March Madness and Covid-19

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coolm said:
TMC in Houston's ICU is at 97% and they're redirecting patients too.
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https://www.chron.com/houston/article/TMC-leaders-Despite-rising-COVID-19-cases-15366132.php

Healthcare CEOs of the Texas Medical Center said Thursday that a letter that was sent out to the community Wednesday regarding the hospital system's "increasingly stretched" ICU capacity level was "misinterpreted" and stressed the pandemic is not eclipsing hospital capabilities to care for COVID-19 positive patients as well as other patients.

Following reports that TMC had reached 97 percent capacity, Dr. Marc Boom, Houston Methodist president and CEO, said ICU capacity percentages in the 80s or 90s is "completely normal."

"We have the ability to go far higher than that in terms of the ICU beds we can utilize for COVID-19 patients," Boom said during a press conference. "...We have PPE (personal protection equipment) we have the capability, (and) we have learned enormous amounts about caring for people with COVID-19."
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well good, they're only at 90%. you guys won't have to kill as many people to keep whataburger open. namaste
 
stormspencer said:
Good post Doc. At times, people read headlines without actually delving into the actual details. And most on here don't have any type of understanding of hospital operations or administration.
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Yeah, and "100% capacity" isn't a hard number that can't be exceeded. For reference, my hospital ICU was at 200-300% for at least a month during peak COVID. We had to stretch pretty thin in some areas, but we were making it work and accepting transfers from other hospitals every day (and certainly not diverting). Any hospitals that don't have implementable plans to at least double ICU capacity are unbelievably negligent at this point. I did some of my training in the TMC, and from what I know of them, I'd be shocked if they weren't one best prepared places in the country to handle this.
 
Eielson said:
Yeah, and "100% capacity" isn't a hard number that can't be exceeded. For reference, my hospital ICU was at 200-300% for at least a month during peak COVID. We had to stretch pretty thin in some areas, but we were making it work and accepting transfers from other hospitals every day (and certainly not diverting). Any hospitals that don't have implementable plans to at least double ICU capacity are unbelievably negligent at this point. I did some of my training in the TMC, and from what I know of them, I'd be shocked if they weren't one best prepared places in the country to handle this.
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Of course if you have ventilators and enough staff any room can be an ICU room, but it’s not a situation anyone wants to be involved with. It just means more death.
 
Eielson said:
Yeah, and "100% capacity" isn't a hard number that can't be exceeded. For reference, my hospital ICU was at 200-300% for at least a month during peak COVID. We had to stretch pretty thin in some areas, but we were making it work and accepting transfers from other hospitals every day (and certainly not diverting). Any hospitals that don't have implementable plans to at least double ICU capacity are unbelievably negligent at this point. I did some of my training in the TMC, and from what I know of them, I'd be shocked if they weren't one best prepared places in the country to handle this.
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Exactly, most hospitals have contingency plans in place as to allow for expanding bed capacity for natural disasters and/or other short-term crisis. Additionally, Texas hospitals have had several months to observe, plan, and react to what facilities in other parts of the country have gone through during hospitalization surges from COVID. It's yet another example of unnecessary hysteria that is perpetuated from outlets/people that have absolutely no grasp or understanding of clinical operations.
 
steverocks35 said:
There’s no worse source of information than a hospital CEO btw
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There are lots of worse sources of information than a hospital CEO, including anonymous message board posters and the majority of things posted on here.
 
stormspencer said:
Exactly, most hospitals have contingency plans in place as to allow for expanding bed capacity for natural disasters and/or other short-term crisis. Additionally, Texas hospitals have had several months to observe, plan, and react to what facilities in other parts of the country have gone through during hospitalization surges from COVID. It's yet another example of unnecessary hysteria that is perpetuated from outlets/people that have absolutely no grasp or understanding of clinical operations.
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Unnecessary hysteria? More people in ICU means more death and should be avoided whether or not the hospital can handle the influx. That’s why the administrator of Harris County Texas (Houston) has put the county on red alert.
 
steverocks35 said:
Of course if you have ventilators and enough staff any room can be an ICU room, but it’s not a situation anyone wants to be involved with. It just means more death.
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Is there a ventilator shortage in the TMC?
 
steverocks35 said:
I’m in favor of fewer people that need them, not more ventilators
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Who here is in favor of wanting more people on ventilators?....absolutely no one. That is as silly as saying "I'm against landmines!".....well who in the bloody hell is for landmines?

This was a recent discussion about hospital capacity and the ability of Texas facilities to handle the influx of new patients by having plans in place. And then, yet again, a strawman is constructed implying that Eielson wants more people on vents.....good grief.
 
stormspencer said:
Age Group
  • Under 1 year: 8 deaths
  • 1-4 years: 5 deaths
  • 5-14 years: 13 deaths
  • 15-24 years: 125 deaths
  • 25-34 years: 699 deaths
  • 35-44 years: 1,780 deaths
  • 45-54 years: 4,976 deaths
  • 55-64 years: 12,307 deaths (12% of total deaths)
  • 65-75 years: 21,462 deaths (21% of total deaths)
  • 75-84 years: 27,529 deaths (27% of total deaths)
  • Over 85 years: 34,435 deaths (33% of total deaths)
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93% from age 55 and older. Very telling. And I agree with you.
 
stormspencer said:
Who here is in favor of wanting more people on ventilators?....absolutely no one. That is as silly as saying "I'm against landmines!".....well who in the bloody hell is for landmines?

This was a recent discussion about hospital capacity and the ability of Texas facilities to handle the influx of new patients by having plans in place. And then, yet again, a strawman is constructed implying that Eielson wants more people on vents.....good grief.
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Sure but it’s as if everyone thinks, “oh we have enough ventilators, it’s all good.”
I’m saying that’s not how we should measure whether or not things are going well or not and apparently it’s also not how the people that run the city of Houston and Harris county think either.
 
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