March Covid: lockdown anniversary edition

[crabgrass]

Mar 23, 2023 10:27:35 GMT -5 NewOrleans said:

Mar 23, 2023 9:57:44 GMT -5 crabgrass said:

I meant within the household.

Sorry!  Really sorry.
3 years of constant ableism has made me reactive.

No apologies necessary. Between the anxiety and overall crappiness I wasn’t clear!

[jeaniebueller]

Mar 17, 2023 22:10:53 GMT -5 sent said:

Background - We wore masks to treat patients long before COVID. It was always part of our infection control stuff. With that said, PDQ the below.

It feels like there is some type of dentist and optometrist to covid denier pipeline. I wonder why that is. 

[pixy0stix]

removed pdq content from quoted posts

[mpm]

Mar 23, 2023 13:23:32 GMT -5 jeaniebueller said:

Mar 17, 2023 22:10:53 GMT -5 sent said:

Background - We wore masks to treat patients long before COVID. It was always part of our infection control stuff. With that said, PDQ the below.

It feels like there is some type of dentist and optometrist to covid denier pipeline. I wonder why that is. 

100%. I can’t find a dentist that is taking any covid precautions at all. I’m just about ready to youtube how to do my own teeth cleanings at this point.

[beerlover]

Both my H's and my dentist are conservative, not concerned about Covid people. Mine at least requires masks and pretends to take some precautions (but I don't think he really cares), but H's doesn't. There's slim pickings around here. I have lots of teeth issues though and have to go for my own peace of mind.

[sent]

Mar 23, 2023 13:51:21 GMT -5 mpm said:

Mar 23, 2023 13:23:32 GMT -5 jeaniebueller said:

It feels like there is some type of dentist and optometrist to covid denier pipeline. I wonder why that is. 

100%. I can’t find a dentist that is taking any covid precautions at all. I’m just about ready to youtube how to do my own teeth cleanings at this point.

Can you clarify? 

We are not requiring patients to wear masks in the waiting room anymore. We do have some patients that let us know they've arrived and have asked that we call them when the chair is actually ready for them if they don't want to be in the waiting room. Technically our chairs are 6 feet apart from each other (remember that "rule"). Clinical and admin staff always wear our masks around the patients at all times but we unmask when it's just us in the office. We visit other offices and the rules are mostly the same around here. We recently visited an office that took our temperature and my office manager and I were both like "whoa blast from the past but ok."

[mpm]

Mar 23, 2023 15:25:30 GMT -5 sent said:

Mar 23, 2023 13:51:21 GMT -5 mpm said:

100%. I can’t find a dentist that is taking any covid precautions at all. I’m just about ready to youtube how to do my own teeth cleanings at this point.

Can you clarify? 

We are not requiring patients to wear masks in the waiting room anymore. We do have some patients that let us know they've arrived and have asked that we call them when the chair is actually ready for them if they don't want to be in the waiting room. Technically our chairs are 6 feet apart from each other (remember that "rule"). Clinical and admin staff always wear our masks around the patients at all times but we unmask when it's just us in the office. We visit other offices and the rules are mostly the same around here. We recently visited an office that took our temperature and my office manager and I were both like "whoa blast from the past but ok."

What you described, particularly the communal treatment area, is a practice I would not choose to go to. I do not remove my n95 indoors around other unmasked people I don’t live with in any other aspect of my life; why would I do it at the dentist? The 6’ thing was debunked years ago, and my immediate reaction is 🤨 to anyone who cites it as a safety measure because it means that three years into this pandemic they’re still clearly uninformed about how to effectively mitigate the risk of airborne viral spread and that would make me question their judgment on everything else they say.

Dental offices are the only places where a patient has to entirely let their own guard down in order to receive their service. So infection control against airborne pathogens in a dental office should be BETTER than literally anywhere else you could go. I understand that’s not currently the industry standard, but it should be. And as a covid-avoiding patient, what you just said (this is what other offices are doing) is part of the problem.

[penguingrrl]

Mar 23, 2023 15:25:30 GMT -5 sent said:

Mar 23, 2023 13:51:21 GMT -5 mpm said:

100%. I can’t find a dentist that is taking any covid precautions at all. I’m just about ready to youtube how to do my own teeth cleanings at this point.

Can you clarify? 

We are not requiring patients to wear masks in the waiting room anymore. We do have some patients that let us know they've arrived and have asked that we call them when the chair is actually ready for them if they don't want to be in the waiting room. Technically our chairs are 6 feet apart from each other (remember that "rule"). Clinical and admin staff always wear our masks around the patients at all times but we unmask when it's just us in the office. We visit other offices and the rules are mostly the same around here. We recently visited an office that took our temperature and my office manager and I were both like "whoa blast from the past but ok."

You’re not? My kids orthodontist is still saying that masks are legally required unless you’re in the chair there. And I believe we’re in the same state. His office follows the same rules as any other medical office I’m at, so masks on for everyone all the time (unless he’s actively working in your mouth).

[seeyalater52]

Mar 23, 2023 16:13:23 GMT -5 mpm said:

Mar 23, 2023 15:25:30 GMT -5 sent said:

Can you clarify? 

We are not requiring patients to wear masks in the waiting room anymore. We do have some patients that let us know they've arrived and have asked that we call them when the chair is actually ready for them if they don't want to be in the waiting room. Technically our chairs are 6 feet apart from each other (remember that "rule"). Clinical and admin staff always wear our masks around the patients at all times but we unmask when it's just us in the office. We visit other offices and the rules are mostly the same around here. We recently visited an office that took our temperature and my office manager and I were both like "whoa blast from the past but ok."

What you described, particularly the communal treatment area, is a practice I would not choose to go to. I do not remove my n95 indoors around other unmasked people I don’t live with in any other aspect of my life; why would I do it at the dentist? The 6’ thing was debunked years ago, and my immediate reaction is 🤨 to anyone who cites it as a safety measure because it means that three years into this pandemic they’re still clearly uninformed about how to effectively mitigate the risk of airborne viral spread and that would make me question their judgment on everything else they say.

Dental offices are the only places where a patient has to entirely let their own guard down in order to receive their service. So infection control against airborne pathogens in a dental office should be BETTER than literally anywhere else you could go. I understand that’s not currently the industry standard, but it should be. And as a covid-avoiding patient, what you just said (this is what other offices are doing) is part of the problem.

This exactly. Big yikes. It’s unbelievably depressing to hear this in a dental practice, no less. Talk about ableism. At risk people can’t go anywhere which is wrong enough, but having to miss medical care due to this sort of misinformation and poor infection control is awful.

For the record our dentist requires everyone to mask in the waiting room and they wear shitty ineffective surgical masks (except the dentist who wears an N95 because he clearly understands what’s up) so it feels like enough of a risk without adding additional unmasked people. Their ventilation is pretty good though, my air quality monitor puts it at under 700 almost always.

[sent]

Mar 23, 2023 16:13:23 GMT -5 mpm said:

Mar 23, 2023 15:25:30 GMT -5 sent said:

Can you clarify? 

We are not requiring patients to wear masks in the waiting room anymore. We do have some patients that let us know they've arrived and have asked that we call them when the chair is actually ready for them if they don't want to be in the waiting room. Technically our chairs are 6 feet apart from each other (remember that "rule"). Clinical and admin staff always wear our masks around the patients at all times but we unmask when it's just us in the office. We visit other offices and the rules are mostly the same around here. We recently visited an office that took our temperature and my office manager and I were both like "whoa blast from the past but ok."

What you described, particularly the communal treatment area, is a practice I would not choose to go to. I do not remove my n95 indoors around other unmasked people I don’t live with in any other aspect of my life; why would I do it at the dentist? The 6’ thing was debunked years ago, and my immediate reaction is 🤨 to anyone who cites it as a safety measure because it means that three years into this pandemic they’re still clearly uninformed about how to effectively mitigate the risk of airborne viral spread and that would make me question their judgment on everything else they say.

Dental offices are the only places where a patient has to entirely let their own guard down in order to receive their service. So infection control against airborne pathogens in a dental office should be BETTER than literally anywhere else you could go. I understand that’s not currently the industry standard, but it should be. And as a covid-avoiding patient, what you just said (this is what other offices are doing) is part of the problem.

We have a communal area because most orthodontic offices are set up this way. But a dental office where you would be seeing a hygienist for an adult cleaning would more than likely be in a private room. You are welcome to wear your mask at any time except when they're working obviously. You can also call offices and ask their protocols which it sounds like you did. But on my end, offices are struggling to keep staff, particularly hygienists, and dealing with declining reimbursements so the whole industry in general is going through a lot of upheaval right now.

Please don't come at me for not being at the tippy top of my aerosol game here. I am not aware of airborne viral spread from patient to patient if you are in a totally separate room. Just send me a reference so I can read it and make appropriate decisions. I don't see a ton of aerosol discussions anymore amongst dentists anymore on our forums or in our journals or from our organizations so I can't say every practice is still as concerned about this at the level they were 3 years ago.

penguingrrl, when we visit offices, we always walk in with our masks on because you're right, that is the rule. But the others in the waiting rooms and sometimes even the staff at the front desk are not wearing theirs. If someone doesn't like anything about the way an office is run or following rules or not, well the good thing is in our state they have many other choices for their care.

I honestly have not had anyone call and ask our COVID or mask protocol since summer 2020. 

[mpm]

There is a huge power differential between patients and medical providers. Just because patients aren’t calling in to ask your infection control protocols or asking you to change what you’re doing, doesn’t mean that they’re all happy with the level of health risk they face at your practice. That what safety protocols should be taken in a medical facility is even a discussion is simply mind blowing.

[sent]

Mar 23, 2023 21:36:17 GMT -5 mpm said:

There is a huge power differential between patients and medical providers. Just because patients aren’t calling in to ask your infection control protocols or asking you to change what you’re doing, doesn’t mean that they’re all happy with the level of health risk they face at your practice. That what safety protocols should be taken in a medical facility is even a discussion is simply mind blowing.

Can you please cite a source on the safety protocols you are referencing? 

This is basically what we are following and it talks about patients and the providers - www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html. This source was updated as of Sept. 2022.

The "dental" part is toward the bottom of the document. Every office that I know of makes their best effort to follow everything listed here for the treatment areas of aerosol generating procedures. A lot of these things were already being done before COVID.  The main difference I see after COVID is the recommendation for the dental health care provider to wear an N-95 during an aerosol generating procedure on a patient that is not suspected to have COVID. Not every procedure we do generates aerosols.  What goes on in the waiting room does not translate to the level of attention to infection control being provided in the private treatment rooms. It also specifically states 6 feet for open floor plans so I would like to see your source where this was debunked as you referenced earlier in this thread. Because now I am (insert the same emoji you used) at a potential patient that would be questioning me about the 6 ft thing being wrong. 

[curbsideprophet]

www.cnbc.com/2021/04/23/mit-researchers-say-youre-no-safer-from-covid-indoors-at-6-feet-or-60-feet-in-new-study.html

MIT researchers say time spent indoors increases risk of Covid at 6 feet or 60 feet in new study challenging social distancing policies

[seeyalater52]

Mar 23, 2023 23:05:49 GMT -5 curbsideprophet said:

www.cnbc.com/2021/04/23/mit-researchers-say-youre-no-safer-from-covid-indoors-at-6-feet-or-60-feet-in-new-study.html

MIT researchers say time spent indoors increases risk of Covid at 6 feet or 60 feet in new study challenging social distancing policies

This is a perfect illustration of why so many of us (including you!) have critiqued the CDC for how they’ve handled covid. SO many of their recommendations are not research and evidence backed, and they did little to update guidance as new evidence emerged as the pandemic has gone on.

While it isn’t necessarily providers’ fault that the guidelines are woefully unsufficient and not based on evidence it makes sense that people who are informed - especially those who are high risk - would be frustrated at the lack of knowledge people still have about covid and airborne viruses. The only people who seem to be digesting the mountain of evidence are (a subset of) those at risk of death or other serious outcomes from covid and everyone else has seemingly washed their hands of it all (and still thinks handwashing meaningfully impacts covid transmission. In 2023.)

[sent]

Thanks for the link. The only way I could apply any of this in a meaningful way within my practice is that when I review the patient's medical history in our private consultation room, we could discuss if the patient required any special accommodations due to their respiratory history and risk categories. This means the patient has to inform me of their health risks. I can't guess this or judge it on my own since it's not the majority of patients out there and we are following the standards set by regulatory agencies at this time in the treatment areas and rooms. If my office can't handle their requested accommodation, I would have to refer them somewhere better suited for their risk needs. Off the top of my head, I can't think of any one office or hospital clinic that is better suited or specialized for dental patients at a higher risk of airborne illness.

Which now that we are discussing this, I haven't seen anyone write "COVID" or anything related to it in the "major illnesses" section of our forms. If someone did write it, I would ask them more about it and then discuss their risk tolerance from there like I described above. I also am typically seeing a patient population that is younger and healthier in general so COVID risks are not always the top of my mind. So back to the original topic of finding a general dentist who can accommodate a patient needing extra precautions for a patient with a higher risk. The patient would have to call or send an email to the office and ask before deciding if they want to set foot in the office or not. If a new patient asked to be seated directly into the treatment/consult room to avoid any time in the non-treatment areas of the office, that is an accomodation that most offices should be able to easily and reasonably make for a first time patient. But at this time, the patient has to request it as it is only standard to follow the guidelines in the treatment areas.

[mpm]

Mar 24, 2023 1:03:08 GMT -5 sent said:

Off the top of my head, I can't think of any one office or hospital clinic that is better suited or specialized for dental patients at a higher risk of airborne illness.

We keep circling back to this, which is how this conversation started. Generally speaking, dental office covid precautions are a race to the bottom.

I don’t mean to single you out, sent. Whether you change anything at your practice won’t affect me at all. But also, if a dentist in my area is somewhere on another internet message board and someone else educates them on the risk of airborne spread of covid in their practice and how to improve, I’d be very grateful to them.

@@

SPOILER: Click to show

My kids’ dentist has individual exam rooms and hepa filters running in each room. Clinical staff wear n95s in patient areas without exception. Front office staff wear less effective masks, but still mask. This is all well outlined on their website and on a sign on the door. We schedule only the first visit of the day because other patients tend to ignore the “masks required” signs everywhere. It IS possible to exceed the minimal standards. Unfortunately (I’ve asked, lol), they do not treat adults.

[audette]

Mar 23, 2023 18:43:09 GMT -5 seeyalater52 said:

Mar 23, 2023 16:13:23 GMT -5 mpm said:

What you described, particularly the communal treatment area, is a practice I would not choose to go to. I do not remove my n95 indoors around other unmasked people I don’t live with in any other aspect of my life; why would I do it at the dentist? The 6’ thing was debunked years ago, and my immediate reaction is 🤨 to anyone who cites it as a safety measure because it means that three years into this pandemic they’re still clearly uninformed about how to effectively mitigate the risk of airborne viral spread and that would make me question their judgment on everything else they say.

Dental offices are the only places where a patient has to entirely let their own guard down in order to receive their service. So infection control against airborne pathogens in a dental office should be BETTER than literally anywhere else you could go. I understand that’s not currently the industry standard, but it should be. And as a covid-avoiding patient, what you just said (this is what other offices are doing) is part of the problem.

This exactly. Big yikes. It’s unbelievably depressing to hear this in a dental practice, no less. Talk about ableism. At risk people can’t go anywhere which is wrong enough, but having to miss medical care due to this sort of misinformation and poor infection control is awful.

For the record our dentist requires everyone to mask in the waiting room and they wear shitty ineffective surgical masks (except the dentist who wears an N95 because he clearly understands what’s up) so it feels like enough of a risk without adding additional unmasked people. Their ventilation is pretty good though, my air quality monitor puts it at under 700 almost always.

I mean, our hospitals aren't requiring patients to mask anymore.  They have signs and paper masks near the entrance, asking people to mask up if they have a cough or other flu/covid like symptoms, but the onus is on the individual to take the action of putting one on.

I visited a friend at one of our hospitals earlier this week, and the only entrance was at the ER.  The only folks I saw with masks on were staff, and they were only wearing the most basic of masks...

There is _no where_ near me that requires masking at this point.

[seeyalater52]

Mar 24, 2023 9:26:34 GMT -5 audette said:

Mar 23, 2023 18:43:09 GMT -5 seeyalater52 said:

This exactly. Big yikes. It’s unbelievably depressing to hear this in a dental practice, no less. Talk about ableism. At risk people can’t go anywhere which is wrong enough, but having to miss medical care due to this sort of misinformation and poor infection control is awful.

For the record our dentist requires everyone to mask in the waiting room and they wear shitty ineffective surgical masks (except the dentist who wears an N95 because he clearly understands what’s up) so it feels like enough of a risk without adding additional unmasked people. Their ventilation is pretty good though, my air quality monitor puts it at under 700 almost always.

I mean, our hospitals aren't requiring patients to mask anymore.  They have signs and paper masks near the entrance, asking people to mask up if they have a cough or other flu/covid like symptoms, but the onus is on the individual to take the action of putting one on.

I visited a friend at one of our hospitals earlier this week, and the only entrance was at the ER.  The only folks I saw with masks on were staff, and they were only wearing the most basic of masks...

There is _no where_ near me that requires masking at this point.

I’m so sorry. I am not particularly high risk myself but cannot imagine abandoning masking and leaving folks who are at risk (and others!) to get sick repeatedly or worse. In medical settings seems particularly cruel. I just don’t see how not wearing a mask is worth risking peoples’ lives for. It’s clear individual responsibility isn’t working out when people who are at risk are getting infected despite the precautions they’re taking and others (like… our government) have abandoned any semblance of actual public health.

[fuckyourcouch]

When I got my (immune suppressing chemotherapy!) infusion 2 weeks ago, none of the infusion center staff were wearing masks. They are literally only around extremely vulnerable patients all day every day. It’s infuriating.

[NewOrleans]

Mar 24, 2023 1:03:08 GMT -5 sent said:

I also am typically seeing a patient population that is younger and healthier in general so COVID risks are not always the top of my mind. 

🫠

[NewOrleans]

Mar 24, 2023 11:35:20 GMT -5 fuckyourcouch said:

They are literally only around extremely vulnerable patients all day every day. It’s infuriating.

This is eugenicist practice. 📢

[NewOrleans]

Mar 23, 2023 11:52:33 GMT -5 crabgrass said:

Mar 23, 2023 10:27:35 GMT -5 NewOrleans said:

Sorry!  Really sorry.
3 years of constant ableism has made me reactive.

No apologies necessary. Between the anxiety and overall crappiness I wasn’t clear!

You’re very gracious. 🫶 Hope you have an easy recovery. 

[glw]

Mar 23, 2023 13:51:21 GMT -5 mpm said:

Mar 23, 2023 13:23:32 GMT -5 jeaniebueller said:

It feels like there is some type of dentist and optometrist to covid denier pipeline. I wonder why that is. 

100%. I can’t find a dentist that is taking any covid precautions at all. I’m just about ready to youtube how to do my own teeth cleanings at this point.

This has been my experience as well. I was just at the dentist on Wednesday and I was the only person wearing a mask in the entire place and there was no mention of COVID/virus transmission protocols anywhere.

PDQ-- My sister is a dental hygienist and her office is the WORST offender of COVID-denial I have ever heard of. At the height of everything in 2020, she nearly got fired just for sharing the current CDC guidelines with her coworkers via a forwarded email.

She's had COVID four times now, all infections were picked up at work as far as she can tell.

[tacokick]

I really don’t think having masks at a dental or medical office should be considered a special accommodation or something you have to call in and ask your doctors to do.

Clearly it is but seriously, it should absolute bare minimum standard that a doctor’s office is safe for everyone. What’s next, begging your doctor to wash their hands?

[macmars45]

I'm disappointed (not surprised) that all covid mitigations in medical facilities cease on April 3rd in WA state. Like covid will pay any attention to an arbitrary date. So many people that felt safe(ish) receiving their medical care no longer will. It sucks.

[seeyalater52]

Mar 24, 2023 11:35:20 GMT -5 fuckyourcouch said:

When I got my (immune suppressing chemotherapy!) infusion 2 weeks ago, none of the infusion center staff were wearing masks. They are literally only around extremely vulnerable patients all day every day. It’s infuriating.

This makes me so angry for you. I’m so sorry. And sorry to hear about what you’re going through medically also. Be well. ❤️

[sent]

Mar 24, 2023 14:50:34 GMT -5 tacokick said:

I really don’t think having masks at a dental or medical office should be considered a special accommodation or something you have to call in and ask your doctors to do.

Clearly it is but seriously, it should absolute bare minimum standard that a doctor’s office is safe for everyone. What’s next, begging your doctor to wash their hands?

As I said in the beginning, dentists were wearing masks before COVID during aerosol generating procedures. What's changed now is the recommendation for the provider to wear an N-95 during an aerosol generating procedure. You shouldn't have to call a dental office to ask if the provider will wear a mask during your appointment. They should have been wearing them all along. The same is not true about medical providers as they did not all mask before COVID and I don't know what they do now. Unless there is a regulatory agency forcing changes like hand washing or wearing gloves which both of those changes happened over decades of time, how do you expect minimums to be set for all offices? Maybe they will be further updated and set as time goes on, but right now this is where we are. 

The special accommodations being asked for is what mpm described in her spoiler tag. Being the first patient in the office to minimize exposure. Being treated in a private room and not in an open bay treatment area. She also described the office having hepa filters in each room which many dentists did purchase and still use after COVID but it is not a requirement so not everyone has it. mpm , if a potential patient asked if my office had these specific accommodations you listed, I could accommodate someone being the first patient but I don't have the private room or the hepa filters. They are reasonable post-COVID accommodations and I know of offices that have all of that. I never thought to list on my website what precautions we take for COVID in particular since we don't list infection control precautions for any other transmissible diseases on our website. I also didn't think patients were necessarily looking for that information but there are patients like yourself who are looking. Some doctors may have chosen to place it on their website or on their door like you mentioned and that's their decision. 

[sent]

Mar 24, 2023 13:19:20 GMT -5 NewOrleans said:

Mar 24, 2023 1:03:08 GMT -5 sent said:

I also am typically seeing a patient population that is younger and healthier in general so COVID risks are not always the top of my mind. 

🫠

🙄

[NewOrleans]

Mar 24, 2023 16:18:26 GMT -5 sent said:

Mar 24, 2023 13:19:20 GMT -5 NewOrleans said:

🫠

🙄

it’s not surprising you eyeroll when people point out how ableist your thought processes are.  

[tacokick]

Mar 24, 2023 16:04:45 GMT -5 sent said:

Mar 24, 2023 14:50:34 GMT -5 tacokick said:

I really don’t think having masks at a dental or medical office should be considered a special accommodation or something you have to call in and ask your doctors to do.

Clearly it is but seriously, it should absolute bare minimum standard that a doctor’s office is safe for everyone. What’s next, begging your doctor to wash their hands?

As I said in the beginning, dentists were wearing masks before COVID during aerosol generating procedures. What's changed now is the recommendation for the provider to wear an N-95 during an aerosol generating procedure. You shouldn't have to call a dental office to ask if the provider will wear a mask during your appointment. They should have been wearing them all along. The same is not true about medical providers as they did not all mask before COVID and I don't know what they do now. Unless there is a regulatory agency forcing changes like hand washing or wearing gloves which both of those changes happened over decades of time, how do you expect minimums to be set for all offices? Maybe they will be further updated and set as time goes on, but right now this is where we are. 

The special accommodations being asked for is what mpm described in her spoiler tag. Being the first patient in the office to minimize exposure. Being treated in a private room and not in an open bay treatment area. She also described the office having hepa filters in each room which many dentists did purchase and still use after COVID but it is not a requirement so not everyone has it. mpm , if a potential patient asked if my office had these specific accommodations you listed, I could accommodate someone being the first patient but I don't have the private room or the hepa filters. They are reasonable post-COVID accommodations and I know of offices that have all of that. I never thought to list on my website what precautions we take for COVID in particular since we don't list infection control precautions for any other transmissible diseases on our website. I also didn't think patients were necessarily looking for that information but there are patients like yourself who are looking. Some doctors may have chosen to place it on their website or on their door like you mentioned and that's their decision. 

You could require people to mask at all times (except during procedures) in the office and make this info clear to everyone.

It would be simple to add info to your site. You’ve written your views out here multiple times, cut and paste it on your site and be done with it. My dentist (and my other health care providers) somehow manages to post Covid info on their website and require masks. ETA I’ve also seen offices that say they do not require masks and take no Covid precautions. Let’s be up front with that info and not waste anyone’s time.

It’s strange to not see how people view Covid as a “new” and different risk and want to know this information. If you don’t want to take steps to further mitigate risk then be up front with that so people can find other providers that do.

Covid is the third leading cause of death after all cardiac related deaths and all cancer related deaths. Of course plenty of people have concerns. Many people are opting out of preventative health care because they can’t get it safely. Why be part of the problem when it’s so easy not to?