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re: The overwhelming demand on hospitals

Posted on 3/27/20 at 3:43 pm to
Posted by Powerman
Member since Jan 2004
162245 posts
Posted on 3/27/20 at 3:43 pm to
Perhaps my ire should have been directed at BugAC who pretends to not know where the problem areas are

He's also the moron that thinks this is just a mild flu
Posted by jchamil
Member since Nov 2009
16521 posts
Posted on 3/27/20 at 3:43 pm to
quote:

If you think this is a hoax.. get out there and lick some handrails.


I wouldn't do that before the China virus came about
Posted by moneyg
Member since Jun 2006
56628 posts
Posted on 3/27/20 at 3:43 pm to
quote:

I know him personally. He works and has a great job



If he's not disabled, he's close to it. His entire position is based only on his personal point of view. He's scared he will die. He thinks it's more reasonable to make everyone else suffer.
Posted by the808bass
The Lou
Member since Oct 2012
111572 posts
Posted on 3/27/20 at 3:44 pm to
They may lose $40k-$50k in earnings this month.
Posted by longwayfromLA
NYC
Member since Nov 2007
3331 posts
Posted on 3/27/20 at 3:45 pm to
quote:

So that's why hospitals should use this time to ramp up capacity (PPE, respirators, beds, staffing).

This cannot go on indefinitely.


You cannot imagine how much you are oversimplifying the steps required and obstacles to overcome in ramping up capacity at the same time every delivery system in the world is doing the same. Gowns, vents, masks, pulmonologist, nurses, techs, environmental services workers, physical beds, etc. - none of that grows on trees. We are trying...
Posted by Powerman
Member since Jan 2004
162245 posts
Posted on 3/27/20 at 3:46 pm to
quote:

His entire position is based only on his personal point of view.

Every epidemiological expert out there has been saying the exact same thing
Posted by moneyg
Member since Jun 2006
56628 posts
Posted on 3/27/20 at 3:47 pm to
quote:

They may lose $40k-$50k in earnings this month.



And, it this because of the overwhelming demand that is preventing them from working, or the "potential for the overwhelming demand" that is doesn't yet exist but the OP says must drive our decisions?
Posted by BobBoucher
Member since Jan 2008
16763 posts
Posted on 3/27/20 at 3:50 pm to
Yeah. Everyone gonna downvote you. But if they were a public official and needed to make sure medical services remain available to their constituents, they would be doing the same things.
Posted by Powerman
Member since Jan 2004
162245 posts
Posted on 3/27/20 at 3:50 pm to
quote:


And, it this because of the overwhelming demand that is preventing them from working, or the "potential for the overwhelming demand" that is doesn't yet exist but the OP says must drive our decisions?


I'll give you a simple analogy

You're going 70 on the interstate and not paying much attention to the road. I'm in the passenger's seat and notice a wreck and traffic stop up ahead.

The logic you're using with what you're saying right now is there is no reason to break yet because you haven't slammed into the back of a car.
Posted by moneyg
Member since Jun 2006
56628 posts
Posted on 3/27/20 at 3:50 pm to
quote:

Every epidemiological expert out there has been saying the exact same thing



Anyone that doesn't specifically offer an analysis of the benefits (deaths with and without) of their proposed policy and then make a case against specific costs of their policy (major economic downturn) doesn't offer a valid opinion.
Posted by imjustafatkid
Alabama
Member since Dec 2011
50616 posts
Posted on 3/27/20 at 3:52 pm to
quote:

The overwhelming demand on hospitals


Isn't happening.
Posted by David_DJS
Member since Aug 2005
17965 posts
Posted on 3/27/20 at 3:52 pm to
quote:

Every epidemiological expert out there has been saying the exact same thing


No. Every epidemiological expert you listen to says the exact same thing. Not every "expert" is on the same page with this.
Posted by David_DJS
Member since Aug 2005
17965 posts
Posted on 3/27/20 at 3:55 pm to
quote:

I'll give you a simple analogy

You're going 70 on the interstate and not paying much attention to the road. I'm in the passenger's seat and notice a wreck and traffic stop up ahead.

The logic you're using with what you're saying right now is there is no reason to break yet because you haven't slammed into the back of a car.


A better analogy would be I'm going 70 on I-10 here in Phoenix and you're in the passenger seat freaking out and screaming I need to hit the brakes because there's a horrible accident on I-10 in Los Angeles.
Posted by longwayfromLA
NYC
Member since Nov 2007
3331 posts
Posted on 3/27/20 at 3:55 pm to
quote:

Isn't happening.


The eff it's not. Highly dependent on where you are. In NYC, Nola, and Atlanta it absolutely is.
Posted by moneyg
Member since Jun 2006
56628 posts
Posted on 3/27/20 at 3:56 pm to
quote:


I'll give you a simple analogy

You're going 70 on the interstate and not paying much attention to the road. I'm in the passenger's seat and notice a wreck and traffic stop up ahead.

The logic you're using with what you're saying right now is there is no reason to break yet because you haven't slammed into the back of a car.




That's a simple analogy from a simple minded person.

You need to consider that slamming on the breaks could cause more problems for more people than if you slammed into the car. You need to consider that the people in the car wreck above might be dead already. You need to consider that they may clear it before you get there. You need to consider that those variables change continuously and you need to re-evaluate frequently.

You didn't consider any of that.
Posted by moneyg
Member since Jun 2006
56628 posts
Posted on 3/27/20 at 3:57 pm to
quote:

The eff it's not. Highly dependent on where you are. In NYC, Nola, and Atlanta it absolutely is.



Therefore shut down every elective procedure across the country?
Posted by the808bass
The Lou
Member since Oct 2012
111572 posts
Posted on 3/27/20 at 3:58 pm to
quote:

Therefore shut down every elective procedure across the country?


They didn’t cancel elective procedures for the next four months. Probably two weeks.
Posted by bama1959
Huntsville, AL
Member since Nov 2008
4558 posts
Posted on 3/27/20 at 4:01 pm to
quote:

I read somewhere else on this board that hospital staff all over the country outside of a few hotspots are having their hours cut back because elective procedures have been postponed because of COVID-19. Is that not the case? Or, are you thinking places like Phoenix will be looking like NYC soon?


I have a friend that is a surgical nurse and she has been laid off. We only have 47 cases here but that ramped pretty quick so maybe she'll get called back in to help....
Posted by LittleRockDoc
Member since Mar 2019
183 posts
Posted on 3/27/20 at 4:04 pm to
When your business goes down 80 to 90% I would say that qualifies. Docs still have to run a business
Posted by longwayfromLA
NYC
Member since Nov 2007
3331 posts
Posted on 3/27/20 at 4:04 pm to
quote:

Therefore shut down every elective procedure across the country?


Not all of them. But most, yes. If you recall, 2 weeks ago there were 14 case in LA and 216 in New York. Most states have much more than that today. If you believe that your area is somehow immune, than doing nothing works fine. If you think that absent intervention, big case numbers are coming wherever you are, it makes sense to address demand by social distancing and supply by capacity management. And elective procedures have to make way for what's coming. I say that as someone who's life's vocation is pretty much helping health systems compete for elective procedures.
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