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

  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 know this isn't Football Related. Important Covid-19 Grant Info. that most people don't know about below SBA.GOV assistance program throughout the US. Everyone is hearing about SBA.GOV Small Business Payroll loan assistance. I'm an independent Business owner/contractor. i represent/Sell Health-Under 65, Not ObamaCare, Life, Medicare Over 65, College planning services. I'm also an Electricity Broker. I don't qualify for SBA.GOV employee Retention program that started today because I don't have any W-2 employees. There is help for me and anyone across the USA that is self employed or 1099 contract employee. See info. Below. Hopefully board administrators will not move post as important to all on this board that are like me. SEE INFORMATION BELOW. All, If any of you have friends that are self-employed IE contract labor, via 1099’s and don’t have any employees can go to below SBA link. Fill out 5 minute application, then SBA due to Covid 19 will deposit 10K in grant money. No repayment terms just 10K. Money is supposes to be deposited within 3 business days but SBA says it will take a bit longer due number of applications and demand. This info. is on SBA website, but I’ve been dealing with the SBA and I was provided this information verbally by SBA call center employee(s), IE more than 1. https://covid19relief.sba.gov/#/ I hope everyone stays safe and don't have any family, friends, or business associates affect by Covid-19 from serious medical standpoint!!!!
    1 point
  32. Renfro's recommitment means nothing is for sure, not that it means nothing at all. Personally, I think it's pretty cool to see the future Mean Greeners interacting with each other. Dreaming big. Talking about taking things to a new level. etc
    1 point
  33. Why ?!?!?!! Slippery Rock is the obvious choice.
    1 point
  34. Robinson joins Rubin Jones as a fellow incoming freshman at North Texas this offseason and the two come to North Texas already close friends. Both from the Houston area, Robinson and Jones played on the same AAU team last summer, Cooz Elite.
    1 point
  35. Not trying to be argumentative, just probing, but what when you say people are getting the necessary health care to survive are you referring to COVID-19 health care or "normal" non-COVID-19 life saving health care that people are able to receive because the hospitals are not full? For COVID-19 health care, I hear Gov. Cuomo say almost every day, that if you go on a ventilator, you don't come off. I don't know if he means 100% don't come off or some other high percentage. So going on a ventilator may be more palliative care rather than health care. For whatever reason, there may not have been anything medical science could have done to save them. Many people do get released from the hospital. Why? What made this disease different for them? What health care did they receive? Was it just fluids and rest to let the body's immune system fight it off? Was it drugs? We've heard about some drugs being tired (tamiflu, hydroxychloroquine, z-pack, zinc, redemisivir, HIV drugs, others?). Maybe someone knows all the answers, but the data hasn't been made available to the general public to draw any conclusions. All we get (for the most part) is very aggregated number of cases, deaths, recovered, etc. For non-COVID-19 health care (heart attacks, accidents, cancer treatments, etc.), the 1,000 bed Navy hospital ship Comfort was docked in NYC to take care of those patients. After several days, according to some reports, there were very few patients being treated on the Comfort. Perhaps social distancing did have a direct impact on the number of non-COVID-19 emergency room visits because everyone was at home. This could be viewed as a positive outcome from a health care perspective, but I'm not sure this is how we want to live our lives. Unfortunately some patients were transferred from the Javits Center to the Comfort and brought the disease with them. They were trying to keep the Comfort disease-free, but in the end couldn't. I believe the Comfort may be treating COVID-19 patients as well now. I tend to agree with your last sentence. This is about as difficult of a rock and hard place situation as you could possibly find yourself in. I don't envy anyone faced with making such difficult decisions. My personal view (and that's all it is) is that I would caution any declaration of social distancing (or any one response) as being a success or failure at this point. It's too early and there are just too many other variables involved. There is an old saying that correlation does not equal causation and I think that applies here. Some might say that new hospitalizations (ICU cases, deaths, etc.) have decreased as the calendar turned over to April and the weather started warming up (they did after all) or that we finally started (at least in NYC - the streets appear empty, but there have been some crowded subway cars) to build some level of herd immunity or that the use of masks has started to make a difference. Was this all about social distancing, a coincidence, a combination or some other factors we don't understand yet?
    1 point
  36. Both are apparently very contagious. Ebola, however, has a much higher mortality rate if you get it (up to 90% in some past outbreaks, but averages around 50% - incredibly high) and it has nothing to do with being in a high risk category. If you get it, you have a good chance of dying. We won't know the total mortality rate of COVID-19 for some time, but it seems to be very dangerous to certain segments of the population rather than anyone who is infected. The only good thing about Ebola is it tends to kill whoever it infects way before they have had an opportunity to infect a lot of other people so it "dies out" faster. Edit: I should have added that Ebola seems to be about as close to a death sentence as you can get in the medical profession for the doctors, nurses, first responders and other medical staff that put their personal fears and anxieties aside and treat and care for Ebola patients.
    1 point
  37. 50 schools across Texas closed this school year prior to February due to influenza outbreaks. So yes, we do. Just not on this scale which was unnecessary in every region. Strangely the subways have remained operational.in NYC and they didn’t start to limit mass transit service till late March. Rick
    1 point
  38. Drive-through testing available for Fort Worth-area residents with coronavirus symptoms
    1 point
  39. Covered in the article: #27 Oscar Adaway III – redshirt freshman – North Little Rock, Arkansas (North Little Rock HS)Adaway was a highly-touted recruit in the 2019 signing class, coming in as a three-star prospect according to 247Sports (which ranked him as the 69th best running back in the country) and ESPN (who ranked ninth in the state). He redshirted last season, appearing in just three games as a true freshman. He carried four times for 42 yards during his collegiate debut on 11/2 against UTEP. Adaway carried 139 times for 953 yards and 12 touchdowns, while hauling in 42 passes for 656 yards and six more scores as a senior at North Little Rock High School. Adaway, like Siggers, has a punishing running style, but has a little more size, measuring in at 6'0" and 215 pounds. "The running back group is very similar to last year's and we have the same chemistry together. We lost one soldier, Loren Easly, but we are getting a talented high school back in Isaiah [Johnson]. I think it's going to be a real fun year for this group. Last year we slumped, going 4-8, so I'm looking forward to us [getting back to] winning in 2020. I didn't participate as much [in 2019], but I still felt like I was on that field with my brothers."
    1 point
  40. I have not problem getting her back to Denton. Jalie is not cutting it.
    1 point
  41. Chill Billy, he ain’t worth it.
    1 point
  42. There is every kind of museum under the sun and they certainly are not all equal in their importance to society. That said museums are not just leisure and entertainment. The majority of museums primary roll is to educate. As a corollary, you have been giving your hard earned money to the airlines to transport you around this earth, sell you snacks, and charge you for everything else under the sun. When times were good with free cash flow these airlines could have been paying down debt, increasing their cash position, increasing efficiency and investing in all facets of their company thus improving shareholder value AND creating a fiscally stronger company that is better prepared to handle tough economic environments. Instead they only focused on the "shareholder value" part of the sentence and took a shortcut. They did this: https://www.bloomberg.com/news/articles/2020-03-16/u-s-airlines-spent-96-of-free-cash-flow-on-buybacks-chart You get to pay twice for your flights now. Listen it all sucks and is frankly against the American way. But if we are bailing people out I am no more mad about the money to the museums as I am the money to the airlines. This example can be applied to many more companies as well. It just sucks but I suppose is necessary.
    1 point
  43. But there are plenty of those that fact check Presidents, politicians and the like. Trump lies more than anyone in government, past or present, and its not even close. So who exactly wants to be lied to? Please help me understand how someone supports this President. I truly want to know.
    1 point
  44. I wish you’d quit bitching about Trump. You did your best in the basketball threads too to bitch. The man has tried to close our borders for over three years and got nothing but negative criticisms. Then he was ahead of everyone state side in shutting down travel to China,..again, nothing but negative criticism. The guy has plenty of room for criticism but protecting American interests from the flu ain’t one of them. If you want to bitch about Trump please start a separate thread on it. Rick
    1 point


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