Covid 19 Part XXIV-37,063 ROI (1,801 deaths) 12,886 NI (582 deaths) (02/10) Read OP

majcos · 02-10-2020 09:22PM

normanoffside wrote: »

You seem to be well informed and thanks for your answers.

Question: Would it not be better to designate say 1 Dublin Hospital as a Covid Hospital and send all covid patients (regardless of reason of admittance) to that Hospital?

Would this not free up capacity in other hospitals for non-covid things and get things running more efficiently?

It's something I've always thought would be more economical on beds, staff etc.

That is a good thought and it has been suggested but it is very complicated. It was done to a limited degree with the private hospital agreement for a few months but it is very hard to do. No hospital in Ireland has every service. Some services are different even across the Dublin hospitals. Outside Dublin, in some regions hospitals are too far apart.

Neurosurgery and kidney transplant surgery in Beaumont, cardiothoracic surgery in Mater and James’s, liver centre in Vincent’s, burns unit in James’s, etc. Different skill sets in nursing and medical and ancillary staff. Staff could be transferred but they would not be familiar with new surroundings. There is different equipment some of which might not be possible to move. Different stock would need to be ordered. Medical records would need to be transferred.

For example the haematology/oncology service in Tullamore Hospital was moved to The Hermitage. This freed up some space in Tullamore and kept this very vulnerable group away from the main hospital. Downsides were that patients had to travel further, staff had to travel up each day as need special nurse training to give chemo, chemo had to be transferred as was prepared in Tullamore as need special pharmacist, records had to transported, etc.

Other services were transferred too, some urgent urology cancer cases in Galway in public waiting list were done in Galway Clinic. Breast cancer surgery for some from NorthWest region was done in Galway Clinic too. Cancer surgery from Tallaght transferred to Beacon.

Presentations of Covid are very varied so hard to know as someone comes in the door what they have so it takes time to separate Covid from non Covid. Ambulance staff couldn’t directly separate patients in two groups. Even takes time from arrival at ED to test and confirm diagnosis. If wrongly put someone who didn’t have Covid in a shared Covid ward/hospital, they would be at risk and there would be uproar. Lack of single rooms across the system is a problem too.

Most hospitals internally separated themselves into red and yellow zones by dividing up wards and zones with separate staff groups. That went some way to protect patients within the hospital and allow other care to proceed.

TonyMaloney · 02-10-2020 09:25PM

majcos wrote: »

That is a good thought and it has been suggested but it is very complicated. It was done to a limited degree with the private hospital agreement for a few months but it is very hard to do. No hospital in Ireland has every service. Some services are different even across the Dublin hospitals. Outside Dublin, in some regions hospitals are too far apart.

Neurosurgery and kidney transplant surgery in Beaumont, cardiothoracic surgery in Mater and James’s, liver centre in Vincent’s, burns unit in James’s, etc. Different skill sets in nursing and medical and ancillary staff. Staff could be transferred but they would not be familiar with new surroundings. There is different equipment some of which might not be possible to move. Different stock would need to be ordered. Medical records would need to be transferred.

For example the haematology/oncology service in Tullamore Hospital was moved to The Hermitage. This freed up some space in Tullamore and kept this very vulnerable group away from the main hospital. Downsides were that patients had to travel further, staff had to travel up each day as need special nurse training to give chemo, chemo had to be transferred as was prepared in Tullamore as need special pharmacist, records had to transported, etc.

Other services were transferred too, some urgent urology cancer cases in Galway in public waiting list were done in Galway Clinic. Breast cancer surgery for some from NorthWest region was done in Galway Clinic too. Cancer surgery from Tallaght transferred to Beacon.

Presentations of Covid are very varied so hard to know as someone comes in the door what they have so it takes time to separate Covid from non Covid. Ambulance staff couldn’t directly separate patients in two groups. Even takes time from arrival at ED to test and confirm diagnosis. If wrongly put someone who didn’t have Covid in a shared Covid ward/hospital, they would be at risk and there would be uproar. Lack of single rooms across the system is a problem too.

Most hospitals internally separated themselves into red and yellow zones by dividing up wards and zones with separate staff groups. That went some way to protect patients within the hospital and allow other care to proceed.

Good post.

And now you've got flu diagnosis to juggle as well

Widdensushi · 02-10-2020 09:26PM

Polar101 wrote: »

George Lee on RTE news saying we are on the right track and restrictions are working.

..have I woken up in an alternative universe, or what is going on?

People are getting tired of it obviously, that is one of the reasons that the amount of cases needed for extra restrictions rises each time. If they go too far with restrictions more people will ignore them, at the end of the day the gardai have little power to enforce, George going with the encouragement rather than the stick.

Will Yam · 02-10-2020 09:27PM

podgeandrodge wrote: »

Going to a Dublin hotel next week (as holiday in Cork/Kerry cancelled).

Rang 3 hotels - first 2 said they were closing bar service at 9pm for residents due to "the restrictions". One of them 'explained' that you can't be more than 105 minutes in the bar where food was served, but said if you moved to the lobby (which had ample space) you can't be served there.
Another hotel, the one I booked, said you could have a drink 40 minutes before food, and for 1 hour after the food. But again you couldn't get a drink once you had to leave the food area except for to your room.

What's with all this? I looked at level 3 restrictions and they simply say "services for residents only". So if they can serve booze indoors, why aren't they serving until 11.30pm as per the 'rules'.

You may well find that the practice may be somewhat different when you get there.

I spent a few days in a hotel a little while back. When I rang to see what the story was I got the same - 105 minutes for a meal, no drink after that etc etc etc.

So I filled the boot of the car with drink as I wasn’t prepared to sit around after dinner for a couple of hours with nothing to drink.

But once there it was a different story. Drinks were served in the lounge until midnight or thereabouts.

This was an isolated hotel so no casual droppers in.

I think they couldn’t say anything else over the phone to a stranger to be honest.

Rambling Man · 02-10-2020 09:29PM

Anybody got a link to a graphic or table on Co. Dublin cases over 14 Days? Seems to have stabilised albeit at a very high level v national.

Quantum Erasure · 02-10-2020 09:30PM

Polar101 wrote: »

George Lee on RTE news saying we are on the right track and restrictions are working.

..have I woken up in an alternative universe, or what is going on?

Yeah, Sharon went to him 'now, you've been studying the figures for the last six months on this...' and I knew he was going to misinterpret something.

Then he brings up a graph of notification date and infection date, and pointed out the way the graph for date of infection is curving down in the last few days, not taking into account that as cases get added back in the next few days that curve will straighten out, as has been the case for the last 6 months

expectationlost · 02-10-2020 09:33PM

ACitizenErased wrote: »

Quite a few false positives there. You'd wonder is that happening in the community too.

it doesn't say how many false positives there were

majcos · 02-10-2020 09:37PM

coastwatch wrote: »

It may have been explained already, but what is a suspected case?
Is it any patient who has been tested and waiting on result, or any patient with some type of symptom? Roughly what percentage of suspected cases become confirmed positive?

Not all patients admitted to every hospital are being tested although this is now increasingly being rolled out.

A suspected case on the HSE operations report is every single case that is waiting for a result regardless of symptoms or clinical likelihood of actually having Covid. Internally within the individual hospitals there will be various ‘levels’ of suspicion for the suspected cases. Corresponding varying levels of PPE will be used.

The percentage of suspected cases in hospital that turn out to be positive depends on the testing policy so it currently differs from hospital to hospital. Overall for all swabs taken in community and hospital, positivity rate is 3.4%.

D.Q · 02-10-2020 09:38PM

Deaths still low, will be interesting (and admittedly pretty morbid) to see how or if that rate changes over the next few weeks.

normanoffside · 02-10-2020 09:39PM

majcos wrote: »

That is a good thought and it has been suggested but it is very complicated. It was done to a limited degree with the private hospital agreement for a few months but it is very hard to do. No hospital in Ireland has every service. Some services are different even across the Dublin hospitals. Outside Dublin, in some regions hospitals are too far apart.

Neurosurgery and kidney transplant surgery in Beaumont, cardiothoracic surgery in Mater and James’s, liver centre in Vincent’s, burns unit in James’s, etc. Different skill sets in nursing and medical and ancillary staff. Staff could be transferred but they would not be familiar with new surroundings. There is different equipment some of which might not be possible to move. Different stock would need to be ordered. Medical records would need to be transferred.

For example the haematology/oncology service in Tullamore Hospital was moved to The Hermitage. This freed up some space in Tullamore and kept this very vulnerable group away from the main hospital. Downsides were that patients had to travel further, staff had to travel up each day as need special nurse training to give chemo, chemo had to be transferred as was prepared in Tullamore as need special pharmacist, records had to transported, etc.

Other services were transferred too, some urgent urology cancer cases in Galway in public waiting list were done in Galway Clinic. Breast cancer surgery for some from NorthWest region was done in Galway Clinic too. Cancer surgery from Tallaght transferred to Beacon.

Presentations of Covid are very varied so hard to know as someone comes in the door what they have so it takes time to separate Covid from non Covid. Ambulance staff couldn’t directly separate patients in two groups. Even takes time from arrival at ED to test and confirm diagnosis. If wrongly put someone who didn’t have Covid in a shared Covid ward/hospital, they would be at risk and there would be uproar. Lack of single rooms across the system is a problem too.

Most hospitals internally separated themselves into red and yellow zones by dividing up wards and zones with separate staff groups. That went some way to protect patients within the hospital and allow other care to proceed.

Thanks majcos, Very informative

majcos · 02-10-2020 09:41PM

Widdensushi wrote: »

Everyone admitted is assumed to have covid untill proven otherwise, obviously you have a point that a focused hospital would be best, maybe we should build one like the children's hospital we are waiting for

Not everyone admitted to hospital is tested but it has been happening more in last few weeks. However, this may have to change again depending on testing capacity.

podgeandrodge · 02-10-2020 09:45PM

Quantum Erasure wrote: »

Yeah, Sharon went to him 'now, you've been studying the figures for the last six months on this...' and I knew he was going to misinterpret something.

Then he brings up a graph of notification date and infection date, and pointed out the way the graph for date of infection is curving down in the last few days, not taking into account that as cases get added back in the next few days that curve will straighten out, as has been the case for the last 6 months

The Sharon that dresses up like a Star Wars character every night?

branie2 · 02-10-2020 09:48PM

Getting scary now with today's cases

normanoffside · 02-10-2020 09:52PM

branie2 wrote: »

Getting scary now with today's cases

-5 deaths today, can you do a reverse RIP post?

ACitizenErased · 02-10-2020 09:52PM

I see there's massive outbreak at Northumbria University in England.
770 students have tested positive, but 692 are asymptomatic.

Goldrickssan · 02-10-2020 09:53PM

branie2 wrote: »

Getting scary now with today's cases

oh ffs

GeorgeBailey · 02-10-2020 09:53PM

Rambling Man wrote: »

Anybody got a link to a graphic or table on Co. Dublin cases over 14 Days? Seems to have stabilised albeit at a very high level v national.

Gavan Reilly on twitter usually does a breakdown of them

normanoffside · 02-10-2020 09:54PM

ACitizenErased wrote: »

I see there's massive outbreak at Northumbria University in England.
770 students have tested positive, but 692 are asymptomatic.

I really wish they would do a proper study on the risks of spread from Asymptomatic cases.

FintanMcluskey · 02-10-2020 09:57PM

normanoffside wrote: »

-5 deaths today, can you do a reverse RIP post?

RIP- Rise in peace

ACitizenErased · 02-10-2020 09:59PM

Trump is being treated with the highest dose of Regenerons antibody cocktail according to his physician.
That was quick.

funnydoggy · 02-10-2020 09:59PM

normanoffside wrote: »

I really wish they would do a proper study on the risks of spread from Asymptomatic cases.

I reckon a good bunch of us have had it in some way shape or form and we didn't know. Never mind that very strong flu people claim was COVID back in December (could very well be) but actual asymptomatic COVID itself.

No evidence but just a hunch.

manniot2 · 02-10-2020 10:00PM

ACitizenErased wrote: »

I see there's massive outbreak at Northumbria University in England.
770 students have tested positive, but 692 are asymptomatic.

The most common symptom of this virus- perfect health.

odyssey06 · 02-10-2020 10:02PM

ACitizenErased wrote: »

I see there's massive outbreak at Northumbria University in England.
770 students have tested positive, but 692 are asymptomatic.

Sky News say those figures are still being assessed:

A public health source has suggested the figures may need to be reconsidered, however. They told Sky News: "They (the university) are reporting more cases than the whole of the district of Newcastle. "We wonder if they are counting all isolating students - including contacts - rather than cases."

https://news.sky.com/story/coronavirus-major-outbreak-at-northumbria-university-as-770-students-test-positive-12088042

Plumbthedepths · 02-10-2020 10:02PM

ACitizenErased wrote: »

Trump is being treated with the highest dose of Regenerons antibody cocktail according to his physician.
That was quick.

So Trump decided against a glass of Toilet Duck?Wise decision.

ACitizenErased · 02-10-2020 10:02PM

odyssey06 wrote: »

Sky News say those figures are still being assessed:

A public health source has suggested the figures may need to be reconsidered, however. They told Sky News: "They (the university) are reporting more cases than the whole of the district of Newcastle. "We wonder if they are counting all isolating students - including contacts - rather than cases."

https://news.sky.com/story/coronavirus-major-outbreak-at-northumbria-university-as-770-students-test-positive-12088042

"Northumbria University says 770 students have tested positive for coronavirus.
Just 78 of them were displaying symptoms, a spokesperson said, and all those affected are self-isolating."

odyssey06 · 02-10-2020 10:03PM

manniot2 wrote: »

The most common symptom of this virus- perfect health.

Nonsense.

Goldrickssan · 02-10-2020 10:03PM

ACitizenErased wrote: »

Trump is being treated with the highest dose of Regenerons antibody cocktail according to his physician.
That was quick.

I think they know if it takes hold of him he's got a very high chance of dying because he's a fat old bastard. And even if he gets very sick it's only 30 days to the election so goodbye campaigning.

GeorgeBailey · 02-10-2020 10:04PM

odyssey06 wrote: »

Nonsense.

It is nonsense but also mildly amusing.

odyssey06 · 02-10-2020 10:04PM

ACitizenErased wrote: »

"Northumbria University says 770 students have tested positive for coronavirus.
Just 78 of them were displaying symptoms, a spokesperson said, and all those affected are self-isolating."

How can they have more positive cases than their entire local area has reported?
I think we need to pause comments on this until we have more solid info.

manniot2 · 02-10-2020 10:04PM

odyssey06 wrote: »

Nonsense.

Please explain why it’s nonsense?

Covid 19 Part XXIV-37,063 ROI (1,801 deaths) 12,886 NI (582 deaths) (02/10) Read OP

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