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Started By
Message
re: Montgomery posters....Is Covid-19 really hitting your hospitals this hard?
Posted on 5/20/20 at 10:41 pm to MikeAV8s
Posted on 5/20/20 at 10:41 pm to MikeAV8s
quote:
I live next door in Prattville. I don’t know anyone who has or has had covid. No one I know, knows anyone who has or has had covid. These are truly strange days
My parents live in Prattville. The son of the couple that live across the street from them died from it.
2
Posted on 5/20/20 at 10:47 pm to pvilleguru
Yikes. How old?
Posted on 5/20/20 at 10:48 pm to cwil177
quote:50ish?
Yikes. How old?
Posted on 5/20/20 at 10:53 pm to pvilleguru
quote:
My parents live in Prattville. The son of the couple that live across the street from them died from it.
There’s one. Not to make light of someone passing away, but I’ve lived here for 55 years, I know a lot of people. ( I probably know your parents) I just find it strange that I don’t know anyone who has had it.
Posted on 5/21/20 at 8:33 am to MikeAV8s
This is a copy and paste to avoid a Facebook link. This is a post from an ER Doctor at Baptist South in Montgomery. Yeah, it’s long...don’t read if you’re not interested.
“It's easier to respond to everyone here. I have received so many calls, texts, and emails asking about the COVID announcements that have come out recently that are causing a lot of concern in our community. So let me explain my thoughts as an Emergency Medicine physician. I am Apolitical and just call it like I see it. Some things I lean towards the Right, Some things I lean towards the Left. I say this only because I feel that everyone seems to think everyone has an agenda. I do not. This is strictly my opinion based on the data that I am privy to as the medical director of an ER in Montgomery.
COVID-19 is scary. Some of it is warranted, some of it is not. If you get COVID-19 and are one of the unlucky ones that end up really sick from it, then it is a terrible disease. The ICUs that are treating the sickest of the sick are stressful places to be right now. I am fortunate because I get the perspective of seeing all types of cases of Covid. I’ve treated the really sick and the nearly asymptomatic. I have discharged or admitted to the floor far more patients with presumptive COVID-19 infection than I have intubated or that have required ICU placement. [I can not speak for Jackson Hospital because I am not associated with their facility, so it’s possible that what you are reading in news is going on there]. Anything that I discuss is from my personal knowledge which is through the Baptist facilities (Legal Disclaimer: I do not speak for Baptist Health, my views are mine alone, and have not been discussed with any one of leadership at Baptist Health)
Our approach and what seems to be causing some of the confusion:
We have divided our Emergency Department into zones that are “possible COVID-19” and not COVID.
The hospital has been divided into areas that are “possible/confirmed COVID” and not COVID.
This has been done in an effort to create a safe environment for the non-COVID patients and it allows us to concentrate PPE into certain areas.
Because of this split, it can create confusion on bed availability.
The idea that we have no ICUs available is an exaggeration of the truth. We have 6 ICUs at Baptist South. 2 are currently reserved for COVID patients. Those 2 units are very busy currently. As I sit in the ED right now, the units are “full”, but we only have 2 patients in the ER that need a COVID ICU bed and will "likely" get a bed tonight as patients improve in the ICU (according to bed control). “Available Beds” is a fluid number. Some people get better and can be transitioned to a floor room, some patients on floors get discharged.
“So why is it an exaggeration of the truth? You said that the units were full.” Yes, but we also have 4 other ICUs that have beds available. We would like to keep these units free of COVID, so that if you have a Heart Attack or a Stroke or a bad car accident, we can keep you in a COVID free environment. The ER is essentially an ICU, so we can safely keep a few ICU patients until beds in COVID designated ICU beds become available. If we get to a point where we need to convert one of the non-COVID ICUs to a COVID ICU then we can do that. We would move patients in that ICU to a different non-COVID ICU and then start placing patients into the newly created COVID unit. We have meticulously planned this escalation and will implement when necessary. So, yes, while we currently do not have an ICU bed in a COVID unit, it is not that our system is so overwhelmed that people need to be concerned that we are currently in the New York state of emergency.
Could we get there? Sure. Cases have certainly spiked. But, also seem to be starting to plateau or even decrease a little. It's little early to know for sure. That being said…
Everyone needs to continue to use caution. Wear a mask, wash your hands, social distance. Just because the state is “open” does not mean that we are clear of this. But also do not be so terrified that you are paralyzed with fear. If you have pre-existing conditions that put you at higher risk, please take extra care to keep yourself safe. If you are not at a high risk, please remember that you should not act recklessly. Just because YOU may not get deathly ill from the infection, doesn’t mean that you couldn’t give it to someone. Don’t be the cause of someone else’s death. Just act responsibly.
I wear a mask everywhere I go, I try to keep my distance from people, I wash my hands a lot, I use hand sanitizer a lot. But, I also do go shopping (and am going out of my way to support small businesses), I do see friends and family, and am trying to get back to some normal activities.
It’s also important to note that the River Region has had less than 1000 confirmed cases of COVID. [Caveat: This does not take into account false negative, false positives, those not tested and Jackson Hospital data.] If you assume that the River Region has 250,000 people in it. This means that <0.4% of the population has been confirmed positive. Which means the percent of the population that has required intubation and ICU placement is much lower than that. To be fair, we must remember, these numbers are skewed a bit because early on testing was difficult and now its much easier. But it does give a general idea.
I also want to stress that I do NOT feel that Alabama / Montgomery news reports are a liberal narrative deliberately trying to scare people. I think people are legitimately scared. We have seen places like New York and New Orleans and we do not want to end up there. We have a very susceptible population, we have a lot of unhealthy people in this city and state. We MUST remain vigilant and careful. But, we also cannot be paralyzed by fear either.
I'll also end this with something that really concerns me. Please do not overlook symptoms of a serious illness that require emergency medical care because you are scared of COVID. I have seen a number of patients come in days after they had a stroke because they were scared of getting COVID. Now, the person will have permanent disability, because instead of receiving emergent treatment to stop the stroke, they now have a completed stroke and there is nothing we can do at that point to help them.
Happy to answer any questions you have.“
“It's easier to respond to everyone here. I have received so many calls, texts, and emails asking about the COVID announcements that have come out recently that are causing a lot of concern in our community. So let me explain my thoughts as an Emergency Medicine physician. I am Apolitical and just call it like I see it. Some things I lean towards the Right, Some things I lean towards the Left. I say this only because I feel that everyone seems to think everyone has an agenda. I do not. This is strictly my opinion based on the data that I am privy to as the medical director of an ER in Montgomery.
COVID-19 is scary. Some of it is warranted, some of it is not. If you get COVID-19 and are one of the unlucky ones that end up really sick from it, then it is a terrible disease. The ICUs that are treating the sickest of the sick are stressful places to be right now. I am fortunate because I get the perspective of seeing all types of cases of Covid. I’ve treated the really sick and the nearly asymptomatic. I have discharged or admitted to the floor far more patients with presumptive COVID-19 infection than I have intubated or that have required ICU placement. [I can not speak for Jackson Hospital because I am not associated with their facility, so it’s possible that what you are reading in news is going on there]. Anything that I discuss is from my personal knowledge which is through the Baptist facilities (Legal Disclaimer: I do not speak for Baptist Health, my views are mine alone, and have not been discussed with any one of leadership at Baptist Health)
Our approach and what seems to be causing some of the confusion:
We have divided our Emergency Department into zones that are “possible COVID-19” and not COVID.
The hospital has been divided into areas that are “possible/confirmed COVID” and not COVID.
This has been done in an effort to create a safe environment for the non-COVID patients and it allows us to concentrate PPE into certain areas.
Because of this split, it can create confusion on bed availability.
The idea that we have no ICUs available is an exaggeration of the truth. We have 6 ICUs at Baptist South. 2 are currently reserved for COVID patients. Those 2 units are very busy currently. As I sit in the ED right now, the units are “full”, but we only have 2 patients in the ER that need a COVID ICU bed and will "likely" get a bed tonight as patients improve in the ICU (according to bed control). “Available Beds” is a fluid number. Some people get better and can be transitioned to a floor room, some patients on floors get discharged.
“So why is it an exaggeration of the truth? You said that the units were full.” Yes, but we also have 4 other ICUs that have beds available. We would like to keep these units free of COVID, so that if you have a Heart Attack or a Stroke or a bad car accident, we can keep you in a COVID free environment. The ER is essentially an ICU, so we can safely keep a few ICU patients until beds in COVID designated ICU beds become available. If we get to a point where we need to convert one of the non-COVID ICUs to a COVID ICU then we can do that. We would move patients in that ICU to a different non-COVID ICU and then start placing patients into the newly created COVID unit. We have meticulously planned this escalation and will implement when necessary. So, yes, while we currently do not have an ICU bed in a COVID unit, it is not that our system is so overwhelmed that people need to be concerned that we are currently in the New York state of emergency.
Could we get there? Sure. Cases have certainly spiked. But, also seem to be starting to plateau or even decrease a little. It's little early to know for sure. That being said…
Everyone needs to continue to use caution. Wear a mask, wash your hands, social distance. Just because the state is “open” does not mean that we are clear of this. But also do not be so terrified that you are paralyzed with fear. If you have pre-existing conditions that put you at higher risk, please take extra care to keep yourself safe. If you are not at a high risk, please remember that you should not act recklessly. Just because YOU may not get deathly ill from the infection, doesn’t mean that you couldn’t give it to someone. Don’t be the cause of someone else’s death. Just act responsibly.
I wear a mask everywhere I go, I try to keep my distance from people, I wash my hands a lot, I use hand sanitizer a lot. But, I also do go shopping (and am going out of my way to support small businesses), I do see friends and family, and am trying to get back to some normal activities.
It’s also important to note that the River Region has had less than 1000 confirmed cases of COVID. [Caveat: This does not take into account false negative, false positives, those not tested and Jackson Hospital data.] If you assume that the River Region has 250,000 people in it. This means that <0.4% of the population has been confirmed positive. Which means the percent of the population that has required intubation and ICU placement is much lower than that. To be fair, we must remember, these numbers are skewed a bit because early on testing was difficult and now its much easier. But it does give a general idea.
I also want to stress that I do NOT feel that Alabama / Montgomery news reports are a liberal narrative deliberately trying to scare people. I think people are legitimately scared. We have seen places like New York and New Orleans and we do not want to end up there. We have a very susceptible population, we have a lot of unhealthy people in this city and state. We MUST remain vigilant and careful. But, we also cannot be paralyzed by fear either.
I'll also end this with something that really concerns me. Please do not overlook symptoms of a serious illness that require emergency medical care because you are scared of COVID. I have seen a number of patients come in days after they had a stroke because they were scared of getting COVID. Now, the person will have permanent disability, because instead of receiving emergent treatment to stop the stroke, they now have a completed stroke and there is nothing we can do at that point to help them.
Happy to answer any questions you have.“
Posted on 5/21/20 at 8:40 am to MikeAV8s
quote:
My parents live in Prattville. The son of the couple that live across the street from them died from it.
There’s one. Not to make light of someone passing away, but I’ve lived here for 55 years, I know a lot of people. ( I probably know your parents) I just find it strange that I don’t know anyone who has had it.
Autauga County is not the problem here.
Posted on 5/21/20 at 8:53 am to 7thWardTo314
A large percentage of Alabama's cases over the past 2 weeks have been in the rural counties in central Alabama.
All of those patients in serious condition are sent to Montgomery hospitals.
Posted on 5/21/20 at 8:58 am to wm72
quote:
A large percentage of Alabama's cases over the past 2 weeks have been in the rural counties in central Alabama.
And the majority of the population in those rural counties hit just about every single high risk category that exists for COVID right now.
Posted on 5/21/20 at 9:09 am to wm72
Nailed it.
If you go on the adph website and look at the dashboard for infection rate by county, you basically see the black belt as the counties getting hit the hardest per capita
If you go on the adph website and look at the dashboard for infection rate by county, you basically see the black belt as the counties getting hit the hardest per capita
Posted on 5/21/20 at 9:20 am to SloaneRanger
quote:
I have no idea if that’s true or not, but Montgomery is surrounded by the black belt and a whole lot of poor, unhealthy people with limited access to hospitals so if any place was going to get hit like that, I could see it being Montgomery.
I agree, but
quote:
Yep. Thing is, you can impose all the stay at home orders you want but it won't make any difference to these people. They are not going to listen or comply anyway.
This one isn't limited to the ghettos anymore - white conservatives and libertarians have adopted this approach as well.
Posted on 5/21/20 at 9:21 am to BRIllini07
quote:
white conservatives and libertarians have adopted this approach as well.
White conservatives and libertarians don't have the same risk as the majority of the people who live in the black belt of Alabama.
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