Arizona is a disaster

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:^ Chances

Every post I've seen on this board about somewhere else being a "disaster" has been regarding a state that had a very low level of cases for the last three months, but which is now seeing a trend upward. Because they, unlike NY and other places in the NE, actually flattened the curve. Unless we all stay inside until a vaccine is available, the curve was going to start back up again when we stopped isolating. You folks are moving the goalposts.

No. Virginia was in the same basic condition as Arizona right after shelter in place but we slow-rolled and have a mask-indoors policy that most everyone is adhering to. Don’t see us having the explosion AZ is having, so no, it was NOT a guarantee to happen. The goalposts recommended by the epidemiologists have always been slow rollout and preventions. AZ is the one who shorted the goalpost.

You must not get out of Northern Virginia. People in other parts of VA are NOT wearing masks.

Masks are required indoors in Virginia. I have friends in Virginia Beach/Chesapeake who report that everyone is wearing masks indoors. The areas where there’s less mask usage are probably so sparsely populated that they hardly had any Covid to begin with.

[Anonymous]

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

So you are saying that article was incorrect? That someone who tested positive, without symptoms, would not have the bed for the scheduled procedure, but would instead be sent home? I wondered the same, which is why I was hoping someone would decipher that article.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

So you are saying that article was incorrect? That someone who tested positive, without symptoms, would not have the bed for the scheduled procedure, but would instead be sent home? I wondered the same, which is why I was hoping someone would decipher that article.

At least in MD, the entire reason you get tested a few days before your procedure is to ensure you are negative. They don’t want to intubate a covid positive patient (a procedure that just spews virus particles literally everywhere in the room) if they can help it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

I‘m in AZ and have heard similar (lots of positives turning up with routine pre-op testing). They are also testing everyone who walks into the ER regardless of reason. Also lots of doctors and other healthcare workers turning up positive with routine screening. MD friend (specialist, doesn’t work with covid patients, typically)- turned up positive with routine screening. So far, she is asymptomatic (this was last week). AZ is also doing a testing blitz of nursing homes (really hope no positives are coming from there).

I wonder how much of the increase in positives is due to the above. However I’d assume all states are doing the same things- and they aren’t seeing increases.

I will be very curious to see if the death rate increases with the spike in positives (so far it has not at all)- but obviously that would be on a lag.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

So you are saying that article was incorrect? That someone who tested positive, without symptoms, would not have the bed for the scheduled procedure, but would instead be sent home? I wondered the same, which is why I was hoping someone would decipher that article.

At least in MD, the entire reason you get tested a few days before your procedure is to ensure you are negative. They don’t want to intubate a covid positive patient (a procedure that just spews virus particles literally everywhere in the room) if they can help it.

This. The procedure would just be delayed.

I suppose there could be a scenario where someone gets in a car crash, is admitted, and ends up covid positive and counted. But really- there wouldn’t be enough of those to change the numbers much.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

Exactly. They also don’t do elective surgery if you are positive. Non-elective such a c-sections yes.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

So you are saying that article was incorrect? That someone who tested positive, without symptoms, would not have the bed for the scheduled procedure, but would instead be sent home? I wondered the same, which is why I was hoping someone would decipher that article.

That is not a website I would get my news from. Try some more legitimate news sources.

[Anonymous]

Op here--
physician sibling is seeing cases out of people who are visiting the ER, not people who are being screened for surgery. Numbers keep ticking up and they're starting to cancel elective surgeries to use beds for covid. There's been a definite shift up over the past week and it gets busier each day. Is it an immediate calamity? Not yet. but a district and significant uptick that is not stopping.

[Anonymous]

Wonder what they will do about schools since they usually start in august.

[Anonymous]

Top article in Phoenix newspaper - https://www.azcentral.com/story/news/local/arizona-health/2020/06/16/doctors-data-raise-concerns-arizonas-covid-19-situation/3193042001/

From the perspective of Arizona emergency room physician Dr. Murtaza Akhter, the COVID-19 pandemic here could be even worse than the state's numbers are showing.

"I am taken aback. I walked into the hospital today, and I was like, 'Oh my God'," said Akhter, a clinical assistant professor at the University of Arizona College of Medicine-Phoenix, who works at both Florence Hospital and Valleywise Health Medical Center. "We are getting all sorts of patients who look quite sick."

[Anonymous]

Anonymous wrote:Wonder what they will do about schools since they usually start in august.

Where my brother lives, they start in July.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

You don't get a hospital bed if you test positive without symptoms.

So you are saying that article was incorrect? That someone who tested positive, without symptoms, would not have the bed for the scheduled procedure, but would instead be sent home? I wondered the same, which is why I was hoping someone would decipher that article.

I think that, unless the procedure is urgent, a patient who tested positive for covid would be sent home. Both because of the risk of them spreading covid while in the hospital, and because anesthesiology would want the person to be in the best possible case. There's no way to distinguish between someone who is asymptomatic, and someone who is presymptomatic for whom anesthesia could be dangerous.

Obviously, if the surgery is time sensitive, then they have solutions, but those solutions are resource intensive (e.g. everyone on the team wears an N95, OR is taken out of operation after for deep cleaning) and imperfect (e.g. N95's make communication among team members a little harder, virus can still spread with precautions), so the preference would be to send the patient home.

Having said that, there may be people who come in the night before a major procedure, are tested, and end up staying the night because of when the test results come in, or people whose procedures are urgent enough that they can't wait.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

Here's that article: https://www.conservativereview.com/news/horowitz-new-panic-lie-increased-coronavirus-hospitalizations-cases-southwest/?fbclid=IwAR3DSCbs8i-_8J5eP9echfBEUdhGoxzCUHz8ZbtcZYdg8eHY6hu9S3yG9yA

Will someone smarter than me read this and see if it's valid or makes sense?

I’m not an expert, but a healthcare worker on another thread said that 43% of the coronavirus patients in her covid ward were asymptomatic patients in for other procedures. Not sure where she is located.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Over the weekend there was an article that mentioned many of the rising covid hospitalizations here in AZ were not because of covid, but rather the people happened to have covid. The people are asymptomatic, but testing positive when going in for the months long postponed non-emergency surgeries.

So yes, the person has a hospital bed. And yes, they have covid. But they're not in that bed because of covid. I reached out to a couple of nurse friends to get the scoop and they both said they're busy, because there is a nurse shortage here, but it's not covid keeping them busy - I think NW hospital only has 3 covid patients total.

Here's that article: https://www.conservativereview.com/news/horowitz-new-panic-lie-increased-coronavirus-hospitalizations-cases-southwest/?fbclid=IwAR3DSCbs8i-_8J5eP9echfBEUdhGoxzCUHz8ZbtcZYdg8eHY6hu9S3yG9yA

Will someone smarter than me read this and see if it's valid or makes sense?

I’m not an expert, but a healthcare worker on another thread said that 43% of the coronavirus patients in her covid ward were asymptomatic patients in for other procedures. Not sure where she is located.

Doctors are evaluated on the outcome of patients after a procedure. Why would a physician proceed with an elective procedure if the person might become more ill after the procedure due to COVID19 and result in bad outcome for both theatre t and measure of outcome that reflects badly on doctor due to death or long hospital stay. They woukdn’t so people screened positive are not having elective procedures.