COVID & Rationing Care
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- Опубликовано: 1 ноя 2020
- Over the weekend there was a statement put out to the press that Utah Hospitals may start rationing care. In this video, I want to talk about that statement and discuss why this statement may have been put out and the response of my colleagues and me to it.
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Dr. Buck Parker, MD is a Board Certified General Surgeon and can be found here online here:
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I am a medical student at the University of Utah and I live about 3 minutes away from your hospital. I have actually shadowed and seen you several times in the hospital and your perspective is in stark contrast to what I am hearing constantly from the course directors and facilitators that I interact with and it is very refreshing. I wish we had a more balanced rhetoric in Utah and a more realistic narrative. Appreciate you making this video.
Cool. Do u see anyone rationing care?
@@drbuckparker No. I am pre-clinical though so my in-hospital experience is basically limited to shadowing and occasional clinical skills learning. I am forced to rely on the opinion of upperclassmen and physicians that I interact with to inform me of COVID severity. Hospital staff seems to be overworked and I feel bad for the circumstances but the narrative surrounding severity and what the public is hearing seems to be a little disingenuous.
i am in the covic unit and we are hanging in there . Thank you for all that you do
Wow there aren't very many people talking rationally about COVID. I certainly appreciate it. Thanks, Dr. Parker.
As a medical student living in West Texas, we aren't necessarily rationing care, but we are being stretched thin across the board. We are stretched so thin that the Governor had to send in more nurses, ventilators, and resources just to keep us above board. In fact, we have patients with non-COVID waiting in the hallways to make room for COVID-19 patients that are coming in.
In our case, we serve 22 counties in the Texas region as well as the Eastern portion of New Mexico. Our ICU beds are 20% full of COVID patients alone along with the usual hospitilizations. El Paso is completely swamped as well including the Amarillo region. Although transferring patients to a hospital is a possibility, logistically it can put a huge burden to transfer patients all the way from the West Texas region down to the Dallas or Houston, especially if they are having severe symptoms from COVID.
We definitely aren't rationing care at the moment, but we can't keep up the pace of having all these patient's hospitalized. My colleagues are definitely burned out and fraustrated at the lack of seriousness most people in Lubbock, Texas seem to be taking the virus. Sadly, this will likely worsen over the winter season. Please do stay safe and reduce the burden healthcare professionals are facing. People like Dr. Parker himself are more than willing to help. But we can't be expect to help others if the entire system is being burdened.
that is still not rationing care. rationing care would be telling people they are not coming in the hospital and to go die at home. busy? yes. rationing care? no.
The commenter never claimed that this was an example of rationing care. He/she said twice that they were not rationing care.
hospitals have been reducing beds for the last 20 years. This is definately rationing of care.
Love you Doc, stay safe 💗💗💗💗💗
I live in Utah. Where i am they opened up 32 icu beds. Talk of fear that it would be overwhelming for staff. In April care was slowed and elective care needed to wait. I have undergone chemo so I was seen and the hospital was quiet. My friend said in cardio surgery things stayed the same.
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Right, so I think that smaller areas have fewer resources, which is reflective of proportionality to the amount of people that could need care. That also makes them more likely to not be able to handle wide swings in volume, right? So I think rationing is something that ought to be considered seriously even in smaller communities - I imagine it would be easier for small communities to be blind sided and quickly overwhelmed.
And obviously I’m just providing conjecture. I don’t know anything (M1)
u def have a great point there. we are just not seeing that here. and if we were to see it, those large hospitals should use the other hospitals as resources instead of ignoring us and saying "we have to ration care now".
Good morning from Philippines Manila..