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Started By
Message
re: ‘We Are 10 Days Away From Our Hospitals Getting Creamed’
Posted on 3/25/20 at 9:46 am to SippyCup
Posted on 3/25/20 at 9:46 am to SippyCup
quote:
The statistics call your statement bullshite. Many....The majority do not need ventilation.
Many and the majority are very different concepts. For instance, check that link. It's about the state of Louisiana yesterday.
LINK
quote:
Out of Louisiana's 1,388 confirmed coronavirus patients, about 20% of them are currently hospitalized, according to new data from the Louisiana Department of Health.
That accounts for 271 hospitalized patients. 94 of them require ventilators.
So out of 217 patients, 33% of them need vents. That is astronomically high. And for a disease that is doubling every 6 days or so surely you can see how that gets out of hand in a hurry.
1
Posted on 3/25/20 at 9:47 am to GeauxFightingTigers1
quote:
How many of those people are walking out of the hospital after being put on vents?
What I want to know is how many are not making progress and won't be able to come off of the vent? What is the decision tree for doctors at that point??????? I mean you can live on a vent but ... you need a facility that accepts vent patients. They just can't hang out in the hospital icu for years.
Posted on 3/25/20 at 9:47 am to longwayfromLA
quote:
So out of 217 patients, 33% of them need vents. That is astronomically high. And for a disease that is doubling every 6 days or so surely you can see how that gets out of hand in a hurry.
How many of the people put on vents walk out of the hospital?
Why is the disease, meaning people that need hospitalization and vents doubling?
This post was edited on 3/25/20 at 9:51 am
Posted on 3/25/20 at 9:48 am to League Champs
quote:
I have family that works in a hospital in La. Still waiting on its first coronavirus patient.
Which general area of the state if you don't mind answering?
Posted on 3/25/20 at 9:50 am to GeauxFightingTigers1
quote:
I'm so confused, this virus has a 4-5 day quiet period. The old sick people rolled the dice, but lets be honest... these people generally speaking were on their last few hours, days, or weeks... some a few months.
People die. Everyone is going to get this, or already has gotten it, see Oxford model (not fully proven but looking likely this has been around for 2-3 months)
It's not just old people. A bit less than half of our admits are middle-aged or younger. The old folks generally respond less well to treatment.
quote:
How many of those people are walking out of the hospital after being put on vents?
Based on what we've seen in other parts of the world, younger and many middle folks with COVID have a fighting shot of coming back even from somewhat lengthy stays on mechanical ventilation. Most of the older folks don't do so well, which why Italy started rationing them out. Hopefully, we never have to make those kinds of choices here.
Posted on 3/25/20 at 9:52 am to longwayfromLA
quote:
It's not just old people. A bit less than half of our admits are middle-aged or younger. The old folks generally respond less well to treatment.
The young people are being put on vents?
How many are walking out of the hospital after being put on vents?
This post was edited on 3/25/20 at 9:53 am
Posted on 3/25/20 at 9:54 am to longwayfromLA
So a former white house bureaucrat, not any kind of expert, made a prediction about 10 days. The most dire prediction I've seen from any actual expert was that our hospital system wasn't going to be overwhelmed until April.
Posted on 3/25/20 at 9:54 am to GeauxFightingTigers1
quote:How many of the patients put on vents could walk at all before the Chinese disease?
How many of the people put on vents walk out of the hospital?
Why is the disease, meaning people that need hospitalization and vents doubling?
Morbidly obese diabetics in their 60's+ aren't very ambulatory usually.
The typical Chinese Flu vent patient is gonna be very similar to the Italians, average age of 80's, 3 major complications. Not quite a recipe for walking around the French Quarter feeding pigeons.
Posted on 3/25/20 at 9:58 am to Sidicous
quote:
How many of the patients put on vents could walk at all before the Chinese disease?
Morbidly obese diabetics in their 60's+ aren't very ambulatory usually.
The typical Chinese Flu vent patient is gonna be very similar to the Italians, average age of 80's, 3 major complications. Not quite a recipe for walking around the French Quarter feeding pigeons.
95% died right away, which is my point... virtually zero will probably make it a few months.
As far as the young people they are being treated for minor issues which in most cases are not life threatening.
The old sick people should be in isolation but they're not... they rolled the dice.
This is basically the equivalent of a big flu outbreak in particular areas... which happens from time to time.
This post was edited on 3/25/20 at 9:59 am
Posted on 3/25/20 at 9:59 am to longwayfromLA
quote:NO ONE IS GLOATING!
This is a nightmare, people are dying and you're gloating? Jesus...
But the proposal to wreck the USA over CV19 is a nonstarter.
We must reasonably mitigate risk for both Americans and America.
When folks don't get that duality, they rightly deserve criticism, as you've received here.
This is a war.
As with any war, though we know there will be casualties, we strive to minimize those while preserving the country. But in the end, war is less about saving lives than ensuring way of life --- ensuring way of life for us, and ensuring way of life for our progeny.
Wrecking the country does not accomplish that.
Posted on 3/25/20 at 10:00 am to League Champs
quote:
So which is it, are people dying because their body gave out on them, or are they dying because all our hospitals were overwhelmed 5 days ago?
I don't understand the why your statement are set up to be in opposition to each other. COVID-19 is a deadly disease that has been killing people. It was doing so before I wrote about what I am seeing which for some reason you describe as hype. It is also true that in parts of the country, New Orleans, Greater NYC, and Georgia in particular, as postive corona case volumes have grown, we are now seeing the sort of capacity challenges that we feared two weeks ago.
quote:
And once the hospitals are no longer overwhelmed will people no longer die?
The fear is that as capacity of all types, beds, vents, PPE, but especially people is exhausted the quality of care offered each patient decreases. No one wants a radiologist managing their acute respiratory distress, but if you're pulmonologist are at max capacity, that very well might happen. This is what we seek to avoid.
Posted on 3/25/20 at 10:00 am to GeauxFightingTigers1
quote:How about those stats pre virus on how the ill elderly fared in isolation? I'm sure they were just hunky dory.
The old sick people should be in isolation but they're not... they rolled the dice.
Old people do very poorly in isolation in virtually all measures. Failure to Thrive is not just for infants.
Posted on 3/25/20 at 10:01 am to Sidicous
quote:
How about those stats pre virus on how the ill elderly fared in isolation? I'm sure they were just hunky dory.
Old people do very poorly in isolation in virtually all measures. Failure to Thrive is not just for infants.
Yeah, but that is meaningless as the present course of action is that EVERYONE is in isolation.
Posted on 3/25/20 at 10:06 am to longwayfromLA
quote:
This is a nightmare, people are dying and you're gloating?
We have different definitions of the word "gloating."
Noting that your timeline and "bodies in the streets in a week" mentality did not come to fruition is not gloating. Additionally, I have noted my concerns as they relate to CV. Take your NYC elitist condescension and frick off.
My prayers are with those affected...including NYC.
Peace.
This post was edited on 3/25/20 at 10:08 am
Posted on 3/25/20 at 10:56 am to longwayfromLA
quote:you're in one of the worst hotspots in the entire world. the situation you've described is unfortunate but hardly a crisis. put those two things together and it gives a different perspective. 99% of the country is not experiencing conditions like you're describing.
My facility and many others in our area (Greater NYC) are already double venting, we've exhausted much of our PPE and are getting state support for new masks and gowns and that support is finite. Troublingly, we've seen a number of staff members test positive which strains us further. This is a nightmare, people are dying and you're gloating?
btw, thanks for fighting the good fight!
Posted on 3/31/20 at 12:05 pm to longwayfromLA
3 weeks out and things are alleged to be pretty tough in the "hot spots." The term "creamed" may apply in some of those spots depending on your definition. Sadly, I finally know someone with CV and they were basically given 48 hours to live this morning (he is 82 but still was in relatively decent health prior to this diagnosis).
My question is, with social distancing etc. occurring, what is the new date for our health care facilities being overwhelmed? JBE has now moved the date to the 1st week of April and has asked for 12,000 ventilators. There are plenty of people in the medical field on this board. What are your thoughts on this. Is JBE correct, or do you predict that the date be moved yet again? I am genuinely curious to read the updated thoughts by posters who are personally involved in this.
My question is, with social distancing etc. occurring, what is the new date for our health care facilities being overwhelmed? JBE has now moved the date to the 1st week of April and has asked for 12,000 ventilators. There are plenty of people in the medical field on this board. What are your thoughts on this. Is JBE correct, or do you predict that the date be moved yet again? I am genuinely curious to read the updated thoughts by posters who are personally involved in this.
Posted on 3/31/20 at 12:41 pm to jimmy the leg
Bump to bring to the 1st page.
Posted on 4/2/20 at 12:59 pm to jimmy the leg
quote:
My question is, with social distancing etc. occurring, what is the new date for our health care facilities being overwhelmed? JBE has now moved the date to the 1st week of April and has asked for 12,000 ventilators. There are plenty of people in the medical field on this board. What are your thoughts on this. Is JBE correct, or do you predict that the date be moved yet again? I am genuinely curious to read the updated thoughts by posters who are personally involved in thi
I don't know Lousiana's capacity or how close they are to bumping against it, but given how penetrated New Orleans seems to be, they may soon need to do some of the things we're doing up here.
- I'm on a call right now about coordinating equipping a field in the Meadowlands that my old boss is going to run that will somehow open next week. I would imagine that similar activities may be being planned in New Orleans.
- New York and New Jersey are now in the process of converting all the public hospitals into full time, ICU-only COVID-19 hospitals
- Medical Malpractice doesn't exist anymore here
-A couple of the schools graduated their med students a half semester early and they are now practicing, so good luck with that
- Payers aren't bothering with prior authorization anymore, which is just wild.
Bossert got the date wrong, it was 15 days not 10 before it really hit the fan. But this is worse that I expected.
This post was edited on 4/2/20 at 2:22 pm
Posted on 4/2/20 at 8:17 pm to jimmy the leg
This just in.
We are no longer accepting many heart attack patients. If EMS can't get a pulse in the field, they won't even put the person into the ambulance. It is surreal here.
We are no longer accepting many heart attack patients. If EMS can't get a pulse in the field, they won't even put the person into the ambulance. It is surreal here.
Posted on 4/11/20 at 11:17 am to longwayfromLA
One month in...
what is your current take?
what is your current take?
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