Orange County Vaccine Distribution

Since the COVID-19 vaccine became available, I have not heard anything about the distribution schedule for Orange County. Through Reddit, I found an official site with some information.

Comment
byu/AutoModerator from discussion
inorangecounty

However, like many government websites, it has a lot of text but not that much useful information. The question everyone is asking is when they will be eligible to get the vaccine, and basically we are told that they are still developing guidelines. Huh? The vaccine has been available for weeks. I know supply is scarce right now, but at least have a plan in place. What if a large quantity of vaccine suddenly becomes available? Are they going to sit on their hands or scramble and throw a crude plan together overnight? Ugh. So much incompetence in government.

Even the current schedule is confusing:

I am guessing that we are in Phase 1A for Tier 1 and Tier 2 population? The explanation says Phase 1A: Critical and Healthcare Workers. Critical what? Critical healthcare workers, critical workers in general, or just critical people? Then they go on to explain Tier 1 but the last bullet just says Dialysis centers. Again, what about dialysis centers? Does Tier 1 include only dialysis center workers or patients as well? The three previous bullets in the same section are very detailed, yet the last bullet has zero information. If dialysis patients are not in Tier 1, and dialysis centers is not mentioned in Tier 2 and Tier 3, then are we (patients) included in Phase 1B and 1C?

Digging deeper, bullet #2 says,

Skilled nursing facilities, assisted living facilities, and similar settings for older or medically vulnerable individuals and residents in these settings

So non-healthcare workers are include in Tier 1. This population makes sense since that is a very high-risk group and there has been many documented deaths. My point is that dialysis centers are fairly similar. The workers do come in contact with a lot of patients but only 3x when compared to dialysis patients (three shifts per day). Dialysis patients are usually pretty high risk since many have multiple medical complications. I haven’t heard of a virus breakout at a dialysis center yet, but patients are basically immobile for 3-4 hours, unable to remove themselves from unsafe situations or environments. If dialysis centers are considered high risk areas, then us patients also share that risk along with the workers.

In addition, there has not been any communication from my dialysis center staff on any information they may have that may be relevant. Like always, zero information when you need it next. I guess I just keep doing what I have been doing for the past 10 months and hope I get the vaccine call before I get sick and die.

==========

I found an academic article online that suggests dialysis patients, especially in-center patients, are at very high risk, with short-term mortality at 20%.

Coronavirus disease 2019 (COVID-19) has affected the care and outcomes of patients treated with dialysis worldwide. In this issue of Kidney International, 3 reports highlight the disproportionately severe impact of COVID-19 on patients on dialysis, noting its high prevalence, particularly among patients receiving in-center dialysis. This likely reflects patients’ limited ability to physically distance as well as community exposures, including residence in areas with high rates of infection. Patients on dialysis are at extremely high risk should they develop COVID-19, with short-term mortality of 20% or higher. Accordingly, it is imperative that the kidney community intervenes to reduce the threat of COVID-19 in this vulnerable population by focusing on modifiable factors, including universal masking of patients and staff and enhanced screening, including testing for COVID-19 in the patients who are asymptomatic during times of high local prevalence.
https://www.kidney-international.org/action/showPdf?pii=S0085-2538%2820%2931203-5

OC COVID Hospitalizations

Maybe some room for optimism, or just a lull before the next storm?

The chart shows daily number of hospitalization in Orange County. There was definitely a huge spike starting in mid-November, but the rate of increase is trending down again. If I was optimistic, then it looks like the “second wave” is behind us with better days ahead. More likely however, the current spike is from careless people gathering during Thanksgiving, and an even bigger spike is coming for Christmas/New Years. With the hospital out of ICU beds and just full in general, a bigger spike in patients needing hospitalization will just mean more dead people. There’s a lot of hope and expectation placed on the new vaccines.

1:1000

CNN reported that one in one-thousand Americans have died from COVID-19.

The United States reached a grim milestone on Saturday: 1 in 1,000 Americans have died from Covid-19 since the nation’s first reported infection in late January.

Census Bureau estimates for the last week of December place the US population at around 330,750,000. On Saturday afternoon, the national death toll from Covid-19 reached 331,116, according to data from Johns Hopkins University.

Covid-19 infections in the US have reached more than 18.7 million.
https://www.cnn.com/2020/12/26/us/1-in-1000-died-coronavirus-timeline/index.html

That seems to be a crazy high number. I’m not sure how the anti-maskers and COVID-deniers explain away 300,000+ deaths. Are they saying that the deaths didn’t happen and it’s just a made up number? I’m sure the CDC or Johns Hopkins can put a name to all the deceased patients. Or are they saying that these people were going to die anyway since they were old and sick? I wouldn’t care if they were harmless like the flat-earth people, but covidiots are dangerous. By ignoring health rules, they are endangering and infecting those around them with the virus.

As for the 1:1000 number, several cities in Orange County already reached that goal: Los Alamitos at 2.5, Seal Beach at 1.6, and both Anaheim and Santa Ana are at ~1.1 deaths per 1000 population with Fullerton at 0.9. Where I live, City of Orange, is currently at 0.64. The website also lists California at 0.62, Los Angeles County at 0.91, and Orange County at 0.56.

The worst part is that we’re not done yet. The number of cases and deaths will continue to climb since the Christmas and New Year spike is coming in January, and not enough people have been vaccinated yet. The CDC has a webpage for forecast models and it looks like we will hit 400,000 cases by the third week of January.

More COVID-19 Charts

The news is pretty depressing. There are reports that hospitals in Los Angeles and Orange counties are full of dying COVID-19 patients. A lot of them are hooked up to ventilators and most probably won’t survive past the end of the year. However, they are taking up beds in the ER and ICU so other patients are waiting a long time to be treated or just turned away. What a mess.

Unless these are new strains of the virus, the only difference between August/September and now has to be unsafe social interactions. Looking at cumulative cases over time by age, it does seem that this new new wave of cases is due to younger people.

I think the number in the top chart is for all time since nothing changes when I change the period drop down. From the bottom chart, it does look like the purple/blue colors are growing faster than the orange/yellow/red sections. This fits the narrative that younger people are tired of staying home, and believing that they are less susceptible to the virus, are resuming social interactions like there is no pandemic. I can’t get the website to show hospitalization by age group to check on the hypothesis.

In any case, we’re heading over to my sister’s house tomorrow for Christmas dinner. We’ve probably met them about once every few weeks. They don’t really go anywhere either but my nieces were going to school a few days per week and a few soccer tournaments in Arizona. There is some risk but they are literally the only people I’ve met in a social capacity since March. Let’s hope some of us will be vaccinated soon.

Orange County COVID-19 Update

Charts are from https://occovid.com/.

What a huge mess. A few weeks ago, I was hoping that the recent increase in cases would taper off. Nope. It’s gotten a lot worse than the initial case spike in April, in both case count and hospitalizations.

It’s pretty evident that there is a huge problem. I don’t know where this is coming from. Everyone I see are still wearing masks, but I really don’t go anywhere other than dialysis. Are people partying it up without worrying about the virus? I would like to see any additional data that provides more detail on where people are getting infected. Even with the vaccinations starting, I don’t know if we can get this under control for many more months.

==========

I read this in the news today. Evidently, there were some communication issues between what was the expected production volume of vaccines, and the actual post-QA quantity. Again, it seems like we have amateurs running the show in Washington, DC. In any manufacturing process, there is always focus on the product yield. The actual manufacturing plant capacity doesn’t mean anything if none of your products passes QA. Do our government officials not know this? Is this another effect of Trump appointing friends and family to important agency posts instead of experts? I’m no Democrat, but I’m glad we’re rid of Trump the incompetent liar.

L.A. County Shutdown Ruling

I saw this article in the Los Angeles Times:

A judge has limited Los Angeles County’s outdoor dining ban to three weeks, even as a state order will keep the restrictions in place past Christmas, according to a ruling issued Tuesday.

At a court hearing, the latest to address a pair of challenges to the ban, L.A. County Superior Court Judge James Chalfant said county public health officials must conduct a risk-benefit analysis if they want to extend the ban past its current end date, Dec. 16.

“The county should be prevented from continuing the restaurant closure order indefinitely.” Chalfant said in the decision.
https://www.latimes.com/california/story/2020-12-08/la-covid-19-outdoor-dining-ban-limited-state-order-remains

So the judge ruled that the county health officials made the decision to shut down outdoor dining cannot last forever, and asked them to provide a cost-benefit analysis on the closure. I guess he had the same questions I did regarding the scientific basis behind the shut down. Supposedly only 5-10% of the recent COVID cases can be traced back to a restaurant. Where are the majority of the new cases coming from?

https://twitter.com/BillFOXLA/status/1336387292076756993

All this is moot since the county order was superseded by a state closure level, and the judge’s ruling only applies to LA County. However, it’s good to see someone else asking for scientific proof before making policy decisions that affect millions of people.

30 Second COVID Test

Well, that was much easier than previous tests. Instead of jamming the swab into my brain, they just swabbed the inside of my nostrils for 10 seconds on each side. It was super fast and didn’t hurt at all. Still, the drive there and back took ~45 minutes.

I do have to complain about the test site however. They set up a large, drive-thru tent in the parking lot. The issue was that there were confusing signs everywhere. I believe there was another testing site for another insurance company (Optum) in the same parking lot. That site is not operating but they left all the traffic cones and signs in place. Each of the entrances to the parking lot had an Exit Only sign, and the only sign with clear directions was facing away from the street; you can only see it if you turn in to the parking lot while ignoring the exit signs. I got to the parking lot ten minutes early for my 9:30 am appointment and was still five minutes late to the tent.

They also gave me an instruction sheet that contains a section called Self-isolation Instructions. There is one bullet that says:

If you have other medical appointments, schedule them for before your test or for after your scheduled surgical procedure.

Since they scheduled the test so early, I still have three dialysis sessions to attend before my procedure, and there’s no way I can skip them, especially when I’m supposed to guzzle all that fluid beforehand. The other points on the list are not as bad as the directions I received post-COVID test for my cardiac ablation procedure.

==========

With the bad results from the fructosamine test, now I’m more worried the colonoscopy. Each new test seems to bring more bad news. 😫

==========

I just realized that my dashcam captured me gettin lost in the parking lot. If I can figure out how to embed videos in WordPress posts, I’ll include it later.

==========

And that’s a no. I have to upgrade to WordPress Premium to be able to upload my own videos. I can always upload videos to my YouTube account then embed them in my post, but then I would lose the little bit of anonymity that I still have on this blog.

COVID @Work 12/8/2020

Boom! The update from yesterday had an increase of another 13 cases. My work site is up to 232 cumulative cases so far. For a long time, there weren’t any new cases but the number has exploded along with the rest of California. People are still going to work since we’re classified as an essential business. At least the company has given everyone an extra 10 sick days if you are affected by COVID. Let’s hope one of the several approved vaccines actually work and can slow or halt the growth in infection cases.

Déjà Vu Again

It’s deja vu all over again.
Yogi Berra

Due to the spike in COVID-19 cases, parts of California are being ordered into lockdown again. I believe the criteria is >15% ICU availability and is evaluated by region. Orange County is part of the Southern California region, and the total ICU availability is 10.9%. At the state level, total ICU availability appears to be 14.2% from covid19.ca.gov.

Since March, I’ve been working from home exclusively, and have basically not met with anyone outside my immediately family. I’ve not eaten out, even with outdoor seating, but relied on home cooked meals and take-out. I also wear a mask during the few times I have to go indoor to buy food or groceries. I have a lot of risk factors for COVID-19 so I’m being super careful.

However, I do have some issues with the above order. First, how did they determine the 15% threshold? Why not 10%? Maybe 15% is too lenient and we should be shutting down at 25%. Also, why did they group the statistics by arbitrary regions instead of by county? Orange County is being ordered to shut down since the Southern California region is at 10.9%, but the county is only at 18%.

For sure 18% is a bad number, but if you’re going to make up rules that affect the livelihood and lives of millions of people, should it be more rigorous? Why not enforce the order at the county level when the data is readily available? I’m very lucky that my job is not really impacted by the pandemic so far since we’re an essential manufacturer, and revenues are from long-term contracts that have not been affected so far. I would hate to be a restaurant owner. After 9 months of shut down orders, they have to again decide between closing and going out of business, or staying open and risk losing their business license. Also, what is causing the current spike in cases? Is it from people eating at outdoor seating at restaurants? I’m actually curious since I don’t go anywhere.

Finally, governor Gavin Newsome was caught attending a dinner party with lots of people apparently not wearing masks. When asked about it later, he claimed the party was outdoors but there are some photos and witnesses that seems to suggest otherwise. So not only did the governor violate his own order, but also lied about it afterwards.

The witness also claimed no one at the party was wearing masks, which would seem to violate the state’s guidance that individuals at gatherings wear face coverings at all times when not actively eating or drinking.

Politico reported on Tuesday that top California Medical Association officials were also present at the birthday party.

On Monday, Newsom said he will try to set a better example going forward.

“I made a bad mistake,” he said at a press conference. “I should have stood up and … drove back to my house. The spirit of what I’m preaching all the time was contradicted. I need to preach and practice, not just preach.”
https://www.sfgate.com/politics/article/Gavin-Newsom-birthday-party-indoors-outdoors-COVID-15736490.php

It’s hard to make sacrifices when the actual governor and medical people don’t follow their own rules and recommendations. It appears that the state is forcing restaurant owners to choose between bankruptcy and losing their business license. Likewise, Newsome had to choose whether to go to a dinner party or not, and he chose to go. There doesn’t not seem to be any consequences for the governor “making a bad mistake.” Maybe he should “lose his job” for violating health orders then lying to the pubic about it.

This whole situation sucks and handled poorly by government at all levels.

COVID @Work 12/4/2020

Ugh. What a total shitshow. Today’s COVID update from work said we had 13 new cases in my work location since yesterday. Again, we’re pretty sure employees are infected from whatever they’re doing outside of work but the danger of being asymptomatic and spreading the virus at work is real. With Christmas and New Year’s coming, this second (or third) wave of infections will likely get worse before getting better.

COVID-19 Vaccine

So I guess I was wrong about the timeline. It seems like we’re a few weeks away from a FDA approved vaccine from Pfizer. The question is who will get the first few doses available. From STAT news:

Separately, STAT has learned that senior leaders in the Trump administration’s coronavirus response are pressing for adults 65 years old and older to be given first access to the vaccine. That approach contradicts the position of a committee that advises the Centers for Disease Control and Prevention on vaccine policy; the Advisory Committee on Immunization Practices has signaled for months that it will recommend health care providers be at the front of the vaccination line.

I think frontline healthcare workers should be one of the first to get the vaccine since their exposure risk is very high. It would also be a good environment to test the effectiveness of the vaccine in the wild. Nursing home patients make sense as well since their has been so many deaths in that population. I think the Trump administration is focused on seniors over 65 because they are higher risk, but also majority Republican voters as well. You can target the seniors in the nursing homes but if the rest of the seniors are socially distancing or isolating themselves, a few more weeks/months seems like low risk versus not vaccinating healthcare workers.

Since I have lots of health risks, I’m probably in the front of somebody’s list. Although it would be nice to get the vaccine and live vicariously, I think I can wait a few months since I’m working from home anyway, and the kidney transplant may be soon. Maybe I’ll get the vaccine post-transplant due to all the immunosuppressive drugs I have to take.

COVID @Work 11/26/2020

The cumulative count for positive COVID cases at all our work sites is now 461, with 414 recovered. That means there are 47 current cases overall. Since the communication email does not break down all the numbers by location, I don’t know how many people are testing positive at my worksite, which has over 5,000 people. I know the positive case count was pretty flat for several months but spiked up again in correlation to the overall trend in California. A couple of coworkers said that people have been coming back onsite more regularly but they will think about staying home more often again.

On a side note, the carpool sticker on my electric car expires in a month and I don’t believe I can renew it anymore. I was thinking of buying a new Tesla Model Y so I can get the sticker again, but now it looks like I’ll be working from home until an effective COVID vaccine is widely available. I’m guessing it will be another 6-12 months, and I can’t plan that far ahead. I’ll keep the old Tesla for now since it still drives fine; I just can’t use the carpool lane by myself anymore starting in 2021.

COVID @Work 11/25/2020

Since our main headquarters is in California, I guess it’s natural that there would be a spike in the number of new COVID-19 cases as well. The cumulative number of cases at our site is now 188, a jump of 10 in the past two days. Again, I’m not sure if the new cases are from infections at work or outside of work, but I’m really glad that I can work from home. My main project these past few months is to evaluate a new software package. I think we’re about to close the deal with a Canadian company. However, due to border restrictions and quarantine, their implementation team can’t visit us onsite so everything has to be done online. I think that will make my job that much harder but there’s really no choice right now.

OCCOVID19

I found another website with Orange County COVID-19 data but with details by city and better visualization tools. Here is the number of new cases daily from March:

It’s pretty clear from this chart that there is a new wave of infections. If it’s correlated to people’s behavior during a holiday, then we’re in big trouble since Christmas and New Year’s Day is coming up soon. Here is the hospitalization data:

It doesn’t looks as bad yet but maybe there is a lag from when a person is infected to when they symptoms are serious enough for hospitalization. Alternatively, there were more hospitalizations in the first wave because no one was prepared. Now people in higher risk groups are taking more precautions so new infections are from healthier/younger people that tend to have less symptoms. It’s hard to tell without more analysis of the raw data.

Another thing you hear all the time is Los Angeles County people complaining or shaming Orange County for it’s anti-maskers. I think that’s overblown since I see everyone wearing masks. For comparison, here is the number of cases per 100k for Orange County (bar) vs. Los Angeles County (line):

*Los Angeles County is at around 3,600 cases per 100k (cumulative) vs. 2,200 per 100k for Orange County.*

Not even close. Sure there are more people in Los Angeles County and the population density is higher, but LA’s case rate per capita is almost twice when compared to OC. If you look at the case rates by city, the anti-masker hotspots of Huntington Beach and Newport Beach are doing quite well in comparison to the rest of OC:

I think it’s fine to make sun of the anti-mask “Karens” or OC housewives but that can’t be the primary driver of the increases in cases. Personally, I think it’s due to people getting “quarantine” fever and going out to attend social functions.

COVID-19 Third Wave

It’s July once again:

This is the new case rate for all of California. It seems like the increase is even worse than the second wave during June/July. We haven’t seen an increase in deaths, but that likely lags the number of infections. Here is the number of deaths for California:

For Orange County, the pattern is similar. The relevant data and charts can be found here. The only noticeable thing for me is the re-closing of restaurant indoor seating. It’s also confusing where all the new cases are coming from. Are people having huge parties recently? I read that there are a lot of anti-maskers in OC but I don’t see any where I am.

California Curfew

Governor Newsome has issued a curfew for all California counties that are in the “purple” tier, which includes most counties including Orange County. The curfew prohibits non-essential activities from 10:00 pm through 5:00 am.

So I’m not sure how this will help. Are all the infection transmissions happening during that time? Are people meeting up and not practicing social distancing after 10:00 pm? Just not sure why he chose that period when typically no one is out. Also, who is going to enforce this? Local police? Do they have enough resources to stop every car and pedestrian to see what they’re doing out? Madness…

Apple Store Visit

I just got back from the Apple Store at South Coast Plaza in Costa Mesa. I ordered an iPhone 11 for my mom, and since the earliest delivery date was Tuesday, I decided to go and pick it up. I haven’t been to a shopping mall since before the heart surgery so I had no idea what to expect.

What a clusterfark! First, the good thing was that everyone was wearing a mask. The mall also had dots on the floor showing people where to stand in line. However, there are still stupid people, even with masks. There was a woman in front of me talking to one of the people guarding the door to the Apple Store. Her mask was all blinged out with tons of glass gems. When she talked, she kept pulling the mask away from her face. Ugh, the mask is to protect other people; you’re supposed to keep it against your face, especially when you talk or exhale. Likewise, the six foot dots seem like a good idea but only if there are three people in line. There was a huge group of people in front of the Apple Store trying to get in, and more of us just want to pick stuff up. It was very confusing since different people sent me to different lines. There was almost no way to keep six foot separation between everyone. I understand the need for precaution and safety protocols but it does seem like theater at times. Hey, we’re not sure how effective these guidelines are, but we’re doing something. Reminds me of TSA’s security theater at airports: lots of hassle and we’re not really any safer than before. Each store had their own procedures and a line to get in. I think, at least for now, window shopping is dead.

The phone is nice. My mom got the Product Red color and I’m backing up her old iPhone 6S+ to her computer so I can restore it on to the new phone. I hope the transfer process goes smoothly; she has a thousand games on her iPhone. We only got the 64 GB version so it was $700 before tax.

==========

It took several hours but I managed to copy over everything on to the new phone. The problem was that the new phone wanted me to install iOS 14 while it was still copying data over from the old phone. Then it got stuck twice on the system upgrade so I had to restart the entire process.

COVID-19 Testing 8/18/2020

Since I’m supposed to be quarantined after taking the COVID-19 test, I decide to get lunch first after dialysis, then go get tested. I was deciding whether or not to get a breakfast burrito but ended up at Raising Cane’s again. I got the Box Combo, which has four chicken fingers. For some reason, the box had five chicken fingers instead. It’s like I won the lottery!

I then drove back to the ER parking lot to get tested. I was afraid it would be busy but there was no one in line. I pulled up and had to wait about five minutes; I think the nurses were on break. Since I registered yesterday, it was quick. A nurse checked my ID and stuck a swab up my nose for five seconds, then I was done. He also said they will let me know if the test came back positive, but it won’t affect the procedure on Friday.

*The COVID-19 drive-thru test station at St. Joseph Hospital*

Now I got to keep away from my parents at home for a few days.

Quarantine Haircut, Part II

About two weeks ago, my dad gave me a haircut. It’s been six months since I went to my hairdresser so my hair was getting long. I thought it came out okay. My dad has been doing this on-and-off for awhile. When we were living in Canada, he cut our family’s hair and several relative’s hair as well.

Since everyone is stuck at home, he wanted to cut his hair tonight. My mom refused to help him since she messed up previously and left a blank spot on his scalp. So of course, he asked me to cut the hair on the back side of is head since he can’t see or reach back there. He gave me the hair clippers, and said not too short.

The hair clipper was large and heavy so hard to maneuver. I think I did okay except he kept his head bent forward as I was cutting. When he stood up, everything shifted and looked different. I replaced the hair guide/guard to cut shorter and tried again. It did cut shorter and I think there is one spot that I cut too short. It looks okay when his head is upright, but you can see a whiter spot when he bends he head forward. I brought my mom over to see and she said it was fine.

I have an appreciation for my hairdresser now. My dad was always super slow when cutting hair. When you’re a kid, it seems like forever. I know I would take forever trying to make the sides match perfectly. My hairdresser would cut my hair in <15 minutes, even after 4-5 months and it would come out the same consistently. I guess it takes a lot of practice to be confident in your motions and not screw up.

*It wasn’t this bad. At least I didn’t try to carve my initials or some other words on his head.*

COVID-19 Test @ER (updated)

Off I go to the St. Joseph Hospital ER to get a COVID-19 test for Friday’s fistulagram. My dialysis nurse was surprised that the test is administered in the ER, as if they don’t have enough to do. At St. Jude Hospital last time, they had me go to a testing lab onsite for the test, and no quarantine afterwards. Maybe the pandemic got a lot worse after early June.

To go to the ER, there is only valet parking (yay Orange County) so I have to pay for that. Also they’d better not charge me $5,714 for the test. I think that’s what my last visit to the ER cost and it turned out to be nothing.

Also I hope there is no line this early on a Monday morning.

==========

Update: 8:00 am

Ugh. I’m back after about 45 minutes and it was a huge waste of time. First, the test wasn’t in the ER, just the parking lot of the ER. They have a drive through tent set up for you to get swabbed. Because it looked like a last minute setup, there weren’t any markings in the lanes so it too me awhile to figure out where to go based on the vague directions from the parking attendant. Also, the nurse at the drive thru said they’re testing for Thursday’s procedures today. I guess the test takes three days to come back? Once I’m tested, I have to quarantine myself, even from family members. All this is news to me based on the conversation I had with the surgeon’s nurse.

Ugh again. What a huge pain in the ass. I live with my parents and they do all the cooking. Now they have to stay six feet away from me or wear a mask inside. I understand the need to contain COVID-19 but it seems the hospital is putting all the burden on the patients. I know they have a faster test. Why not have the patients tested before the procedure so you know they’re not infected, and save people from three days of quarantine? I need to go to the hospital two hours before my procedure and most of the time it’s just sitting in pre-op waiting for the next nurse. They can easily swab me right in the beginning and have timely test results before the procedure. Instead, they are depending on my parents to stay away from me in the same house? Which is more reliable? Are the fast tests more expensive? It’s not like the hospital is paying for anything. It’s all charged to one insurance or another.

Anyway, to avoid an extra day of home quarantine, I’m waiting to do the test tomorrow instead. They did register me today in order to save time for tomorrow. I’m guessing the lines will be much longer at 10:00 am after dialysis then at 7:30 am in the morning. Seriously, even if they can’t do the one hour test, surely there is an overnight test or something. It’s as if the hospital is making things easier on themselves by making things harder for all their patients.