Tuesday, July 20, 2021

Suck it up, Buttercup

It is difficult to avoid becoming a pessimist.

If you think in terms of "probability clouds" regarding future events as opposed to "this is for-sure going to happen", then the cloud representing future shutdowns is getting broader, taller and denser.

Covid virus tends to wax-and-wane and the mainstream-media is reporting a surge in Covid cases and it is only mid-summer.

Many virus become more common with the onset of fall and winter. Some claim it is Vitamin D deficiency. Others claim it is because we spread out in the summer and move closer together, i.e. indoors, in the cooler months.

Aside from biological realities, some elites in power feel threatened and long for a return to the days when they could stomp on people's right to assemble. It is a foregone conclusion that anything I commit to the internet is spied upon, leaving face-to-face the only private medium.

Thinking like an investor

I asked the every wise-and-lovely Mrs ERJ "Is there anything you really want to do that we can knock-out before mid-August? Is there anything we should buy? Any people you want to visit."

My thinking is that Michigan will tip into lock-downs between mid-August and mid-September as parents howl that they want their kids to return to in-person schooling.

She quickly said, "Let's go visit Ducky and Jerry" (not their real names). They live in a mid-Atlantic state.

Jerry's cancer relapsed and his prognosis is lower-triple-digit days even with aggressive chemotherapy.

Even now it might be too late. Ducky may look at the reports of rising Delta-variant Covid cases and say "Thanks, but no thanks". Chemo knocks down the body's immune system and Ducky is Jerry's gatekeeper at this stage of the game.

Nursing homes

It looks like Mom is on the brink of being transitioned to a nursing home for rehab.

Nursing homes were death-traps in the early stages of Covid due to decisions our Governor made.

They were also extremely inhumane in who isolating the patients. If any Covid was detected in the facility, they locked the patients into their rooms and delivered meals until they were "clear".  They were little more than coffins with oxygen hoses and TVs.

Signs of decline

Is there a hospital anywhere that is unaffected by staff shortages, insane Federal mandates and money-losing Medicare/Medicaid reimbursement rates?

A quick example. I took a photo of this paper-towel dispenser located in one of the Men's Restrooms at Sparrow Hospital. American Disabilities Act mandates the height that dispensers are located. It also mandates widths of doors and handicapped, self-opening features. Bringing an existing restroom into compliance is an exercise in compromises.

The only place to mount this dispenser was directly above the trash bin. If you want a clean towel, you must rip off the dispensed (and pitch it) before grabbing and ripping off the freshly dispensed before it is so long it spools out over the counter.

Stupid, stupid, stupid...but it is what the law mandates.

The manpower crunch hit older employees hardest. Management tends to be heavier in older people. The loss of management capability shows up with every step with the "THRIPP, THRIPP, THRIPP..." of every tacky footstep. Housekeeping decided that they only need to mop-down soap/disinfectant solution and never follow-up with a damp, wet-mop to pick it back up. 

That would have been nipped in the bud if there was even a vestige of management capability. As it is, what little management capability that is left is busy ensuring compliance to Federal mandates and funding while Housekeeping plays on their smartphones in the Atrium.

You are on your own

More evidence that we are on our own. Nobody is coming to save us. Suck it up, Buttercup. 

If there is anything you can do to improve your health, physical security, or ability to thrive during a lock-down, do it now.

4 comments:

  1. My wife has been in rehab for 3 weeks at a facility that is supposed to be the best in the area. It doesn't take much to notest that the staffing levels are mighty thin. Request for assistance go unanswered, used gloves left on the floor and staff needing reminders to do certain things.

    Most of the RN's and CNA are trying but they seem overwhelmed with the workload. There are a few mouth breathers that can't be bothered but they are found in any group. I think my wife may tunnel out if she doesn't get released this week.

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  2. As someone who did ADA compliance all over the country, that paper towel dispenser doesn't look compliant, although it's hard to tell from the photo. The height looks right, 40" maximum to the operating part, but it looks like there are floor clearance issues. ( We removed towel dispensers and replaced them with electric hand dryers and a person had to be able to pull straight up to it if in a wheelchair.) And if that countertop also holds the sinks, then for sure they aren't compliant. Again, hard to tell from the photo. Wheelchair is supposed to be able to drive straight under the sink with about six different clearance measurements, plus all the pipes have to be wrapped with special insulation to prevent burns from supply lines. The compliance regulations book we used was about 100 pages and contained regulations on everything from bathrooms to parking lots and sidewalks.

    I pray that your mother recovers and doesn't have to spend time in a rehab facility.

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  3. Mike Guenther is correct I think.

    I believe ADA rules requires a wall fixture to have the operating part (the slot in this case) is limited to 40" above finish floor, for front access, and 54" high for side access. Clearances at doors approximately 60" x 60" clear floor space on pull side (side where door is pulled towards you). 12" clear from push side - 18" clear from door jamb strike to any vertical wall surface deeper than 4" (in other words, nothing can project out from wall further than 4" or be deemed a hazard for blind persons hitting it).

    I'm a draftsman for an architect. The 1st handicapped rules dictated grab bars in a toilet stall and a paper cup dispenser near a drinking fountain. Now - so many rules it is hard to keep up.

    But if you have a disabled or soon to be disabled person moving to your home, it would be a good idea to review the clearances. Life can become extremely unpleasant if you have to make do.

    tdlrtx.gov are the Texas accessibility rules. A web site - each state has their own.

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    Replies
    1. Have done quite a bit of work in Texas, as well as 43 other states. Each set of plans are supposed to be "site specific." I've had plans for jobs in Texas drawn by architects based in Rhode Island. They are supposed to know the local codes for each specific locality. Federal codes are the minimum. State and local codes can only supercede federal codes if they are stricter.

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