Category Archives: Testing and Contact Tracing

San Mateo County COVID-19 Data is Flawed.

By Michael G. Stogner

San Mateo County was the only County in the entire Bay Area to remain off of the State of California’s Watchlist. Why was that a goal for the Supervisors and County Manager instead of Protecting the Residents of SMC.

San Mateo County News.com has reported for weeks that the data did not add up. We also contacted County Manager Mike Callagy to explain the additional 15 ICU Beds and Staff that were reported on a single day only to disappear the next day.

His response was:

Michael,
I don’t know specifically, but I do know many hospitals now are able to easily convert rooms to ICU… it is not like the ICU wards they use to have.  Most rooms now are set up to convert to ICU.
Mike

Its fair to say that a Shut Down is in order until the real data is available.

Why would anybody believe San Mateo County with SFO and San Jose International Airport to the South not be a natural HotSpot.

 

SAN MATEO COUNTY HEALTH DATA

A significant unresolved problem with the State of California’s reporting system for communicable diseases (California Reportable Disease Information Exchange [CalREDIE]), has resulted in significant underreporting of COVID-19 testing results to San Mateo County Health and local health departments state-wide. Local health departments are receiving incomplete information regarding laboratory test results, which affects our ability to identify new cases of COVID-19, to accurately report the testing positivity rate in our community, and to identify the number of persons tested for the last few weeks. Without timely reports of all new lab results, it is impossible for the California Department of Public Health (CDPH) and local health officials to identify the extent to which COVID-19 is circulating in the community. It also hinders our ability to conduct effective contact tracing and case investigations to slow the spread of COVID-19.

The extent of this issue is currently unknown, and the expected resolution date is also unknown.  San Mateo County Health is in conversations with CDPH, working to rapidly resolve this issue and creating new paths for laboratory results to be reported to our County. In the meantime, we are continuing to report the testing data we do receive and will make clear to the public which data reported on our website are affected by this issue. Data currently affected are in the County Data Dashboard, the Lab Testing Data Dashboard, the Cases by City map, and the Long Term Care Facility Data Dashboard. CDPH has confirmed that although received data are incomplete, the data are valid for those results we are receiving. We expect the testing positivity rate, the daily and cumulative case counts, and other data points on the County’s COVID-19 data dashboards to change as more complete test results are reported to San Mateo County Health.

Leave a comment

Filed under #2americas, #citizenoversight, #corruptionmatters, #novaccinenocure, #SanMateoCountyNews, #stayhomesavelives, #WEARAMASK, Bill Silverfarb, Board of Supervisors, California Governor Gavin Newsom, Centers for Disease Control and Prevention, Chris Hunter, Citizen Advocate Brent Turner, Citizen Journalist, Citizens Oversight Committee, COVID-19, Dave Canepa, Dave Pine, David Burruto, David Silberman, Don Horsley, Dr. Scott Morrow, F.C. Watchdog, Government Hiding the Obvious, Kevin Mullin, Marshall Wilson, Michael G. Stogner, Michelle Durand, Mike Callagy, No Cure, No Treatment, No Vaccine, Outrageous Government Conduct, Pacifica Mayor Deirdre Martin, Public Trust, San Mateo County Health, San Mateo County News, San Mateo County's Two Americas, Shelter in Place Order, SMC Citizen Advocate Brent Turner, SMC Contact Tracing, SMC COVID-19 Call Center, Stay in Home Order, Testing and Contact Tracing, Those Who Matter, Victim's Advocate

Thank You LATIMES, State Inspectors Not Tested.

By Michael G. Stogner

Everybody should be thanking the LATIMES for their work. Government doesn’t always get it right. Protect yourself and those you love.

LATIMES Article today.

Inspectors of nursing homes were not tested
Gov. Newsom says the state is ‘raising our standards’ after Times reported on gap in COVID screenings.
DR. MICHAEL WASSERMAN was “blown away” that workers who visit multiple facilities went unscreened. (Al Seib Los Angeles Times)
By Jack Dolan and Brittny Mejia

Since early in the COVID-19 pandemic, California health officials have required nursing homes to bar entry to outsiders who might bring the coronavirus in with them and trigger a deadly outbreak among the elderly, vulnerable residents.
As a result, aging parents haven’t seen their families in months. Many have died without a final embrace from the people they loved.
But despite requiring routine testing of residents and employees , there’s one group California health officials have knowingly sent from nursing home to nursing home without first testing them for the lethal virus: state inspectors.
Interviews with eight registered nurses working as inspectors for the California Department of Public Health — all of whom spoke on condition of anonymity for fear of retaliation — revealed that the department has not provided coronavirus testing for the very people it is sending to make sure facilities comply with rules on infection control.
The inspectors said they are exposed to the virus on an almost daily basis and could easily be spreading the disease. One said she came down with a bad cough and tested positive for COVID-19 soon after visiting more than a dozen nursing homes in two days.
Public health officials said they had sent about 500 inspectors to the state’s roughly 1,200 skilled nursing facilities. Some with the worst outbreaks were visited multiple times. California was inspecting homes at triple the rate of other states, officials said.
“For them to send us in without testing or screening is unconscionable,” said an inspector in Southern California. “I think nursing homes shouldn’t let us in.”
Most of the inspectors interviewed also said they have not been provided with properly fitting personal protective equipment. One inspector said she refuses to spend more than a few minutes in a nursing home’s “red zone,” the quarantine wing reserved for COVID-positive residents, because every time she exhales wearing her ill-fitting masks, her glasses fog up.
In a brief email response to questions from The Times, California Department of Public Health Deputy Director Heidi Steinecker wrote, “We do supply our staff with proper PPE, and testing; our staff’s safety is important to us.” She did not respond to further questions.
Tony Owens, vice president of the union that represents nursing inspectors, said he was outraged at the claim that the department was providing his members with tests and adequate protective equipment.
“It doesn’t square with what we hear from the field, from the nurses themselves,” he said.
Later, health department spokeswoman Kate Folmar acknowledged that the department had not provided systematic testing but had encouraged inspectors to use their personal health insurance to seek testing on their own.
On Friday, hours after this article was published online, Gov. Gavin Newsom announced that the state would launch an aggressive testing regime for nursing home inspectors.
“We’re raising our standards,” Newsom said at a news conference, adding that nursing home inspectors will be held to the same testing standards the state requires of nursing home employees. Homes are required to test 25% of their staff every week and ensure that all employees are tested at least once a month.
The failure to provide reliable, systematic testing for inspectors is “crazy, just really alarming,” said David Grabowski, a professor of healthcare policy at Harvard Medical School. “It makes basically no sense that we’ve locked these facilities down since March, keeping families out, only to learn inspectors have been moving from facility to facility without being tested.”
Inspectors told The Times they have faced serious obstacles when they tried to get tested on their own — just like the general public. In some cases, their primary care physicians told them they didn’t meet the criteria for testing. In others, their doctors said there weren’t enough tests available.
“Why is the testing not coming to us?” one inspector asked. “We’re government employees. We’re doing this infection control … for the government.”
Nursing homes have been ground zero for the pandemic in the United States, suffering a staggering proportion of the deaths from COVID-19.
As of Monday, nearly 3,000 nursing home residents and more than 100 staff had died of COVID-19 in California, accounting for nearly 40% of the deaths statewide.
Many nursing home outbreaks are believed to have been sparked by “asymptomatic spread,” in which people who do not know they have the virus unwittingly infect others.
Some nursing home officials said they were shocked by the state’s lack of a comprehensive testing regime and worry that inspectors could be dangerously efficient spreaders of the disease.
“I’m blown away,” said Dr. Michael Wasserman, medical director of the Eisenberg Village nursing home in Reseda and president of the California Assn. of Long Term Care Medicine, which represents doctors, nurses and others working in nursing homes. “So you have inspectors going around to different facilities who haven’t been tested? It just makes no sense.”
Wasserman is not alone.
When nursing home administrators find out the inspectors haven’t been tested, “they are absolutely, visibly shocked,” an inspector from Southern California told The Times. “They only let us in because we’re the state; they’re scared to say no.”
An inspector working in Central California added: “We’re missing the whole point of public health 101, and we’re the public health department.”
The lack of testing for nursing home inspectors marks the latest failure by California health officials to take the necessary measures to prevent the coronavirus from spreading to some of the state’s most vulnerable institutions.
Last month , a Times review of inspection records found that state health inspectors had carried out more than 1,700 “COVID Focused Surveys” at skilled nursing facilities but had issued just 14 infection-control citations as a result of those visits.
Time and again, inspectors sent to assess nursing homes’ ability to contain the virus found no deficiencies at facilities that were in the midst of deadly outbreaks or about to endure one.
In early April, for example, state inspectors completed a survey of Magnolia Rehabilitation and Nursing Center in Riverside and found nothing wrong.
The next day, a fleet of ambulances lined up outside the home to evacuate all 83 residents after the staff refused to show up for work, terrified of the deadly infection already spreading within the facility.
In addition to nursing homes, the untested state inspectors have been regularly visiting a wide range of healthcare facilities, including hospitals, surgery centers, dialysis clinics and home health centers.
State health officials said they are not aware of any outbreaks that have been caused by an inspector introducing the virus.
Folmar said the department knows of six inspectors who have tested positive since the beginning of the pandemic.
“Through contact tracing questions, we learned none had recently been in a facility and were working off-site at home,” she said.
But contact tracing has been spotty.
Despite coming and going from buildings with outbreaks on an almost daily basis, none of the inspectors who talked to The Times said they had been interviewed by a contact tracer since the beginning of the pandemic.
Internal emails reviewed by The Times indicate that officials at the Department of Public Health have been aware for months of complaints from inspectors about unsafe working conditions.
In early July, department officials took part in a formal exchange with SEIU Local 1000, the union that represents inspectors. Among the questions presented by the union was whether inspectors would finally get tested, noting, “This is a big concern for nurses.”
In response, a public health management representative acknowledged that everyone else working in the health facilities visited by the inspectors is required to be tested, so failing to test the inspectors creates “an inconsistency.” The representative said there was no final plan to begin testing the inspectors.
The documents also discuss a myriad of problems with personal protective equipment, including distribution issues and the lack of fit-testing of medical-grade masks, known as N95s, which are recommended for people working indoors surrounded by COVID-19 patients.
Several of the inspectors interviewed by The Times said they have attended staff meetings in which their colleagues openly discussed the possibility that they are spreading the disease to nursing homes.
“We’re the public health department; we should be testing our people,” one of them told The Times. “If it was my family in that nursing home, would I want a nurse to come in, and she’s not tested? I don’t think so.”
Times staff writer Phil Willon contributed to this report.

Leave a comment

Filed under #2americas, #citizenoversight, #SanMateoCountyNews, Board of Supervisors, California Inspectors not tested, CDC, Centers for Disease Control and Prevention, Citizen Advocate Brent Turner, Citizen Journalist, Congresswoman Jackie Speier, COVID-19, COVID-19 Testing, Dr. Michael Wasserman, Dr. Scott Morrow, Michael G. Stogner, No Cure, No Treatment, No Vaccine, Outrageous Government Conduct, Protect the Residents of California, Public Trust, San Mateo County Health, SMC Citizen Advocate Brent Turner, SMC Contact Tracing, State of California, Testing and Contact Tracing, Victim's Advocate

San Mateo County Manager Mike Callagy ” Pretty Good Position.”

By Michael G. Stogner

Update: July 24, 2020 San Mateo County has had 3 COVID-19 Deaths and as of this morning the County is reporting only 5 ICU Beds and Staff available. That number has been 13 up until July 21, 2020. 20% Availability of 67 = 13 on the bar graph below you will see on the far right the GRAY color is supposed to show how many ICU Beds and Staff are available, for the first time it is BLANK.

Screen Shot 2020-07-24 at 7.42.11 AM

In a SMDJ article this morning titled “Keeping closures at bay in San Mateo County.”

Mr. Callagy says: “Dr. Morrow does believe that we’re in a pretty good position here that doesn’t warrant the type of measure of closing more businesses down.” 

I don’t know where Mr. Callagy got his information about Dr. Scott Morrow’s Belief’s but I do know This is exactly what Dr. Scott Morrow said. Nowhere in this statement does he mention “PRETTY GOOD POSITION.”  He said “We don’t have the resources to do case-control studies given the enormous burden on all the staff at the health department at this time.” “No gatherings outside of immediate households, use facial coverings extensively, and social distancing.”

It’s a shame the SMDJ which has 84,000 readers just promoted the PGP statement. This is a PANDEMIC.

Health Officer Statements

Message from July 20, 2020

Please read or reread my previous statements below to get a better understanding of where we find ourselves today and actions you can take to protect yourselves and your family.

Why is the virus spreading here at it’s current higher level now? I don’t know exactly, but it appears to me that there are 3 major factors. In order to understand what’s going on completely with transmission risks, we would need to do case-control studies.  We don’t have the resources to do case-control studies given the enormous burden on all the staff at the health department at this time, but we can take some educated guesses based on patterns that we are seeing here.

  1. The virus appears remarkably, even surprisingly, transmissible.  At pretty much every point over the last 6+ months, I’ve been surprised, and impressed, at how capable this virus is at moving itself between people.  It spreads in households like wildfire and it spreads in other indoor environments too.  It seems to be everywhere we look.  I know this is hard, we’re all exhausted and frustrated by having to take precautions, but the implication of this fact is that you can’t let your guard down, or be careless, even once, especially if you are at high risk.
  2. Fundamental structural failures of the US economy are being laid bare by the pandemic. These structural issues seem to be a major cause of the transmission we’re now seeing, at least in San Mateo County.  Many elements of the US economy can be viewed as illogical, even immoral in my opinion, in that so many people are forced to live lives of economic desperation, live pay check to pay check, are not paid a living wage, live with no workplace safety nets, like healthcare, like paid sick leave, or other wage protection programs.  While these structural issues are illogical in good times, they are downright inexplicable in times of a pandemic.  These structural problems are at such a massive scale, they can not be ignored.  A majority of people we are seeing infected now are front line workers (people who allow the rest of us to eat, and have electricity, and have our garbage picked up, etc), live in crowded multigenerational conditions, live with lack of trust in, and in fact have downright fear of, government.  Remember to stem the spread of this very transmissible virus, people who are infected need to be separated from others (isolation and quarantine), not go out in public, and not go to work while they are infectious.  Try getting compliance with isolation and quarantine when the infected person is the breadwinner for the family and the family will be out on the street if they don’t go to work.  And when they go to work they will, perhaps, interact at that job with you.  There is not enough enforcement capacity in the world to stop this from happening.  The implication of this is that the current business focused restrictions will do little to stem the spread of the virus when the spread is exacerbated by these conditions.  This requires rapid policy and systems changes at every level of both public and private sectors, from the feds on down, and from the largest corporations to the smallest business.  We need to see much more work in this area, and we need to have less reliance on business sector closures and restrictions, beyond getting businesses to do the basic transmission control measures.  Failure to fix some of these issues will prolong our collective pain.
  3. Complacency is the other majority factor enabling spread.  This is either born of belief systems (this is all a hoax, this isn’t that bad for me, let’s go to a party and get infected), or born of just not paying attention.  Many, many of our infections are related to fairly small gatherings of family and friends.  Birthday parties, picnics, eating at restaurants with mixed households, etc, without the basic precautions being taken.  Most of these gatherings are innocent, no doubt, not intending to spread the virus, but they do spread it, and with far reaching implications.  Please note, your seemingly innocuous get togethers are driving the spread and are a major reason why you can’t go to a restaurant, why you can’t go to the gym, why you can’t go get your hair cut, why kids can’t go to school.  Until, or unless more people get this fact, we will continue to be stuck in the situation we are in.  To get out of this situation depends on all of us.  Our collective best course of action: No gatherings outside of immediate households, use facial coverings extensively, and social distancing.

Scott Morrow, MD, MPH, MBA
San Mateo County Health Officer

Leave a comment

Filed under #2americas, #citizenoversight, #novaccinenocure, #SanMateoCountyNews, #stayhomesavelives, #WEARAMASK, Board of Supervisors, Carole Groom, Centers for Disease Control and Prevention, Charles Stone, Chris Hunter, Citizen Journalist, Citizens Oversight Committee, Congresswoman Jackie Speier, COVID-19, COVID-19 Testing, Dave Canepa, Dave Pine, David Burruto, Don Horsley, Dr. Scott Morrow, F.C. Watchdog, Google, Jon Mays, Marshall Wilson, Michael G. Stogner, Mike Callagy, No Cure, No Treatment, No Vaccine, Outrageous Government Conduct, Public Trust, San Mateo County Manager, San Mateo County News, Shelter in Place Order, SMC Contact Tracing, Stay in Home Order, Testing and Contact Tracing, Those Who Matter, Victim's Advocate, Warren Slocum

SMC Dr. Scott Morrow July 20, 2020

Health Officer Issues New Statement; Addresses Why COVID-19 is Spreading at Current Higher Level.

Why is the virus spreading here at its current higher level now? I don’t know exactly, but it appears to me that there are 3 major factors. In order to understand what’s going on completely with transmission risks, we don’t have the resources to do case-control studies. We don’t have the wherewithal to do case-control studies given the enormous burden on all the staff at the health department at this time, but we can take some educated guesses based on patterns that we are seeing here. 1. The virus appears remarkably, even surprisingly, transmissible. At pretty much every point over the last 6+ months, I’ve been surprised, and impressed, at how capable this virus is at moving itself between people. It spreads in households like wildfire and it spreads in other indoor environments too. It seems to be everywhere we look. I know this is hard, we’re all exhausted and frustrated by having to take precautions, but the implication of this fact is that you can’t let your guard down, or be careless, even once, especially if you are at high risk. 2. Fundamental structural failures of the US economy are being laid bare by the pandemic. These structural issues seem to be a major cause of the transmission we’re now seeing, at least in San Mateo County. Many elements of the US economy can be viewed as illogical, even immoral in my opinion, in that so many people are forced to live lives of economic desperation, live pay check to pay check, are not paid a living wage, live with no workplace safety nets, like healthcare, like paid sick leave, or other wage protection programs. While these structural issues are illogical in good times, they are downright inexplicable in times of a pandemic. These structural problems are at such a massive scale, they can not be ignored. A majority of people we are seeing infected now are front line workers (people who allow the rest of us to eat, and have electricity, and have our garbage picked up, etc), live in crowded multigenerational conditions, live with lack of trust in, and in fact have downright fear of, government. Remember to stem the spread of this very transmissible virus, people who are infected need to be separated from others (isolation and quarantine), not go out in public, and not go to work while they are infectious. Try getting compliance with isolation and quarantine when the infected person is the breadwinner for the family and the family will be out on the street if they don’t go to work. And when they go to work they will, perhaps, interact at that job with you. There is not enough enforcement capacity in the world to stop this from happening. The implication of this is that the current business focused restrictions will do little to stem the spread of the virus when the spread is exacerbated by these conditions. This requires rapid policy and systems changes at every level of both public and private sectors, from the feds on down, and from the largest corporations to the smallest business. We need to see much more work in this area, and we need to have less reliance on business sector closures and restrictions, beyond getting businesses to do the basic transmission control measures. Failure to fix some of these issues will prolong our collective pain. 3. Complacency is the other majority factor enabling spread. This is either born of belief systems (this is all a hoax, this isn’t that bad for me, let’s go to a party and get infected), or born of just not paying attention. Many, many of our infections are related to fairly small gatherings of family and friends. Birthday parties, picnics, eating at restaurants with mixed households, etc, without the basic precautions being taken. Most of these gatherings are innocent, no doubt, not intending to spread the virus, but they do spread it, and with far reaching implications. Please note, your seemingly innocuous get togethers are driving the spread and are a major reason why you can’t go to a restaurant, why you can’t go to the gym, why you can’t go get your hair cut, why kids can’t go to school. Until, or unless more people get this fact, we will continue to be stuck in the situation we are in. To get out of this situation depends on all of us. Our collective best course of action: No gatherings outside of immediate households, use facial coverings extensively, and social distancing. — Scott Morrow, MD, MPH, MBA San Mateo County Health Officer Please read or reread previous statements to get a better understanding of where we find ourselves today and actions you can take to protect yourselves and your family: https://www.smchealth.org/coronavirus-health-officer-updates.

Leave a comment

Filed under #novaccinenocure, #SanMateoCountyNews, #stayhomesavelives, Board of Supervisors, CDC, Centers for Disease Control and Prevention, Citizen Journalist, Coronavirus, COVID-19, COVID-19 Testing, Dr. Scott Morrow, Governor Gavin Newsom, No Cure, No Treatment, No Vaccine, Outrageous Government Conduct, Protect the Residents of California, Shelter in Place Order, SMC, SMC Citizen Advocate Brent Turner, SMC Contact Tracing, Testing and Contact Tracing, Victim's Advocate

SMC COVID-19 Positivity Rate 29.3%

By Michael G. Stogner

This screenshot is from the County Website at 7:45 AM today the data is for July 14, 2020.

Positivity Rate is 29.3% out of 41 Tested. Remember it’s supposed to be 1500 tested per day. I’m sure I could be reading/interpreting the numbers the wrong way.

What do you see?

Screen Shot 2020-07-16 at 7.47.24 AM

The black box from above.

Screen Shot 2020-07-16 at 12.15.38 PM

July 15, 2020 82 new cases.

Screen Shot 2020-07-16 at 7.37.58 PM

Leave a comment

Filed under #2americas, #citizenoversight, #corruptionmatters, #novaccinenocure, #SanMateoCountyNews, #stayhomesavelives, #WEARAMASK, Bill Silverfarb, Board of Supervisors, Brent Turner, Carole Groom, CDC, Centers for Disease Control and Prevention, Charles Stone, Chris Hunter, Citizen Journalist, COVID-19, COVID-19 Testing, Crimson Contagion, Dave Canepa, Dave Pine, David Burruto, David Silberman, Dr. Scott Morrow, F.C. Watchdog, Google, Governor of California, John Beiers, Kevin Mullin, Michael G. Stogner, Michelle Durand, Mike Callagy, No Cure, No Treatment, No Vaccine, Pacifica Mayor Deirdre Martin, Public Trust, Rosanne Faust, Sabrina Brennan, San Mateo County Health, San Mateo County News, Senator Jerry Hill, SMC Citizen Advocate Brent Turner, SMC Contact Tracing, Stay in Home Order, Testing and Contact Tracing, Victim's Advocate, Warren Slocum

For those who Refuse to Wear a Mask.

By Michael G. Stogner

Just something to think about, this is from the LATIMES this morning. Some of you know me and most of you don’t. I am a parent who took my daughter off of life support. I am still traumatized to this day. I was able to be with my daughter as often and as long as I wanted up until she left us. I can not imagine the additional stress and suffering the families and medical staff who are caring for the dying are experiencing.

WEAR A MASK

DISPATCHES FROM THE PANDEMIC
When nothing more can be done
By Fran Chalin
He came into the Orange County hospital because he had trouble breathing.
A week later the sign “caution droplets” hung on his ICU room door.
“Droplets,” code for COVID-19.
He hasn’t been conscious for 36 hours.
Only the ventilator keeps him alive.
Together, the doctor, hospice social worker and I tell the family nothing more can be done.
They nod, they have no fight left.
The doctor hates that he cannot save this man.
But he can allow them to say goodbye.
He tells them they can go in groups of two for 10 minutes.
He leaves us. He has to help someone else.
He cares for two floors of people with COVID-19, 51 people in all.
We tell them this is special, the doctor hasn’t allowed this before.
They mumble thanks. Translation: Isn’t that generous of you.
I stand outside the window into his room. When the 10 minutes are up, I wave.
His family members’ eyes plead, two fingers in the air, two minutes?
They smile and laugh in his room in case he can sense them.
But they sob once they slide shut his door.
The final two are his wife and first-born.
She collapses when she reaches his bed.
Their son barely catches her.
She kisses her husband, whispers in his ear.
I hope he senses her near him.
They don’t look at me when they walk away.
While hospital staffers extract the breathing tube
the social worker and I wait outside his room
because microscopic COVID-19 droplets will release into the air.
Once the tube is removed we prepare to enter his room.
We don’t have to go in, but we do. Mostly for him,
but for the staffers as well. They should have support too.
We sanitize our hands, then don gloves.
Then the N95 mask,
hairnet,
face shield,
then gown.
It’s uncomfortable, but it’s also keeping us alive.
Probably.
The staffers inspect us.
They are the best of humankind.
I ask if co-workers have had the virus.
Sure, they say. They point to the ones who recovered and are back working.
I don’t ask if any co-workers died. They have to focus on now.
Staffers adjust his medications.
He won’t feel the removal of the tube.
His family had asked if they could FaceTime
after the tube is removed.
The social worker holds up the phone.
I hold the patient’s hand. We hear his family:
“We love you, be at peace, go with God.”
The social worker is used to being around the dying, but this is different.
Ten minutes is not long enough to say goodbye.
She’s young, this is her first pandemic.
She was a child when people with AIDS died every day for years.
I was there, I was 25.
There wasn’t enough time then either.
We all watch the monitor, the lines become flatter.
We hear his last breath. Then nothing.
The nurse nods to us.
The social worker tells the family that he’s gone to be with God.
I don’t have her faith.
I don’t know where he’s going except to the morgue.
His relatives are wailing. We try to say how sorry we are, but they’ve hung up.
Does anyone else feel like they’ve just witnessed an execution?
We slide the door open, just enough to get out.
There is a receptacle for the shield and the hairnet.
I put my N95 into a plastic bag to leave out in the sun at home.
There aren’t enough of these masks to have a new one every time, but the nurse says, “It’s OK.
Just put it in the sun, the virus dies in the sun.”
I hope she’s right.
COVID-19 is disproportionately killing Black and brown people.
I’ve heard people speculate: Didn’t they all have lung issues,
or diabetes, or health problems that
made them more likely to get infected and die?
That sounds a lot like: Didn’t gays and IV drug users bring AIDS on themselves?
Disposable populations.
Outside the hospital there is a billboard.
“HEROES WORK HERE.” I want to scream.
Hero is just another word for better you than me.
The social worker calls me the next morning. She couldn’t sleep.
“This was bad,” she says with a sigh, “I’ll see you at the hospital soon.”
And now the memory comes back full force.
The other pandemic, AIDS.
Caring for the next person, and the next one.
I’m worried about myself and feeling guilty for even thinking about myself.
I’m worried I’ll forget that balance is important.
Forty years later, there is still the next one and the next one.
So tell me: Why aren’t you wearing a mask?
Fran Chalin has been a hospice chaplain for more than 10 years.

Leave a comment

Filed under #2americas, #novaccinenocure, #SanMateoCountyNews, #stayhomesavelives, #WEARAMASK, China E. Stogner R.I.P. Babygirl, Citizen Journalist, Michael G. Stogner, No Cure, No Treatment, No Vaccine, Stay in Home Order, Testing and Contact Tracing, Victim's Advocate

San Mateo County 0.0% Positivity Rate.

By Michael G. Stogner

San Mateo County has reported on its Website that July 10, 2020 it TESTED 9 people and 8  were Negative 1 pending for a 0.0% Positivity rate. That’s one way to get your numbers down.

SMC 0.0% COVID-19 Posiytivity Rate.

 

Screen Shot 2020-07-14 at 7.01.57 AM

The website also says on July 10, 2020 it tested 482  32 Positive rate of 6.6%

July 10 108 Pos.

The website also says on July 10, 2020 that 108 people tested Positive.

You will remember the County is supposed to TEST 1500 people per day.

This is a PANDEMIC act like it.

Leave a comment

Filed under #2americas, #citizenoversight, #novaccinenocure, #SanMateoCountyNews, Bill Silverfarb, Board of Supervisors, Carole Groom, Centers for Disease Control and Prevention, Charles Stone, Citizen Journalist, Citizens Oversight Committee, City of Half Moon Bay Mayor Adam Eisen, Congresswoman Jackie Speier, COVID-19, COVID-19 Testing, Dave Canepa, Dave Pine, David Burruto, Deborah Penrose, Deborah Ruddock, Don Horsley, Dr. Scott Morrow, F.C. Watchdog, Governor Gavin Newsom, Marshall Wilson, Michael G. Stogner, Michelle Durand, Mike Callagy, No Cure, No Treatment, No Vaccine, Outrageous Government Conduct, Pacifica Mayor Deirdre Martin, PANDEMIC, Public Corruption, Public Trust, Ron Collins, Rosanne Faust, RWC Council Janet Borgens, Sabrina Brennan, San Mateo County Health, San Mateo County Manager, San Mateo County News, SMC Citizen Advocate Brent Turner, State of California, Stay in Home Order, Testing and Contact Tracing, Victim's Advocate, Warren Slocum

San Mateo County It’s Time.

By Michael G. Stogner

You know it’s time when you see the Captain of the Ship putting on his life vest and sneaking onto the lifeboat, or the Pilot putting on his parachute.

We all know that we are responsible for our own safety, The Cavalry  is not coming.

The Federal, State, and County Government has Failed to provide Testing, Contact Tracing, PPE to all those who need it.

SACRAMENTO — The California Senate on Wednesday joined the Assembly in deciding not to return from its summer recess next week, citing the continued spread of the coronavirus, which has now infected several staffers and members in the Legislature.

The decision was announced on the same day that a second Assembly member, Republican Tom Lackey of Palmdale, acknowledged through a spokesman that he has tested positive for the novel coronavirus.

San Mateo County is home to San Francisco International Airport with direct flights from Wuhan. San Jose International Airport also has direct flights from Wuhan.

San Mateo County has Finally reached 0.0 Positivity July 10, 2020 Total Tested 9

San Mateo County has had been told to TEST 1500 people per day. July 8th they tested 141. They have only accomplished that 6 days. All Five County Supervisor are satisfied with those results. It’s Time for the Local Leaders the Mayors to protect the Residents in their Community, Provide Testing in their Cities. Enforce the State and County Health Orders.

July 10, 2020 SMC Tested only 9 People

SMC 0.0% COVID-19 Posiytivity Rate.

This is a PANDEMIC start acting like it.

Leave a comment

Filed under #2americas, #citizenoversight, #SanMateoCountyNews, #stayhomesavelives, Bill Silverfarb, Board of Supervisors, California Governor Gavin Newsom, Carole Groom, Centers for Disease Control and Prevention, Charles Stone, Chris Hunter, Citizen Journalist, Citizens Oversight Committee, City of Half Moon Bay Mayor Adam Eisen, Congresswoman Jackie Speier, Coronavirus, COVID-19, COVID-19 Testing, Dave Canepa, Dave Pine, David Burruto, Don Horsley, Dr. Scott Morrow, F.C. Watchdog, Governor Gavin Newsom, Governor of California, Locol Control, Michael G. Stogner, Mike Callagy, No Cure, No Treatment, No Vaccine, Outrageous Government Conduct, Pacifica Mayor Deirdre Martin, PANDEMIC, Protect the Residents of California, Public Trust, Rosanne Faust, Rotary International, San Mateo County Manager, San Mateo County News, San Mateo County Sheriff Office, Senator Jerry Hill, SMC Citizen Advocate Brent Turner, Stay in Home Order, Testing and Contact Tracing, Warren Slocum

San Mateo County Beaches Closed 4th of July. Gov. Newsom closes Parking Lots.

By Michael G. Stogner

AP_18152108146827-e1546027846328

Governor Gavin Newsom announced this morning that all Parking facilities at state beaches on the San Mateo County Coastline will be closed for the July 4 weekend. Local leaders are expected to close all SMC beaches and Gov. Newsom has stated he will close state beaches in Counties closing local beaches.

No Parking equals No Beaches

If you don’t live on the coast Stay Away, Stay Home, Protect the residents that do.

If you see Brent Turner make sure you tell him Thank You. A perfect example of one single person can make a difference.

Same goes for Pacifica Mayor Deidre Martin a true elected Leader.

From County Manager Mike Callagy to me this AM. “So like Dr. Scott Morrow has said, assume everyone you come in contact with and everything you touch outside your home is infected and use the precautions listed to prevent yourself from becoming ill.

Leave a comment

Filed under #citizenoversight, #San Mateo County, #SanMateoCountyNews, #stayhomesavelives, Board of Supervisors, Brent Turner, Carole Groom, Centers for Disease Control and Prevention, Charles Stone, Chris Hunter, Citizen Journalist, Citizens Oversight Committee, City of Half Moon Bay, City of Pacifica, COVID-19, Dave Canepa, Dave Pine, David Burruto, Don Horsley, Dr. Scott Morrow, F.C. Watchdog, Facebook, Gavin Newsom, Governor Gavin Newsom, Governor of California, Locol Control, Michael G. Stogner, Michelle Durand, Mike Callagy, Outrageous Government Conduct, Pacifica Mayor Deidre Martin, Pacifica Police Department, Pescadero, Public Trust, San Mateo County Health, San Mateo County Manager, San Mateo County News, San Mateo County Sheriff Office, Shelter in Place Order, Sheriff Carlos G. Bolanos, State of California, Stay in Home Order, Testing and Contact Tracing, Victim's Advocate, Warren Slocum

Governor Newsom: Don’t do it.

By. Michael G. Stogner

Governor Gavin Newsom, Now is not the time to grant this immunity to Businesses. What is more important is track down all the people who came into contact with the Prominent Doctor who flew from New York to California with his daughter to be admitted into Silverado Beverley Place where he made contact March 19, 2020 with Brittany Bruner-Ringo R.I.P. The 32-year-old nurse stopped breathing April 20, 2020 32 days later.

Stay the course Protect the Residents of California.

April 9, 2020

Governor Gavin Newsom State of California
State Capitol Sacramento, CA 95814

RE: Request for Executive Order Related to Liability Protection

Dear Governor Newsom:

California’s heath care workers and those serving in supporting roles are on the front lines of a crisis unlike any our state has ever faced. Every day, they are racing against time to prepare to treat and care for all in need. Sadly, in the coming days and weeks, they will face wrenching, life-threatening decisions in managing scarce resources amid arduous conditions.

The COVID-19 pandemic is projected to affect so many people that health care providers will be forced to allocate scarce medical resources among too many patients who need them.

Given this stark reality, we must have one goal: to save as many lives as possible. With that goal, we request the Governor issue an Executive Order including the following language, which will provide a level of liability protection adequate for care providers to save Californians’ lives:

During the current COVID-19 state of emergency, health care facilities, residential care facilities, senior living providers, health care service plans, physicians and other health care professionals, and all employees thereof, are hereby requested to render services to Californians. In recognition of these extraordinary and unprecedented circumstances, such facilities, plans, physicians, professionals, and employees shall be immune from any administrative sanction or criminal or civil liability or claim for any injury, death, or loss alleged to have resulted from any act, omission, or decision made related to providing or arranging services, including but not limited to acts, omissions, or decisions undertaken because of a lack of resources, absent proof by no less than clear and convincing evidence of willful misconduct as measured by a standard of care that incorporates all of the circumstances of the emergency. All state statutes and regulations are hereby waived to the extent necessary to achieve this immunity. The unenforceability or invalidity of any part of this paragraph shall not have an impact on the enforceability or validity of any other part of this paragraph.

Governor Gavin Newsom
April 9, 2020 Page | 2

Effectively minimizing death and serious illness among the population as a whole entails distributing finite resources to those who have the greatest opportunity to benefit, thereby maximizing appropriate care for the greatest number of patients likely to benefit from these resources.

While the state is creating a framework to guide these difficult decisions, providers need assurance they will not later be judged or sued when abiding by this framework, or when making related care decisions based on their best judgment and determination at the time. In this time of crisis, care providers must be able to observe, evaluate, and respond to rapidly-changing conditions and events; the prospect of being subjected to future lawsuits would burden and slow these decisions, threatening greater loss of life throughout California. Basic ethical principles governing crisis triage decisions include accountability—not only for health care providers called upon to make such decisions, but also for the government in supporting the processes to make these decisions and protecting the providers who make them.

When providers approach their work in the coming weeks and months, we must give them the support they need to make the best possible decisions, including protections from future legal action, as long as that liability protection does not excuse willful misconduct. To help understand the magnitude of the situation, here are several examples of the kinds of situations our health care system will face:

  1. Thirty patients require ventilators, but a hospital has only 25 ventilators.
  2. A hospital has too few pulmonologists, so obstetricians agree to care for respiratory patients.
  3. A hospital postpones a patient’s elective surgery to accommodate a surge of COVID-19 patients,thus delaying care to the surgery patient.
  4. A patient no longer needs acute care, and is moved to a skilled nursing facility, although thepatient preferred to stay at the acute care facility and did not provide consent to be transferred.
  5. An assisted living facility resident contracts COVID-19 from an employee, even though thefacility used proper screening techniques when employees arrived at work.
  6. An assisted living facility suspends group dining and activities as well as restricting visitors, dueto social distancing requirements, and is sued for causing depression by isolating residents intheir rooms.
  7. A skilled nursing facility is sued for allegedly deficient care rendered by staff who had notreceived full training s a result of staffing shortages.
  8. A facility cannot access N-95 masks, and health care providers are asked to deliver care usingsurgical masks.
  9. A skilled nursing facility admits an asymptomatic patient in accordance with CaliforniaDepartment of Public Health and Centers for Disease Control and Prevention guidelines. The patient later is determined to be COVID-19-positive, and the facility must manage a potential outbreak without full staff and without sufficient personal protective equipment.

In addition to the executive order language requested above, when considering the issue of liability protection, provisions of Government Code Section 8659 should be explicitly invoked; however these provisions are too limited for the unprecedented pandemic we are facing, which is why even broader liability protections is needed. Government Code Section 8659 does not help skilled nursing or assisted living facilities or health plans, and omits many types of health care workers (such as physician assistants, mental health providers, custodial staff, and managers). In addition, this statute does not provide protection for a willful act or willful omission, such as considered decisions to ration ventilators,

Governor Gavin Newsom
April 9, 2020 Page | 3

stop elective procedures, transfer a patient to an alternate care center, or assign an obstetrician to care for a pulmonary patient which has been the advice of the state or the standard or care in a crisis.

As our care providers make these difficult decisions, they need to know they will not be prosecuted or persecuted. This request is made with the deep understanding that every care provider is doing all they can to protect all Californians during this unprecedented crisis.

Respectfully,

Carmela Coyle, President and CEO California Hospital Association

Craig Cornett, CEO/President
California Association of Health Facilities

Sally Michael, President & CEO California Assisted Living Association

Janus Norman, SVP, Government Relations California Medical Association

Charles Bacchi, President & CEO California Association of Health Plans

Jeannee Parker Martin, President & CEO LeadingAge Californa

Leave a comment

Filed under #2americas, #citizenoversight, #novaccinenocure, #SanMateoCountyNews, #stayhomesavelives, Attorney Generals Office, BlueDot Inc., Brittany Bruner-Ringo R.I.P., California Governor Gavin Newsom, Carmela Coyle, President and CEO California Hospital Association, Charles Bacchi, President & CEO California Association of Health Plans, Citizen Journalist, Citizens Oversight Committee, COVID-19, Craig Cornett, CEO/President California Association of Health Facilities, Criminal Enforcement Task Force, Evidence Tampering, Government Hiding the Obvious, Governor Gavin Newsom, Governor of California, Janus Norman, SVP, Government Relations California Medical Association, Jeannee Parker Martin, President & CEO LeadingAge Californa, Michael G. Stogner, No Cure, No Treatment, No Vaccine, Outrageous Government Conduct, Protect the Residents of California, Public Corruption, Public Trust, Sally Michael, President & CEO California Assisted Living Association, Shelter in Place Order, State of California, Stay in Home Order, Testing and Contact Tracing, Those Who Matter, Uncategorized, Victim's Advocate, Whistleblowers