McConnell says a fall led to his hospitalization, breaking weeks of silence

It's Beshear*, the sheriffs of each county have to be notified 63 days before the election, McConnell's seat is already being voted on this November (requiring essentially parallel campaigns), and most importantly, Beshear can only call a special election if the seat is certified vacant – i.e., in this case, if McConnell is declared legally dead or e.g. provably in a severe disabling condition. Notably, a vacancy for senator, governor, etc. aren't formally defined, but we can turn to candidacies:

If a vacancy occurs in the nomination of an unopposed candidate or in a nomination made by the primary [...] because of death or severe disabling condition which arose after the nomination, the governing authority of the party may provide for filling the vacancy, but only following certification to the governing authority, by the Secretary of State [edit: notably, the incumbent SoS is a Republican], that a vacancy exists for a reason specified in this subsection. When such a nomination has been made, the certificate of nomination shall be signed by the chair and secretary of the governing authority of the party making it, and shall be filed in the same manner as certificates of nomination at a primary.

So probably a very similar process for senator: you'd need to actually certify that McConnell is dead or in such a severe, debilitating condition (not just temporary) that he cannot act as a senator.

if hes alive, why did they have to make a fake photo?

In the video of Mitch being loaded into the ambulance he is not receiving CPR. I have read reports that calls to dispatch said he was under cardiac arrest, but I gotta say, the video of him being loaded into the ambulance doesn’t seem all that hurried as I would expect from a cardiac event.

It’s all definitely weird as hell. My wife showed me there is some indication that the released photo of him was AI manipulated earlier today, which reminds me I gotta vet that because she saw it on instagram which is full of bullshit.

Three more weeks before his corpse begins to smell too strong for them to hide

My grandma fell and she was never independent again. Granted she lived alone and was on the ground for 8+ hours before someone found her and she was diabetic so she was in a near coma from low blood sugar. I could believe it in the right circumstances.

Note: all we know is she fell probably first thing in the morning, leaving the bathroom. She left her life alert dongle on the bedside table, so that was super helpful. It wasn't until that evening, when no one could get a hold of her, that a relative went by and found her. She spent 3+ weeks in the hospital and several more weeks in a rehab facility. APS would not release her until she had assisted living lined up.

Falls can be devastating for 84 year old people.

I mean, possibly? A fall from tripping over your coffee table leg? Probably not. A fall from the roof of you house? Probably. A fall down a flight of stairs for an 84 year old? Probably.

STEADY HANDS

If enough people petition can we get a DNR for him? That should be a thing.