I cannot disagree with that at all.This is what happens when hospital administrators make these decision rather than the people who actually provide the healthcare. The entire US medical industry is a disaster.
I cannot disagree with that at all.This is what happens when hospital administrators make these decision rather than the people who actually provide the healthcare. The entire US medical industry is a disaster.
but they are six sigma black belts with top 5 mba credentials, and leadership training.The CEO's sometimes behave as if loyalty and respect are one way streets. I'll also note that these same CEO's are more than willing to pay travel nurses to come in and then turn around and give lowball salaries permanent employees. It's as if they don't understand market forces.
Yep, and employees do NOT want monetary reward at all (to hear them tell it). Of course, they misuse those studies to justify their wage policies while missing the point that employees want to be valued beyond just pay, not that they don't want to be paid well. Too often these brilliant souls double down by showing employees they are not valued in terms of pay or otherwise.but they are six sigma black belts with top 5 mba credentials, and leadership training.
"It's like being called to go to war," said Theresa Brennan, MD, chief medical officer at the 845-bed UI Hospitals and Clinics. "Just like putting yourself out on the front lines of war, you wonder if you're going to continue to be safe," she said.
"As with war, sometimes you don't know the enemy," she explained."COVID-19 is the same; this is a nasty virus. We've learned a lot about it and we're fighting a good battle, but it's still a cruel virus and, for sure, the enemy."
In April, when Medscape Medical News first checked in with Brennan, her "incident command team" was painstakingly formulating initial surge plans. They envisioned a worst-case scenario — believed to be highly unlikely — in which the center would be full, overflow units would be needed, and 80% of patients would be COVID-positive.
The real surge took another 7 months to materialize. And the reality has been every bit as bad as their worst fears.
"We're battling fatigue and people are just tired," said Marta Van Beek, MD, a longtime Mohs surgeon who is now chief of staff there.
Concerns of Collapse
Back in April, Iowa had about 3650 confirmed COVID-19 cases and 80 deaths. In early May, the state hit a peak of about 400 people hospitalized for COVID-19.
But those numbers seem almost tame in light of the pandemic's current stomp through Iowa. On November 24, more than 1300 patients were hospitalized in the state, and 275 of those were in the ICU.
The past month alone has seen record highs across the board, with nearly 86,000 new cases, 532 deaths, and a current positive testing rate of 51%.
Gov. Kim Reynolds, who previously called mask mandates "feel-good" actions, reversed course on November 16 by issuing a statewide mask mandate for indoor public spaces, with certain exceptions. If residents don't comply, she said at a news conference, "our healthcare system will fail."
Brennan agrees that is a possibility.
"There's great concern that the healthcare system is stressed and if we don't do things differently, there could be a collapse," she told Medscape Medical News. "The aim is to make sure people understand the dire situation we're in if we don't change the transmission rate, if we continue to have hospitals exceed our capabilities to care for patients in our present structures, and if we surge into patients using beds and care models that are not what we do on a day-to-day basis."
The CEO of the Huntsville Hospital chain here yesterday said that they were about to delay all elective surgery again, as they convert more and more of the hospital over to Covid...Here’s our inpatient COVID census since March.
Same here. We have a series of operational triggers defined by the number of COVID patients in the hospital. The last trigger, which I hope we never reach, stipulates that no one gets surgery unless they're actively dying. All appendicitis treated medically until your appendix bursts. All cancer resections delayed... at a cancer hospital.The CEO of the Huntsville Hospital chain here yesterday said that they were about to delay all elective surgery again, as they convert more and more of the hospital over to Covid...
The CEO made the point also that "elective" meant something different, if it were your surgery. For example, my wife's two back surgeries, one for a severely ruptured disk, the second after a fall, compressing the disk above the surgical site, would be "elective," although she basically couldn't get out of bed...Same here. We have a series of operational triggers defined by the number of COVID patients in the hospital. The last trigger, which I hope we never reach, stipulates that no one gets surgery unless they're actively dying. All appendicitis treated medically until your appendix bursts. All cancer resections delayed... at a cancer hospital.
Friendly PSA to please consider your holiday plans.
Yup. A lot of people conflate elective with "cosmetic." Elective just means a surgery that can be scheduled in advance (e.g. not an immediate emergency). And we've already cancelled all elective surgeries that will require an overnight stay, because we can't spare any beds outside the recovery unit.The CEO made the point also that "elective" meant something different, if it were your surgery. For example, my wife's two back surgeries, one for a severely ruptured disk, the second after a fall, compressing the disk above the surgical site, would be "elective," although she basically couldn't get out of bed...
The problem with delaying these and other procedures - they eventually lead to an increased death rate. What is now preventative, if ignored, can kill.Yup. A lot of people conflate elective with "cosmetic." Elective just means a surgery that can be scheduled in advance (e.g. not an immediate emergency). And we've already cancelled all elective surgeries that will require an overnight stay, because we can't spare any beds outside the recovery unit.
Wow, that one's rough--particularly given the complications from a burst appendix.All appendicitis treated medically until your appendix bursts.