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Yes, it's how they move the overton window.


Shopify is building fulfillment centers.


Thanks for that! Well, that changes things doesn't it? mens my plan H for a company is still valid then!


It's actually not easy; not every place has facilities for that. Wife is a nurse, and we went through this discussion of the best process when she was an ICU nurse during the Ebola scare five years ago.

Remember too, sometimes folks are on the way to work in their scrubs, not necessarily leaving work.


What "facilities"? We're talking about changing clothes. Shower curtain ought to be enough! And the point about going to work in scrubs is also bad: scrubs should be as much about keeping stuff out of the hospital as in.

If a neighborhood yoga studio can provide a place to change, pretty sure any healthcare facility can too.


When's the last time you saw a yoga studio the size of an average hospital? Most hospitals have staff numbering into the hundreds or thousands with 24/7 operations [1]. We're talking large locker room facilities all over the place with many departments getting their own, especially after COVID, which themselves become central points for disease spread since shift changes aren't evenly spread out.

I don't think it's a bad idea to make big investments into such infrastructure now but I think it's completely reasonable it wasn't a priority before.

[1] The average hospital with 50 to 99 beds has a FT+PT staff of about 400 ( beckershospitalreview.com/hospital-management-administration/50-things-to-know-about-hospital-staffing.html ) and half of all hospitals in the US have under 100 beds.


Most bathrooms in hospitals are private.


The argument that's usually given is that changing 2x more per day is too much. I used to work for a research doctor and he would regularly hold meetings in his scrubs with high profile scientists.


Yeah, like washing your have is a big chore too.


> Remember too, sometimes folks are on the way to work in their scrubs, not necessarily leaving work.

This is a weird thing to remind the parent of, considering the original comment says

>> they are either taking whatever illnesses were in the hospital outside, or taking the dirt and grime of the outside world into the hospital


It's really not that hard to change your clothes in a bathroom. Especially in a hospital, where they certainly have a wheelchair accessible large private one. Also, many large hospitals also have a gym, so you could just change there.


The entire staff, though? When they all have to do it at the same time, when a shift changes?


How sanitary is that? A small room that is aerosolizing feces and urine after each flush?

I doubt there is a lid on the toilet.


Why are they getting their scrubs exposed to the ‘outside’ at all?


Because it isn’t meaningfully dangerous. The inside of hospitals are not sterile. If there is a need for additional cleanliness, scrubs are covered with something that actually is sterile


I disagree with record; you should STREAM. Get it off the device so it can't be conveniently destroyed and deleted.


Stream, but remember anyone can send a DMCA take down request for the evidence, and big companies have law enforcement liaisons who would be more than happy to remove content at the behest of LE. Some platforms will remove any violent content uploaded by users, so with some rules lawyering from LE posing as another user, it can be taken down.


Would the government even have standing to file a DMCA takedown for anything? Anything the government creates is in the public domain meaning there’s no copyright to infringe.


They don't, but the assumption is that platforms will rubberstamp any LE request.


Any suggestions for such a setup?


ACLU has an app specifically for that, which uploads videos to them automatically.



Thanks for the recommendation! Didn't know about this.


Facebook live is an obvious example


Periscope I think as well.


This is how he uses the Overton window to change the conversation. He's very good at this sort of thing.


It's also because we have open laws (sunshine laws) that require things to be published publicly.


Scroll down to figure 1. Non survivors end up with cardiac and kidney injury. Interesting that this might shine light on the cause.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6...


Thanks. Specifically, from your citation:

"In addition, angiotensin converting enzyme 2, the receptor for SARS-CoV-2, is expressed on myocytes and vascular endothelial cells, so there is at least theoretical potential possibility of direct cardiac involvement by the virus"

The most sane hypothesis I've seen is that the virus will attack any cell with the ACE2 receptor, including the heart and kidneys:

"Angiotensin converting enzyme 2 (ACE2) is an enzyme attached to the outer surface (cell membranes) of cells in the lungs, arteries, heart, kidney, and intestines."

This would require the virus to enter the bloodstream from the lungs, which is possible after sufficient alveolar damage.

ref: https://en.wikipedia.org/wiki/Angiotensin-converting_enzyme_...

As an aside, although Wikipedia doesn't mention it, testicular cells also express ACE2, leading to some worry about downstream fertility effects:

https://www.medrxiv.org/content/10.1101/2020.02.12.20022418v...


Interesting point about the ACE2 receptors in the GI tract. I wonder if that's why certain infections present with GI symptoms?


Would that last point allow SARS-CoV-2 to become an endogenous virus?


They should report these unsafe working conditions to OSHA. Hospitals are required to have a plan for this, and certain actions are specifically called out as potentially riskier. Seems like if you've notified the administration of the risk, and notified OSHA you can stop work until the dangerous work environment is resolved. Findlaw and OHSA article on respiratory programs below.

Under federal and state laws, employers must provide a safe workplace. If unsafe working conditions are present, a worker may report the violation to the employer, to the federal and/or state Occupational Safety and Health Administration (OSHA), and in some cases, the worker may refuse to work. The following is a summary of OSHA protection and guidelines for dealing with dangerous conditions in the workplace. What to Do When a Safety Hazard Poses an Imminent Danger When unsafe working conditions place the life of a worker in imminent danger, the worker should report the dangerous condition to OSHA. The worker also has the right to refuse to work if: There is a reasonable and good faith belief that a condition in the workplace poses an immediate and substantial risk of serious physical injury or death;

https://employment.findlaw.com/workplace-safety/protecting-y...

https://www.osha.gov/Publications/OSHA3767.pdf?fbclid=IwAR0r...


Isn't this a violation of OSHA safe workplace conditions?

It's a known, lethal, virus, and they're not letting people protect themselves, especially if they aren't providing that protection themselves.

They must "Provide a workplace free of health and safety hazards that can cause death or serious injury;"

https://employment.findlaw.com/workplace-safety/protecting-y...

Perhaps they'd rather get a call from OSHA? Would they perhaps prefer their nurses call OSHA first?

In Florida, there's a law for whistle blower healthcare workers. https://www.nationalnursesunited.org/whistleblower-protectio...

If the choice is be fired or die (or have a better chance of dying), they should file an OSHA violation and call out.


> Isn't this a violation of OSHA safe workplace conditions?

The practices nurses/doctors are doing today are in violation of OSHA (mask/shield re-use and the like) and they would have been fired or strongly reprimanded just a few months ago for doing what they are being told to do now. To add insult to injury they aren't letting them protect themselves because it would further prove how unprepared these hospitals were.


They can call in sick.


Calling in sick in medicine typically gets one of your peers called in instead, putting them at-risk instead of you for that shift.


And this is the shitty part, nurses have to choose between their own safety and that of their coworkers/patients. I am extremely worried for some close friends of mine who are nurses and have either preexisting conditions or are older. Those administrators can either get on the floor with the same lack of PPE or STFU in my opinion, it's downright criminal what they are saying and I hope when this is over they will be held to account.


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