Coronavirus: Brattleboro, Keene Hospitals Are Going to Be A Massacre Zone!

March 16

The most critical issues facing us today: Coronavirus USA Update: 2 Emergency Room Doctors Hospitalized In ‘Critical Condition’

March 15. One is 40 years old and the other 70 years old. A lot of emergency personnel and doctors caught the virus and died in China. There is something going on different with infections with the emergency staff than the normal public. They think it has something to do with the elevated virus levels they see in their work.      

March 15

Sorry, It was Kent State not Keene State. 

Keene State has a maintenance worker they suspect has an infection of coronavirus. He has been all over the facility. 

*All New York City hospitals will be required to cancel elective surgeries, mayor says *Here it comes or it was always here and we just realized it: 


Coronavirus in Massachusetts: Brigham and Women’s Hospital worker tests positive for COVID-19

March 14

*Italy:“It’s a massive overload,” said Unks. “They have triage tents outside hospitals so if you and I walk in together, they decide: ‘Is Brian going to live or Shannon going to live?’ They pick the one most likely to live. They have to pick the person they think is going to survive the most. They do not have enough beds, respirators, not enough personnel to care for everyone.”

*Why isn't this happening here: N.Y. Hospitals Pitch Tents, Nix Surgeries to Prepare for Influx

*NYT: Coronavirus in N.Y.: Will a Surge in Patients Overwhelm Hospitals?

“We are not prepared,” one doctor said. New York City’s hospitals may be moving too slowly as the outbreak spreads, experts say.

In a stark email to colleagues across Europe, the doctor, who wishes to remain anonymous, wrote: ‘It is true that most patients have flu-like symptoms and recover, but there is a significant proportion – not only old people – who develop acute unexpected severe respiratory distress requiring breath assistance and intubation [inserting an airway tube].’

‘Hospitals are crowded with sick people, while emergency rooms are empty because people are afraid to go there,’ he wrote, adding that outpatient visits in the region’s hospitals were likely to be cancelled from tomorrow as colleagues around the country reported an ‘alarming shortage of doctors and nurses, making them unable to cover duties and shifts’.

‘Where I work, routine surgeries – for breast, kidney and colon cancers and other procedures – are postponed or reduced because of the shortage of intensive care assistance,’ he wrote. ‘My concern is whether – and for how long – our system can tolerate this.’

*Surgeon General Calls On Hospitals To Consider Stopping Elective Surgeries

“It’s a massive overload,” said Unks. “They have triage tents outside hospitals so if you and I walk in together, they decide: ‘Is Brian going to live or Shannon going to live?’ They pick the one most likely to live. They have to pick the person they think is going to survive the most. They do not have enough beds, respirators, not enough personnel to care for everyone.”

*My coronavirus quarantine in Italy: Learn from our mistakes
Do not ignore the warnings as we did in Italy

Italy is living through an incomprehensible tragedy, the likes of which the world has never seen. All 60 million of its residents are squirreled away at home, leaving only when necessary for food or medicines, armed with ID cards to show the police when we are inevitably stopped.

We’ve been asked to stay home and finally, we are listening, but it is too late for many.

I believe America is the most incredible nation to have ever existed but this virus does not care about that. Please learn from our mistakes. Do not ignore the warnings as we did.As I write this, there are nearly 136,000 official cases worldwide, 15,113 in Italy with 2,651 new cases in just the last 24 hours, and 1,016 deaths.

*Ex-Obama official warns US health system faces 'tsunami' over coronavirus

*Hospitals in the US could be overrun by coronavirus cases in little more than a week, a former Obama administration senior health official has warned, fearing a “tsunami-like” escalation that would leave tens of thousands in need of inpatient medical care but unlikely to receive it.

*Coronavirus Death Rate Soars to 7% in Italy – Is America Next?
Boston globe: Hospitals must now plan for pandemic’s worst

The number of people infected by coronavirus in Italy has risen by around 20% in one day to 21,157.

***The whole nation has been talking about hospitals in the last 24 hours. The governor of the state of Washington expects greater than 60,000 infected in two week with an additional 400 dead. We are going to have to completely destroy our economy to save our hospitals and prevent a massacre. We are deep into a national panic...shortages all over the place.  

***Our fatality rate in coronavirusville will be starting higher than average. 

Just saying, how much would you bribe your doctor or senior hospital administrator to get you "cuts" in the ventilator line to save your mother. What is the going rate: $50,000 to $100,000?  

Trump is going to declare a national emergency and get FEMA this afternoon. It is months late. We have to anticipate a Pandemic instead waiting for triplicate perfect proof with the Pandemic. We live in a world of incomplete information and are required to make judgement on fragmentary information and intuitions on a daily and hourly bases. The example is going out to get a gallon of milk. You never know in details what the road conditions are and even if the milk is in stock. We are completely capability of operating in a environment with incomplete and fragmentary information.       

"That analysis, based on data from the American Hospital Association, U.S. Census, CDC and World Health Organization, is purposely conservative. For example, it assumes all beds will be empty. Since two thirds of them are not, the reality could be far worse: about 17 people per open bed."

The US Gov's worst case based their analysis on a 7.5% infection rate for the population. The medical experts say the coronavirus infection rates can end up being 70%.

Honestly, I think this is baked into the cake. 

When are you going to stand up for us? 

Brattleboro Memorial Hospital

Dartmouth-Hitchcock Keene  

So 17 patients will be competing for one hospital beds. I believe around here, it will be 28. We have a high population of poverty. We got nurses and doctor shortages leading to a diminution of skills and discipline all around. Not many medical people favor this kind of region. The flu at this point is ravishing our population with it being worst than normal. Heroin and other drugs are again ravishing our poor population. It is a perfect storm of death. 

You get what is going to happen. There will be 2 or more people competing for one ventilator or advanced services. The doctor will choose what patient gets the ventilator based on medical triage. The other will die. In normal times, the dead person would be saved. I'd make the case these doctors who choose who gets the ventilators...they will be force to kill (triage) more patient than to cure patients. There will be a ton more medical or medicine errors...this will be a sin against the medical community. 

There will be problems getting the dead bodies out of the hospitals and more big troubles with burying the dead.

I predict the biggest 2020 story in our area won't be coronavirus...it will be about startling levels deaths in our hospitals.

Remember the severe patients usually gets shipped off to specialized big city hospital. These hospitals will get overrun with sick patients first and they will be unavailable to hospitals like Keene and Brattleboro!   

Hospitals won’t have enough beds if coronavirus spikes

No state in the U.S. will have enough room for novel coronavirus patients if the surge in severe cases here mirrors that in other countries.

A USA TODAY analysis shows that if the nation sees a major spike, there could be almost six seriously ill patients for every existing hospital bed.

That analysis, based on data from the American Hospital Association, U.S. Census, CDC and World Health Organization, is purposely conservative. For example, it assumes all beds will be empty. Since two thirds of them are not, the reality could be far worse: about 17 people per open bed.

“Unless we are able to implement dramatic isolation measures like some places in China, we’ll be presented with overwhelming numbers of coronavirus patients – two to 10 times as we see at peak influenza times,” said Dr. James Lawler, who researches emerging diseases at the University of Nebraska Medical Center and the Global Center for Health Security.

Lawler added that “no hospital has current capacity to absorb that” without taking crisis care measures, such as postponing elective procedures and reserving finite resources for those coronavirus patients most likely to recover. The American Hospital Association wrote to congressional leaders in February to ask for money to build hospitals and housing to isolate patients.

USA TODAY’s analysis estimates 23.8 million Americans could contract COVID-19, the illness caused by the novel coronavirus that first appeared in Wuhan, China.

That number is based on an infection rate of 7.4% – similar to a mild flu year. Experts say this infection rate will likely be far higher.

The Johns Hopkins Center for Health Security estimates that 38 million Americans will need medical care for COVID-19, including as many as 9.6 million who need to be hospitalized – about a third of whom might need ICU-level care. In a February presentation to the American Hospital Association, Lawler estimated that as many as 96 million Americans could be infected.

Most people with COVID-19, however, will have only mild symptoms. Studies of cases in other countries suggest that some of those responsible for community spread were never identified as infected because they didn’t develop any symptoms...