Topic

Coronavirus First Responders

138 petitions

Update posted 3 weeks ago

Petition to Greg Abbott, Ted Cruz, Texas State House, Texas State Senate, Louie Gohmert, Alma A. Allen, Al Green, Joaquín Castro, John Cornyn, Eddie Bernice Johnson, Lloyd Doggett, Kevin Brady, Henry Cuellar, Kay Granger, Tony Tinderholt, Michael Burgess, Michael T. McCaul, Judith Zaffirini, Texas

Allow TX dentists to use Telehealth to screen, triage, consult and increase access to care

4/23/20 This petition originated on April 1st after it was posted and stated on the TSBDE website that dentists were not allowed to use teledentistry due to no laws permitting it and board rule 108.8(c)(2)(C). The use of telehealth technology has not only been shown to increase access to care, but currently as social distancing continues, telehealth is a tool that can be used to eliminate possible exposure to Covid 19 by live video consults, triaging, and advanced communications with patients.  As I have been hearing from dentists both on and off this petition, I have become more aware of their concerns currently and how they have used or would be using telehealth technology.  Dentists have expressed concerns of contracting the virus, and are diligently implementing new protocols for infection control and PPE to protect patients and employees. In addition, some TX dentists have  concerns that, due to current law, they are not being compensated for their time or knowledge in numerous telephonic or screening consults. Others, such as a pediatric dentist have stated “telehealth makes individual and risk based preventive interventions easier, faster, and more effective. Telehealth integrates nicely with the dental home concept and the Texas first dental home initiative.”  Still other cosmetic and orthodontists have supported using telehealth technology to monitor and track Invisalign and orthodontic patients respectively. We are seeking Governor Abbotts waiver to expand telehealth options to TX dentists and dental specialists with allowance of compensation and/or insurance reimbursement. Thank you April 1st, 2020Dear Governor Abbott,                    During the current crisis and mandates many dental offices have had to close entirely or limit their office locations and/or times for emergency services only. For those dentists who are still serving patients, the risk of exposure to Covid 19 is real for them and the patients as well as over burdening the resources of fewer amount of offices and PPE. For some patients who are immunocompromised, the risk for them may be too great to visit a dental office with an urgent dental concern. There is also a concern that patients with a NTDC (Non Traumatic Dental Condition) may present to an ED, thereby further taxing a system and possibly exposing themselves and others to Covid 19. As research has shown, please see below, the large majority of patients who present to an ED with a dental urgency are stabilized with a prescription(s) and sent home. With today’s technology, there are highly reputable platforms available for telehealth, both secure and HIPPA compliant, even some used by NASA, GE Healthcare, and Cleveland Clinic. With these platforms, dentists would be able to video screen and triage patients, who either need to present for treatment or can be stabilized with a prescription, if necessary, and scheduled for a next possible date. In addition, several major dental insurance companies are allowing the codes D0140 (limited screening problem focused) and D0170 (problem focused established patient) to be covered with telehealth. This would help in prioritizing patients who absolutely need to be seen in office and also allow patients with a dental concern to remain in their home and given an Rx, if necessary, especially forthose with an immunodeficiency. Thank you, Leanne Tessandori, DDS Emergency Department Referral Programs for Non-Traumatic Dental Conditions, 2015, astdd  National Hospital Ambulatory Medical Care Survey 2009-2010 National Emergency Department 2006

Leanne Tessandori, DDS
3,562 supporters
Update posted 3 months ago

Petition to Florida Governor, Donald J. Trump, Marco Rubio, Rick Scott, Donna E. Shalala, Carlos A. Gimenez, Debbie Mucarsel-Powell

MASS TESTING for Covid before any orders for social distancing are relaxed!

Experts are unanimously and universally recommending MASS TESTING of the population for the COVID 19 virus as a prerequisite to "restarting" the economy or relaxing social distancing orders.  The US is testing at a rate of less than 3.2 per thousand, in eleventh place among industrial nations.  This is unacceptable, as mass testing is the only way to isolate the COVID 19 virus in our communities and slow its spread considerably. Social distancing alone, without testing, is just a momentary pause (at considerable expense both socially and economically); but premature loosening measures will be counterproductive, and will only result in further harm to the population and economy.  The people demand that our local, state and federal leaders commence a massive project (with the help of private industry and capital) for universal testing across the country before any relaxation of standards are considered.  Time is of the essence.   The people are living in a state of permanent anxiety and it doesn't help when we see the lack of coordination across the spectrum to tackle this severe health crisis.  People are dying and suffering unnecessarily while we spend valuable time bickering about the details.  There will be time for that AFTER we defeat this pandemic.  The urgent and most consequential action to be taken right now is MASS TESTING - let's get it done! 

Pablo Casasnovas
447 supporters
Update posted 5 months ago

Petition to Bill Dodd, Gavin Newsom, DIane Feinstein, Kamala D. Harris, Mike Thompson

Armer Law; They take care of us. We need to take care of them.

Santa Rosa Police Detective Marylou Armer was denied COVID19 testing twice before she went into the emergency room, was put into a coma and died alone. Armer spent two weeks with a fever, aching body and shortness of breath. Armer asked twice to be tested for COVID-19. Armer was denied by Kaiser Permanente’s Vallejo Medical Center. She was not considered vulnerable because of her age and no underlying medical conditions. Armer was finally cleared to be tested on March 23, when her husband brought her to the emergency room. She was sedated, intubated, and placed in a medically induced coma. She died on March 31. Armer was with the Santa Rosa Police Department for 20 years and her death is devastating to all who worked with her to help victims of crimes that include domestic and dating violence, sexual assault, stalking, child abuse and elder abuse. But this is not an isolated incident. There have been several first responder deaths as a result of COVID-19 in the past few weeks – and there will be more. To date more than 20 law enforcement personnel alone, as well as nurses, doctors and firefighters have died from COVID 19.  Athletes and Celebrities, and those with money at their disposal have been getting tested when they have no symptoms. Marylou knew something was wrong and was denied access to healthcare that may have saved her life. "Armer Law" would allow that during any epidemic or pandemic, first responders which include but are not limited to; law enforcement, social workers, healthcare, and EMS workers, can NOT be denied testing, and should automatically be approved at the first sign of symptoms. They are on the front lines, entering people’s homes and having to make physical contact with the public, and they have the highest risk of exposure. Also provided would be regular, continued testing if necessary, and treatment covered by worker’s compensation, not sick leave. This death was preventable.  Our first responders take care of us, it is time to take care of them.   

Megan Berger
106,814 supporters
Update posted 7 months ago

Petition to Dr. Mase, Kaiser Permanente Santa Rosa Medical Center, Sutter Santa Rosa Regional Hospital, Santa Rosa Memorial Hospital, Jim Wood, Mike McGuire, Gavin Newsom

Need for Appropriate PPE Provision for Sonoma County Health Workers

In Sonoma County, we have successfully flattened the curve to help our health care systems better prepare to address the COVID-19 pandemic. Kudos to the County leadership and populace for this success! HOWEVER, the risks of the pandemic are still very real for our community, and our health workers (doctors, nurses, CNAs, environmental services, techs, nutritional services, etc) need additional support in advocating for increased availability and usage of appropriate PPE.  Without sufficient PPE, the lives of healthcare workers are at greater risk, and the crisis will be prolonged. To increase the chance to return to 'normal,' we must ensure their safety. The impact of the projected COVID-19 surge in Sonoma Country is expected to be very manageable by our current health care systems. We need to act to make the impact even less! Many of our health care systems are operating under the policies of resource scarcity--with the concern that if we use appropriate PPE, we will run out--an approach that is supported by inadequate CDC guidelines. For example, most prominently, Kaiser SR Hospital is not providing N95 masks for staff taking care of COVID+ patients and Patients Under Investigation (PUIs). More lax PPE policies save the health system money, but increase the risks to health workers, and increases the risk that WE become significant vectors in our community. We need to demand even more conservative PPE policies to provide MORE protection to our staff. Please note that some institutions are doing a better job than others. We need consistency and a set high standard of care.  As health care professionals in Sonoma County, we have reached out to ask that the Public Health Officer, Dr. Mase, release a Public Health Order that requires all healthcare facilities in Sonoma County to follow the Stanford University Protocol or Cal/OSHA recommendations to better protect our frontline healthcare workers. We ask that the Public Health Department hold all healthcare facilities accountable to caring for our community, regardless of the higher-level policies created by their behemoth, multi-state health organizations. We ask that our state and local representatives fight to make sure our health care professionals are protected. And finally, we ask that you, readers, hold each of the above parties accountable to protecting the health professional heroes in Sonoma County, which by extension, enhances the protection of each of you. For healthcare professionals, please sign with your discipline. For general public, please sign and note your healthcare organizations you go to as a patient. Thanks!

HPEACE
1,437 supporters