Musings from my call weekend.......

22,146 Views | 126 Replies | Last: 3 yr ago by ramblin_ag02
bigtruckguy3500
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Some hospital systems putting out vaccine propaganda.

TarponChaser
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htxag09 said:

TarponChaser said:

Forum Troll said:

Just because TMC has super duper surge capacity still available doesn't mean its not full.

As of Friday TMC was only 65% full. And that didn't account for surge capacity. Only about 25-30% of those beds were covid cases.

Pretty sure phase 2 and 3 are surge capacity. So 65% full includes phase 2 and 3 capacity. It's over standard, phase 1, capacity. Yes, they can add additional capacity over phase 3, that's not included.

Also, not sure "only" applies to 25-30% being covid. That's quite a bit of additional strain on a system

Nope. Phase 2 & 3 pare part of the standard capacity. Phase 1-3 have like 2200 beds and only 65% are being used. This is pretty simple math y'all and TMC hasn't been nearly the purveyor of doom the media has. Did we all forget when the media was breathlessly reporting the ICU and hospitals overflowing last year and TMC said, "no, we're not overflowing and the reporting is inaccurate."

As for the pushing for vaccines, look at who is dying- people that really need it. Read between the lines. When nearly every death reported is like "African-American male, 67, underlying health issues" or "Hispanic woman, 58, underlying health issues" or "Caucasian male, 49, underlying health issues."

They're overwhelmingly obese and have multiple other health issues. It sucks but if they're not vaccinated it's on them.
Zobel
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AG
I feel like propaganda has inherently negative connotations. Is that propaganda if it's true?
Duncan Idaho
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BuT HoW MaNy CoMorbiTieS
htxag09
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AG
Phase 2 and 3 are extra, aka surge, capacity.
Fitch
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AG
Yeah TMC Phase 2 and above is surge capacity that does not get turned on regularly.
Infection_Ag11
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AG
bigtruckguy3500 said:

Some hospital systems putting out vaccine propaganda.




Propaganda, by definition, requires some of the information be false, biased or misleading. Otherwise they're just facts.
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Knucklesammich
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Phase 2 is such a non starter that they increased the number of elective procedures right?
No wait they cancelled them. The largest and arguably best equipped medical center in the world stopped doing the thing that keeps the lights on.

On Monday they were at 30% of ICU taken up with COVID and now it's 38% as of the 12th.

It's hard to surge that capacity if you can't find the people to staff the beds.

I can get behind kids not being super at risk, I can get behind masks not working all that well while grocery shopping but the surge in cases is putting a strain On the system and the people who make the system run.
Duncan Idaho
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He, like me was being sarcastic.
cone
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AG
lol at trying to get a covid pneumonia transfer patient into a bed in TMC

keep posting graphics though
88planoAg
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AG
Knucklesammich said:

Phase 2 is such a non starter that they increased the number of elective procedures right?
No wait they cancelled them. The largest and arguably best equipped medical center in the world stopped doing the thing that keeps the lights on.

On Monday they were at 30% of ICU taken up with COVID and now it's 38% as of the 12th.

It's hard to surge that capacity if you can't find the people to staff the beds.

I can get behind kids not being super at risk, I can get behind masks not working all that well while grocery shopping but the surge in cases is putting a strain On the system and the people who make the system run.
I don't think elective procedures were canceled. That was a misleading headline somewhere that wasn't true.
lead
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What's your role in medical field? Maybe I'm mixing you up with a different poster.
Knucklesammich
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Did some digging you are partly correct. As far as I found Houston Methodist has tried to maintain it's surgery schedule while St Luke's, Harris County hospitals and I believe memorial Herman delayed non emergent surgeries.

Texas children's had a cryptic quote where they said in the past they had taken adult patients but were evaluating that further if I read correctly.

The articles I found were from early last week.
bigtruckguy3500
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As another poster pointed out, I was being sarcastic.
fightingfarmer09
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Knucklesammich said:

Did some digging you are partly correct. As far as I found Houston Methodist has tried to maintain it's surgery schedule while St Luke's, Harris County hospitals and I believe memorial Herman delayed non emergent surgeries.

Texas children's had a cryptic quote where they said in the past they had taken adult patients but were evaluating that further if I read correctly.

The articles I found were from early last week.


They shouldn't get a pass on firing 150+ staff for not getting vaccinated a few months ago. Now saying they don't have the staff.
TxAg05
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AG
Knucklesammich
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According to the KHOU article from last week MH is quoted as saying they have limited elective procedures.
Knucklesammich
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fightingfarmer09 said:

Knucklesammich said:

Did some digging you are partly correct. As far as I found Houston Methodist has tried to maintain it's surgery schedule while St Luke's, Harris County hospitals and I believe memorial Herman delayed non emergent surgeries.

Texas children's had a cryptic quote where they said in the past they had taken adult patients but were evaluating that further if I read correctly.

The articles I found were from early last week.


They shouldn't get a pass on firing 150+ staff for not getting vaccinated a few months ago. Now saying they don't have the staff.


Maybe or maybe not, but in the end regardless of where one stands on if those folks should be fired, COVIDis still the root cause.

That said they lost 153 people out of 24k or .6%. I don't believe a breakdown of what the total by position was.
03_Aggie
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Knucklesammich said:

fightingfarmer09 said:

Knucklesammich said:

Did some digging you are partly correct. As far as I found Houston Methodist has tried to maintain it's surgery schedule while St Luke's, Harris County hospitals and I believe memorial Herman delayed non emergent surgeries.

Texas children's had a cryptic quote where they said in the past they had taken adult patients but were evaluating that further if I read correctly.

The articles I found were from early last week.


They shouldn't get a pass on firing 150+ staff for not getting vaccinated a few months ago. Now saying they don't have the staff.


Maybe or maybe not, but in the end regardless of where one stands on if those folks should be fired, COVIDis still the root cause.

That said they lost 153 people out of 24k or .6%. I don't believe a breakdown of what the total by position was.


Are you saying .6% is a small number? Because..
Ranger222
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AG
ramblin_ag02 said:

Related thoughts:
I've still yet to have anyone, vaccinated or not, refuse any experimental treatments after testing positive for COVID (remdesivir last year, regeneron now)

Per our CEO, a patient in rural Texas presented to a small hospital with renal failure and acute heart issues. That hospital called 60 other facilities in 4 states and no one would accept transfer. Patient died still in the small hospital that couldn't do dialysis. There was a big emergency meeting at the state level to address staffing concerns. It seems to be the worst with nursing staff and it's a problem everywhere

Not sure how this gets lost and why this point is so difficult to get through to people on threads like these.

Its not just about "if you have COVID will you get a bed?"

It's, if you have a regular medical non-COVID emergency will you get the proper treatment and care that is expected that will greatly impact your treatment and standard of care. It's not just COVID patients that are suffering. Any medical emergency that may have been previously routine is at risk.
Knucklesammich
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The similarities are striking.

Yes and no. A small percentage of a small number is a small number. A small percentage of a very large number is still a big number.

That's the most interesting part of this debate: both sides are right.

Vast majority of folks are finelike cold/flu fine. Yet it's so contagious that it's a small percentage of a huge number of folks all at once or in a spike and it becomes problematic for a very large system of hospitals.

I also think Houston Methodists messaging was very vague and non comital and it has a ton to do with that small percentage of firings from a PR perspective.

plain_o_llama
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Zobel said:

I feel like propaganda has inherently negative connotations. Is that propaganda if it's true?


You raise an interesting question. Facts are facts, right? But is it propaganda if we only get some of the facts?
And who decides which facts get reported and how they are reported? And what do we "listen" to?

Throughout Covid we have seen a constant battle of policy, politics, and media presentation of same. A lot of it has a "fog of war" feel to it. Whether you lean toward the Covid maximalists' or minimalists' positions someone will oblige you with a headline about a story about a preprint paper or an anecdotal newspaper account.*


If you want an "everyone is at risk" angle that is available all based on facts. OTOH, if you want a story about how the "victim" demographics aren't like you that is available for many also based on facts.


Getting back to the charts posted above.....

As for the discussion of trends of vaccinated vs unvaccinated in hospital populations, the information above is great. I would like to see it for hospitals all around the country. It probably needs to be aggregated at county, region, state, and national levels. It helps people make decisions. I would prefer this data be reported and archived on an ongoing basis so it can be followed before, during, and after the waves.


As an aside, I know a couple (healthy 50ish) who changed their mind and recently got vaccinated based on a doctor friend in a southern state sharing his hospital's numbers with them. Those numbers were basically like that above.


*That everybody gets a lot of their "news" through headlines and short blurbs that might not even align with the underlying story which may not accurately characterize the study results which might be open to criticism is kind of the point.


ramblin_ag02
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AG
Update from taking call in my very small town. Our young severe case so car came in today. 22 years old and one step away from a vent. My youngest patient so far was 34 and healthy and spent 6 days in the hospital before going home on oxygen. All unvaccinated. Also had one patient die in our hospital from a heart attack over the weekend after waiting 10+ hours for transfer to a bigger hospital. We don't have an ICU or any cardiologists. Everyone was full with COVID patients, nearly all of whom are unvaccinated.

It's all a bit bewildering and disheartening
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