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Sunday, July 26, 2020

50th Coffee with the Commissioner this Week: 2 Medical Doctors including a Pulmonologist Discussing COVID-19

How Stethoscopes Work | HowStuffWorks
We will have two (2) medical doctors on our live coffee on Wednesday
discussing the COVID-19 Pandemic


Our 50th Coffee with a Commissioner will be a webinar to watch this Wednesday morning!

I will have two medical doctors on the call, including a local pulmonologist  who has been in practice for 30 years locally and who has worked at all three local Escambia County hospitals.

I had a great conversation this Saturday morning with him, and he has agreed to join us on the call Wednesday morning to give an update on current conditions in our hospitals and the further actions he believes we need to take to reduce transmission levels locally.

We will also have Baptist Hospital in Pensacola CEO Mark Faulkner aboard to discuss the conditions at Baptist Hospital and how his organization is handling the pandemic locally.  County Administrator Janice Gilley will also be on the call, as will be County Emergency Manager Eric Gilmore.

I will ask the questions of the doctors and specialists the folks have been asking me--so it will be a good program to watch this Wednesday:

1. What does recovery look like for our local patients?
2. How long does the virus stay in the systems of recovered patients?
3.  Are our hospitals in danger of being over-run by COVID-19 patients?
4.  What current treatments are working best?  Convalescent plasma?  Remdesivir?  Steroids?
5.  Are masks more important than hygiene, hand washing, and social distancing?
6.  Are mask mandates absolutely necessary in your professional opinion(s)?
7.  Do we have the staff locally to handle the loads of patients?
8.  Is it safe to open schools for in-person instruction in August?
9.  How long is a recovered patient contagious--or are they contagious?
10.  How long will this pandemic last in your opinion--and can we beat it?

I will ask the salient questions that everyone is asking me.

It will take place this Wednesday morning from 6:30-7:30 AM.  The replay will air on Myescambia.com.

Join us live, and ask your questions in real-time on facebook!

To join the event live Wednesday morning, simply go to https://www.facebook.com/CommissionerBergosh/

"See You" online this Wednesday!


10 comments:

basha0810 said...

Commissioner Bergosh, when you ask the questions, please take into consideration that when these doctors say that the masks are absolutely necessary, which they will, tell them that the masks are being worn as a replacement for the social distancing, hygiene and hand washing. People wearing these masks are complacent. They aren't even wearing them right. I can't tell you how many places I've gone into where they are being worn on the chin or neck and not over their nose but just their mouths. I've seen them taken off in order to talk. People are pulling them up and down and off. They are tampering with these cloth masks to the extent that they are actually spreading the virus.

Back in May, Fauci said nobody should be wearing a mask unless they work in the medical field or if they're sick. What's changed? Ask these doctors what the health ramifications are of healthy people wearing masks for extended periods of time out in the heat and/or at an 8 hour job. Masks prevent our immunity systems from staying healthy and actually make the healthy vulnerable to the virus. I've seen actual tests where the oxygen intake with a mask on,is only 17.5. OSHA requires 19.5 in order to meet the limits of being able to deliver air to the body. Ask these doctors that! Don't ask these doctors yes and no questions because there is a narrative that they are being pressured with. Ask them to answer and then back those answers up with solid evidence. There is zero evidence supporting masks working. CA has a mask mandate and their COVID cases are up 162%. This virus has consistently had a death rate of 1.5%. Don't accept the fear that they're gonna have at the table with these questions. Hold them accountable for their answers and their evidence.

And a final reminder, and I know that you know this, but mask mandates are a violation of our constitutional rights as Americans. Thank you Commissioner for your fight in this. I'll continue to watch this matter because it is deeply concerning. A forced mask mandate will lead to a forced vaccine and I'm not in support of that. My body, my choice. No I don't want people to die, however, we're all faced with death every single day when we choose to get into our cars and not wear a seatbelt, when we choose to drink and drive, when we choose to smoke with the consequence of lung cancer, when we choose to fly knowing that the plane could crash. When does it end? Masks are not a cure all. Death is at all of our doorsteps every single day. There will be other viruses. We cannot live in fear like this. I'll go a step further and say that I will not allow someone else's fear, that they can't overcome, infringe on my rights as an American.

Mel Pino said...

Thank you, Commissioner Bergosh. Hopefully we'll get some real answers from the lung specialist.

Because a growing consensus in this town feels the hospital administrators are lying, and that includes their own staff.

And nobody can figure out what they think is going to save them when their disinformation campaign they have been running with Gilley and Lanza comes crashing down.

Here are some questions for Mr. Faulkner:

1. Why was the ER at Baptist packed at least one evening last week, with every person in the waiting room halfway to an IV needled ended (but not IV'd) as they waited hours and hours for care even though there were plenty of beds available in the ER? (AMA, anyone?)

2.Why are area hospitals giving out misinformation including illegal responses regarding admission policy to the ER?

--Why are people who declare themselves (1) confirmed covid; (2) suspected covid; or (3) quarantining due to potential exposure being told them should not come to local ERs unless they are in extreme pain or acute respiratory distress, thus asking them to evaluate their own medical conditions?

--Why are local ERs advising cases that follow the suspected CDC semiology being advised against coming in to the ER?

--Why are these sick people who call after hours to express alarm about increasing symptomology and/or increasing degree of symptoms-- being told by the hospital administrators' dispatch teams to wait until t/he next morning and call their PCPs for an evaluation?

--Why are they telling people in dire need of medical symptoms not to come in unless they are in extreme pain or acute respiratory distress. And then putting out the word that the worst problem with covid is that people aren't coming into the emergency room.

--Why are they the hospital administrators saying the biggest problem with covid is that people who need to come to the ER's aren't coming?

3. Why aren't our area hospital administrators releasing the numbers on their staff who are sidelined by covid (positive, symptomatic and awaiting test results)?

--Why are they hiding these numbers from hospital staff?

4. What is the position of hospital administrators on long term effects from covid, even if a patient manages to not die from it? They got anything?

5. Why don't you give a damn about the health of our community?

(Yeah, that least question won't be helpful for tomorrow. But it will be remembered in our community.)

I simply do not understand what these administrators think is going to save them from the disinformation campaign that, in my opinion--and the opinion of many others--they have been running.

Trump?

DeSantis? The guy that had a single news day of (1) releasing restrictions on nursing home visitation; (2) calling on hospitals for death bed visits from families with people dying from covid; and (3) talking about how much better the outcome for covid patients is on a record-breaking day for deaths in Florida.

And that's what comes from losing your damn fool mind about trying to run a disinformation campaign that literally has your mind pulled apart by cognitive dissonance,

In other areas of Florida, they are putting call outs to nurses offering over ninety dollars an hour, paid child care, free room and board to come help.

To our hospital admins, and to you, Commissioner Bergosh:

How many outside healthcare workers are going to be left after our hospitals have disintegrated under the avarice of their administrators?

And how many would even be willing to come here?

read between the line said...

When dealing with negative people, we can choose not to respond to their behavior and allow our positive behavior be an example.
Because life requires that we interact with different personalities, it is not uncommon for us to encounter a situation where there is one person whose behavior may negatively impact the experiences of others. Someone who is loud and crass can interrupt the serenity of those who come together to practice peace. A disruptive worker can cause rules to be imposed that affect their colleagues' professional lives. A team member who is pessimistic or highly critical may destroy the morale of their fellow members. And one "bad apple" in your personal life can be a potent distraction that makes it difficult to focus on the blessings you've been given and the people who love you.

There may always be people in your life who take it upon themselves to create disruption, foster chaos, stamp out hope, and act as if they are above reproach – even when, in doing so, they put a blight on their own experiences. But you don't need to allow their negativity and callousness to sour your good mood. Often, our first impulse upon coming head-to-head with a bad apple is to express our anger and frustration in no uncertain terms. However, bad apples only have the power to turn our lives sour if we let them.

If you can exercise patience and choose not to respond to their words or actions, you will significantly limit the effect they are able to have on you and your environment. You can also attempt to encourage a bad apple to change their behavior by letting your good behavior stand as an example. If your bad apple is simply hoping to attract notice, they may come to realize that receiving positive attention is much more satisfying than making a negative impression. While you may be tempted to simply disassociate yourself entirely from a bad apple, consider why they might be inclined to cause disturbances. Understanding their motivation can help you see that bad apples are not necessarily bad people. Though bad apples are a fact of life, minimizing the impact you allow them to have upon you is empowering because you are not letting anyone else affect the quality of your experiences. You may discover that buried at the very heart of a bad apple is a seed of goodness.

Anonymous said...

You may discover that buried at the very heart of a bad apple is a seed of goodness.

Anonymous said...

When states reopened to try to save the economy, the fate of this pandemic shifted from government mandates to personal responsibility.
But many are not heeding that responsibility
It will be many months before a Covid-19 vaccine might be publicly available -- if one becomes effective and available at all.
There's also no cure for the novel coronavirus. So the only way to control this deadly pandemic is through personal behavior -- like staying 6 feet away from others, including in social settings, and wearing a face mask.
"It is critical that we all take the personal responsibility to slow the transmission of Covid-19 and embrace the universal use of face coverings," Dr. Robert Redfield, director of the Centers for Disease Control and Prevention, said Tuesday.

Mel Pino said...

What a charming little apple paean, anonymous 12:22 AM. I'm happy you have the time on your hands to craft well-honed homages to agreeableness that have nothing to do with the topic at hand.

There are a whole lot of bad apples spread throughout our community right now demanding answers on why our local hospital leaders have been running a misinformation campaign with Janice Gilley and Dr. Lanza that has contributed to reckless spread here.

This will result in the avoidable tragedy of chronic illness and death in far more of our residents than would have happened if our government officials and healthcare bureaucrats would have simply told people the truth.

Commissioner Bergosh, thank you for asking the question about why everybody in the waiting room at Baptist ER was being started for an IV but not being administered them even after hours and hours of waiting. No doubt there are a few people relieved that Dr. Wade didn't understand the implications of what you were saying, thus his answer was reasonable--not everybody with covid needs to be admitted to the hospital. Not everybody in an ER waiting room needs to have an IV "started," either. And there are plenty of people who heard you ask that question that would have the real answer to why that was happening.

Everybody in the County needs to hear those doctors lay down the stone cold truth. Particularly the PCP's in the area who are, unbelievably, prescribing a mix of Plaquenil, Zith, prednisone, and throwing fluconazole into the mix to further strain the liver. Oh, but you don't need a covid test for your shortness of breath and persistent cough.

I cannot believe that some of our *doctors* are buying in to that crap. Thank you for getting doctors who were willing to speak the truth on. Just maybe it will result in more people waking up.

Anonymous said...

"US Surgeon General Dr. Jerome Adams said if you want more businesses to reopen and stay open, wear a mask.

"Some feel face coverings infringe on their freedom of choice- but if more wear them, we'll have MORE freedom to go out," tweeted Adams, who was nominated by President Donald Trump.

"Face coverings → less asymptomatic viral spread → more places open, and sooner! Exercise and promote your freedom by choosing to wear a face covering!"

Many of those newly infected are young people who are less likely to die from the virus. But they can still easily infect others by just talking or breathing.
With the current rates of transmission, "we will reach 100,000 cases per day" in the US, said internal medicine specialist Dr. Jorge Rodriguez."

With this virus, "one person -- on the average -- infects three people, and we're already at 40,000" new cases reported daily, Rodriguez said Tuesday.

But the CDC director said everyone can help stop this deadly pandemic. It just takes personal responsibility.

"We have powerful tools at our disposal -- social distancing, wear a face cover in public, and be disciplined about the frequent hand washing," Redfield said.

"We are not defenseless against this disease."

https://www.cnn.com/2020/07/01/health/reopening-economy-false-sense-of-security/index.html

Anonymous said...

At first the argument was we should wear a mask to protect others. But now those ‘experts’ say that masks do protect the wearer more than they originally thought. That changed the game because now you’re no longer completely relying on me to protect you. No mandates required. An added plus would be if 3m, an American company, would crank out more masks for us. There’s no reason we shouldn’t be swimming in N95 masks by now. ‘Journalists’ never bring up the ongoing shortage of N95 masks because they’re all riding the trump bashing train and kissing Biden and Faucci’s rear end.

Anonymous said...

https://apnews.com/2a4c1d64f8cb8efbadfd581594db8819
^^^^^^

"WASHINGTON (AP) — Dr. Anthony Fauci returns to Capitol Hill on Friday to testify before a special House panel investigating the coronavirus pandemic. His testimony comes at a time when early progress on combating the virus seems to have been lost and uncertainty clouds the nation’s path forward.

The government’s top infectious disease expert is testifying alongside Dr. Robert Redfield, head of the Centers for Disease Control and Prevention, and Admiral Brett Giroir, a Health and Human Services official and physician serving as the “testing czar.”

The panel, the House Select Subcommittee on the Coronavirus Crisis, is divided about how to reopen schools and businesses, mirroring divisions among Americans.

A rebound of cases across the South and West has dashed hopes for a quick return to normal life. Problems with the availability and timeliness of testing continue to be reported. And the race for a vaccine, though progressing rapidly, has yet to deliver a breakthrough.

Fauci’s public message in recent days has been that Americans can’t afford a devil-may-care attitude toward COVID-19, and individuals need to double down on basic measures such as wearing masks in public, keeping their distance from others, and avoiding crowds and indoor spaces such as bars. That’s echoed by Redfield and Giroir, though they are far less prominent.


In an interview with The Associated Press earlier this week, Fauci said he was “disturbed” by the flat-out opposition in parts of the country to wearing masks as a public health protective measure.

“There are certain fundamentals,” he said, “the staples of what you need to do ... one is universal wearing of masks.”

More in the AP link

***Breaking****

Anonymous said...

Good info here too

https://www.theatlantic.com/health/archive/2020/07/why-arent-we-talking-more-about-airborne-transmission/614737/