Coronavirus

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theiioftx said:
This is frightening, but not unexpected in California or New York. Physicians not allowed to express medical opinions.

California Doctor Removed From Job After Questioning COVID Lockdowns (msn.com)
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According to a news release from Contra Costa Health Services, only 13 percent of ICU beds were available in the county last week.

"We're worried some of the actions the county and government are taking can definitely have a negative impact on the public health," deBoisblanc told KTVU 2.

John Muir executives told staff that deBoisblanc is being replaced as the director of trauma, but offered no explanation, according to a statement obtained by a second local TV station, KNTV 11.

"The doctor is employed through an outside contract...and after careful consideration, John Muir Health is not continuing with Dr. deBoisblanc in that position," the statement from the hospital reportedly reads.


The employer decided to remove a contract staff member for publically criticizing the employers decision to follow County Health Guidelines on TV.

Where is the letter? Did the Drs clarify they were speaking for themselves and not their employer?

Newsweek reached out to deBoisblanc and the other doctors who reportedly signed the letter but didn't hear back in time for publication.
 
He pointed out that he has seen more deaths by suicide than Covid. Sounds like a statement of fact, but never speak out against the government in the peoples republic of Chinafornia.
 
theiioftx said:
He pointed out that he has seen more deaths by suicide than Covid. Sounds like a statement of fact, but never speak out against the government in the peoples republic of Chinafornia.
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Was there a link to their letter or statements made on the two stations TV2 and TV11 regarding suicides?
 
Someone in the hospital bidness splain why the gubment should put restrictions on the rest of us in a misguided attempt to free up ICU beds. Aren't hospitals in business to have sick people? Penalize hospitals, not the rest of us. Make hospitals create more ICU space if they think that is their purview. The gubment, that is.

I swear I don't sit around worrying about ICU beds. How many people do that?
 
mchammer said:
I tested negative. The two coworkers who had much more exposure to my other (sick) coworker hasn’t shown any symptoms yet either. Yeah, I’m guessing the asymptomatic spread is BS and pre-symptomatic spreaders are <10% of the total (unless they spread to close family members due to lots of interaction and contact).
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I didn’t know that was how science worked. Good to know.
 
horninchicago said:
Someone in the hospital bidness splain why the gubment should put restrictions on the rest of us in a misguided attempt to free up ICU beds. Aren't hospitals in business to have sick people? Penalize hospitals, not the rest of us. Make hospitals create more ICU space if they think that is their purview. The gubment, that is.

I swear I don't sit around worrying about ICU beds. How many people do that?
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ICU’s are expensive to build and more expensive to run. Hospitals make money on outpatient stuff. Icu business is a wash at best. The physician owned hospitals don’t typically have emergency rooms or ICU’s.
 
The really good news is that with 9 months of CV19 treatment experience with hospitalized patients we now know exactly how many ICU beds are needed to meet the regional needs of the patients that will need treatment requiring hospitalization.

Just allocate ICU beds to the areas needing more beds.

No problem with the beds and ventilators.

Now about the staffing...
 
OUBubba said:
ICU’s are expensive to build and more expensive to run. Hospitals make money on outpatient stuff. Icu business is a wash at best. The physician owned hospitals don’t typically have emergency rooms or ICU’s.
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Bubba is right two days in a row. :ousucksnana:They make money in the OR’s not ICU. Costs are way high and they don’t always get paid.
 
Oh you are right that the government shouldn’t be involved in how hospital operations are run with the exception of safety issues. Bubba will likely disagree with that statement, but most hospital administrators know how to navigate the ups and downs of volume.
 
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theiioftx said:
Oh you are right that the government shouldn’t be involved in how hospital operations are run with the exception of safety issues. Bubba will likely disagree with that statement, but most hospital administrators no how to navigate the ups and downs of volume.
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Seems Uncle Sam could use his military to set up ICU beds for all these supposed spikes. But what do I know?
 
theiioftx said:
Uncle Don has set up beds in major cities across the country. Beds are not the problem.
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Well, that's what I keep hearing the reason for restrictions and lockdowns and quarantines are for is to protect the very few, relatively speaking, vulnerable people and not overwhelm and tun out of ICU beds.

So, you're saying it's all crap? Am I understanding that correctly?
 
It’s not ALL crap, but it’s not about the “beds.” It’s about personnel and equipment. What I see now is that hospitals are short on critical care clinicians. Most are staffed to normal census levels or less, but now are running at high volume, very sick patients. Their staffs are getting sick causing staffing shortages at normal volumes. You can’t simply bring someone off the street. It often takes 60 days to credential them to work at your facility. It’s stress and hospitals are struggling because elective surgeries requiring an overnight stay can’t be done. That’s a financial strain on the hospital and surgeon practices.
 
theiioftx said:
It’s not ALL crap, but it’s not about the “beds.” It’s about personnel and equipment. What I see now is that hospitals are short on critical care clinicians. Most are staffed to normal census levels or less, but now are running at high volume, very sick patients. Their staffs are getting sick causing staffing shortages at normal volumes. You can’t simply bring someone off the street. It often takes 60 days to credential them to work at your facility. It’s stress and hospitals are struggling because elective surgeries requiring an overnight stay can’t be done. That’s a financial strain on the hospital and surgeon practices.
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Gotcha. But again, are lockdowns and restrictions improving this or making it worse?
 
Making it worse in my opinion. I’m no scientist though. I personally believe this is a failed policy. More people will die from suicide, missed cancer screenings and heart/stroke conditions due to the lockdowns and fear created by the media scoreboards. This is an absolute failure of government and journalism. If you meet a journalist or elected government official, place personal blame on them.
 
According to a news release from Contra Costa Health Services, only 13 percent of ICU beds were available in the county last week.
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Here is the big lie that you are transmitting.

What % of ICU beds are ever available? Usually less than 13%! They are very expensive as others have said above. Hospitals have to run them at a high loading level to make it financially viable. 13% just isn't the number you think it is.
 
You can’t simply bring someone off the street. It often takes 60 days to credential them to work at your facility.
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This is due to government restriction though. It is the government who is responsible for killing people. They limit the # of doctors. They limit the # of hospitals. The limit the # of any medical device available by requiring proof of need or something like that. They slow down pharmaceutical development. They slow down personnel training.

It is the medical industries job to serve the needs of sick people. It's literally why they exist. All these excuses about why we need to take care of them is backwards.
 
Monahorns said:
Here is the big lie that you are transmitting.

What % of ICU beds are ever available? Usually less than 13%! They are very expensive as others have said above. Hospitals have to run them at a high loading level to make it financially viable. 13% just isn't the number you think it is.
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The media is scaring citizens and so are local governments. They are either woefully ignorant or doing it intentionally. Yesterday I had calls with the COO and my medical director of our Hospitalist program at a 180 bed hospital in Alabama. They have 19 ICU beds, but were treating 47 Covid patients. They are busy, but neither was in a crisis mode. They are simply managing a busy day. ICU’s are often 90% capacity.
 
theiioftx said:
The media is scaring citizens and so are local governments. They are either woefully ignorant or doing it intentionally. Yesterday I had calls with the COO and my medical director of our Hospitalist program at a 180 bed hospital in Alabama. They have 19 ICU beds, but were treating 47 Covid patients. They are busy, but neither was in a crisis mode. They are simply managing a busy day. ICU’s are often 90% capacity.
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When media discuss Covid, context is almost completely absent. How broad is the danger and in what demographics? What's the normal load for hospitals? What else is killing people in similar or higher numbers, and what steps do we generally take? We virtually never discuss issues like that, and that's why we are treating Covid like it's basically a death sentence. It's like saying that someone's going to financially ruin himself if he buys a $50,000 car without mentioning that the person at issue is Bill Gates.
 
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If you don’t know the death rate you don’t know ch/t. For older and people with underlying conditions it’s unacceptable, but your average Joe?
 
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