Bondag said:

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What is included in the bed count?

Ideally everyone that needs a bed gets a bed, but what is needed?

If you are at a nursing home with Medgas do you need a hospital bed, or can you get the same level of care where you are? I know Seattle had a poor track record with this, but we know a lot more about what they are dealing with now.

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This is exactly what I think. The standard of care says you put a Covid-19 patient that is critical in an ICU bed. But when push comes to shove and the ICU beds are all full, what does the covid patient really NEED? Well, they need access to O2 and maybe a ventilator, and some way for nurses to keep tabs on their vitals. We have thousands of places all over the country, from rehab hospitals, orthopedic surgery centers, plastic surgery centers, etc. that have all of those things. It will take some outside the box thinking to organize it all, but we have the ability to care for all of the patients, they just probably won't all be in hospital ICUs.

Something else to keep in mind is that those #s are total cases he is talking about over the 45-60 day course of the pandemic. So we don't need a bed for every one of those cases at the same time.

Another challenge is maintaining isolation from other patients, especially when you do procedures that generate small droplets. Or when decent percentages of your staff start to get sick, or have family who are sick, or kids at home because schools are closed.

txags92 said:

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aTm2004 said:

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txags92 said:

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aTm2004 said:

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cajunaggie08 said:

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aTm2004 said:

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Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.

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More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.

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In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.

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If you think being an abnormally large fatty only impacts themselves, you're blind. Higher insurance costs to us all, calories identified on menus, etc.

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You and/or your elderly parents aren't going to die because of somebody else's uncontrolled heart disease...

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My uncle's BIL spent a couple of months in ICU and will need a cane for the rest of his life because Ol Boy driving home after a drive thru stop at JITB had a heart attack and swerved into his lane, hitting him head on at 60+. You're right, he didn't die, just had his life changed forever.

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Ok, two can play this little pedantic game. It wasn't uncontrolled heart disease that caused your uncle's BIL to be injured, it was the decision to drive with heart disease that caused the issue. Therefore we should just ban all people with heart disease from driving and the problem is solved. Thanks for playing!

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Hey, I 100% agree that everyone should be banned from driving, except me. Will make my commute much better in the morning. Let's not stop there...let's add in diabetics, epileptics, Asian women, etc.

That's a false choice. The second choice does not exist.

txags92 said:

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Bondag said:

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What is included in the bed count?

Ideally everyone that needs a bed gets a bed, but what is needed?

If you are at a nursing home with Medgas do you need a hospital bed, or can you get the same level of care where you are? I know Seattle had a poor track record with this, but we know a lot more about what they are dealing with now.

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This is exactly what I think. The standard of care says you put a Covid-19 patient that is critical in an ICU bed. But when push comes to shove and the ICU beds are all full, what does the covid patient really NEED? Well, they need access to O2 and maybe a ventilator, and some way for nurses to keep tabs on their vitals. We have thousands of places all over the country, from rehab hospitals, orthopedic surgery centers, plastic surgery centers, etc. that have all of those things. It will take some outside the box thinking to organize it all, but we have the ability to care for all of the patients, they just probably won't all be in hospital ICUs.

Something else to keep in mind is that those #s are total cases he is talking about over the 45-60 day course of the pandemic. So we don't need a bed for every one of those cases at the same time.

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I can't find a link, but isn't the average length of hospitalization something like 2 weeks for severe cases? So you end up with a lot of patient overlap in that 45-60 day period.

And, I personally don't want people trying to scramble to move patients to orthopedic centers, plastic surgery centers, etc. when the really bad SHTF and hospitals are overwhelmed. Let's do what we can now to stop the spread, and hold these alternate ICUs as a contingency plan if necessary.

From the CDC (granted it's data from China, but that's what we have to work with right now).

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Among critically ill COVID-19 patients in China, the reported case fatality proportion was 49%. In a report from one hospital, 61.5% of critically ill patients with COVID-19 had died by day 28 of ICU admission. [9,15]

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txags92 said:

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aTm2004 said:

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txags92 said:

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aTm2004 said:

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txags92 said:

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aTm2004 said:

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cajunaggie08 said:

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aTm2004 said:

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Quote:

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Seeing how obese our population is, id be willing to expect many have weak or sub-optimal lung capacity where pneumonia would take them near death.

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More Americans die daily from heart disease (per CDC) than have died total from the Kung Flu, but nobody thinks twice about stuffing a 1200 calorie lunch from Chick-Fil-A into their mouths and then sit down and munch on another 2000 calories for dinner at Pappasitos.

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In that case, their poor health choices impact only themselves directly. I wont get heart disease because someone else thinks the fajitas for 2 with extra butter sauce is a special cheat code in their quest for keto gold.

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If you think being an abnormally large fatty only impacts themselves, you're blind. Higher insurance costs to us all, calories identified on menus, etc.

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You and/or your elderly parents aren't going to die because of somebody else's uncontrolled heart disease...

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My uncle's BIL spent a couple of months in ICU and will need a cane for the rest of his life because Ol Boy driving home after a drive thru stop at JITB had a heart attack and swerved into his lane, hitting him head on at 60+. You're right, he didn't die, just had his life changed forever.

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Ok, two can play this little pedantic game. It wasn't uncontrolled heart disease that caused your uncle's BIL to be injured, it was the decision to drive with heart disease that caused the issue. Therefore we should just ban all people with heart disease from driving and the problem is solved. Thanks for playing!

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Hey, I 100% agree that everyone should be banned from driving, except me. Will make my commute much better in the morning. Let's not stop there...let's add in diabetics, epileptics, Asian women, etc.

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Why do you need to drive anywhere at all? All the best stuff is in your back yard, amirite?

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Only steaks, fajitas, pork chops, briskets, pork butts, and ribs.

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Instead we should be isolating the fraction while letting the majority build the necessary antibodies/immunities.

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This is what England was planning to do - let it spread among the general population, try to protect the elderly - until the Imperial College (UK) came out with a study showing the impact on the overall healthcare system of trying to suppress rather than mitigate the spread. This study almost certainly convinced the Prime Minister to reverse course. It's not just about letting old people die but about keeping a level of care available for the entire population.

https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-NPI-modelling-16-03-2020.pdf

As of today schools in England are still open with no plans to close.

Barbours Cut and Bayport, Houston's container terminals, are both closed until further notice. Heck.

Damn. Got to wonder what the reasoning is for that.

Is there a link for this yet

https://porthouston.com/operations-are-suspended-at-bayport-and-barbours-cut-terminals/

Positive test

https://cbsaustin.com/news/local/gov-abbott-waives-regulations-to-allow-restaurants-to-deliver-alcohol-due-to-covid-19

silverado_lover said:

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Barbours Cut and Bayport, Houston's container terminals, are both closed until further notice. Heck.

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This is already affecting the project I am on as we were expecting a shipment at port today. Boat is just sitting.

cajunaggie08 said:

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So now that the govorner has closed all of the state's bars and restaurants, is Turner and Hidalgo's payout going to be even bigger or do they have to give Abbot a cut?

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He did it because of the ****head spring breakers down on the coast. He's giving them until midnight Friday at least.

I have loved ones in the travel business. They own a chunk of a larger company that has many agencies. This company is their retirement.

Things are dire. The slowdown is just a few weeks old but they've already closed all store fronts, cut all salaries by 30% and laid off 1/3 of employees. So far.

It pisses me off. It means that this company had zero cash reserves that they can't even make it a few weeks without teetering on bankruptcy. I think a LOT of businesses are in the same boat. I'm super fortunate to work for a company that is extremely conservative and can weather a storm for many months. I literally thank God every day for that.

So what? I have been one of those who scoffs at Dave Ramsey, while personally operating on far less reserves than I should be. I'm guilty, personally, of assuming the gravy train is constant and guaranteed.

But I think businesses should also have a reckoning after this. Maybe it is wise and proper to not chase every last dollar, to not put every resource into working capital, but save back cash reserves. If every company could operate for a time (a few months?) off reserves I think a lot of pressure would be alleviated right now.

I understand closing shop for a time (like a restaurant that has no customers now) but having reserves available to keep paying people and stay on some kind of footing just seems so wise.

Anyway, off my soap box. Like I say, I'm guilty of same. I hope/pray/intend to make changes so that my family isn't exposed to financial risk.

Jack Cheese said:

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I have loved ones in the travel business. They own a chunk of a larger company that has many agencies. This company is their retirement.

Things are dire. The slowdown is just a few weeks old but they've already closed all store fronts, cut all salaries by 30% and laid off 1/3 of employees. So far.

It pisses me off. It means that this company had zero cash reserves that they can't even make it a few weeks without teetering on bankruptcy. I think a LOT of businesses are in the same boat. I'm super fortunate to work for a company that is extremely conservative and can weather a storm for many months. I literally thank God every day for that.

So what? I have been one of those who scoffs at Dave Ramsey, while personally operating on far less reserves than I should be. I'm guilty, personally, of assuming the gravy train is constant and guaranteed.

But I think businesses should also have a reckoning after this. Maybe it is wise and proper to not chase every last dollar, to not put every resource into working capital, but save back cash reserves. If every company could operate for a time (a few months?) off reserves I think a lot of pressure would be alleviated right now.

I understand closing shop for a time (like a restaurant that has no customers now) but having reserves available to keep paying people and stay on some kind of footing just seems so wise.

Anyway, off my soap box. Like I say, I'm guilty of same. I hope/pray/intend to make changes so that my family isn't exposed to financial risk.

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Could we go 6 months without laying people off, maybe. Should we based on good business sense, not necessarily. Just because we can doesn't mean we should or will... at the end of the day if the need for people is there we will keep them.

They found a guy with symptoms at the drive through clinic...

BQRyno said:

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I mean, this is a good thing, right? He wasn't sitting in an emergency room around other people. Seems like this is the best way this could work.

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It's definitely the best way to do it from a drive-thru. But the fact that he was put in a stretcher and moving fast makes me think he was in really bad shape. I don't even think they tested him.

Awesome, man. Thanks!