Covid-19 discussion, continued...

jmog

Senior Member

Thu, Nov 12, 2020 6:15 PM
posted by kizer permanente

That’s fine but neither is overwhelming a hospital system. You don’t have to shut everything down like they did last time but you have to shutdown the super spreaders. 


COVID patients take up 11% of hospital beds in Ohio right now, up from 6% 2 weeks ago. Total free bed capacity hasn't changed much in those 2 weeks, it has hovered between 24 and 30% free beds even with COVID beds going up. (information right from Ohio DoH website).


So, while the COVID hospitalizations in Ohio has doubled, the total "sick" people in the hospitals has stayed the same. The hospitals in Ohio are not currently, and don't appear to be in the near future, overwhelmed. 

friendfromlowry

Senior Member

Thu, Nov 12, 2020 7:05 PM

Ah nice, we've arrived at the point where you guys tell me my hospital isn't overwhelmed after-all. Nevermind we're up to 52 Covid beds (from 10 two months ago) or there's 50 people crammed into a 30-bed ER right now. Or last weekend there were 150 employees in the network out of work with Covid. Or every day I could take my pick of which hospital in the city (and probably state) I want to work at and go make triple pay because they're that desperate for help.

I don't want anything shut down more than anyone else does. I actually wish DeWine would just say fuck it and stop trying. But fuck off with looking at numbers on a website and thinking you know what's really going on.

iclfan2

Reppin' the 330/216/843

Thu, Nov 12, 2020 7:24 PM

The same group that wants lockdowns are the same ones who were cool with thousands of people celebrating last weekend. Fuck off. Either be consistent or gtfo. 

bigorangebuck22

Senior Member

Thu, Nov 12, 2020 7:38 PM

7101 seems awful high for something I was told would be gone on Nov. 4.

Verbal Kint

Senior Member

Thu, Nov 12, 2020 7:55 PM
posted by jmog

COVID patients take up 11% of hospital beds in Ohio right now, up from 6% 2 weeks ago. Total free bed capacity hasn't changed much in those 2 weeks, it has hovered between 24 and 30% free beds even with COVID beds going up. (information right from Ohio DoH website).


So, while the COVID hospitalizations in Ohio has doubled, the total "sick" people in the hospitals has stayed the same. The hospitals in Ohio are not currently, and don't appear to be in the near future, overwhelmed. 

It is not the goal of for profit hospitals to try to balance between 70% to 80% bed capacity?

Wonder if UH will open all those hospitals they closed in April?

kizer permanente

Senior Member

Thu, Nov 12, 2020 8:35 PM
posted by Verbal Kint

It is not the goal of for profit hospitals to try to balance between 70% to 80% bed capacity?

Wonder if UH will open all those hospitals they closed in April?

You realize that amount of care and attention and equipment a covid patient takes vs your typical patient? I’ll let friendfromlowry answer that. It cost a ton of money also and they’re not getting that money back  they’re losing money on covid patients. They don’t want them  


Ironman92

Administrator

Thu, Nov 12, 2020 8:44 PM

The local hospitals here in SE Ohio are ok on rooms and equipment but running low on staff as they are worn down and becoming positive as well. Schools have no subs and teachers starting to become quarantined. I figure we’ll be off the month of December...if not sooner.

jmog

Senior Member

Thu, Nov 12, 2020 11:40 PM
posted by friendfromlowry

Ah nice, we've arrived at the point where you guys tell me my hospital isn't overwhelmed after-all. Nevermind we're up to 52 Covid beds (from 10 two months ago) or there's 50 people crammed into a 30-bed ER right now. Or last weekend there were 150 employees in the network out of work with Covid. Or every day I could take my pick of which hospital in the city (and probably state) I want to work at and go make triple pay because they're that desperate for help.

I don't want anything shut down more than anyone else does. I actually wish DeWine would just say fuck it and stop trying. But fuck off with looking at numbers on a website and thinking you know what's really going on.

So if we can’t believe the numbers on the Ohio DOH website what should we believe?


I also don’t see where anyone told you that you don’t know what’s going on at your hospital. Maybe I missed that post?


friendfromlowry

Senior Member

Fri, Nov 13, 2020 1:16 AM
posted by jmog

So if we can’t believe the numbers on the Ohio DOH website what should we believe?


I also don’t see where anyone told you that you don’t know what’s going on at your hospital. Maybe I missed that post?


I don't see where anyone told you that you shouldn't believe the Ohio DOH website numbers. Maybe I missed that post? 

My point is don't look at those numbers alone and consider yourself in any position to conclude hospitals aren't overwhelmed. As someone else said, these patients require more intense, time consuming care. It takes a lot resources to care for the very sick patients. 

Rotinaj

Senior Member

Fri, Nov 13, 2020 5:38 AM
posted by friendfromlowry

I don't see where anyone told you that you shouldn't believe the Ohio DOH website numbers. Maybe I missed that post? 

My point is don't look at those numbers alone and consider yourself in any position to conclude hospitals aren't overwhelmed. As someone else said, these patients require more intense, time consuming care. It takes a lot resources to care for the very sick patients. 

Jmog once had a very sick 2nd cousin he took care of for 2 days. Trust me, he knows exactly how much resources it takes.

Verbal Kint

Senior Member

Fri, Nov 13, 2020 8:04 AM

From the medical professionals I speak to, the money maker for profit hospitals is the % of persons in the ICU, and meeting the margins of expenses.  It is a balance of determining how sick a patient is, and if they can attribute for federal funds.  I don't know where Lowry is, can't speak to the ICU capacity there, not seeing it where I travel.


Let's not get away from the real problem here, the government endorses the Standard American Diet, that destroys the metabolic health of those who follow it, leading to Pharma and hospitals to profit from poor health.  Can't make any $ off of health people.  Tyranny is forcing restrictions effecting the mental health of this nation to save the less than 1% that this certain virus becomes critical for.

jmog

Senior Member

Fri, Nov 13, 2020 8:59 AM
posted by friendfromlowry

I don't see where anyone told you that you shouldn't believe the Ohio DOH website numbers. Maybe I missed that post? 

My point is don't look at those numbers alone and consider yourself in any position to conclude hospitals aren't overwhelmed. As someone else said, these patients require more intense, time consuming care. It takes a lot resources to care for the very sick patients. 

Did you see your rant above? You may want to reference it when you read your first question in this post. 


jmog

Senior Member

Fri, Nov 13, 2020 9:01 AM
posted by Rotinaj

Jmog once had a very sick 2nd cousin he took care of for 2 days. Trust me, he knows exactly how much resources it takes.

Nope, no clue, nice try though.


Just going off the data given.


friendfromlowry

Senior Member

Fri, Nov 13, 2020 9:15 AM
posted by jmog

Did you see your rant above? You may want to reference it when you read your first question in this post. 


My “rant” was giving you insight into why hospitals might be considered overwhelmed instead of you looking up data that doesn’t provide the full picture. Look up and believe all the numbers you want. I never told you not to. But it’s absolutely ignorant of you to conclude something about hospitals based on the ODH numbers alone. 


jmog

Senior Member

Fri, Nov 13, 2020 10:12 AM
posted by friendfromlowry

My “rant” was giving you insight into why hospitals might be considered overwhelmed instead of you looking up data that doesn’t provide the full picture. Look up and believe all the numbers you want. I never told you not to. But it’s absolutely ignorant of you to conclude something about hospitals based on the ODH numbers alone. 


You went on a four letter word laden rant because someone took the best statistics we have from the ODH and said that it doesn’t appear that the hospitals are about to be overwhelmed.


So, your four letter word laden rant filled with anecdotal from your hospital, while probably all true, doesn’t mean it is the same at the majority of hospitals in the state right now, as evidence by the ODH data.


No one is saying your statements are false, even though you appeared to be severely triggered by it based on your rant.


No one is saying your experience is wrong, but you have to also understand that your experience may not be state or nation wide based on the best data we have.


Telling people to “fuck off” on reading actual data and just accept that your anecdotal is true across the board is just as asinine as if someone said your experience is wrong and made up.





sportchampps

Senior Member

Fri, Nov 13, 2020 10:34 AM

No way they want bars open for Thanksgiving with college students going home and meeting together at a local bar. 

jmog

Senior Member

Fri, Nov 13, 2020 10:55 AM

There is an interesting trend across the country when it comes to cases vs deaths.


In both cases we are currently in the 3rd wave.


With respect to cases, each wave not only was higher than the previous wave, but was about double the previous wave. The peak of the first wave was about 35,000 cases in a day, second wave about 74,000 cases in a day. It is not certain that we are at the peak of the 3rd wave yet, so it could go higher, but the cases are 160k in a day right now. 


With deaths, it is the opposite trend.

First wave deaths peaked at about 2750 deaths in a day. Second wave peaked at about 1800 deaths in a day. And again, it is not certain that we have hit the peak yet for the 3rd wave, especially in deaths as death peaks tend to happen 7-14 days (typically 10-12) behind peaks in cases. So the next week or so it will be a key metric to see if deaths/day stay below 1800 even with skyrocketing cases. That is indicative of two things. One, that we are better at treating the virus. And two, the human immune system has started to catch up to the virus.


For instance, the current peak  in deaths (a day or 2 ago) is at about 1500 deaths, it correlates to the peak in cases about 12 days ago or so around October 30th, which was 101,000 cases. So 1500/101,000 is a death rate of about 1.48%.


That seems bad, but compared to the original peaks: cases 34,500, deaths 2700 which is a death rate of 7.83%. The current death rate being so much lower is a good/huge trend in the right direction. 

Verbal Kint

Senior Member

Fri, Nov 13, 2020 11:39 AM

Using "cases" or "positive" as a metric is an awful way to frame this.  Critical patients, fatalities, and that ratio should be what we tell the public, but that does not meet the narrative. 

jmog

Senior Member

Fri, Nov 13, 2020 1:31 PM
posted by kizer permanente

https://www.google.com/amp/s/fox8.com/news/coronavirus/cleveland-clinic-rescheduling-some-elective-procedures-to-make-room-for-covid-19-spike/amp/



Have they even looked at the ODH data tho? 

Sarcasm aside, preparing for a spike by rescheduling some elective procedures is not the same as being overwhelmed.


During our initial spike back in April/May every single hospital in Ohio stopped doing elective procedures completely in preparation for being hit with huge amounts of COVID patients. They never got overwhelmed at all. Their "overflow" tents never got used, the temporary hospitals put up in the major cities (Cincinnati, Columbus, and Cleveland all had one) never saw a single patient.


Preparing for the worst is not a terrible thing to do, but it doesn't mean the worst is happening/going to happen. It didn't the first wave, it is more likely than not going to overwhelm the system during this wave either based on existing data.


Also, maybe you missed the first line in the article that states:

"Although admissions are quickly increasing, the hospital system has sufficient bed space available."

geeblock

Member

Fri, Nov 13, 2020 1:46 PM

I think the workers are overwhelmed at times even if there are beds especially as they get short staff

kizer permanente

Senior Member

Fri, Nov 13, 2020 2:06 PM

8071 cases today. 

geeblock

Member

Fri, Nov 13, 2020 2:08 PM

Also my nurse friend told me they won’t be able to get the vaccine to too many people any time soon because it has to be stored at -80 and they don’t have freezers 

gut

Senior Member

Fri, Nov 13, 2020 2:12 PM

If you want to take a step back and look at the data and what is actually being said...

Wearing masks and distancing in a small gathering, enjoy up to 2 hours with your family over Thanksgiving.  Ignore that, and a "at risk" exposure is defined as 15 minutes.  So those simple and basic inconveniences provide up to 8X the protection. 

You can socialize responsibly, but people are choosing not to.  We're not being asked to give up a lot, but a lot of people ignoring those guidelines and fueling the spread are the same people bitching about lockdowns preventing people from earning a living. 

Also, one CDC official testified before Congress given the choice between a vaccine that is 50-60% effective and a mask to protect himself, he'd choose the mask.  Might have been the same guy, but another CDC person recently said they have data now that shows masks provide 70% protection for the person wearing them (he was holding up a surgical mask when he said that - KN95 are even better).  I would say not only is that pretty good, that's better than almost everyone thought.

gut

Senior Member

Fri, Nov 13, 2020 2:16 PM
posted by geeblock

Also my nurse friend told me they won’t be able to get the vaccine to too many people any time soon because it has to be stored at -80 and they don’t have freezers 

60 Minutes interviewed the military guy in charge of distribution - I'm sure you can find the interview online if you're interested.  There are alternatives to freezers (I think maybe dry ice), and they have a heat map where they have the different levels of storage capacity (and places like Puerto Rico, I think, may have no storage capacity).

I only had it on in the background - there may have been talk of converting some of the big military cargo planes to be able to both store and transport the vaccinations.

They've known about these issues for a while, so this is a chance for the federal govt to actually get something right for a change.