This mostly. We get overwhelmed, more people die.
We don't even have to build new hospitals. There's plenty of buildings that could be renovated.
Money changes everything. IF there's anything that supersedes politics in China, it's money. It's always the money. Or should I say, greed?I’m old enough to remember when buying anything made by communists was bad business.
The CEO of Vidant hospitals wanted Cooper to shutter NC earlier today. Cooper told him no and issued the amended orders. Well tonight the CEO went to the Pitt Co commissioners meeting and got them to shutter Pitt co (aka Greenville, NC) beginning 5pm Wed for 2 weeks other than essential travel. I'd expect him to come to other nearby counties. He said his hospitals don't have the beds.
He's not wrong. They are expecting the numbers to surge and do not have the beds and equipment to handle it if the numbers spike.
The CEO of Vidant hospitals wanted Cooper to shutter NC earlier today. Cooper told him no and issued the amended orders. Well tonight the CEO went to the Pitt Co commissioners meeting and got them to shutter Pitt co (aka Greenville, NC) beginning 5pm Wed for 2 weeks other than essential travel. I'd expect him to come to other nearby counties. He said his hospitals don't have the beds.
I think we are going to push and likely break the limits of the insurance driven for profit medical racketeering system. It was built around the idea of massive profitability for a few using minimal resources. Bloggers warning of what is coming have shown the math showing that it simply doesn’t have the resources and can’t get them fast enough. That is why it is so important to try to contain the spread of this virus to give it time. Unfortunately being a bit over a week into things shutting down to do this the PTBs (monied elite) are whining about needing to get everyone back in the office, school, or factory. It’s not a good omen.Pardon me for not caring too much what the CEO of a hospital system says. He has one responsibility - to keep his hospital system profitable. His system being overloaded beyond a certain point is a liability to his company and his job. Of course he wants to control that. He is going to be drawing his paycheck even if 90% of Pitt County or the state of NC is unemployed.
One of the reasons that we don't have more hospitals is that guys like him have spent years and tons of money lobbying the state for limits on how many hospitals we have and where they can be built and by whom. They have used the force of government to protect themselves from competition.
He is a nurse at the Third largest hospital in WV.he has 15 years in nursing and was the first to volunteer to treat patients with covid. He is actually moving into case management once all this stuff dies down. He is a smart usually calm individual, but that one case caught him off guard.What kind of field is your friend in?
ARDS can present somewhat quickly in my experience (couple hours), but things like flash pulmonary edema can present similarly and look similar on a chest xray, and I've seen it happen much faster. At that age, his heart's probably not in great shape either, which would contribute, especially when he comes in the hospital sick and is immediately fluid resuscitated.
Hospitals are definitely going to have to learn to stop fluid overloading patients- it's a common problem without a potentially deadly virus. I've seen so many patient's being fluid overloaded, diursesed, and then filled back up again.
He is a nurse at the Third largest hospital in WV.he has 15 years in nursing and was the first to volunteer to treat patients with covid. He is actually moving into case management once all this stuff dies down. He is a smart usually calm individual, but that one case caught him off guard.
Pardon me for not caring too much what the CEO of a hospital system says. He has one responsibility - to keep his hospital system profitable. His system being overloaded beyond a certain point is a liability to his company and his job. Of course he wants to control that. He is going to be drawing his paycheck even if 90% of Pitt County or the state of NC is unemployed.
One of the reasons that we don't have more hospitals is that guys like him have spent years and tons of money lobbying the state for limits on how many hospitals we have and where they can be built and by whom. They have used the force of government to protect themselves from competition.
He might be the greatest guy on earth, but I'd have to have that proven to me before I gave his opinion much weight.
But that is counterintuitive. If he wanted profits > anything, he would be pushing for open borders, open stores, open everything...anything to maximize filling the hospital. I do not know him from Adam, but pushing policies that keep people out of the hospital is a lousy business model.
He works at the other hospital. WVU is Ruby hospital which is the best in the state. I've been to Ruby multiple times over the years and it is a very nice hospital.Interesting how they didn't have any cases--they were among the last state to test--now they are popping up everywhere. My wife's BF works at the hospital at WVU, and by the symptoms some of her coworkers have had, my money is on coronavirus. But they never got tested.
Not so. An overcrowded hospital is much less profitable than a managed crowd within their business model. Especially when you factor in the much greater potential for malpractice lawsuits.
I question some patients I've seen who've come in with symptoms and came back negative on standard microbiology panel but were never tested for Covid19. I think it's probably already spread a lot farther than anyone wants to admit and our lack of testing is us putting our head in the sand.
Not if they're a readmit. Medicare/Medicaid will just give you the finger. And rest assured, some of the people who will end up on vents are the ones you see every month with chronic issues who don't take care of themselves.
And I don't see how an overcrowded hospital is profitable. Especially if the people who owe you money don't have insurance and die.
What's more, there's more staff on board constantly doing screenings at the door. These people are already RN's, etc. and are getting overtime pay (which is hefty btw). Your staff will all end up getting that pay if things get bad. You have to order more supplies. Your resources are stretched thin- laundry, cafeteria, chaplain and social services, your lab testing. No more skeleton crews at night. And ICU beds are expensive. The drugs, the care required, the equipment required, the monitors. These things will have to be purchased, because most local hospitals that aren't Forsyth or Baptist don't have gigantic ICU's.
I question some patients I've seen who've come in with symptoms and came back negative on standard microbiology panel but were never tested for Covid19. I think it's probably already spread a lot farther than anyone wants to admit and our lack of testing is us putting our head in the sand.
Not if they're a readmit. Medicare/Medicaid will just give you the finger. And rest assured, some of the people who will end up on vents are the ones you see every month with chronic issues who don't take care of themselves.
And I don't see how an overcrowded hospital is profitable. Especially if the people who owe you money don't have insurance and die.
What's more, there's more staff on board constantly doing screenings at the door. These people are already RN's, etc. and are getting overtime pay (which is hefty btw). Your staff will all end up getting that pay if things get bad. You have to order more supplies. Your resources are stretched thin- laundry, cafeteria, chaplain and social services, your lab testing. No more skeleton crews at night. And ICU beds are expensive. The drugs, the care required, the equipment required, the monitors. These things will have to be purchased, because most local hospitals that aren't Forsyth or Baptist don't have gigantic ICU's.
I agree hospitals have been controlling the number of hospitals in areas with political connections. They have also controlled the number of doctors in schools as well to keep their salaries high.Pardon me for not caring too much what the CEO of a hospital system says. He has one responsibility - to keep his hospital system profitable. His system being overloaded beyond a certain point is a liability to his company and his job. Of course he wants to control that. He is going to be drawing his paycheck even if 90% of Pitt County or the state of NC is unemployed.
One of the reasons that we don't have more hospitals is that guys like him have spent years and tons of money lobbying the state for limits on how many hospitals we have and where they can be built and by whom. They have used the force of government to protect themselves from competition.
He might be the greatest guy on earth, but I'd have to have that proven to me before I gave his opinion much weight.
I have a feeling that the .gov will step in and pay hospitals for any "non-paying" cases.
I agree hospitals have been controlling the number of hospitals in areas with political connections. They have also controlled the number of doctors in schools as well to keep their salaries high.
I assume .gov will for non-paying COVID cases, but not all the traffic and non-paying cases will be COVID-19. Maybe not even the majority. My sister is an ER doctor in one of the states that locked down early and is point person for COVID-19 cases in her ER. She reports the VAST majority of traffic they are experiencing are not COVID-19 cases. It is people afraid they have it, even if it is their ankle hurting or something like that. That is what is overrunning her ER, despite their system handling a number of actual COVID patients.
This...is absolutely, unequivocally true.....
For the record, I'm not trying to pick an argument with you or anyone else in the health industry. I posted that last night after a couple drinks and I was feeling a bit salty myself. I had typed and erased that post several times before then.
I am very jaded when it comes to healthcare management types, whether that is right or wrong. Too much negative experience to give me warm fuzzies about them and their opinions.
I get it. Believe me. To me they get in the way of my job, which is taking care of people.
That's a good point. There is a lag function in the curve comparing currently infected to currently dead.This one gets me a bit. It is number of dead vs infected off set by 2 weeks
Amateur Radio operators designed a ventilator made from PVC and sprinkler valves with Ardunio processor and the software to run it.
http://www.arrl.org/news/radio-amateurs-team-up-to-help-university-design-low-cost-ventilator
All thermometers are sold out everywhere. Does anyone know if this will work on people?
https://www.lowes.com/pd/Southwire-Digital-Infrared-Temperature-Test-Meter/50125849
Well, at least Darwin managed to get one of them.AZ man dies after taking chloroquine thinking it would protect him from the virus.
Forbes reported that Trump said it was safe because it has been around a long time and he is responsible for the man's death.
Problem in the man and his wife took chloroquine phosphate - an aquarium cleaning product. Trump did not endorse all forms of chloroquine as safe.
The wife survived and blames Pres. Trump for the death of her husband.
https://news.trust.org/item/20200323225613-cmq3v
I wonder if it was her idea to take that chemical?Well, at least Darwin managed to get one of them.
The other one got away.
Is that lady related to the Clintons?AZ man dies after taking chloroquine thinking it would protect him from the virus.
Forbes reported that Trump said it was safe because it has been around a long time and he is responsible for the man's death.
Problem in the man and his wife took chloroquine phosphate - an aquarium cleaning product. Trump did not endorse all forms of chloroquine as safe.
The wife survived and blames Pres. Trump for the death of her husband.
https://news.trust.org/item/20200323225613-cmq3v
I wonder if it was her idea to take that chemical?
Of course it was ...I wonder if it was her idea to take that chemical?
NBC News spoke to the wife ... "I had (the substance) in the house because I used to have koi fish," she told the network. "I saw it sitting on the back shelf and thought, 'Hey, isn't that the stuff they're talking about on TV?'"