Fortunate

In the scope of things we've been incredibly lucky:

  • We can do the core of our work remotely via telephone or video
  • The nature of our work as an internal medicine clinic means we haven't seen as much customer drop off as many other businesses
  • Because of our aggressive move to digital workflows over the past decade our employees have all been able to work almost exclusively from home with little issue or extra effort
  • We automatically received a small support check from Medicare because of our on going relationship with them
  • We've been able to keep all our employees on full time with their healthcare to this point
  • None of us or our loved ones have so far gotten sick

We have seen our weekly visit load drop by just more than a third, which means we are approaching a potential crisis point in terms of keeping everything/one fully funded. We applied for the PPP program as soon as our bank, Chase, accepted applications, but like so many other businesses, we ran into a host of errors during the application process and the initial funds for the program ran out well before they got to our application.

The program has received another round of funding, and our application is actively being reviewed, but that doesn't mean we'll be accepted or that they won't run out of funds again before we get to the end of the process. We can only wait and see, and investigate other solutions in the meantime.

Our patients mostly continue to work with us with a negligible amount of push back, mostly from patients who don't seem to be taking the risk seriously.

I don't really have a problem with informed people deciding they're comfortable risking their own lives, but I've always taken issue with people who think it's OK to risk other peoples lives for their own convenience/profit, and I'm deeply disturbed by the volume of disinformation being distributed by the likes of Fox News, Breitbart, and, of course, our Yam in Chief, and the way their faithful adherents reject reason for propaganda.

I do have to start planning for when and how we're going to open the office back up. Even if we can finally get the PPE we need, much of which our supplier still won't even let us order, I'm struggling with how to secure the office from becoming a vector of transmission from one potentially infected patient to an uninfected other.

I found the idea of taking temperatures at the door to be absurd from the get go as the threat continues to be more from asymptomatic infectees. Add to that the fact that the virus can stay airborne for hours means it wouldn't take much for the waiting or patient rooms to become potential death traps, and I don't have a good solution for that yet.

Maybe if we just inject everyone with Clorox and have 'em swallow a UV light?