Platinum Contributing Member Highmark Posted April 7, 2020 Platinum Contributing Member Share Posted April 7, 2020 (edited) Interesting. https://www.nytimes.com/2020/04/06/well/live/coronavirus-doctors-hospitals-emergency-care-heart-attack-stroke.html The hospitals are eerily quiet, except for Covid-19. I have heard this sentiment from fellow doctors across the United States and in many other countries. We are all asking: Where are all the patients with heart attacks and stroke? They are missing from our hospitals. Yale New Haven Hospital, where I work, has almost 300 people stricken with Covid-19, and the numbers keep rising — and yet we are not yet at capacity because of a marked decline in our usual types of patients. In more normal times, we never have so many empty beds. Our hospital is usually so full that patients wait in gurneys along the walls of the emergency department for a bed to become available on the general wards or even in the intensive care unit. We send people home from the hospital as soon as possible so we can free up beds for those who are waiting. But the pandemic has caused a previously unimaginable shift in the demand for hospital services. Some of the excess capacity is indeed by design. We canceled elective procedures, though many of those patients never needed hospitalization. We are now providing care at home through telemedicine, but those services are for stable outpatients, not for those who are acutely ill What is striking is that many of the emergencies have disappeared. Heart attack and stroke teams, always poised to rush in and save lives, are mostly idle. This is not just at my hospital. My fellow cardiologists have shared with me that their cardiology consultations have shrunk, except those related to Covid-19. In an informal Twitter poll by @angioplastyorg, an online community of cardiologists, almost half of the respondents reported that they are seeing a 40 percent to 60 percent reduction in admissions for heart attacks; about 20 percent reported more than a 60 percent reduction. And this is not a phenomenon specific to the United States. Investigators from Spain reported a 40 percent reduction in emergency procedures for heart attacks during the last week of March compared with the period just before the pandemic hit. And it may not just be heart attacks and strokes. Colleagues on Twitter report a decline in many other emergencies, including acute appendicitis and acute gall bladder disease. The most concerning possible explanation is that people stay home and suffer rather than risk coming to the hospital and getting infected with coronavirus. This theory suggests that Covid-19 has instilled fear of face-to-face medical care. As a result, many people with urgent health problems may be opting to remain at home rather than call for help. And when they do finally seek medical attention, it is often only after their condition has worsened. Doctors from Hong Kong reported an increase in patients coming to the hospital late in the course of their heart attack, when treatment is less likely to be lifesaving. Edited April 7, 2020 by Highmark 1 Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 COVID cured heart disease. Quote Link to comment Share on other sites More sharing options...
Platinum Contributing Member Highmark Posted April 7, 2020 Author Platinum Contributing Member Share Posted April 7, 2020 1 minute ago, Zambroski said: COVID cured heart disease. I'm guessing at least a small % of deaths from other causes are being attributed to covid19. 1 Quote Link to comment Share on other sites More sharing options...
AKIQPilot Posted April 7, 2020 Share Posted April 7, 2020 Pretty crazy. Seems like the only explanation is that people just don't want to be near a hospital so they just stay home instead of go in with every chest pain or tummy ache. 1 Quote Link to comment Share on other sites More sharing options...
f7ben Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, Highmark said: I'm guessing at least a small % of deaths from other causes are being attributed to covid19. It’s a chicken and egg argument Quote Link to comment Share on other sites More sharing options...
f7ben Posted April 7, 2020 Share Posted April 7, 2020 Just now, AKIQPilot said: Pretty crazy. Seems like the only explanation is that people just don't want to be near a hospital so they just stay home instead of go in with every chest pain or tummy ache. Nobody is doing anything either .... 1 Quote Link to comment Share on other sites More sharing options...
Woodtick Posted April 7, 2020 Share Posted April 7, 2020 1 Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 Just now, Woodtick said: This is the real truth. Doctors are being told what to do here. It’s weird. 1 Quote Link to comment Share on other sites More sharing options...
AKIQPilot Posted April 7, 2020 Share Posted April 7, 2020 4 minutes ago, f7ben said: Nobody is doing anything either .... You mean like working or over stressing? The things that cause a heart attack? Quote Link to comment Share on other sites More sharing options...
AKIQPilot Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, Zambroski said: This is the real truth. Doctors are being told what to do here. It’s weird. That is very rare and not enough to skew the numbers on the least. Quote Link to comment Share on other sites More sharing options...
f7ben Posted April 7, 2020 Share Posted April 7, 2020 2 minutes ago, AKIQPilot said: You mean like working or over stressing? The things that cause a heart attack? Yup or going to the gym or playing sports or anything really 1 Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 Just now, AKIQPilot said: That is very rare and not enough to skew the numbers on the least. It’s not rare at all. Any cause of death where the deceased has tested positive for the covid diagnosis, before or after death, is being penciled in as a covid death. This is not the standard way to do this. Quote Link to comment Share on other sites More sharing options...
f7ben Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, Zambroski said: It’s not rare at all. Any cause of death where the deceased has tested positive for the covid diagnosis, before or after death, is being penciled in as a covid death. This is not the standard way to do this. It’s a fucking rounding error you meathead Quote Link to comment Share on other sites More sharing options...
AKIQPilot Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, Zambroski said: It’s not rare at all. Any cause of death where the deceased has tested positive for the covid diagnosis, before or after death, is being penciled in as a covid death. This is not the standard way to do this. Link to some numbers that support your position that its not rare. Quote Link to comment Share on other sites More sharing options...
AKIQPilot Posted April 7, 2020 Share Posted April 7, 2020 Just now, f7ben said: It’s a fucking rounding error you meathead He gets dumber by the day. Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 Just now, AKIQPilot said: Link to some numbers that support your position that its not rare. Wut? Please clarify. Quote Link to comment Share on other sites More sharing options...
f7ben Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, AKIQPilot said: He gets dumber by the day. I didn’t think it was possible Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, f7ben said: It’s a fucking rounding error you meathead A fucking rounding error? Post that fucking link! Quote Link to comment Share on other sites More sharing options...
AKIQPilot Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, Zambroski said: Wut? Please clarify. Prove your point dumb ass. WTF? Quote Link to comment Share on other sites More sharing options...
f7ben Posted April 7, 2020 Share Posted April 7, 2020 Just now, Zambroski said: A fucking rounding error? Post that fucking link! You’re too dumb to interact with....I feel myself getting dumber just trying to understand how fucking dumb you are Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 BenAnler and LowIQ are shitting their pants together tonight. COVIDZISHDHEHEHDHDHRVEJKEJDGDVEBEJDHDVEWLWELELEVENTY!!!!!!!!!! Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 Just now, AKIQPilot said: Prove your point dumb ass. WTF? You want the article? I’ll find and post it tomorrow. Quote Link to comment Share on other sites More sharing options...
Zambroski Posted April 7, 2020 Share Posted April 7, 2020 1 minute ago, f7ben said: You’re too dumb to interact with....I feel myself getting dumber just trying to understand how fucking dumb you are Was that post hyperlinked? Quote Link to comment Share on other sites More sharing options...
Platinum Contributing Member Jimmy Snacks Posted April 7, 2020 Platinum Contributing Member Share Posted April 7, 2020 (edited) Yep...Covid death numbers are being greatly inflated and the stories about hospitals being overwhelmed and not having enough PPE are bullshit...fucking place is getting as bad as HCS and TBP. Edited April 7, 2020 by Jimmy Snacks Quote Link to comment Share on other sites More sharing options...
AKIQPilot Posted April 7, 2020 Share Posted April 7, 2020 6 minutes ago, Jimmy Snacks said: Yep...Covid death numbers are being greatly inflated and the stories about hospitals being overwhelmed and not having enough PPE are bullshit...fucking place is getting as bad as HCS and TBP. Its only a couple of dipshits here that don't get it. The vast majority of people on this forum understand whats going on. 1 Quote Link to comment Share on other sites More sharing options...
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