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re: Alabama Board Coronavirus Thread
Posted on 5/21/20 at 6:07 am to JustGetItRight
Posted on 5/21/20 at 6:07 am to JustGetItRight
quote:
I have a strong hatred for most reporters but you cannot put this on them. They reported what they were told by the mayor of Montgomery
The mayor reports what he's told by the hospitals.
Even the doctor says they have 2 patients that are waiting for an ICU bed. If you aren't allowing them to use the other ICU units, then what's the point of mentioning them?
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Posted on 5/21/20 at 6:14 am to Roll Tide Ravens
What is "Rt"? And what is considered better or worse?
Posted on 5/21/20 at 6:17 am to pvilleguru
quote:
Even the doctor says they have 2 patients that are waiting for an ICU bed. If you aren't allowing them to use the other ICU units, then what's the point of mentioning them?
Because he wants to assure that they can be converted to accommodating Covid patients if necessary due to a spike. The two that are waiting in the ER are only briefly waiting there because bed control knows that they will have a few beds opening up shortly as other patients recover.
Posted on 5/21/20 at 6:19 am to pvilleguru
Reed did say patients were being diverted to Birmingham, which doesn’t appear to be accurate. Perhaps he should share where he got that info. The rest of his comments seem accurate, though lack the context the doctor provided. Even with that added context, it’s a bit concerning his ER could quickly be overrun, though the chances of that are low especially given their ability to adapt and move available beds around.
Posted on 5/21/20 at 6:19 am to East Coast Band
A measure of how quickly a disease spreads. As I understand it a 1 means that for every infection, 1 future infection can be expected and the rate of infection will remain static. Less than a 1 means for every current infection there will be less than 1 future infection, meaning spread of the disease is subsiding. Anything over 1 means for every current infection there will be more than 1 future infection, meaning the spread is growing.
Posted on 5/21/20 at 6:28 am to FairhopeTider
That just makes it seem like the other 4 ICU units are mostly full themselves. There may be a few beds here or there, but converting another unit to COVID would lead to a lack of beds for non-COVID patients. Sounds very likely that they are diverting some COVID patients to other hospitals or to Birmingham.
Posted on 5/21/20 at 6:34 am to pvilleguru
But they aren’t diverting any patients to Birmingham. That’s the point of his entire post. He says they aren’t being overrun and have even starting to see a decrease in positive cases.
FFS man. I know you like to be the contrarian but use some common sense.
FFS man. I know you like to be the contrarian but use some common sense.
Posted on 5/21/20 at 6:42 am to FairhopeTider
quote:So the hospitals are just fricking with everyone? Surely you don't think the mayor just pulled that out of his arse.
But they aren’t diverting any patients to Birmingham.
This post was edited on 5/21/20 at 6:43 am
Posted on 5/21/20 at 7:07 am to pvilleguru
quote:
The mayor reports what he's told by the hospitals.
The same way he was told by the state that he could only let 10 people at a time in Wal-Mart and had the police out shutting them down? No, at best he misunderstood. More likely he selectively revealed what he was told.
quote:
Even the doctor says they have 2 patients that are waiting for an ICU bed. If you aren't allowing them to use the other ICU units, then what's the point of mentioning them?
They can easily shift resources from one wing to another. Happens all the time in Non-covid situations. You also saw he expected beds for them to open up soon - meaning no need to reallocate. If you haven’t been to the ER in a while it sometimes takes hours to even get a room on a regular floor.
Sorry, Reed at best misstated the situation. Again.
Posted on 5/21/20 at 7:09 am to FairhopeTider
quote:
But they aren’t diverting any patients to Birmingham.
They are always diverting patients to Birmingham because as I said earlier Birmingham offers levels of care that aren’t available in Montgomery.
What it sounds like he’s saying is that they are not diverting people because they have no place to put them.
Posted on 5/21/20 at 7:16 am to JustGetItRight
quote:
They are always diverting patients to Birmingham because as I said earlier Birmingham offers levels of care that aren’t available in Montgomery.
What it sounds like he’s saying is that they are not diverting people because they have no place to put them.
Yes. Thank you for clearing that up.
Posted on 5/21/20 at 7:20 am to JustGetItRight
So I just watched Reed's press conference. What he actually said is they are diverting acute care patients to Birmingham. That's quite different than Covid patients, so this is all a failure of the media leaving out a key word from his comments.
Now, whether that is true or not, I have no idea. The Jefferson County Healthcare Coalition was quoted as saying they have received no official requests to take patients from any Montgomrey hospitals, but that sounds like a play on words. When I think "diversion" I think they're being sent to other hospitals before they are being admitted as a patient at the hospital, so there would be no transfer. But I don't work in healthcare and don't know all the jargon used.
Here's the link with video of Reed's comments, and the quote from the Jefferson County Healthcare Coalition.
WVTM
Now, whether that is true or not, I have no idea. The Jefferson County Healthcare Coalition was quoted as saying they have received no official requests to take patients from any Montgomrey hospitals, but that sounds like a play on words. When I think "diversion" I think they're being sent to other hospitals before they are being admitted as a patient at the hospital, so there would be no transfer. But I don't work in healthcare and don't know all the jargon used.
Here's the link with video of Reed's comments, and the quote from the Jefferson County Healthcare Coalition.
WVTM
This post was edited on 5/21/20 at 7:22 am
Posted on 5/21/20 at 7:53 am to The Spleen
quote:
So I just watched Reed's press conference. What he actually said is they are diverting acute care patients to Birmingham. That's quite different than Covid patients, so this is all a failure of the media leaving out a key word from his comments.
Now, whether that is true or not, I have no idea.
That's true because it's always true. There's no reason to say it in a covid press conference because that's been the case for every day that ends in Y for decades.
In the medical/EMS world "diversion" means pretty much what you think - don't bring them here. When you're going to a hospital by ambulance, the crew contacts the facility (or state TCC control if it is a serious trauma, stroke, or STEMI). Sometimes you get told we can't handle it, take them to xxx. That's getting diverted. If they know ahead of time they're going to be limited (like the facility only has one CT scanner and it is broken) they'll call the EMS providers and let you know they're on a standing diversion for certain types of calls.
Side note - In Alabama if the patient absolutely insists on going to a particular hospital that facility has to see them anyhow but you're going to catch hell from the staff if you couldn't convince the patient to go to the recommended place.
Posted on 5/21/20 at 8:04 am to JustGetItRight
quote:
That's true because it's always true. There's no reason to say it in a covid press conference because that's been the case for every day that ends in Y for decades.
I meant I have no idea if it's true that acute patients are being diverted to Birmingham because the Montgomery hospitals don't have the beds/staff/resources to treat them. My understanding of the normal diversion cases is that they are primarily emergency/trauma cases that Montgomery hospitals don't have the capability to treat.
Posted on 5/21/20 at 8:51 am to The Spleen
quote:
“I would say we're still in a bit of a holding pattern with some slight increases in the case count in Alabama,” said Dr. Jodie Dionne-Odom, an infectious disease doctor and researcher at UAB.
“We had been at 200 to 250 new cases a day and now we're closer to 300 to 350 new cases a day,” she said. “So we're watching that very closely, I would say we are concerned about the trend.”
Dr. Mark Wilson, Jefferson County Health Officer, said the numbers in Alabama’s most populous county are likewise ticking up, although without the exponential growth that could jeopardize the health care system.
The more people who are tested for a disease, the more positive results will be found. But experts say expanded testing doesn’t account for all of the increases seen in the state.
“I'm not sure that [testing] is enough to explain all of the increase, at least in Birmingham,” Dionne-Odom said. “A lot of the testing sites that we have had open have consistently been open for a number of weeks now. So we're not at the stage anymore, where we're doubling the amount of testing capacity every day. It's a little more steady.”
“We are not seeing cases going down,” Wilson said. “We're not seeing hospitalizations going down. We've seen a slight increase over the last couple of weeks in cases and hospitalizations, but nothing dramatic.”
Wilson said that roughly 40 percent of the new cases added in Jefferson County over the last few weeks have been associated with spread in nursing homes, either in residents or employees.
“So the bad news is, we've got a problem in our nursing homes,” Wilson said. “This is not unique to us. This is all around the state, and all around the country.
“The good news could be that when you subtract out the nursing homes, that's less cases that are in the general population.”
“Nothing's really changed in terms of the risk,” Wilson said. “The virus is still circulating in the community. You don't know who has it or doesn't. Asymptomatic people can be spreading it.
“Nobody should let up their guard, in terms of taking precautions.”
Posted on 5/21/20 at 8:58 am to paperwasp
quote:
“So the bad news is, we've got a problem in our nursing homes,” Wilson said. “This is not unique to us. This is all around the state, and all around the country."
“The good news could be that when you subtract out the nursing homes, that's less cases that are in the general population.”
This has been the case from the start. We should be Fort Knox-ing senior care facilities with temperature scanners and rapid tests for all workers and visitors (if any allowed).
Instead we'll probably force COVID positive patients back into those facilities and close gyms and daycares again or some shite.
Posted on 5/21/20 at 9:02 am to TideCPA
IIRC about 40% of Alabama's COVID deaths have been nursing home residents.
Posted on 5/21/20 at 10:18 am to JustGetItRight
quote:
Most Americans think that life will return to "normal" in 6 months or more, according to a poll done by NPR/PBS News Hour/ Marist. Three-quarters of Americans thought there would be a second wave of coronavirus cases that would emerge. The poll also found that many Americans are wary of voting in person. Half responded and said they would vote by mail if allowed by their state.
Posted on 5/21/20 at 10:20 am to TideWarrior
quote:
An alliance of Durham faith leaders held a press conference Thursday morning to explain why they would not encourage congregants to return to in-person, indoor worship services.
"Worship has never been confined to a building," one pastor said. The speakers emphasized their duty to protect congregants, especially those who have medical frailties or other conditions that predispose them to suffer severe symptoms if infected with the novel coronavirus.
"We are protecting the interests of those in our congregations," one pastor said. "They have trusted us with leading them. We are going to lead them with information."
Another characterized the decision to keep churches closed as an act of love.
"We are here because we love our people, we love each other and we love the City of Durham."
Ding ding we have a winner
Posted on 5/21/20 at 10:29 am to JustGetItRight
quote:
IIRC about 40% of Alabama's COVID deaths have been nursing home residents.
In NC according to the info 58% of the 728 reported deaths are from nursing homes and long care facilities.
Almost 50% of confirmed cases now are from those same facilities, prisons, and meat processing plants.
quote:
Tyson Foods says 570 employees at its plant in Wilkesboro have tested positive for COVID-19. Last week, just over 2,000 team members and contractors who work at the facility were being tested. The company says the majority of those who tested positive did not show any symptoms.
That is where the real concern is though.
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