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Message
re: Supplemental oxygen? What's the big deal here?
Posted on 10/5/20 at 6:51 pm to the808bass
Posted on 10/5/20 at 6:51 pm to the808bass
quote:
What’s the average length of stay in the hospital for a very sick Covid patient? I’ll accept ballpark figures.
That's a good question. Something incredibly long, we had a couple of guys who hung around of 2-3 months because no post-acute care site could/would take them. Outliers like that will throw off the average. I'll adjust your question and say the aLOS for your garden variety non-critical patients is about 5-6 days and double that for the folks who make it to the ICU.
Note: I think anyone who is admitted with COVID is by definition very sick. That may be relevant to where you're going with this.
This post was edited on 10/5/20 at 6:54 pm
1
Posted on 10/5/20 at 6:59 pm to longwayfromLA
quote:You literally said Trump had a critical case of COVID one line above your quote above:
No one ever suggested that Trump had a critical case
quote:
If your doctor sees fit to hospitalize you with COVID, it's because you have a severe or critical case of COVID
And you didn't post the following quotes? If not, you'd better alert Chicken that someone has hacked your TD.com account...
quote:LINK
had started a drug used only for severe or critical cases of Covid-19
quote:LINK
dexamethasone at 6mg dosage is indicated for treatment of the following:
And severe COVID
Posted on 10/5/20 at 6:59 pm to longwayfromLA
quote:
You mean members of a Trump-worshiping Board continue to for some reason be triggered by the suggestion that very sick President was very sick?
No, frustrated by an administrator that wants to be a clinician.
Stick to LOS or whatever data that fits into your wheelhouse. I will respect that a lot more than the degree of "sickness" or whatever metric you are trying to use.
You said you have a couple of docs reporting to you. Do they report clinical data that you have to interpret?
This post was edited on 10/5/20 at 7:01 pm
Posted on 10/5/20 at 7:25 pm to IslandBuckeye
quote:
Stick to LOS or whatever data that fits into your wheelhouse. I will respect that a lot more than the degree of "sickness" or whatever metric you are trying to use.
You guys don't use a high acuity flag or otherwise attempt to measure the relative sickness of your inpatients. I'm surprised by that.
quote:
You said you have a couple of docs reporting to you. Do they report clinical data that you have to interpret?
A doc who reports to me oversees the clinical component of our alternative payment model programs. The other doc reports to her. We talk quite a bit about improvement/sustainment plans for the quality metrics that are relevant to our current or future contracts.
Posted on 10/5/20 at 7:28 pm to longwayfromLA
quote:
I'll adjust your question and say the aLOS for your garden variety non-critical patients is about 5-6 days and double that for the folks who make it to the ICU.
So, using your metric, Trump wasn’t critically ill. Correct?
Posted on 10/5/20 at 7:29 pm to LSURussian
quote:
You literally said Trump had a critical case of COVID one line above your quote above:
quote:
If your doctor sees fit to hospitalize you with COVID, it's because you have a severe or critical case of COVID
OR [ awr; unstressed er ]conjunction
(used to connect words, phrases, or clauses representing alternatives):
books or magazines; to be or not to be; severe or critical
I know you're slow so I'll try to make it easy for you. Severe, in this context, is different than critical. Critical is worse. Jeez.
This post was edited on 10/5/20 at 7:31 pm
Posted on 10/5/20 at 7:34 pm to longwayfromLA
quote:
You guys don't use a high acuity flag or otherwise attempt to measure the relative sickness of your inpatients
Nice try. Riddle me this: did you determine Trump merited your high acuity flag? If so give us the data you used to make this determination. (You have criteria to determine this right?)
I am not trying to denigrate your role. Every position helps a hospital function from Housekeeping to CFO's office. After I report our budget, I do not tell the CFO how to account for loss or revenue. That is not my area of expertise. They, in turn, do not make clinical decisions.
Posted on 10/5/20 at 7:37 pm to the808bass
quote:
So, using your metric, Trump wasn’t critically ill. Correct?
By no metric was Trump ever critically ill and I'd push back on anyone who ever suggested as much. He was hospitalized which would put him in the "severe" COVID category, but from everything I understand, his illness was well short of critical. Further, there is 0 chance a doc who wants his license would discharge him under that circumstance, even if the white house is effectively a SNF.
Posted on 10/5/20 at 7:45 pm to IslandBuckeye
quote:
Nice try. Riddle me this: did you determine Trump merited your high acuity flag? If so give us the data you used to make this determination. (You have criteria to determine this right?)
I personally didn't have anything to do with Trump's admission nor its coding, but had Trump been admitted to any of our facilities, he would have gotten a U07.1 code which in our system automatically maps to a high acuity flag. I don't have anything to do with that choice either. As you know that's a CMO call.
quote:
I am not trying to denigrate your role. Every position helps a hospital function from Housekeeping to CFO's office. After I report our budget, I do not tell the CFO how to account for loss or revenue. That is not my area of expertise. They, in turn, do not make clinical decisions.
The closest I ever get to making clinical decisions is bringing on or supporting docs who champion evidence-based protocols and offering clinical decision support systems. This is a message board, not my gig.
Posted on 10/5/20 at 7:47 pm to LSURussian
quote:
Probably not even that. More likely it's one of these O2 tubes:
Correct.
Masks shouldn't be used for a flow of less than 5 LPM. Lower flow is too little to flush the CO out and the patient can suffocate.
(Football players don't use the O2 long enough for it to be a concern.)
Posted on 10/5/20 at 7:49 pm to LSURussian
It's called a nasal cannula.
Posted on 10/5/20 at 8:01 pm to longwayfromLA
“Slow” is saying “no one has said” something and you literally just said it in the same post. And two pages earler, too.
Now THAT’S slow.
Now THAT’S slow.
Posted on 10/5/20 at 8:08 pm to Bestbank Tiger
quote:You left off a 2
Lower flow is too little to flush the CO
quote:nah - that wouldn't happen. You don't use a mask on a COPD patient but for different reasons.
patient can suffocate.
Posted on 10/5/20 at 11:01 pm to longwayfromLA
quote:
you: You're a radical
Indeed.
But I never said you wanted him to die. You people are weird.
Posted on 10/5/20 at 11:46 pm to Homesick Tiger
Being winded from playing football isn’t the same as not having enough oxygen in your blood. There’s no excuse for stupidity when you can search and find answers before you post.
Posted on 10/6/20 at 1:26 am to IslandBuckeye
quote:
Do you have training or experience in medicine?
quote:
longwayfromLA
He is a hospital administrator in NYC.
He is a non-medically trained paper-pusher...period.
Why he comes on here spouting off this shite like he has floor/ICU experience is beyond me.
Posted on 10/6/20 at 1:28 am to IslandBuckeye
quote:
Please stick to administration. I have enough problems with them at work.
What seems aggressive to you has no bearing in the clinical world.
Posted on 10/6/20 at 2:00 am to Homesick Tiger
At my hospital, pretty much on room air >92% is fine. Usually when you drop below that, we put the patient on 2 liters nasal cannula or higher until >92%. I'd imagine some hospitals have different protocols than our 92% number. I personally am not worried our president if he was on this for a day or two and now on room air. Is it normal to be on 2 liters oxygen while lying in bed, no. But is it the end of the world or critical, no. He may have gotten a few breathing treatments for all we know and to me is still not a big deal. Hope this helps a little.
Posted on 10/6/20 at 3:26 am to Homesick Tiger
I guess they wouldn't like me taking a few hits off my Nitrox tank when I have a cold or a hangover.
Morons.
O2 or enriched air makes you feel better. It's just a fact.
Morons.
O2 or enriched air makes you feel better. It's just a fact.
Posted on 10/6/20 at 3:41 am to Homesick Tiger
Has this been confirmed or was it through anonymous sauces?
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