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MorlockP's profile
ⓘ Dogs don't have thumbs
ⓘ Dogs don't have thumbs
ⓘ Dogs don't have thumbs
@MorlockP

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ⓘ Dogs don't have thumbs

@MorlockP

Two-time Prometheus award-winning hard science fiction author. https://www.amazon.com/dp/B005JPPMS6  Learn how to homestead https://www.amazon.com/dp/B093BC3K1T 

Aristillus Crater, Luna
amazon.com/dp/B005JPPMS6
Joined June 2012

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    1. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      So as many of you know, my father has covid19. He caught it in his cardiac rehab facility. https://www.washingtonpost.com/opinions/2020/04/10/my-dad-has-covid-19-all-we-can-do-is-wait/ … The good news is, he seems to have a mild case, and they're sending him home tomorrow, two weeks to the day after they got his test results.

      19 replies 11 retweets 348 likes
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    2. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      The bad news is that "two weeks to the day" is the proper quarantine time, to give a healthy and potentially exposed person time to develop symptoms. It has nothing to do with when my father stops being contagious.

      2 replies 5 retweets 37 likes
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    3. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      So the nursing home is sending him home to two healthy, non-exposed daughters, without knowing whether he's still infectious. His house, designed for "coastal living", is basically impossible to seal off.

      1 reply 2 retweets 24 likes
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    4. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      Okay, fine, we'll arrange a test. There's a rapid testing facility in Lowell, Massachusetts that uses the Abbott Labs rapid assay. Gives results in half an hour. I go so far as to call a pathologist who was quoted in an article I read to investigate the assay's reliability.

      1 reply 2 retweets 23 likes
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    5. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      Problem: thanks to RomneyCare, his primary care physician has to refer him. Problem: she is only allowed to refer to a facility that uses a different, slower test that takes 3-5 days to give results.

      5 replies 3 retweets 26 likes
      Show this thread
    6. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      3-5 days during which my Dad would have to huddle upstairs, in a bed that doesn't fit him (he's 6'7, the guest-room beds assume normal sized people). And still might be giving his hypertensive daughter covid.

      5 replies 2 retweets 22 likes
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    7. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      So we ask the nurse practicioner at the nursing home to prescribe the rapid assay for him. No. She doesn't think he needs it. Why doesn't she think so? Who knows?

      3 replies 2 retweets 19 likes
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    8. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      I cannot discuss the literature with her, because I have to go through the social worker, who is not equipped to discuss the literature. Also, thanks to RomneyCare, without a referral, there is no way for us to get the faster test. Even if I want to pay out of pocket.

      2 replies 4 retweets 26 likes
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    9. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      I understand why they want to release him. He doesn't need intensive nursing care, he's better off at home, and why should they take a risk I'm not willing to? But for god's sake, why would they block me from getting a test that could help me assess my risk?

      4 replies 5 retweets 44 likes
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    10. Megan McArdle‏Verified account @asymmetricinfo 22 Apr 2020

      And why does the system make everything so damn hard? What the hell happens to people who are way less up on this stuff, and willing to make trouble, than the average bear?

      10 replies 4 retweets 63 likes
      Show this thread
      ⓘ Dogs don't have thumbs‏ @MorlockP 22 Apr 2020
      Replying to @asymmetricinfo

      someone (@patio11 ? @Meaningness ?) had a big thread a month or a year back about how the health care system is inherently unnavigable, even by insiders - a bureaucratic system that isn't even legible to itself

      1:31 PM - 22 Apr 2020
      • 5 Likes
      • Ed Adamsky Robert Olson Anna
      3 replies 0 retweets 5 likes
        1. Maxwell Parrish‏ @Maxtwell 22 Apr 2020
          Replying to @MorlockP @asymmetricinfo and

          This is why I turn side-eye whenever I see someone talk about how an EMR is going to use predictive analytics to inform clinicians about readmission risk or whatever. It's the lady with the bum knee who comes by once a month. They know. They just can't do anything.

          0 replies 0 retweets 3 likes
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        1. David Chapman‏ @Meaningness 22 Apr 2020
          Replying to @MorlockP @asymmetricinfo @patio11

          Maybe this:https://meaningness.com/metablog/post-apocalyptic-health-care …

          0 replies 0 retweets 0 likes
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        1. Ed Adamsky‏ @edadamsky 22 Apr 2020
          Replying to @MorlockP @asymmetricinfo and

          Every time someone says "Health Care System" I always have to say it's not a system. It's a bunch of private businesses and payors with little to no coordination

          0 replies 0 retweets 0 likes
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