It is not just Energy and it is not just Oil. Human behavior is involved.
And stupidity will be dealt with accordingly.
Quote from: RE on Jan 02, 2025, 07:35 PMConsidering the fact they have now criminalized being homeless, it's just a matter of time before one is cop-shot for "resisting arrest". Particularly if guilty of multiple crimes, such as "Black while Homeless".
RE
QuoteOh yeah, I was contract at Microsoft. I was treated like shit. I worked next to H1-Bs and was treated like them.
Quote from: 18hammers on Jan 02, 2025, 10:25 PMQuote from: RE on Dec 19, 2024, 01:20 AMQuote from: 18hammers on Dec 18, 2024, 11:40 PMWell it looks like a death is coming to the doomstead again. My mother took a fall a few months back, she is in her 90's. Didn't break anything but I moved her in with me as I could see she could not continue living on her own. 6 weeks ago I had to call the ambulance when she again fell hitting her head on the floor. She has been in the hospital ever since, with issue after issue, been called a couple times to come in as they thought she might not make it. I have visited every day and watched her condition go down hill. I suspect she wont be leaving the hospital.
I got the call today for a meeting with the doctor Monday. They said it is to talk over options as they cant do more for her. She had lots of problems as someone in there 90'S does but was able to get around her house, cook, garden and look after herself very well for someone that age, now she can't stand or take a step. This loss of independence has hit her hard. I know I can't care for her in the way she needs, can't even go to the bathroom without help now. I suspect they will tell me she needs palliative care. This will hit her hard as she still thinks she is going to be going home. This is likely the future for many of us, one day you are getting by and the next you are in a hospital and will have to accept the fact you are not going to leave. It will break her heart if this is what the doctors tell us Monday, I have known this seeing her condition slide so I am braced for the news, but it has not sunk into her how far her abilities have fallen.
Probably in her condition she will qualify for a Post Acute Care facility. This is the step right below Hospital care but above Assisted Living. There is a higher standard of care with nurses on duty 24/7 along with the CNAs. Assisted Care facilities generally only have PCAs on duty 24/7. PCA is an even lower certificate than, requiring only a few days of on the job training. CNAs have a 6 week curse and a state test to take.
PAC facilities vary in quality, but they are far better than AC Gulags. There usually isn't much choice in a given area, and beds aren't always available. If that's the case or if Medicare will not foot the bill for a PAC, your only choice is an AC unless you have a lot of money. I am told there are some decent ones out there, however I have yet to see one. If she does end up being sent to one, check it out carefully and shop the ones in your neighborhood for the best looking dog in the pound. Don't just look at the menu, ask to eat all 3 meals with the residents and see if you can stomach the food. See if they serve real Juice, or just Kool Aid they call juice. Check out their Call Button system, whether they have 2 way intercom or just an audio buzzer. Find out their official staff resident ratios on all shifts, then ask to see their attendance records for the last month for how many call in sick and what the actual on-duty numbers were. Check out how many bathrooms are available in the facility, there usually are not bathrooms for every patient. Often because many residents cannot get to the bathroom themselves, there is a schedule and the PCA bring them and leave them on the toilet for a half hour, so the baathroom becomes unavailable for long periods. This is not usually a problem in PACs where ther is a bathroom in every room or suite shared by 2 people only.
Let me know what happens, and what they bill Medicare/Medicaid. I'll let you know if it's in line with the current standards.
RE
I don't know your system in detail, only generally but it it sounds like ours are somewhat different. Every patient in this ICU have a Proper RN qualified looking after them, they do have what's called nurse practitioners but they to my observations appear very well trained but act under the direct supervision of the RN. The Rn herself aids my mom in showering and using the toilet.
The RN is full present in the bathroom at all times or right outside the door waiting until the patient is ready to exit the bathroom. I have been told that the cost I am going to have to pay is 80 dollars a day once she is stable and moved to the palitive care wing of this hospital.
That 80 dollars a day gets her 2 people a RN and nurse practitioner available 24/7 to attend to her needs. This 80 dollars a day includes meals and any needed meds as well. Because this is a rural hospital there are full in house cooking done with custom meals for all patients, delivered by the cook herself, The food is first rate, I have tried it myself, and I give it a full thumbs up. This is not so in the city hospitals, the food is contracted out in some city hospitals I have been in and tastes like crap, but out here in this hospital it is good. Call buttons are two way communications, and they respond fast. I have spend weeks there and watched people die (this is the ICU) and seen how it is handled. I could never do the job theses nurses do after what I have seen.
Quote from: RE on Dec 19, 2024, 01:20 AMQuote from: 18hammers on Dec 18, 2024, 11:40 PMWell it looks like a death is coming to the doomstead again. My mother took a fall a few months back, she is in her 90's. Didn't break anything but I moved her in with me as I could see she could not continue living on her own. 6 weeks ago I had to call the ambulance when she again fell hitting her head on the floor. She has been in the hospital ever since, with issue after issue, been called a couple times to come in as they thought she might not make it. I have visited every day and watched her condition go down hill. I suspect she wont be leaving the hospital.
I got the call today for a meeting with the doctor Monday. They said it is to talk over options as they cant do more for her. She had lots of problems as someone in there 90'S does but was able to get around her house, cook, garden and look after herself very well for someone that age, now she can't stand or take a step. This loss of independence has hit her hard. I know I can't care for her in the way she needs, can't even go to the bathroom without help now. I suspect they will tell me she needs palliative care. This will hit her hard as she still thinks she is going to be going home. This is likely the future for many of us, one day you are getting by and the next you are in a hospital and will have to accept the fact you are not going to leave. It will break her heart if this is what the doctors tell us Monday, I have known this seeing her condition slide so I am braced for the news, but it has not sunk into her how far her abilities have fallen.
Probably in her condition she will qualify for a Post Acute Care facility. This is the step right below Hospital care but above Assisted Living. There is a higher standard of care with nurses on duty 24/7 along with the CNAs. Assisted Care facilities generally only have PCAs on duty 24/7. PCA is an even lower certificate than, requiring only a few days of on the job training. CNAs have a 6 week curse and a state test to take.
PAC facilities vary in quality, but they are far better than AC Gulags. There usually isn't much choice in a given area, and beds aren't always available. If that's the case or if Medicare will not foot the bill for a PAC, your only choice is an AC unless you have a lot of money. I am told there are some decent ones out there, however I have yet to see one. If she does end up being sent to one, check it out carefully and shop the ones in your neighborhood for the best looking dog in the pound. Don't just look at the menu, ask to eat all 3 meals with the residents and see if you can stomach the food. See if they serve real Juice, or just Kool Aid they call juice. Check out their Call Button system, whether they have 2 way intercom or just an audio buzzer. Find out their official staff resident ratios on all shifts, then ask to see their attendance records for the last month for how many call in sick and what the actual on-duty numbers were. Check out how many bathrooms are available in the facility, there usually are not bathrooms for every patient. Often because many residents cannot get to the bathroom themselves, there is a schedule and the PCA bring them and leave them on the toilet for a half hour, so the baathroom becomes unavailable for long periods. This is not usually a problem in PACs where ther is a bathroom in every room or suite shared by 2 people only.
Let me know what happens, and what they bill Medicare/Medicaid. I'll let you know if it's in line with the current standards.
RE