coding clarification meant to capture the most accurate patient information. There are separate codes for probable coronavirus U07.1, U07.2 (most of whom have been getting coded for pneumonia or any number of other respiratory illnesses for the better part of a month now), and potentially R99. And keep in mind, the coding instructions for the CDC are not flying into the hospitals, nursing homes, and coroner's offices and coding for them. Death certificates contain MULTIPLE codes, beginning with the IMMEDIATE CAUSE OF DEATH. They'll generally contain up to 3 or 4 codes. Coders and individual physicians and coroners are going to code how they're going to code. You can have two physicians seeing the same patient, and you could get completely different answers depending on who filled out the paperwork. It should also be noted that, as our Covid-19 death reporting has gone up, our pneumonia deaths have gone down roughly 30%, but are still nearly twice above our regular average for this time of year. At this point, neither our death rate nor our total numbers of cases are anywhere near accurate. But I'll say we're not OVERSTATING deaths due to Coronavirus right now, from what I've seen dealing with some of the most populated cities and counties in the state. But while we're understating the deaths, we're also understating the cases, so the rate itself is meaningless at this point, and probably will continue to be until we're through about 3 waves of it. On a personal note, I'm getting to wait an extra two weeks to get assessed for possible lymphoma or pneumothorax, because I have a cough - a cough that's as likely being caused by a lung tear or chest mass at this point as Covid, but we're gonna throw an antibiotic at it for now. I've found it near impossible to get a Covid test (as a proven negative would get me in for ultrasound/CT/biopsy), because I'm not "sick enough", as I've not had a fever (and I'm on week 3-4 of having the cough).
    6 points
  2. Sand Aggies don’t understand that Drez wants to play for Championships. Rick
    6 points
  3. The QAnon 12 Stages of Grief 1. hoax 2. nothing to see here 3. blown out of proportion 4. the media hates the president. 5. hmm...maybe this is real? 6. ugh...my 401K 7. here's a list of pharmaceuticals I know will cure this 8. this is NYC's/China's/Media's/Gays' fault! 9. wait...maybe this isn't real...? 10. fake death numbers! 11. chinese chemical warfare conspiracy! 12. buy guns
    5 points
  4. Ha didn't take long to fill his position
    5 points
  5. Hopefully Shakeem has grown into his body and can bang and the positive side is Muhammad is a senior next year. I would be content replacing Gue with a JUCO or Grad transfer big of essentials the same quality.
    4 points
  6. Why is this no biggy when you were panicky about every single Ebola headline? Is it really just as simple as who the president is?
    4 points
  7. “The Trail Leading Back To The Wuhan Labs” https://www.nationalreview.com/2020/04/coronavirus-china-trail-leading-back-to-wuhan-labs/amp/?__twitter_impression=true Rick
    3 points
  8. Thank you Rick. The first week or two after the bottom dropped out (March 16th forward) I can't count the amount of times I sat down in my car in the evening after leaving the office and just breaking down in tears over this. Hundreds of employees and families depend on our business to put food on the table, a roof over their head, and clothes on their backs. We have weathered bad years, natural disasters, etc. But the safety net systems aren't built for the government to restrict commerce entirely. And leave it up to our career politicians to be surprised that a business can't be all expenses with no revenue, and shocked by unemployment numbers and shrugging off claims of a incoming depression. Alot of marketing depts in America were putting on a good face about "taking care of their number one asset: the employee" the 3rd and 4th weeks of March, but it was clear a lot of companies in every industry were about to have to get rid of much of their workforce by the first weeks of April. Most of my days now are indistinguishable from the day before and after. I knew tomorrow was Thursday because the neighbors had their trashcans in the alley for Thursday trash day when I got home from the office tonight (yes, I still go daily even though I told everyone else to work from home. I can focus on the task at hand better). It's all crisis mitigation calls, staffing calls, running our cash, talking to the bank, etc. Our one business who still is waiting on the bank to submit the PPA paperwork will run out of money by Friday afternoon. We have a commitment from the bank for a bridge loan till the PPA money comes in, hopefully that funds by Thursday... At worse our other business can loan it money, or the investor group will kick in more cash to not see their original $15m go up in smoke. I don't doubt the COVID-19 is bad, but Dallas county with 2m people has 20 deaths and less than 1500 cases. I personally have furloughed or laid off hundreds and reduced the pay of those of us left between 5% all the way to 30% (depends on salary and title). I have watched people weep from losing their jobs and wondering how they'll pay their bills and I've also had people thank profusely for "sparing" their position from a layoff or furlough. None of this is right. I would say I generally support Trump, but I do not agree with him when he says there pent up demand and this will come roaring back. Maybe in 2022... The unemployed Americans will have a lasting ripple affect all the way up the economy for the next 12-18 months. Sorry to rattle on. Haven't looked at GMG since basketball was taken and this all started. Was a good release today reading it for 15 mins. Stay safe, stay employed.
    3 points
  9. I thought Bell was the 2nd best player at the end of the year. He toughened up a lot in conference play, and produced more than Geu minus Geu's great defense and shot blocking. Mykell is a guy that will play big into a role on the bench next season
    3 points
  10. https://www.dallasnews.com/news/politics/2020/04/08/d-fw-company-will-make-2-million-masks-a-week-for-texas-gov-abbott-says/?utm_source=Newsletter&utm_medium=email&utm_content=Coronavirus+Update%3A+D-FW+company+to+make+masks+for+state%2C+Dallas+County+reports+63+new+cases&utm_campaign=CoronavirusUpdate_04082020
    3 points
  11. Praying for our business folks who are the heartbeat of our country to be able to hang on and get thru this. Rick
    3 points
  12. Typical fanbase, sangs his praises until he commits elsewhere. Than he becomes a player that would never beat out the players they already have.
    3 points
  13. One versatile big who can play the 4 or the 5, like Geu but a better shooter, and one more scoring wing, like Brandon Murray or Simeon Fryer. Problem is we only have one more scholarship.
    3 points
  14. I could lead a symposium on how the Payroll Protection Act is a giant CF. We've submitted for one of our companies for the 2nd time (first app was complicated by multiple LLC's), and we're waiting on our other bank to submit the 2nd business's application. I bet G Brint gets richer off of this from a consulting standpoint. I know the Big 4 guys will for sure have consultants immediately transitioned to the PPA. I have no idea how the government will actually audit this down to the employee level in regards to who we were supposed to make sure the compensation is "protected" on. I assume it's all self policing for the time being. Since I mostly need to protect the pay of employees who were here during the look back period, I actually will end up shuffling around our staffing in such a way it will probably appear externally that I'm laying off or furloughing MORE people. There a lots of people who will take the money and be on the hook for the payback. I personally don't intend to lose a single dollar that could be forgiven. The rules a very specific and the generic rules that the news and even some vendors are floating around are just a glimpse of everything you have to consider to qualify for the loan forgiveness. Quite a mess we've gotten this country into.
    3 points
  15. One of NT best players transfers, and all of a sudden he just can't make it somewhere else. He has played the point a few times at NT and I don't see any reason he can't play it full time. However, at the same time I don't see Gibson as a hot commodity, if he insists on playing pg. He could actually end up at a lower tier team if he truly insists on being a point. Teams will want Gibson because of his shooting, but few are going to want an unproven pg to run their team.
    3 points
  16. https://meangreensports.com/news/2020/4/7/mens-basketball-in-my-own-words-the-schedule-made-us-better.aspx
    2 points
  17. Indirectly, yes. I tore my ACL and meniscus on duty back in February. I can't have surgery until after this is all over.
    2 points
  18. One left now. Hamlet, Reese, Z Simmons, Bell, J Simmons, Mohamed, Wise, Alcindor, and J Jackson puts us at 9 returning scholarship players. Rubin Jones, Mykell Robinson, and Mardrez McBride put us at 12, and we get 13.
    2 points
  19. I thought this was gonna be a picture of MTSU football home games!
    2 points
  20. North Texas State. What lazy reporting by an SI contributor.
    2 points
  21. 2 points
  22. La. Tech will NEVER play La. Monroe. A few years ago the didn't play in Shreveport bowl game because opponent would have been La. Monroe. Also, So. Miss is not going west, and don't be surprised in the two Louisiana programs don't as well. These are south eastern schools who probably aren't real interested in playing in a Texas conference given a choice. If you take 5 Texas schools, exchange New Mexico State for La. Monroe, you have 6 southwestern schools trying to sway Arkansas State ,La. Tech. and ULL to play west which I think is a hard sell. Just an old man's opinion.
    2 points
  23. Any Argyle kid that gets an offer from us yet chooses to go elsewhere should be tailed and arrested.
    2 points
  24. Cas is on a roll in recruiting. Finished last year with Hamlet, Reese, Geu, and Bell. Now this year starting with Jones, Robinson, and McBride who all have big offer lists. Very exciting to see
    2 points
  25. I think he can afford a better webcam. Did he record this on a Nokia flip phone?
    2 points
  26. Of course, social distancing works. Any logic at all would generate that conclusion. It hinders the rapid spread of any contagious disease spread by social contact. Causality is obvious. It can be argued if mandated closures are necessary, but not that they work to limit the spread of the disease.
    2 points
  27. Social distancing was incredibly effective in cities that did it during the 1918 pandemic. So I'd say it definitely brought down deaths in those cities that heavily instituted it then.
    2 points
  28. I'm counting on the Murphy twins to make some noise in 2020. Wreak havoc on opposing QB's and RB's.
    2 points
  29. No, we don't practice social distancing like this. If we hadn't the deaths would have been much, much greater than they are now. Deaths are still rising exponentially throughout most of the world. I know people like to talk about deaths versus influenza, etc but worldometers has a running count of those deaths (in an average year, because they are only tabulated later so no one really knows at the moment) on the site and the difference between the two has been shrinking greatly for the last week or so. I expect it to be close to zero in around a month if not before.
    2 points
  30. Get outta here with that mess Maybe he is graduating in three years and going somewhere else as a grad transfer. Otherwise, yeah he’d have to sit next year and would only have one season of eligibility left. If he’s not a grad transfer that’s definitely a head-scratching decision.
    2 points
  31. I don't think people are arguing that he cant make somewhere else, just that (myself included) don't think he is going to make it somewhere else as a PG.
    1 point
  32. I would bet that one of the Davis' land a first team selection. Both so explosive, and Tyreke is a senior
    1 point
  33. They wasted no time taking my money this year... I expected them to offer more than a month extra (considering there's little competition for seats at Apogee), but it appears a month extra was all we're allowed.
    1 point
  34. Shot 51% from 3 last year... I think we found our Mo Gibson replacement!
    1 point
  35. That has all to do with Money... Shaka has years left on his contract. Ashton did not. All schools have to make smart decisions right now as they lost lots of money with not spring sports, and no basketball revenue from post seasons. Shaka won some games down the end that bought him one more year. He needs to move away from the 1 year rentals and get the core built.
    1 point
  36. Which proves social distancing measures are working, so we should keep them going for awhile. I'm still quite concerned about a second wave hitting in a few months, when people aren't gonna be willing to go through these sorts of measures again, so we need to make sure this wave is as small as possible. The place where I really think this may hit hard is India. We probably won't now the numbers of dead for years. The H1N1 pandemic hit there really bad ten years ago and it was about 2-3 years before they had a good idea how many were killed there from it.
    1 point
  37. First detected case. So the travel ban from China wasn't a directive (which by the way is a major reason why we're just now seeing this pop up in the US). The fact of the matter is NYC leadership did not act quickly enough and did not take it seriously enough even as late as early March when De Blasio was telling people to go about their normal lives and that everything was fine. But they aren't the main people to blame, though if they had acted sooner NYC could have mitigated some of this. The entire world underestimated this because the Chinese Communist Party lied to the entire world about their numbers. They are to blame for the whole world's lack of preparedness for this severity of this virus.
    1 point
  38. What the hell is this??? Is it even a speech if Littrell doesn't say 'ass' at least 4 times?
    1 point
  39. This is the most electric position group on this team. I mean you can't go wrong with any of them from Torrey to Adaway to Siggers!
    1 point
  40. I didn’t click on the link thank you UntLifer
    1 point
  41. I am in complete shock. Wow speechless
    1 point
  42. On the one hand, the “My Pillow” guy switches his factory into making much needed face masks and is praised as a hero. Then he talks about God and the Bible and is raked over the coals by the left. I just don’t get it.
    1 point
  43. I always said we should do a DFW tournament and we could rotate who host it each year.. North Texas SMU TCU UTA if you want to go bigger you could add others in.
    1 point
  44. Presidential pardons are ridiculous. The President is not a King.
    1 point


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