235k new cases yesterday?

9,144 Views | 101 Replies | Last: 3 yr ago by Knucklesammich
Knucklesammich
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larry culpepper said:

Marcus Aurelius said:

https://www.al.com/news/2021/08/all-mississippi-icu-beds-full-as-state-hits-covid-record.html

No ICU beds in MS. Not far from that in AL. This is the most concerning aspect of these surges. Normal hospital healthcare (non covid) becomes difficult if not impossible to obtain. And that is a shame going on 2 years into this very soon.
I also read that the Austin metro area (as in, Travis county and all the surrounding counties) have only 2 ICU beds available, as of this morning.
My next door neighbor is a flight nurse. They transported a patient from a smaller hospital outside Austin. Nearest ICU bed they could get was in Plano.
Fitch
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cone said:

don't we have real time R0 data?
Sure...put a wet thumb in the air and get out the crayola markers. That's about how accurate those R0 plots are in real time.
aginlakeway
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I'm curious ..

Are Texas ICUs full because of more covid cases now, or just more of all types cases including covid? Or because of staffing issues? The below tweet kind of implies that they're full just because of covid. Is that the case?

cone
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i've found the yale tracker to be broadly useful with regard to trends and peaks

have you found something to the contrary?
bigtruckguy3500
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Marcus Aurelius said:

https://www.al.com/news/2021/08/all-mississippi-icu-beds-full-as-state-hits-covid-record.html

No ICU beds in MS. Not far from that in AL. This is the most concerning aspect of these surges. Normal hospital healthcare (non covid) becomes difficult if not impossible to obtain. And that is a shame going on 2 years into this very soon.


Every ER in our region is boarding almost half of their beds with admitted patients. Transfused a patient with a hemoglobin of 4 while in the waiting room recently. We can't go on divert because every hospital is the same.

It does wax and wane, but if a serious issue walks in, it could be hours before they get appropriate care. But I guess we can clap about getting to herd immunity quicker.
Teslag
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Aren't you in a California military hospital? I thought mask mandates would have brought your case load to near zero.
Knucklesammich
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Every post devolves into a masks work, masks don't work yelling match that reminds me of the two dudes in major league arguing about the first home run being hit too high.

PJYoung
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aginlakeway said:

I'm curious ..

Are Texas ICUs full because of more covid cases now, or just more of all types cases including covid? Or because of staffing issues? The below tweet kind of implies that they're full just because of covid. Is that the case?


I think it's a combination.

There's certainly a lot more covid cases and hospitals have less staff to deal with this surge than they did last summer (generally speaking).

bigtruckguy3500
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Salute The Marines said:

Aren't you in a California military hospital? I thought mask mandates would have brought your case load to near zero.
PCSed, work in the community as well.

In VA now.
Aggie95
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Probably 20% of ICU is Covid.

Data matters...relevant data even moreso.

1) how many icu beds are unavailable due to staffing issues
2) what percent of icu patients are covid, what is percentage of other causes?
3) avg age
Etc...
These ICU stats are 100% fear porn.
unmade bed
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cone said:

i post this as someone who really wanted universal masking to work and am pretty disappointed that such a cheap way out wasn't available


I agree. I think early on, based on relative "success" in countries like Japan, South Korea, etc that had adopted masking it certainly made sense to at least give it a shot. I think now it is pretty well settled that masking does very very little.
Knucklesammich
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Aggie95 said:

Probably 20% of ICU is Covid.

Data matters...relevant data even moreso.

1) how many icu beds are unavailable due to staffing issues
2) what percent of icu patients are covid, what is percentage of other causes?
3) avg age
Etc...
These ICU stats are 100% fear porn.


As of the 9th 30% of TMC ICU beds were filled by COVID patients. They have cancelled elective surgeries.

They gain nothing through fear porn. They've long said they gauge severity of the pandemic through the lens of hospitalizations.

Aside from having a great data feed they've been consistent in this message. They didn't shut down the profit engine as a collective group of elite hospitals because fear/control.

They've seen their icu numbers quadruple in a month and their daily intake to the hospital surpass their admitted covid patient totals.

Media makes money selling fear or hate or whatever but no business shuts off its revenue stream.

I'm not saying it's the end of days but a little caution might be warranted.
Marissa99
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Aggie95 said:

Probably 20% of ICU is Covid.

Data matters...relevant data even moreso.

1) how many icu beds are unavailable due to staffing issues
2) what percent of icu patients are covid, what is percentage of other causes?
3) avg age
Etc...
These ICU stats are 100% fear porn.

I don't think it's fear porn at all. It's information that should be readily available to the public as we're still in a public health crisis.

These numbers are alarming. If any Texas resident has a non-Covid emergency e.g. cardiac arrest, heart attack, etc,, then emergency/ICU care will be hard to come by.....
barbacoa taco
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It really is something seeing all these posters trying to explain away filling up hospitals as fear porn, or saying it's fake news. While all of the data and reports from medical workers (including in this forum) are confirming this. Denial doesnt help anyone.
Marcus Aurelius
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2 of our best MICU RNs quit today. They have been in the ICU since 3/2020. There are so many new faces - I hardly recognize any of them. The burnout and attrition is real. It's a huge problem. And due to the virus.
Teslag
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larry culpepper said:

It really is something seeing all these posters trying to explain away filling up hospitals as fear porn, or saying it's fake news. While all of the data and reports from medical workers (including in this forum) are confirming this. Denial doesnt help anyone.


Many of us are in another group. We don't care if it's real or not. We just don't care anymore.
Teslag
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Marcus Aurelius said:

2 of our best MICU RNs quit today. They have been in the ICU since 3/2020. There are so many new faces - I hardly recognize any of them. The burnout and attrition is real. It's a huge problem. And due to the virus.


Is your hospital threatening staff with termination if they don't vax?
Marissa99
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larry culpepper said:

It really is something seeing all these posters trying to explain away filling up hospitals as fear porn, or saying it's fake news. While all of the data and reports from medical workers (including in this forum) are confirming this. Denial doesnt help anyone.
I don't get it either. I wonder if any of them know healthcare workers. Do they know EMTs? Do they know ER physicians and other types of healthcare workers dealing with the surge?

Sadly, I wouldn't be surprised if some of them do and still chalk this up to fear porn.

Trust me, I get the pandemic fatigue. I think most of us are extremely tired hearing about Covid. But we're still very much in a public health crisis that affects humanity.
Marcus Aurelius
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No
Not a Bot
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The issue this time is not surge beds, it's staffing. Last night we were holding many patients in the ER not because we didn't have a room to put them in but because those rooms didn't have nurses. The nurses we have working here are getting burned out because we are being asked to take more patients than we believe is safe for effective care. A lot of our staff, especially the younger staff, isn't picking up overtime. Being offered essentially four times their average pay to work in overtime shift and people aren't doing it.

What is also really starting to piss me off is we have so many people in their 80s and 90s here for non-Covid issues, including several who are frequent admits and are basically vegetables. Trached, pretty much comatose. Families refuse to make them DNR. Families refuse to put them on hospice. We have three or four of those right now. One family demanded for the patient to stay in the hospital even after being put on hospice and revoked hospice AND the DNR when we told them they had to go to a nursing home or home. It's ridiculous.
barbacoa taco
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Salute The Marines said:

larry culpepper said:

It really is something seeing all these posters trying to explain away filling up hospitals as fear porn, or saying it's fake news. While all of the data and reports from medical workers (including in this forum) are confirming this. Denial doesnt help anyone.


Many of us are in another group. We don't care if it's real or not. We just don't care anymore.
And it's a privilege to not care. The virus also doesn't care what we think. We're all sick of this **** and have been ready for it to end for a long time. Here I am sitting at a desk being sick of covid but I cant imagine being an ICU doctor or nurse burning out from all of this. we owe them a debt of gratitude.
lucid
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What impact, if any, does this have on labor & delivery wards in hospitals? My wife is due any day now (Austin area), so I'm curious if we should expect to see anything such as staffing shortages when we arrive.
GAC06
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Ok
aginlakeway
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Captain Positivity said:

The issue this time is not surge beds, it's staffing. Last night we were holding many patients in the ER not because we didn't have a room to put them in but because those rooms didn't have nurses. The nurses we have working here are getting burned out because we are being asked to take more patients than we believe is safe for effective care. A lot of our staff, especially the younger staff, isn't picking up overtime. Being offered essentially four times their average pay to work in overtime shift and people aren't doing it.

What is also really starting to piss me off is we have so many people in their 80s and 90s here for non-Covid issues, including several who are frequent admits and are basically vegetables. Trached, pretty much comatose. Families refuse to make them DNR. Families refuse to put them on hospice. We have three or four of those right now. One family demanded for the patient to stay in the hospital even after being put on hospice and revoked hospice AND the DNR when we told them they had to go to a nursing home or home. It's ridiculous.

This is just not being reported anywhere.
Aggie95
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Marissa99 said:

Aggie95 said:

Probably 20% of ICU is Covid.

Data matters...relevant data even moreso.

1) how many icu beds are unavailable due to staffing issues
2) what percent of icu patients are covid, what is percentage of other causes?
3) avg age
Etc...
These ICU stats are 100% fear porn.

I don't think it's fear porn at all. It's information that should be readily available to the public as we're still in a public health crisis.

These numbers are alarming. If any Texas resident has a non-Covid emergency e.g. cardiac arrest, heart attack, etc,, then emergency/ICU care will be hard to come by.....


News outlets saying icu beds are 97% and that number only is only done to scare people, no other reason. If it were to inform people, they would report the details.
aginlakeway
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Marissa99 said:

Aggie95 said:

Probably 20% of ICU is Covid.

Data matters...relevant data even moreso.

1) how many icu beds are unavailable due to staffing issues
2) what percent of icu patients are covid, what is percentage of other causes?
3) avg age
Etc...
These ICU stats are 100% fear porn.

I don't think it's fear porn at all. It's information that should be readily available to the public as we're still in a public health crisis.

These numbers are alarming. If any Texas resident has a non-Covid emergency e.g. cardiac arrest, heart attack, etc,, then emergency/ICU care will be hard to come by.....

OK. So in the past, when ICU beds were this scarce, why weren't there reports on that?
texan12
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Bc it's part of the hospital's business model and expected. Administrators need to get their head out of their asses and be proactive, especially after over a year of the same tune. I have a hard time believing that there wasn't a better protocol in place for a pandemic.
cone
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unfortunately that sentiment of gratitude won't keep them from quitting
Aggie95
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Bingo!!!
cone
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I don't think the nurse shortage is a big secret fwiw

It was this way in May/June but now in the middle of this wave it's a massive crisis
F2Aggie
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In March of 2020 (or close to it) city of Houston / Harris county opened a surge hospital for all the covid patients that would follow.
Forecasts today for end of August are to have the highest hospital icu beds at any time during the pandemic.
Why are cities/ counties (Harris) not opening a surge hospital?

So, does Dora and Sly Turner not care about the citizens or they don't think the threat is real?

Link added
https://www.google.com/amp/s/www.houstonchronicle.com/news/houston-texas/houston/amp/Harris-County-commits-60M-to-NRG-Park-field-15185688.php
AggieUSMC
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Virus is going to virus. We can go back and forth on whether mask mandates work or not until Armageddon. It doesn't matter. This is just a storm we're going to have to weather. Protect yourself. Get vaccinated. Wash your hands.

Live your life. You only have one.
cone
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because they are incompetent and haven't treated this like a real emergency since April 2020
Teslag
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cone said:

because they are incompetent and haven't treated this like a real emergency since April 2020


But they are totally sick of this and ready to move on.
Marissa99
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cone said:

I don't think the nurse shortage is a big secret fwiw

It was this way in May/June but now in the middle of this wave it's a massive crisis
It's not a big secret. The medical trades e.g. Becker's Hospital Review, Medscape, etc. have been reporting on this issue for a while.
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