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re: Coronavirus Disease 2019 (COVID-19) ***W.H.O. DECLARES A GLOBAL PANDEMIC***

Posted on 3/21/20 at 11:06 am to
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:06 am to
(no message)
This post was edited on 3/21/20 at 11:41 am
Posted by tiger91
In my own little world
Member since Nov 2005
40251 posts
Posted on 3/21/20 at 11:10 am to
Are these stats for the hospitals for your company or for a particular area in general?
Posted by LSURussian
Member since Feb 2005
135363 posts
Posted on 3/21/20 at 11:11 am to
quote:

What % of the 150+ hospitals are "very strained"? Is it uncommon for some hospitals to be "very strained" while others are not?




We're at about 90% ventilator capacity. That is the most important stat.
If 10% of your 150+ hospitals are "very strained" while the other 90% are not strained, that seems like an important stat to me.

If 90% of your hospitals are "very strained" while only 10% are not, then THAT seems like an important stat to me.

ETA: I just saw your edit. Thanks.
This post was edited on 3/21/20 at 11:12 am
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:11 am to
Company.

We're sharing data with competitors on an unprecedented level, but the stats I look at are generated from our internal EMR systems in our hospitals.

Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:17 am to
(no message)
This post was edited on 3/21/20 at 11:41 am
Posted by LSURussian
Member since Feb 2005
135363 posts
Posted on 3/21/20 at 11:18 am to
quote:

I'd like to add that I'm a firm believer this shite was here in early January. We had a HUGE influx of pulmonology patients in our ERs this winter, which we normally attribute to the flu.
A question: my neighbor, who is 34 years old and in otherwise perfect health, got very sick in mid January.

He had all the symptoms of a really bad case of the flu. Bad chest congestion, cough, no appetite and a temp of around 101.5.

He went to his doctor and got tested for the flu and it came back negative.

It persisted for another week and he went back and got tested for the flu again. Again it was negative.

After 4 weeks he started feeling better.

Is it possible he had COVID-19 but because they weren't testing for it in Baton Rouge back then that he went un-diagnosed for it?
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:22 am to
quote:

Is it possible he had COVID-19 but because they weren't testing for it in Baton Rouge back then that he went un-diagnosed for it?



Absolutely.

Obviously, we'll never know, but I've heard several physicians say they saw this quite a lot this season and moreso than most seasons. Remember, coronoviruses are common and test negatively for the flu, so they usually just say it's a viral infection, drink fluids, and rest.

This version of coronavirus is just more contagious and more lethal for elderly folks and people with comorbidities.

Personally, in my non-MD opinion, we have a higher herd immunity than people realize because of this.
Posted by uscpuke
Member since Jan 2004
6355 posts
Posted on 3/21/20 at 11:24 am to
quote:

our internal EMR systems in our hospitals.

Meditech can actually help track vents in use?
Posted by DownshiftAndFloorIt
Here
Member since Jan 2011
72642 posts
Posted on 3/21/20 at 11:26 am to
Absolutely not. I havent trusted them on this one yet.
Posted by rds dc
Member since Jun 2008
21637 posts
Posted on 3/21/20 at 11:29 am to
Not surprising at all but new data up on NextStrain offers growing evidence of cases being transmitted from one city to the another across the country. New sequences from Connecticut are spread out vs being tightly clustered. This kind of data isn't a lock but, theoretically, if we were just seeing spread within communities then the sequences would be tightly clustered.

Posted by LSURussian
Member since Feb 2005
135363 posts
Posted on 3/21/20 at 11:29 am to
quote:

so they usually just say it's a viral infection, drink fluids, and rest.

Which is what he was told to do along with take Tylenol or ibuprofren (spell?) for the fever. He missed over 2 weeks of work and he NEVER misses work. He lost something like 15 lbs in 4 weeks.

quote:

This version of coronavirus is just more contagious
His wife started experiencing the same symptoms after about 10 days but not as severe. She also got tested for the flu and it came back negative. Her symptoms only lasted about two weeks and she was much better.

While they were both down we brought them soup and when they ran out of Tylenol we went to the store and bought them some and brought it to them.

We would put the food/drugs by their back door and leave before they came to the door.
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:30 am to
Sounds very plausible they had it.
Posted by Warfox
B.R. Native (now in MA)
Member since Apr 2017
3875 posts
Posted on 3/21/20 at 11:30 am to
quote:

Is it possible he had COVID-19 but because they weren't testing for it in Baton Rouge back then that he went un-diagnosed for it?


Possible, but is it probable? My hospital has not experienced a rash of ARDS cases in the last couple months, which is what seems typical of critical Covid-19 cases. We have had plenty of cases of Human Metapneumovirus, RSV etc.
Posted by tiger91
In my own little world
Member since Nov 2005
40251 posts
Posted on 3/21/20 at 11:31 am to
Can you say what state you’re in?
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:32 am to
quote:

Meditech can actually help track vents in use?



Yes. And it's not just Meditech.

We have facility mgmt data, capacity data, other EMRs, etc.

Also education for our clinical staff to input the correct things so we can properly track this. That is likely the most important piece.

ETA:

Meditech is EXTREMELY customizable. It just looks like MS DOS
This post was edited on 3/21/20 at 11:33 am
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:33 am to
quote:

Can you say what state you’re in?



I live in Nashville, but I'm not talking about just Nashville hospitals.

Posted by uscpuke
Member since Jan 2004
6355 posts
Posted on 3/21/20 at 11:34 am to
(no message)
This post was edited on 3/21/20 at 11:37 am
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:36 am to
I will stop adding to this thread until I hear something of value. I really don't think there are any "secrets" out there. Most of what I've said has been said by medical professionals in press conferences. I'm more saying I can confirm it.

This "event" is changing so much, so information we hear 1 day ago is out-dated and obsolete.

This sounds callous, but it is extremely interesting. I am working 60-70 hour weeks though, so that's not very cool
Posted by tiger91
In my own little world
Member since Nov 2005
40251 posts
Posted on 3/21/20 at 11:38 am to
quote:

I live in Nashville


Total side question: How are tornado recovery efforts going? That's not been in the news where I am. Hope you and yours are good.
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 3/21/20 at 11:40 am to
quote:

Total side question: How are tornado recovery efforts going? That's not been in the news where I am. Hope you and yours are good.



Cookville got it way worse. Not sure how that is going over there.

The places hit in Nashville have been met with an unreal community effort to support and rebuild. Pretty awesome to see.

It sucks that this virus hit right now. It kind of halted the rebuild, so these small businesses are really in a bind. They need to get back up immediately, but it is hard to get contractors and stuff to fix their shite.

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