Originally Posted by Isaac
We're seeing increase in inpatients and icu patients in my facility but no system wide data. Last week we were at a point of 1 icu bed left, between covid and noncovid patients. We were able to open few beds since, and our icu docs were able to get a 19 yo positive pt off the vent and out of icu.
At the same time, we're judiciously increasing elective work. Nothing crazy but some.
Doesn't read posts longer than two paragraphs.
If you haven't been keeping up on Greg Ellifritz and Tam's blogs, you might not have seen Morgan Atwood's writeups about current circumstances. Here's a great primer on masks and respirators.
https://www.noonecoming.com/masks-re...s-and-covid19/
The big problem is that humans aren't all that good at sitting back and doing nothing.
Bored people do stupid things that are against their own self interest- cf people in prison. People also have a hard time grokking threats until they affect them personally.
But, using government to force people to act in their own self interest can backfire in the long run- especially when idiot government people go on power trips like ticketing solitary paddle boarders or close down trails or other displays of petty tyranny.
Having a plan to lift the lockdown is a very good thing, with possible dates and such. Trying to keep people locked down indefinitely will lead to a lot of horrific outcomes.
"You win 100% of the fights you avoid. If you're not there when it happens, you don't lose." - William Aprill
"I've owned a guitar for 31 years and that sure hasn't made me a musician, let alone an expert. It's made me a guy who owns a guitar."- BBI
We’ve now converted one floor level unit(routine med), one PCU/IMC/step down, and one icu back to non covid units.
This is in a 600~ lic bed level 2 trauma hospital.
Not as deadly as thought and a lot more people with antibodies than thought
https://www.google.com/amp/s/www.wsj...ht-11587155298
I'll wager you a PF dollar™ 😎
The lunatics are running the asylum
That's the Ioannidis paper I posted earlier. There are a lot of caveats to their study and my brain isn't really in the right shape to explain them. Suffice to say is encouraging news, but far from definitive. I'm still concerned that it doesn't explain why NYC is so swamped.
Swamped with what cases or deaths.
I'll wager you a PF dollar™ 😎
The lunatics are running the asylum
https://www.youtube.com/watch?v=NmRlvX3VrAQ
ICU/ER doc in NYC, short video with a theory about what COVID-19 is doing to people and why ventilator use is maybe not the correct treatment. He has been questioning the use of ventilators for a couple of weeks. I'm wondering what those of you on the front lines think.
Both. Sick patients, in general. Even in a bad influenza season, for example, you don't have entire hospitals full to capacity with dyspneic COVID+ only patients. Even though our locale is doing relatively OK right now, our ICU at the university hospital is at ~250 percent of its normal capacity. We haven't had a ton of deaths, which is great, but 60 intubated patients is an eye popping number for our hospital.
We discussed it a page above a bit, but I still don't get what "a lot more people with antibodies" means, when even with the highest estimate of antibody positivity, over 95% of tested people weren't immune. I had actually hoped that a lot more people were already immune to this thing.
My, admittedly limited, understanding of this subject is that for a pathogen with Ro of 2 we need 50% of population immune/vaccinated to afford a herd immunity.
Doesn't read posts longer than two paragraphs.
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