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Nevilledog

(51,005 posts)
Thu Feb 3, 2022, 01:03 PM Feb 2022

Hospitals Can't Accept This As 'Normal'





https://www.theatlantic.com/health/archive/2022/02/omicron-surge-hospital-chicago/621455/

No paywall
https://archive.fo/Lx6ka

At the height of the recent Omicron surge, Advocate Trinity Hospital, in Chicago, was inundated with patients who spent more than 40 hours in the waiting room, holding tight for a bed in the emergency room, which was itself heaving with people who were waiting for a spot in the intensive-care unit, which was also full. Someone admitted at night might have seen two sunrises before they saw a bed. The hospital received more COVID-19 patients than at any previous point during the pandemic. These patients waited, as did people with other conditions. “We had patients waiting with bacterial infections, surgical problems, you name it … people who were sick to a degree that we’d never keep them waiting in normal conditions,” Michael Anderson, the emergency department’s medical director, told me. That the hospital could be so besieged two years into the pandemic “is something I never thought in my wildest dreams would occur,” Matt Fox, a respiratory therapist, told me.

To see as many patients as quickly as possible, the hospital’s exhausted staff brought intensive care into the emergency room, using portable oxygen tanks sourced from a local company. They brought emergency services into the waiting room, installing catheters and ordering medical tests for people who couldn’t yet be given a bed. They resuscitated a patient who had had a heart attack while still in an ambulance, because there wasn’t anywhere for them to be off-loaded. But between staff shortages that had been getting steadily worse throughout the pandemic and the sheer deluge of sick people, the team simply couldn’t see everyone quickly enough.

During one recent shift when just four nurses were on duty, three of whom had been hired from an agency and were on their first day, a COVID patient went into cardiac arrest in the waiting room, where they had been sitting for 10 hours. “They were talking and in a split second they weren’t,” Berenice Zavala, an emergency-department nurse, told me. Someone checked: no pulse. One nurse leaped to start CPR, while her colleagues tried to put personal protective equipment on her. Somehow, they found a room, which at one point filled with almost every available health-care worker on the floor. The team spent 45 minutes trying to revive the patient. They could not. “It really affected us all. People blamed themselves,” Zavala said. “I’ve never worked under these conditions.”

Advocate Trinity is one of the few remaining health-care institutions that serves the predominantly Black communities of Chicago’s South Side—an area where several hospitals have either closed in recent decades or are now on the verge of doing so. A third of its patients are uninsured or on Medicaid. When the coronavirus arrived, Black Chicagoans were more likely to die from it than white ones; even before the pandemic, they already had shorter lives, poorer health, and fewer health-care services. Hospitals throughout the United States have struggled through the Omicron wave, but Advocate Trinity is America’s health-care system in microcosm. Its shrinking pool of workers is shouldering, at immense personal cost, several generations of inequality and neglect, and two years of a poorly controlled pandemic.

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moondust

(19,958 posts)
1. I would hope that
Thu Feb 3, 2022, 01:53 PM
Feb 2022

unnecessarily overloading health care systems like this and other forms of mistreatment of medical personnel by antivaxxers and antimaskers--leading to widespread burnout and resignations--will not discourage too many young people from pursuing careers in health care.

in2herbs

(2,944 posts)
2. I have the utmost respect for our healthcare workers and believe that if they could exclude
Thu Feb 3, 2022, 01:57 PM
Feb 2022

from their treatment protocol the antivaxers that show up at hospitals wanting Covid treatment the stress that our healthcare workers are under would be more manageable.

When someone tells me that the hospitals can't deny treatment from antivaxers because of "rules" I want to see those rules. Why wouldn't a tent city in a hospital parking lot comply with the "rules", it's still on hospital property??

IbogaProject

(2,787 posts)
7. What happens if in R states minorities are labeled unvaccinated?
Thu Feb 3, 2022, 02:24 PM
Feb 2022

So what happens if in R states minorities are labeled unvaccinated automatically unless they are liked?

OMGWTF

(3,940 posts)
10. Most people take a photo of their card with their cell phones
Thu Feb 3, 2022, 02:45 PM
Feb 2022

Keep the original in a safe place and do not laminate it in case we need more boosters.

IbogaProject

(2,787 posts)
13. But could we be certain this wasn't abused in R areas
Thu Feb 3, 2022, 03:11 PM
Feb 2022

But could we be certain this wasn't abused in R areas? They could 'Moore's the card ans claim it never existed. They could refuse to accept pictures. I'm vaccinated, but if I'm rolling in on a ambulance I'd want them treating first wording about 'paper's much later.
The reasonable option is to make it clear insurance coverage for covid care is dependent on vaccination unless someone has a legitimate documented medical exemption.

IbogaProject

(2,787 posts)
6. See it's not just white Repugnants dying
Thu Feb 3, 2022, 02:20 PM
Feb 2022

Last edited Thu Feb 3, 2022, 03:12 PM - Edit history (1)

We shouldn't have glee when this is hitting the R strongholds, as the poor and especially poor minorities might be bearing the brunt of even this wave.

orwell

(7,769 posts)
9. If you are not vaccinated...
Thu Feb 3, 2022, 02:32 PM
Feb 2022

...for other than health reasons, you go to the back of the line for emergency healthcare.

Your insurance company should not reimburse for Covid related hospitalizations.

You should be denied special Covid related benefits.

You should not be allowed cross border travel.

All of these steps are reasonable in a public health crisis related to an lethal airborne respiratory disease.

Initech

(100,036 posts)
14. This! So much this!!!
Thu Feb 3, 2022, 03:16 PM
Feb 2022

Hell I think it's time to start declaring the unvaccinated uninsurable. Hell if they claim that the blood of Jesus is their vaccine, they can also claim that god is their insurance plan. See how far that gets you.

orwell

(7,769 posts)
15. The ridiculous thing is...
Thu Feb 3, 2022, 04:29 PM
Feb 2022

...they don't believe in "sinister" medical science "for a profit" when it comes to a $20 vaccine...but...

...they suddenly DO believe in it when it comes to a $500,000 hospital visit in the ICU when it comes to saving their life.

Initech

(100,036 posts)
16. Oh I know. I've seen tons of stories like that.
Thu Feb 3, 2022, 04:53 PM
Feb 2022

The vaccine is free, and safe and effective. Yet people would rather choose a six figure hospital bill or death over a day of arm fatigue by taking the vaccine. Even crazier is when the family of the deceased takes out a 5 or 6 figure Go Fund Me to pay the medical bills, regular bills or is looking for a handout. SMH.

Tree Lady

(11,425 posts)
12. Two people in my family are in hospital
Thu Feb 3, 2022, 02:49 PM
Feb 2022

Right now. Can't visit either because of covid. This is so hard. People have to try to do all to end it. We can't go on like this forever!

One is for heart problem and other having baby with issues that will need operation.

Scrivener7

(50,911 posts)
17. My doc, who is a wonderful person, lost a patient in the first spike to a situation like this.
Fri Feb 4, 2022, 09:05 AM
Feb 2022

She had set the guy up with as much support as was available for him to be cared for at home because beds were short around here. She put in all kinds of safeguards, daily checks and home equipment and careful instruction to him and his carers on when to go to the hospital.

Despite all that, he died. I saw her shortly after that, and she was a mess over it. It was clearly not her fault, but she felt terribly guilty. She was frightened because she could foresee that the situation would probably be repeated, and often. She worried that she was liable for situations she could not control, and her family and livelihood would be at risk.

We are putting all these medical people in an impossible position. And for hospital workers, we are additionally treating them like cannon fodder.

And I am sure we will be shocked, just shocked, when there is a dangerous shortage in coming years of medical personnel.

Just like we will be shocked, just shocked, when there is a dearth of competent teachers.

It will be fodder for NYT interviews in rural diners for years!

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