Reply to CORONAVIRUS/COVID-19 NEW MEGA THREAD

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote]3)Tons of patients with moderate resp failure, that overtime deteriorate to saturate ICUs first, then NIVs, then CPAP hoods, then even O2.[/quote]

I don't understand that above.   What are NIVs?  What does it mean to saturate ICUs? Does it mean to run out of?

I think the problem is a numbers problem?  Too many cases all at once that are severe?

[/quote]

Non Invasive Ventilation.

He is basically saying that they are running out of ICU space (saturated) and running out of backup options like cpap and oxygen.

Yes, it’s a numbers issue. Too many sick at the same time.[/quote]

It does beg the question: What is up with Italy that didn't happen in Korea?

Part of the issue with this is that the pneumonia lasts a very long time. It isn't a quick couple days in the ICU and then to the intermediate unit.[/quote]

System overwhelmed in Italy. Treatments are unavailable due to lack of facilities, equipment or personnel. [/quote]

Korean hospitals are also close to being overwhelmed.  There was a story days ago about someone who went to the hospital with a non-covid emergency, was turned away, went home and died.[/quote]

How sad. Last year I went to an ER on a particularly busy night (a good hospital in a suburban area). For some reason all the ERs in the area were particularly busy that evening. I had to wait 12 hours before a bed opened up and I could get seen. ERs are generally busy already. [/quote]

My husband waited three days last year for a cardiac ICU bed to open at Washington Hospital Center. Someone had to die for him to get it. By the time it opened, they need to take him there in a helicopter to save his life. Once there, he had the best care. But the wait nearly killed him, and that was just a normal time for hospitals. I can only imagine what would happen in this area if there was a rush on ICU beds. We drive by all these sophisticated and modern hospital complexes, but in our experience, there just isn't a lot of ICU space - from little hospitals like Sibley and Suburban, to mega hospital centers like Washington Hospital Center.

Another thing I remember. There are nurses on duty, day and night in shifts. They are assigned several ICU patients, and I could not believe the amount of information they had to absorb every eight hours. They are heroes, and overworked already. I have to say that sometimes to overworked. Some of them got really important things wrong, and we needed to be there as advocates to fill them in at the beginning of each shift.

I would be terrified to be at a hospital without at least one family member allowed in to advocate for me. How would that work with CV?

[/quote]

This crisis is really exposing a lot of flaws in our health system. Hospitals in this country operate very close to the margins and avoid excess capacity, is just-in-time supply chains, and there’s no excess capacity in the system for an event like this one.[/quote]

It’s not just the flaws in our healthcare system that are being laid bare. FFS, the only reason we aren’t all already in quarantine is because our entire economy is built upon people being out there, spending more money that they take in. So few people have saving to get them through a financial/health crisis. So many food insecure families that schools don’t want to close because so many kids will go hungry. Low wage workers, especially the service industry, have no paid time off or sick leave. They’re going to lose their jobs anyway, as the economy crashed and burns as those with money and the privilege of telework start isolating and stop going to restaurants and using Uber, etc. It’s all a house of cards. The already poor and the already sick are completely f***ed.[/quote]

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