Every ICU in Texas is Full

17,010 Views | 197 Replies | Last: 3 yr ago by aTm2004
AggieHusker
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GAC would rather be "right" about the data than realize the crisis that currently exists. GAC is arguing semantics of the OP's statement and ignoring the first hand experience of a doctor treating Covid patients. I simply can't comprehend how out of touch with reality some people are so they can prove they are "right".

Even if there are 300 odd ICU beds available, the reality for the OP is that the ICU beds are full since he/she cannot transfer a patient. Have some compassion and be a part of the solution instead of being "right".
GAC06
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Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?
AggieHusker
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GAC06 said:

Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?
Reconfirmed my post above.
Old RV Ag
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AggieHusker said:

GAC06 said:

Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?
Reconfirmed my post above.
Agree. Some major control issues going on there. Kind of like a pilot whose plane is going down saying "but the manual specifically says this won't happen"
ramblin_ag02
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Just spoke to my hospital medical director. Still no luck with transfers. I don't know how they count open beds, but he seems to think it's all a staffing problem. An ICU can be certified for 20 beds, have 10 patients, and still refuse transfers if they don't have enough nurses. Not sure if DSHS is counting those as "open beds"
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Mathguy64
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GAC06 said:

Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?
From his perspective they are full. He has a critical care patient that he does not have a bed for. He is full by the very definition of full. He cannot find any other hospital will to accept that critical care patient. From him viewpoint thats what full means. It doesnt matter whether its a physical bed or staffing for the bed the effect is the same.

You are arguing with semantics. The problem is real. And its been the point of this whole exercise since last March when everything when into the toilet nation wide. The critical care resource in the US is not just tight or scarce. Its at a break point.
tysker
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AggieHusker said:

GAC would rather be "right" about the data than realize the crisis that currently exists. GAC is arguing semantics of the OP's statement and ignoring the first hand experience of a doctor treating Covid patients. I simply can't comprehend how out of touch with reality some people are so they can prove they are "right".

Even if there are 300 odd ICU beds available, the reality for the OP is that the ICU beds are full since he/she cannot transfer a patient. Have some compassion and be a part of the solution instead of being "right".
Compassion for misinformation? Compassion for falsehoods? To be fair OP followed up with this:
Quote:

At this point, drive careful, avoid activities with high risk of injury, stay on your meds, eat healthy, and I'd avoid elective surgery like the plague right now.
OP argues to change our behavior based on erroneous, misconstrued, or biased talking points. Whether we agree with OP or not you have to appreciate the intellectual, political, and emotional damage such misinformation causes as a second and third order effect.

Our kids are subject to white lies all the time - Santa, the boogeyman and La Llorona - but I guess its OK for some to continue such storytelling in order to alter the behavior and the lives of adults.
ramblin_ag02
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Quote:

OP argues to change our behavior based on erroneous, misconstrued, or biased talking points. Whether we agree with OP or not you have to appreciate the intellectual, political, and emotional damage such misinformation causes as a second and third order effect.
Talking points? I'm literally watching people with and without COVID die due to lack of access to critical care. I guess some people are so dug in on the idea that COVID is overblown that it takes more than that to make a crisis?
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
AggieHusker
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Quote:

Compassion for misinformation? Compassion for falsehoods?

Compassion for a human being.

I don't think the OP intended to mislead or is making a political statement. I view it as a doctor who is trying to save a patient that posted his/her frustration with lack of ICU availability on a message board hoping someone might see it and be able to help. Instead he/she got a bunch of reasons why they were wrong and nobody has been able to help the patient find an ICU.

In this situation, I choose compassion over proving the OP wrong.
Windy City Ag
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Quote:

I guess some people are so dug in on the idea that COVID is overblown that it takes more than that to make a crisis?
tysker
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ramblin_ag02 said:

Quote:

OP argues to change our behavior based on erroneous, misconstrued, or biased talking points. Whether we agree with OP or not you have to appreciate the intellectual, political, and emotional damage such misinformation causes as a second and third order effect.
Talking points? I'm literally watching people with and without COVID die due to lack of access to critical care. I guess some people are so dug in on the idea that COVID is overblown that it takes more than that to make a crisis?
Literally? You're gonna blame me for this, really? Maybe your hospital admin sucks for not preparing something they knew was coming. Or maybe hospital personnel is understaffed, underpaid and under-trained.

I'm dug in on proper context, wording, and open truthful messaging. If that makes me a bad person, so be it.
Windy City Ag
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Quote:

I'm dug in on proper context, wording, and open truthful messaging. If that makes me a bad person, so be it.

So at least we can admit we are down to the few dissenters being wrong on substance and logic but clinging to grammar nazi status as a sort of defense.

We should just all move on at this point. All but the pathologically pedantic know the score.
tysker
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Windy City Ag said:

Quote:

I'm dug in on proper context, wording, and open truthful messaging. If that makes me a bad person, so be it.

So at least we can admit we are down to the few dissenters being wrong on substance and logic but clinging to grammar nazi status as a sort of defense.

We should just all move on at this point. All but the pathologically pedantic know the score.
Indeed. Noble lies mitigate subversion


eta: Again, some continue to accept the white lies, the foma (for you Vonnegut fans). Why cant we just be provided unbiased facts? A simple edit from "Every ICU in Texas is full" to "ICU beds can be hard to come by and transfers are non-existent, please be safe out there" changes the message completely,
GAC06
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It was interesting watching some regulars here try to argue that every ICU really is full.
AggieFactor
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Ramblin, in about an hour or so Clay Jenkins is going to post on twitter that Dallas County has anywhere from 15-20 available staffed ICU beds according to the most recent data given to him by NCTTRAC. I would have your medical director call them and complain that they either need to be more accurate with their numbers so all the internet sleuths can learn the real seriousness of the problem, or provide him with those hospitals if those numbers are accurate.

PATIENT TRANSFER ASSISTANCE FOR NCTTRAC HOSPITALS
  • PHONE: 817-607-7088
  • PULSARA: 02-RMOC-DALLAS

NCTTRAC is North Central Texas Trauma Regional Advisory Council for those wondering.
ramblin_ag02
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Consider it done!
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
TheHulkster
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For those of you who don't want to read this whole thread, here's a summation...

An actual doctor: patients are dying and I can't find ICU beds.

Texags:

Charpie
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AggieFactor said:

Ramblin, in about an hour or so Clay Jenkins is going to post on twitter that Dallas County has anywhere from 15-20 available staffed ICU beds according to the most recent data given to him by NCTTRAC. I would have your medical director call them and complain that they either need to be more accurate with their numbers so all the internet sleuths can learn the real seriousness of the problem, or provide him with those hospitals if those numbers are accurate.

PATIENT TRANSFER ASSISTANCE FOR NCTTRAC HOSPITALS
  • PHONE: 817-607-7088
  • PULSARA: 02-RMOC-DALLAS

NCTTRAC is North Central Texas Trauma Regional Advisory Council for those wondering.

Thank you for helping out!
Old Buffalo
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mkorzo said:

For those of you who don't want to read this whole thread, here's a summation...

An actual doctor: patients are dying and I can't find ICU beds.

Texags:


tysker
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Windy City Ag said:

We should just all move on at this point. All but the pathologically pedantic know the score.
Blame for a lack of flexibility, staffing and preparedness in our healthcare industry, which has endangered us all, is being put upon a minority group?
Capitol Ag
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beerad12man said:

Sucks right now. I do feel bad for healthcare professionals, and wish more would have got vaccinated in the last 3 months to help avoid some of this. Even just a 25% reduction in ICU/ hospitalizations would obviously make a big difference

But the good news is, we are a bout to plummet. I know, I've said this for a few weeks now, and didn't quite expect it to get this high. I thought the fall would happen 2-3 weeks earlier than it did. But the indicators are clear and not debatable, now. This is the storm before calm, so to speak, and this will be by far the worst of covid imho compared to any moving forward. We are hitting our lowest transmission rates(if you believe the link below) throughout this whole thing, and that's with minimal mitigation among the vast majority of the population. I do sincerely hope this is the final big wave, and there are some cautiously optimistic reasons to believe that could be the case. I think population immunity is finally going to overtake this, and prevent this big of a spike in the future.

https://covidestim.org/
This is my thoughts as well. It absolutely sucks right now no doubt. But I think that the worst is upon us and will most likely be over in the next few weeks. Not all at once everywhere but in each town and region at differing rates. It'll be interesting to revisit this in mid October to see where we are.

I'm still shocked at the numbers of people who didn't vaccinate. It shows that it is not just political affiliation causing the issues.
eric76
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Mathguy64 said:

GAC06 said:

Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?
From his perspective they are full. He has a critical care patient that he does not have a bed for. He is full by the very definition of full. He cannot find any other hospital will to accept that critical care patient. From him viewpoint thats what full means. It doesnt matter whether its a physical bed or staffing for the bed the effect is the same.

You are arguing with semantics. The problem is real. And its been the point of this whole exercise since last March when everything when into the toilet nation wide. The critical care resource in the US is not just tight or scarce. Its at a break point.
They might have some empty ICU beds in a storeroom, too, assuming that they keep spare hospital beds for quick replacement in case something happens to one.

Hopefully, nobody would try to report them as being available.
CondensedFogAggie
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tysker said:

Windy City Ag said:

We should just all move on at this point. All but the pathologically pedantic know the score.
Blame for a lack of flexibility, staffing and preparedness in our healthcare industry, which has endangered us all, is being put upon a minority group?

True, the 'healthcare industry' as well as most of America, severely underestimated how mind numbingly deluded and bat**** insane the anti-vaxxers would be. And how it caused too many people to be hesitant about the vaccine enough to get hospitalized and result in this current tragedy.
GAC06
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Old RV Ag said:

AggieHusker said:

GAC06 said:

Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?
Reconfirmed my post above.
Agree. Some major control issues going on there. Kind of like a pilot whose plane is going down saying "but the manual specifically says this won't happen"


A better analogy for this thread is the pilot of a plane going down gets on the radio and claims that every plane is going down.
Ziggy
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GAC06 said:

Old RV Ag said:

AggieHusker said:

GAC06 said:

Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?
Reconfirmed my post above.
Agree. Some major control issues going on there. Kind of like a pilot whose plane is going down saying "but the manual specifically says this won't happen"


A better analogy for this thread is the pilot of a plane going down gets on the radio and claims that every plane is going down.
More like the pilot of a plane going down calls a bunch of other pilots who also tell him that they are going down, and then some guy on the internet calls him a liar because he went to www.aretheplanesgoingdown.com and it shows that only 70% of the planes are going down.
Old Buffalo
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I mean, using the analogy situation it's more like:

Pilot: "Our plane is going down."

Poster: "Why is the FAA not reporting the plane is going down then?"

Pilot: "YOU ARE AN ANTI-PLANE CRASHER!"
TheHulkster
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Then as everyone watches the news reports of all the planes going down, they say, "the only reason they went down is because they were short-staffed...but I also find it highly suspicious that I don't even know a single person who died on one of these quote-unquote planes."
Mathguy64
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These are the numbers from today in B/CS (Courtesy of Ms. Trouble).
Quote:

Available Staffed Hospital Beds - 46

Available Staffed Adult ICU Beds - 0

Available Ventilators - 70

COVID-19 Patients on Ventilators - 25

ICU patients - 50

Adult COVID-19 Patients in ICU Beds - 25

25 covid patients in the ICU and 25 covid patients on vents. It doesnt say those are the same 25 but I have to think there is some large overlap. And no hospital is taking $$ to put a covid patient on a vent given thats part ways to a death sentence. And note the 0 staffed ICU beds.

These numbers vary each day but the ICU bed count and % of patients in ICU with covid have stayed pretty constant. If nothing they are a little low today. Its been closer to 60% covid and today is 50%
Forum Troll
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Quote:

1/2 of hospitalizations for covid aren't necessary (per The Atlantic)


That's not what that study is saying. It's saying that from January to June 2021, in VA hospitals only, half of covid hospitalizations didn't require supplemental oxygen or have o2 sats below 94.
Ziggy
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Forum Troll said:

Quote:

1/2 of hospitalizations for covid aren't necessary (per The Atlantic)


That's not what that study is saying. It's saying that from January to June 2021, in VA hospitals only, half of covid hospitalizations didn't require supplemental oxygen or have o2 sats below 94.
Stop lying bro that's not what they told me on rumble
PJYoung
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Forum Troll said:

Quote:

1/2 of hospitalizations for covid aren't necessary (per The Atlantic)


That's not what that study is saying. It's saying that from January to June 2021, in VA hospitals only, half of covid hospitalizations didn't require supplemental oxygen or have o2 sats below 94.

I'm sure it has happened before but I personally have never heard of hospitals sending patients home with oxygen because their beds were full with more serious cases - until covid happened.
tysker
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CondensedFoggyAggie said:

tysker said:

Windy City Ag said:

We should just all move on at this point. All but the pathologically pedantic know the score.
Blame for a lack of flexibility, staffing and preparedness in our healthcare industry, which has endangered us all, is being put upon a minority group?

True, the 'healthcare industry' as well as most of America, severely underestimated how mind numbingly deluded and bat**** insane the anti-vaxxers would be. And how it caused too many people to be hesitant about the vaccine enough to get hospitalized and result in this current tragedy.
Yep the healthcare industry has no idea what it is really like outside their bubble and sphere of influence. It must be shocking to some that not every human thinks and acts the same way as they do.

And lets be honest, referring to the unvaxxed rural folks and urban minorities as "deluded and bat**** insane" is condensing as hell. You know you've lost the high ground when your only recourse is name calling.
samurai_science
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samurai_science
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https://www.theatlantic.com/health/archive/2021/09/covid-hospitalization-numbers-can-be-misleading/620062/

Our Most Reliable Pandemic Number Is Losing Meaning

A new study suggests that almost half of those hospitalized with COVID-19 have mild or asymptomatic cases.
TelcoAg
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GAC06 said:

Or maybe make a thread talking about the difficulty in transferring patients instead of choosing the title claiming that every ICU in Texas is full. Crazy right?


If they aren't accepting transfers it's because they don't have the staff to man the beds that show as available. You can split hairs all you want, but if there isn't enough staff to utilize the available beds then the actual available beds are full.

Quote:

"The problem is, while we have the beds on paper, we don't have the nursing staff to actually put those beds to use," said SETRAC CEO Darrell Pile. "As soon as the state and others help us attract more agency nurses, contract nurses from other states, then we will have that staff to put that capacity, that extra capacity, to use."


https://www.click2houston.com/health/2021/08/23/hospital-bed-shortage-continues-as-houston-area-sets-record-for-number-of-daily-new-positive-covid-19-cases/

 
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