Thursday, August 19, 2021

No Room at the Inn

Note: This post is a UMMC Press Release.

Editor’s note: As of 10 a.m. Thursday, August 19, there were 10 patients in the Emergency Department waiting for an ICU room to become available, nine waiting for a regular room, and three COVID-positive patients en route by ambulance. A couple of the 50 total ED exam rooms were open, but all were expected to be filled before noon. UMMC’s overall COVID-19 patient count as of 8 a.m. Thursday, August 19, stood at 135, with 26 of the adults in the ICU. There were 28 pediatric COVID-19 patients, with eight of those in the ICU. Of all COVID-positive patients, 74 percent are unvaccinated and just 8 percent are fully vaccinated. None of the children 12 and older are vaccinated.

JACKSON, Miss. – It’s a Tuesday morning in the Emergency Department at the University of Mississippi Medical Center, and four gurneys are lined up end to end just inside the entrance.

Paramedics stay with their patients. They can’t unload them into an exam room bed, a responsibility of ambulance services, because all 50 are full. So are most of the Medical Center’s 15 or so parking places for ambulances.

At 11 a.m., 23 people are “bed boarding,” or admitted, but waiting for a regular floor or intensive care unit bed. On some days, it’s 35 bed boarding, or 40, or more. Emergency Department staff gather at a corner room to put a patient on a ventilator, a frequent occurrence in a busy ED or ICU.

An electronic board mounted on the wall lists patients en route by ambulance or medical helicopter transports. Many are COVID-positive transfers from other facilities, including a young pregnant woman. They’re all labeled “urgent” or “critical” or “high risk.” One was in a car wreck but not wearing a seat belt. Another was a transfer, already intubated.

Don’t be fooled by the relative calm interrupted by equipment beeps and dings, patients on oxygen being pushed across the floor when it’s their turn for a room, or overhead announcements. “Chest X-ray in Trauma 2.” Then, “Possible Code Gray,” a patient who might be having a stroke.

Unvaccinated COVID patients are “having a huge effect,” said Dr. Alan Jones, associate vice chancellor for clinical affairs and former chair of the Department of Emergency Medicine. “We know that 90-plus percent of new infections are unvaccinated. If we didn’t have all those patients to deal with, we wouldn’t be this strained.”

“It’s not quiet. It’s the calm before the storm. Almost every room in this department is full,” said ED technician Hilton Rahaim. He and other caregivers are focused on their patients in the area where COVID patients are observed. It will hit capacity, and the overflow will spill into the rest of the department.

It’s not a disaster waiting to happen.

It’s happening.

*

“If you think about the entire state as being one huge health system, trying to function in unison, when your input is more than your capacity, you’re in a disaster situation. That’s what we are experiencing now,” said Dr. Kendall McKenzie, professor and chair of the Department of Emergency Medicine and a veteran battlefield surgeon.

 “The Smith County Watermelon Festival. The Neshoba County Fair. The opening of schools without a mask mandate. I’m waiting for that shoe to drop,” said Dr. Andy Wilhelm, division chief of Pulmonary and Critical Care Medicine and a regular presence in the ED, seeing that many of its patients are destined for the ICU.

 “That could be the catastrophe that pushes us over. When the ER fills up and we (UMMC’s four ICUs) fill up, it’s a logjam.

At UMMC and other hospitals, there’s a significant nursing shortage that is intersecting with front-line caregivers home sick with COVID – or hospitalized - in record numbers.  Those on the job are exhausted, but they’re putting patients and each other first by their very presence.

As the state’s sole Level I trauma center and academic medical center, UMMC has a unique mission: care for the most gravely ill patients, including dozens with COVID-19 whose survival could depend on the state’s highest level of care found only at the Medical Center.

No beds? It’s not that simple.

“When all of the beds are filled up in every ED across the state, and you still have more input into the system, there’s no way to take care of them in a timely fashion to keep them from building up,” McKenzie said.

“People generally believe that emergency care will be available to them when they need it,” Jones said.

“What people need to understand is in situations like this, the ED is a finite resource. You might have a disease process that’s very treatable, but if you can’t get to the treatment you need because of the strain on the health system, you might have a different outcome.”

There’s a domino effect.” It’s a confluence of issues coming together that is creating a massive disaster situation,” McKenzie said.

They include:

The ED is bed boarding more patients than ever. Exam rooms each contain one bed, and “if you have 35 admitted patients who are boarding, you are trying to run a Level I trauma center out of 15 beds,” McKenzie said. “Sometimes, it’s tighter than that.”

The Emergency Department’s trauma section has four trauma and six treatment rooms. “When your resuscitation rooms are all filled with very sick people and you have a trauma patient come in who must have a room, there are inherent challenges,” McKenzie said. “Over the past 18 months, our trauma numbers have actually gone up. That adds an additional burden to the system.”

When ambulances can’t offload patients in the ED, “that means those ambulances aren’t out on the street, able to take 911 calls. And those people can’t get to the hospital because of a lack of ambulances,” McKenzie said.

The Medical Center can’t accept some requests from hospitals wanting to transfer patients, some with COVID-19, so they can get a higher level of care. “If there’s a need to send a patient here, our philosophy has always been to accept them with open arms,” McKenzie said. “We have not been able to do that to the level we’d like.”

UMMC’s ED never turns away an ambulance. But if a transfer is declined, Jones said, it would be because ER beds are full and the patient doesn’t need UMMC’s unique services. An example would be a patient with a broken leg.

Conversely, when there are no beds, people who need time-sensitive treatment through a higher level of care might not get it, Jones said. “Every hour of every day is different.”

Because caregivers can’t get to all walk-in patients in a timely fashion, some of them will get frustrated and leave. “We haven’t seen these kinds of waits historically,” McKenzie said. “Some of the people who are leaving need to be in the hospital.”

It's important to note that not all patients who are bed boarding have COVID-19. Some have suffered urgent heart attacks or stroke, gunshot wounds or other trauma. Some might require emergency ventilation. A pregnant mom with COVID-19 might need an emergency C-section.

“People have been putting off medical care for the past 18 months, and their disease processes advance,” McKenzie said. “We are seeing sicker patients than we have historically, and the number of critically ill patients coming into the ED on a daily basis is higher than any other time in our history.”

Three ED triage beds normally used to assess early on the extent of a patient’s injury or sickness are sometimes repurposed for treatment. The same is true for the family counseling room and a decontamination room for patients who have come into contact with hazardous materials. “We are utilizing as much space as we can, but there are limitations to that,” McKenzie said.

Front-line providers are more fatigued than ever. “ED personnel are extremely resilient. We pull our pants up, put our shoes on and show up prepared to handle what comes our way,” McKenzie said. “Eighteen months of doing that with very little break, being understaffed while caring for incredibly sick people, is very taxing. We are seeing the ramifications of that on every level.”

Every time the Medical Center reaches a new high on COVID-19 inpatients, “it creates a lot more pressure on the resources, beds and staff,” Jones said.

“Not only do these COVID patients have an impact, they are staying for a longer time, on average two weeks. The effect on the health system is decreased turnover of beds. You become less efficient in managing your capacity issues,” Jones said.

*

“All right! Let’s get some pictures, OK?”

Registered nurse Maria Wilson has just entered the room of a patient in the COVID observation area. He needs encouragement, and she offers it. “I got ya,” she said. “I hear ya.

“No, darlin’. Keep that on,” she says when he touches his oxygen cannula. “We’ve got to take some pictures now. I got you some pain meds. We’re going to go ahead and swab you for COVID, OK?”

That area was used for chest pain observation pre-pandemic. “If they’re back here, the majority have COVID,” said registered nurse Cindy Wilson. “I had a patient in that room over there a little whole ago who was negative on the antigen test, but we’ll get his long test back tomorrow.”

ED staff pack an incredible amount of work into a shift, usually either eight hours or 12. “They’ll ask us to work a 12 instead of an eight if we can stay late and if they need us,” Rahaim said. “We just have so many employees out with COVID.”

Gordon Gartrell was a veteran ED registered nurse and supervisor before recently being named pediatric ICU nurse manager. This day, he’s back in the ED for a staffer who needs his emotional support. “It’s a nightmare, but we take care of our own,” Gartrell said.

The patients they are seeing are very sick.

“We typically have patients on our wards that in other hospitals might meet the criteria for their ICU,” Wilhelm said. UMMC is helping meet the demand for more beds by opening a second medical ICU with six beds in the area formerly used as a pediatric ICU, he said.

What would happen in the ED if a mass casualty happened in the metro area or out in the state? A horrific bus or plane crash? An explosion or fire? A mass shooting?

It’s a hypothetical that must be discussed and managed, McKenzie and Wilhelm say. “The system is already full. We’d have to be creative,” Wilhelm said.

“The rules of the game would have to change, and our way of managing patients would have to change. The standard of care would not change. We’d be doing our best to provide it.”

“On the days when we are busting at the seams with patients, maybe a waiting room of 40 patients and 35 boarding ... our ability to handle that would definitely be impacted,” McKenzie. “We’d have to attempt to spread the patients to other facilities who are also equally at capacity.

“We might send teams to an alternate site and treat (the injured) there through a more robust triage system before they ever get to the ED. Med-Com and AirCare would be instrumental.”

*

Get vaccinated, everybody.

“The way through this pandemic is through herd immunity. If people are not willing to get vaccinated, we have to hope that natural immunity lasts longer,” Jones said. “If people are not willing to get vaccinated, it could mean thousands and thousands more deaths and hospitalizations.”

At least 97 percent of patients admitted to UMMC “from a COVID standpoint are not vaccinated,” McKenzie said.

“All of us own this problem in the health care system today. It’s been preached for months – get vaccinated. That’s the bottom line, and it’s stressing the health care system to the breaking point. It’s as simple as getting a shot in the arm.”

As the number of Mississippians testing positive grows by the thousands, so does the urgency for the state to increase an overall vaccine percentage that doesn’t even hit 40 percent.

“That’s why it’s important for people to do their part,” Jones said. “Medical care is a finite resource, and it can be depleted. It can be broken.

“If there’s no place to put you, we can’t take care of you. If there are not enough nurses, we can’t take care of you.”

 

74 comments:

Anonymous said...

You ain’t putting that durn demon microchip in my arm! /drinks beer and /smokes cigarette

Anonymous said...

"Fake News" in 3...2...1...

Anonymous said...

I am as sympathetic as anybody to the plight of our hospitals, due to the total lack of political leadership and general assholery of half our population.

But this was ... strange. Your PR people need to make the case forcefully, but succinctly and clearly. This was a stream-of-consciousness rant. If the point was to demonstrate that you're so strained you can't write clearly, mission accomplished I guess.

Anonymous said...

The ones crowing about "thinning the herd" last year are getting thinned out, but the sick pathetic SOBs are taking kids and the elderly and immune compromised with them. As predicted.

Fools rush in where angels fear to tread.

Where's IverMectin boy??? "The state health department revealed Wednesday that at least one person has been hospitalized for ingesting ivermectin, a drug intended for treating worms in livestock.."

PittPanther said...

Why post this, KF? You built an audience that for the most part doesn't believe this is happening, and doesn't care because it's not impacting themselves right now.

Anonymous said...

To all of you who refuse or neglect to get vaccinated - bless your fucking hearts!

Anonymous said...

Give IQ tests to all immediately! Withhold a bed to the lowest scoring. It is "survival of the fittest" time now and it was all brought about by the naysayers.

Anonymous said...

Yea though I walk through the valley of the shadow of death, I shall fear no evil, for though art with me.

Day 8 of Covid-19 and still a nothing burger.
I can’t imagine how unhealthy or defective a person must be to die from this

Still Unmasked
Still Unvaxxed
Still Uncompromised

Anonymous said...

So, is it 74% unvaccinated or 97% unvaccinated? It's an odd phrasing: "At least 97 percent of patients admitted to UMMC 'from a COVID standpoint are not vaccinated,' McKenzie said."

Anonymous said...

Remember this when you hear complaints about AMR and slow response times. All the ambulances are stuck at the ER

Anonymous said...

And it's hotter than hell outside. Hot as i've ever seen it actually. What you rekon those unvaxxed folks actually got Covid "variant" from a vaxxed person ? I bet the odds are very good. Wonder why that is ? Could it be because this human experiment has gone terribly wrong ?

Anonymous said...

Hard to even take seriously anyone so juvenile as to constantly use the term "nothing burger."

Anonymous said...

KF, who do you think has the mental capacity to sit and read all of this from beginning to end? I mean, you didn’t even read it. You copied and pasted it.

Anonymous said...

MS is one of if not the most obese state in the Union. Does the government regulate this aspect of anyone's choices? no. Obesity related illness are the leading killers in the U.S. Do you think if we put up a death ticker of everyone that dies from obesity, people may change their lifestyle? or does it need to be regulated as well?
if the vaccine works, and you have it, why do you care if someone else doesn't ? Also, if the vaccine doesn't work, then what's the point? Finally, the my body my choice argument is an exceptional response to any lib who screams in your face to wear your mask or get the vaccine. Their response will be "it's not just your body" conceding the same argument to those they kill in the womb.

Anonymous said...

If I'm payin', I'm sayin'. Mississippi Advanced Healthcare Directive. Prescribe the FDA approved or authorized treatment that I wish to have even if "off label" or release me to hospice at home with oxygen and I will try to find another healthcare provider. No ventilator under any circumstances.

Anonymous said...

@12:40 PM

"Still Unmasked
Still Unvaxxed
Still Uncompromised
Still have head up ass
Still trolling"

Anonymous said...

@1:42 you are correct

Burke said...

1:51, it is possible to be anti-abortion without turning your heart into a vessel of hard feelings generally. Your cold-blooded analysis is saddening.

Anonymous said...

@1:55

Triple thumbs up!

Anonymous said...

2:47, that's rich you assume I'm cold blooded. Name calling and dehumanizing, isn't that typical liberal behavior? I'll tell you what's cold blooded, all the innocent lives murdered at the hands of "medical professionals" Also, I am vaccinated, and I support folks that choose to not be. that's the beauty of liberty...

Anonymous said...

1:52 "No ventilator under any circumstances." Long time critcal care nurse here. It is certainly your choice, however, that is not a good call. People do come off of vents and go on to live happy and productive lives. A ventilator is not a death sentence. I've seen it too many times....

Anonymous said...

@12:40

I am glad it is a nothingburger to you. I just lost a colleague to COVID-related issues. And an ex-colleague lost her husband and father-in-law to it within a day of each other. She scraped by fortunately.

A lot of people think that because people are not dying does not mean that their lives are not ruined. There are families that are put in dire situations because their financial lives are ruined by these hospitalizations, not to mention any long term physical and psychological effects that this may have on the infected and their loved ones.

I am an advocate for choice on the vaccine, but I think that masks, social distancing, and good hygiene should be a given.

Anonymous said...

I've been told by very reliable sources that there are plenty of rooms at UMC.......so there is plenty of room "at the inn" folks. What of the children under 12 which make up the most numbers ? Where they already there for other reasons and got Covid there ? Stay out of this heat if you can....lots of heat strokes happening ....

Anonymous said...

As always on this site, people oversimplifying issues and talking past each other. Of course this is true of the leadership, particularly in DC. Makes for the messes our country is dealing with now. “Science” has proven undefinable and as changeable as the weather. Politics infects it all.

Anonymous said...

Lay the unvaccinated out on golf course fairways.

Anonymous said...

Does this mean the mayor has to give those campaign contributions back?

Anonymous said...

@1:45
It is propaganda and he is required to post it or else they don’t give him campaign ad revenue and all the other deep state shill “patronage” he accepts.

Anonymous said...

The microchips in the vaccine are currently preventing millions of people from contracting the delta variant and DYING.

Anonymous said...

SO, the latest foolishness from UMMC:
Any UMMC employees who get vaccinated from this point on get doughnuts weekly for a year. You might as well give em a carton of Marlboros. THis is the truth, it is too absurd to be fiction.

Anonymous said...

If triage decisions have to be made to allocate scarce resources, I, for one, vote for prioritizing vaccinated adults and children above those adults over 18 who exercised their liberty and decided not to take the only reasonable step available to thwart a serious case of covid. I love those people and will mourn their passing, but they should be made to accept the consequences of their decisions. That’s the flip side of their coin, and they shouldn’t be allowed to dodge it now at the expense of those who heeded the medical advice. Someone above suggested administering an IQ test. I’m reminded of Forrest Gump’s “stupid is as stupid does.” No need for a test. This is a real world scenario that cleaves the populace just fine.

Anonymous said...

2:48 PM obviously had the vaccine; he’s grown a third thumb.

Kingfish said...

donuts? That's a joke, right?

Anonymous said...

Kingfish:
Nope, not a joke , I confirmed it with an employee . Free, a dozen Doughnuts weekly for six months (not a year). You might also get free parking or Egg Bowl tickets or restaurant gift cards to a local chain of eatin places.

Anonymous said...

@3:38PM
Womp Womp

Anonymous said...

I am with 6:56, we adults have to live or die with the decisions we make!

Anonymous said...

Dollar to donuts my sources who work in ICU at UMMC for the last year said, There is No Room. Quit bickering, innocent children who cannot make decisions for themselves are in ICU and some on vent also! Finger pointing time is OVER! For those who choose not to vaccinate & get COVID should not get the benefit of a healthcare worker who has been vaccinated and wants to live to see their children and family. Just like with Joe Biden leaving Americans to possibly die in Afghanistan; it is about choices and make sure each of us does our part to be healthy if and when our men and women come home. I don’t trust Biden or his choices!

Anonymous said...

Where are the therapeutics?

Anonymous said...

I wonder does TeleSouth Communications own this blog?

Calm Down said...

Have the staff at UMCC all gotten their vaccine? Anyone know those numbers?

Anonymous said...

Early last year, I posted to JJ some predictions. I underestimated based upon my faith that the plain ol' common sense of plain ol' folks would win out. I was flatout wrong. Among the things I mentioned was that if the US and the world didn't get the "original" virus under control, it would mutate and create an even-worse situation. And here we are. Given the number of infections in the unvaccinated, along with the marginal crossovers in the vaccinated, the failure to do even the least personally-inconvenient things is literally propagating even more mutations.

If you have any sense, get yourself and anyone you care about vaccinated. Take simple precautions. Or don't. This is serious, life-altering and life-ending shit. I'm retired. And I may finally be able to do some real fishing. So either do what is sensible or fuck right off. That's your "freedom," you stupid motherfuckers. Deal with it.

Anonymous said...

"It's the end of the world as we know it and I'm feeling fine". Studies have shown that whether one uses a mask or not, it is a 100% fact that everyone will die. Looking at world wide and local numbers we are not near an extinction level problem just quite yet.

Anonymous said...

7:44 What about the innocent people who die when you pass on a contagious disease? I don’t care one bit what risks you take as long as the consequences fall solely on you.

Better Than Ever said...

@9:04

You may have forgotten about MERS, a coronavirus variant from 2012. Case fatality rate of about 35%.

So just keep FAFO until covid mutates into something with a similar fatality rate and the ridiculous transmission of covid-delta.

Anonymous said...

So what are you saying, 3:58? The hospitals are full due to wave of heatstroke?

That someone would actually believe such a thing, or at least say it, really wouldn't come as surprise to me at this point. Proud, stubborn, create your own reality, and win at all costs, even if it's just an argument with a stranger - that's where many of us seem to be stuck. I understand it; I lived there a long time.

Anonymous said...

"...it is a 100% fact that everyone will die."

Yep. Why is anyone in a hurry to hasten the inevitable?

Are you people completely, irrevocably, and pathologically committed to your bullshit? At what point do you say, "Oops, I was mistaken..." and at least attempt to correct your mistakes? If you are thinking you have time and will take of it tomorrow, you have seriously screwed up.

It's just sad. It isn't even frightening anymore. Just sad. I'm bone-weary-tired of having a colleague or a news report tell of yet another person who died needlessly. Or another who begged for vaccine so they could live to give their daughter away. Or worse, live to have their daddy give them away. Or. Or. Or. Or. Crying nurses - when ICU nurses cry, you are fucked. Dead. Stick a fork in your ass, done. Fucked. Trust me or don't. Trust doctors or don't. When ICU nurses are crying about the overall situation, it's bad. I've had about 10 years more education than the average ICU nurse. I've had my paws on enough beating hearts that it no longer creates the slightest sense of awe in me it did 40-plus years ago. On the practicalities of this, they are the hands-on experts, even if some of them don't quite realize it, and sensible doctors often defer to the their greater day-to-day, hour-to-hour experience in such matters. As a somewhat random aside, if you think your surgeon saved you, hug every nurse you ever meet - you may think a cutter saved you - horseshit - they saved us both.

Facts and science don't seem to matter anymore, so I won't bother with them anymore. You've been warned time and time again by many other doctors. If you refuse to see what is right in front of you, then the consequences of your refusal will be forced upon you. If you won't even do the least, you really won't like the most.

Good luck. I'm a bit ashamed to admit it, but I'm not 100% sure I mean that. No, actually, hastily considering all the circumstances, I'm not, Ashamed, that is.

Anonymous said...

Using an ambulance due to testing positive is a total waste of precious resources.

Anonymous said...

12:40 here.
Day 9 of covid-19. I can smell my coffee and taste my bacon and eggs. I guess it is finally over. I have literally had worse flu before. I guess it pays to not live like a dirty hippie communist.

Now I don’t need your experimentL mRNA therapy
I never wore a face diaper like a terrified cuck.
I have remained free and will die fighting for my freedom.

A hero onky dies once but a coward dies a thousand deaths.

Anonymous said...

Amen 11:20, when the ICU nurse cries you die!

Anonymous said...

No, I wasn't saying that the hospitals are full of heat stroke victims. I am saying the hospital arms of Satans Army are lying about certain things to keep the money train alive and kicking. Blaming the unvaxxed , especially those who have had Covid and survived is flat out bullsh!t . To say that our God given ability to create our own antibodies without their "vaccine" is also bullsh!t. To say someone has a "variant" without even having a test for it is bullsh!t ! My NEGATIVE test actually says SARS on it. So ?

Anonymous said...

If only liberals cared as much about the life of the unborn as they care that everyone gets jabbed with this vaxx.

Anonymous said...

"And it's hotter than hell outside. Hot as i've ever seen it actually."

You ain't from here are you?


Also FWIW, UMMC is now requiring vaccinations for all employees and students, phased in Sept. 15 - Nov. 1. 'Bout durn time. I'd add to that, no treatment for the unvaccinated prospective patients until all the vaccinated ones are taken care of.

Calm Down said...

@Better Than Ever
So just keep FAFO until covid mutates into something with a similar fatality rate and the ridiculous transmission of covid-delta.

Do you not think that it's more likely that the people who have received the gene therapy are creating the impetus for the virus to mutate rather than the population that has only natural immunity?

Anonymous said...

Just went to Walgreen's to pick up a prescription and folks were lined up and waiting to get the vaccine. Unfortunately, it will be weeks before it is fully effective. None were wearing masks.

Anonymous said...

What it boils down to is not everyone is going to have a severe reaction, but you might. If you feel like you are getting sick regardless of vaccine status GO get treatment. The treatments such as monoclonals are truly working in early stages.
Just had a 50 year old lifelong friend sit at home until it was too late, buried him yesterday. He started feeling bad on August 6th, was on a vent by Saturday the 14th and died apart from his family on Sunday. He was in perfect health until he got Covid. He said he went to get tested once he started feeling bad but didn't want to wait so he went home. It can happen to you also. If you feel bad go get some help, don't wait.

Anonymous said...

So? Cattle don't wear masks while being administered Ivermectin either.

Anonymous said...

This surge shall pass in its time, but what will we be left with after all the hatred, death wishing, vitriol, etc. ? What good does it do?

Alas, you cannot reason people out of positions they didn’t reason themselves into.

Anonymous said...

When will we start blaming Fauci and Gates for funding the science that has us all in it's grip ? Notice how they get the free pass while the rest of us point fingers at each other ? This thing was grown intentionally ! That isn't my damn fault !

Kingfish said...

Wow. All I did was post a press release from UMC. I think that as one of the largest hospitals in the state, what they have to say is worth listening to even if you disagree.


One thing to remember during all these covid debates. People on both sides are scared. Genuinely scared. Some are scared of dying. Some are scared of losing liberty or power-hungry opportunistic politicians. Others are scared of losing their jobs or seeing their businesses go under. To you its a business, to them it is their life.

Anonymous said...

Hospitalizations in Hawaii are at a new high, with an active mask mandate for 486 days, extremely high compliance and one of the highest vaccination rates in the world.
Iceland has reported more cases in the past month than they had in the previous 9 months combined 91.2% of their adult population is at least partially vaccinated, 86.5% are fully vaccinated
More than 2 weeks ago, Louisiana reinstated their mask mandate, while neighboring Mississippi & Arkansas didn’t, yet Louisiana is doing worse & following the same trajectory.
Understand that MS is not the world, look at actual data, and ask yourself why?

Better Than Ever said...

@10:06 #1

# of mutations are in direct proportion to infections. More vaccines = fewer infections. More vaccines = fewer people clogging up healthcare and dying.

The data is out there and easy to find. Look at the countries that are heavily vaccinated. They are doing quite well.

The states that are heavily vaccinated are doing quite well also. They spiked due to delta, but plateaued and are headed downward. Can we say the same?

If you've been following my posts... I've been saying this since this all began. FAFO will lead to mutations. Some were inevitable (world's not vaccinated yet due to scope of the task). Others are preventable.

And in _any_ case, we can certainly do a better job. We've just got to decide to. Winning is a choice, not something that happens by accident. So is failure.

Better Than Ever said...

@10:55

Gross numbers are practically useless. Your claims are misleading. Rates tell the real picture.

Iceland, even with outbreaks, is still at 25% of the cases/capita compared to MS.

As far as your 'why' question... I'll take "delta's infectious as all get out" for $500 Alex.

Better Than Ever said...

@10:51

Even if your already-debunked wildly-wrong claims about the origin are true... would you let a wildfire that someone else started burn? Burn up your livelihood? Your home? Your family? Your neighbors? Your country?

MS residents will drive across the US to help communities in need to due fire, flood, tornado, hurricane, terrorist attack, etc... but we won't drive to walgreens for a tiny shot?

Anonymous said...

The anti-vaxers are terrified of a shot. Like 5 year olds. They are a hell of a lot more scared of a vaccine than we vaccinated folks are of getting Covid. Why? Because we know that in all likelihood, if we get Covid, we will stay at home till we recover. We are highly unlikely to require hospitalization. The anti-vaxers are looking more scared and silly every day. I'm noticing the long lines at Kroger and Walgreen waiting for the vax over the past week. Maybe some of them are finally figuring out that Facebook and Fox News quacks are just that - quacks.

Anonymous said...

11:49 "...Maybe some of them are finally figuring out that Facebook and Fox News quacks are just that - quacks."


No, we're quite certain it's because of your wisdom and counsel.

Anonymous said...

@better than ever et al

Why the misinformation? I am dead serious and am extremely curious why you and the other vaccination pusher go to such extreme efforts at misinformation. I don’t understand why you have such a burning desire to misrepresent information as if you think your lies will help, even if someone listens.

The mRNA do not limit or were even designed to limit “infections”. They reduce the damage created by a specific spike protein. This is why vaccinated individuals carry the same viral load as the unvaccinated, when infected. The only thing happening is the mRNA vaccines lessen the effect of the spike proteins within the infection which reduces hospitalizations and death, like monoclonal antibody infusions at the point of infections.

A major reason why PHDs lead the number of “antivaxers” is because no one is basing things off of those with antibodies and is hyperfocused on a mRNA vaccine that does not inhibit the actual virus, which in turn, harbors the ability for an infected and vaccinated individual to shed worse variants. A person with natural antibodies has antibodies for the virus AND the spike proteins that the mRNA vaccines only protect you from.

Antibody cards should be the primary method to help the population, not vaccine cards.

Better Than Ever said...

@12:43

Sorry, but your conclusions are not found in fact.

Pfizer/Moderna/J&J vaccines _ARE_ designed to inhibit infection. Full stop. They train your defense system to recognize a threat it's never seen before (that's why it's called a novel (new) coronavirus).

You contradict yourself also "the mRNA vaccines lessen the effect of the spike proteins within the infection which reduces hospitalizations and death". The effect of the spike you speak of... is the mechanism with which the virus invades our cells. So to lessen the effects of it... (wait for it) is to prevent infection.

So long as your immune system can recognize the virus, it doesn't matter which part that is. Vaccine researchers analyze a pathogen and determine the parts with the best chance of being recognized with the least chance of changing.

And since I'm not sure you you are (get a blogger account please)... yes there are spikes in different states. But as most of those are, even with spikes, doing a FAR better job than Mississippi then maybe we should emulate them instead of making fun of them.

Because they are sure making fun of us. MS is quite prevalent in national media now, and it's never in a good way.

Anonymous said...

Ummm... no. Just stop.

The mRNA technology used by Moderna and Pfizer/BioNTech induces cells in the recipient only to make a single spike protein that mimics the same spike protein from SARS-CoV-2, the coronavirus that causes COVID-19. None of the current COVID-19 vaccines produces a full intact coronavirus, not even a weakened one, as live-attenuated virus vaccines, such as the measles vaccine, use a weakened version of the measles virus.

This is why the CDC is stating that a vaccinated individual will have the same SARS-CoV-2 viral load as in the non-vaccinated. This is why healthcare is saying that the mRNA vaccines keep you from being hospitalized and/or from death, NOT keeping you from a COVID-19 infection.

They do not inoculate against the SARS-CoV-2 virus, only the spike protein produced by a COVID-19 infection, hence, you have to be infected with SARS-CoV-2 virus for the mRNA vaccines to do their jobs.

Anonymous said...

11:40 ........the claims haven't been debunked and it's clear at this point that folks like you don't care. Reality is that this virus is off the leash and biting everyone in it's path. Vaxxed and unvaxxed. I am unvaxxed and have had it twice. The second round was mild and left me somewhat fatigued. I haven't been vaxxed since my days in the service off the coast of Africa. As I said before, I am not anti vax......I am anti this vax and everyday new proof proves me right. When God is ready for me.....I will not be affraid. Fauci and Gates are on VIDEO talking about this several years ago if you have the guts to look for it. Big Brother may be watching you BTE. Muahhhhahahaha !

Anonymous said...

This isn't rocket science. Please get vaccinated, you wussies, just like the other vaccines that you received as a child.

Better Than Ever said...

@2:54

Your first paragraph is correct.

The other two are mixture of fact and misinterpretation.

https://www.who.int/news-room/feature-stories/detail/how-do-vaccines-work

@3:08

I don't care where it came from as it was inevitable. It's a thick read, but grab a copy of "guns, germs, and steel".

And with my new 5g vaccine I get 50% my c-spire cell bill and excellent reception!

Some of you may have noticed a slight slowdown in the growth, which is accurate. However, we are still on track to double the 7 day average in 15 days.

Anonymous said...

@BTE
Guns Germs and Steel was debunked by true historians (not Marxists revisionists like Howard Zinn) and the author is a marxist fraud.

Calm Down said...

@Better Than Ever
And in _any_ case, we can certainly do a better job.

I assume by that you mean everyone should take the jab. Assuming we have 100% compliance for 12 and up, do you believe that would end the pandemic? (Keep in mind that the vax does not prevent infection or transmission. And bonus points for including an admission that the effectiveness wears off such that boosters will be required at the 8th month mark.)

Anonymous said...

Thank you Deion Sanders for recommending COVID vaccine! You rock!

Better Than Ever said...

@4:58

GGS 100% accurate? No. Accurate enough, particularly in the 'germs' category, yes.

Do new pathogens routinely jump from animals to humans? Yes. Is it moot when you are fighting it? Yes.

@8:01

No. We've got 15% of the US under age 12. Given the extremely high R0 of delta, herd immunity would be higher than 85% vaccinated.

All the patients in a particular north MS hospital, on a vent, are all unvaccinated right now. It's not that hard folks.

But can we do better? Yes. A lot better? Yes. Will we?



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Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).


Meet KIM Waaaaaade at the Entergy Tent. For five pesos, Kim will sell you a chance to win a deed to a crack house on Ridgeway Street stuffed in the Howard Industries pinata. Don't worry if the pinata is beaten to shreds, as Mr. Wade has Jose, Emmanuel, and Carlos, all illegal immigrants, available as replacements for the it. Upon leaving the Entergy tent, fig leaves will be available in case Entergy literally takes everything you have as part of its Trollfest ticket price adjustment charge.

Donna Ladd of The Jackson Free Press will give several classes on learning how to write. Smearing, writing without factchecking, and reporting only one side of a story will be covered. A donation to pay their taxes will be accepted and she will be signing copies of their former federal tax liens. Ms. Ladd will give a dramatic reading of her two award-winning essays (They received The Jackson Free Press "Best Of" awards.) "Why everything is always about me" and "Why I cover murders better than anyone else in Jackson".

In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.


In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.


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Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

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