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Relaxation of Restrictions, Part XII *Read OP For Mod Warnings*

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Comments

  • Registered Users, Registered Users 2 Posts: 945 ✭✭✭WhiteWalls


    Can anyone simplify to me how we have let hospitals reaching breaking point so quickly?


    I know everything isn't as simple in practicality but how were nurses and doctors not up skilled in ICU treatment and more equipment bought such as ventilators to expand our ICU capacity?

    Is it a lack of man/woman power?



  • Registered Users, Registered Users 2 Posts: 6,470 ✭✭✭MOH


    Not just 2019 either.

    Maybe don't put thousands patients on trolleys in the hallways for decades and actually invest in the health system.

    BTW there were 2300 patients on trolleys the first week of the month.



  • Posts: 0 [Deleted User]


    There was a paramedic on Joe Duffy a week or so ago saying he'd never seen so many people having heart attacks, which seems to be taking up most of ICU..



  • Registered Users, Registered Users 2 Posts: 1,492 ✭✭✭floorpie


    That way things can be kept open.

    The new restrictions put in place are largely only for those who are vaccinated (specifically, new restrictions on bars, nightclubs and restaurants). Why is that?



  • Registered Users, Registered Users 2 Posts: 11,804 ✭✭✭✭Red Silurian


    If the unvaccinated were the only cause of our stupidly high figures then yes you are correct but the unvaccinated are not our only cause.

    At a rough estimate if we had the missing 7% vaccinated you then have half our hospital figures, great! Issue is numbers would still rise because of the other causes such as vaccine waning, the time of the year and the lack of easily and cheaply available rapid testing to name but a few...



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  • Registered Users, Registered Users 2 Posts: 6,038 ✭✭✭JDxtra


    Lesson I learned during first lockdown – it is absolutely unfair to impose any restrictions on children in terms of outside play (with anyone), inside play (with close friends) and any sport. I will not be adhering to any advice regarding toning down play dates etc. How dare Norma Foley even suggest this.

    School is also critical to their development, much more than can be quantified in terms of actual learning. I would absolutely hate to see schools revert to that piece of crap known as online learning.



  • Registered Users, Registered Users 2 Posts: 726 ✭✭✭SupplyandDemandZone


    Jesus the day we go down that route is the day i get my family and up and leave.



  • Registered Users, Registered Users 2 Posts: 13,503 ✭✭✭✭Mad_maxx


    Eoin de Barra on newstalk this morning calling for school kids to wear masks , fanatics



  • Registered Users, Registered Users 2 Posts: 1,931 ✭✭✭ArthurDayne


    But you are saying it yourself really — the reality is that infections (combined with vaccination) are now an ugly but necessary and seemingly unavoidable pathway to making Covid a less risky endemic virus. At some point, the moment has to come where we accept the spike in infections and endure it — or we just keep waiting for the magic hour where reopening doesn’t mean a spike, which is never going to happen any time soon.

    Of course, it is at least clear at this point that those who argued that the reopening of things in the warmer should have been far less cautious and protracted were correct, and delaying the reopening to the cusp of winter was an epic miscalculation. Reopening in winter was always going to be painful and this should have been obvious to any rational person. So what do we do? Lock down now to prevent the ever-touted healthcare apocalypse, reopen and inevitably lock down again? Rinse and repeat until Covid is a more minor endemic threat?



  • Registered Users, Registered Users 2 Posts: 3,289 ✭✭✭Blut2


    The government has only added about 60 ICU beds total to our capacity in the last 20 months. We needed about 500 ICU beds for our population even without corona (this is what having the EU per capita average would have us at), but we only we had approx 240 in early 2020. So we're still nowhere near there. The problem is this lack of hospital capacity.

    The government has at no time prioritized massive expansion of ICU capacity, because they in 2020 put all their eggs in the "locking down will get rid of covid" strategy. And in 2021 in "locking down until we're fully vaccinated will get rid of covid". They quite clearly never planned for the long term. Even in budget 2022, released only a few weeks ago in early October, they only dedicated €10mn (not billion) to expanding ICU capacity, planning to only add 18 beds (not a typo) in all of 2022. Which is absolutely ludicrous given the billions devoted to other aspects of the pandemic - almost €10billion on the PUP alone.

    We have 4 ex ministers for health in government currently, including our Taoiseach and Tanaiste. So they're terrified of the public asking why the public healthcare system was let become so run down over the last two decades, because the answer is their mismanagement. Hence all the focus in recent weeks on blaming the unvaccinated, British people, the pubs, young people, barbers... anything that helps distract the public from realising whos at fault here.



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  • Registered Users, Registered Users 2 Posts: 32,136 ✭✭✭✭is_that_so


    It's the HSE, the government supply the cash and some level of approval but the HSE do things or not. It's a bit tricky to add or fix things in the middle of a pandemic.



  • Registered Users, Registered Users 2 Posts: 7,611 ✭✭✭timmyntc


    Vaccination will not bring this to an end. Singapore is struggling, and Gibraltar (100% vaccinated, >20% boosters) have cancelled christmas due to rising covid



  • Registered Users, Registered Users 2 Posts: 32,136 ✭✭✭✭is_that_so


    They are the only tools available to us until the likes of anti-virals come on stream. A good level of boosters in the over 65s and other vulnerable groups should definitely help. Imposing restrictions on people is less less likely to be effective at this stage with so much COVID fatigue.



  • Registered Users, Registered Users 2 Posts: 17,416 ✭✭✭✭astrofool


    Sure, but that's of no help today, remember at next election time to not only vote for those who say they will fix health, but have an actual plan that includes restructuring, to do it.

    Yes, that moment was back in August when we had high vax rates and low cases or next Spring, that moment isn't in the middle of Winter (which is why an October/November reopening was a dumb decision). And, to be fair, we're talking, right now, about a few extra restrictions after being largely unrestricted (phased return to work was the only thing left really), it will be interesting if more will be needed. And it's really important to understand that the government is taking hospital capacity into consideration when doing this, they no more wanted new restrictions then anyone as it's toxic electorally, the hurlers from the ditch are never able to make that decision (because the only alternative is to deny treatment to people, which they don't want to type out for others to see).



  • Registered Users, Registered Users 2 Posts: 726 ✭✭✭SupplyandDemandZone


    Anti-virals may or may not work. I view any results from a pharma industry company that answers to share holders with suspicion.



  • Registered Users, Registered Users 2 Posts: 32,136 ✭✭✭✭is_that_so


    Well, they have given us vaccines which work! The UK has already approved one anti-viral pill.



  • Registered Users, Registered Users 2 Posts: 400 ✭✭bettyoleary




  • Registered Users, Registered Users 2 Posts: 400 ✭✭bettyoleary




  • Registered Users, Registered Users 2 Posts: 12,052 ✭✭✭✭titan18


    It is callous to say it but at some point, there probably should be a decision on how much you restrict life to extend the life of someones whos already lived theirs. You can't keep on restricting life and adding debt on to young people to protect the elderly imo. When the average age of death is so high, it honestly should be considered.



  • Registered Users, Registered Users 2 Posts: 1,931 ✭✭✭ArthurDayne


    But we have never actually tested that capacity or displayed any level of balanced risk appetite in doing so. In almost all instances, the second things are reopened the government appears to act as if a spike in cases is a complete shock — and the worst case scenario projections are taken as being effectively invariably correct and it’s straight back to restricting things again. We are simply reminded, again and again, of a spectre of Covid collapsing the health system and this spectre is used to justify caution. And when things are reopened, instead of pushing the risk appetite upwards — it is kept low to the point that no tentative risk will be accepted.

    The hurlers from the ditch, who you criticise, were the very people lambasting the government for its abundance of caution all through the majority of 2021. The hurlers from the ditch, in that instance, were correct — and you say so yourself. But the hurlers from the ditch were batted aside with the very same arguments you pursue now — that the risk is too great and it’s all too easy for the people who don’t have to make the calls to bandy about their views.

    At some stage, the spike will have to simply be accepted and endured, but the cautious approach always seems to find a way of saying that the risk is too great — and your own post tacitly concedes that point.



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  • Registered Users, Registered Users 2 Posts: 11,804 ✭✭✭✭Red Silurian




  • Registered Users, Registered Users 2 Posts: 17,416 ✭✭✭✭astrofool


    Right now we treat people in hospital beds and then they die after treatment (and treatment is stopped if it's clear someone isn't going to make it). If we bump up against our capacity limits, then we have to deny hospital beds to certain groups (and this can take the form of not moving people to hospital in the first place), but you need to have a process in place to do this and decision on who gets to have treatment and who doesn't, it sounds like you're OK with that, but that is you being OK with denying treatment to groups of people. When that group was the unvaccinated people were aghast, now that it's old people, are you OK with that?

    edit: I would add that you're the first person to put this into print, it's an answer that many others keep avoiding and try and blame the government or the health system or other posters for. But just to be clear, you're saying that if an elderly person needs a bed in a hospital, you are OK with saying that there is no bed available for them and leaving them be (or giving non-hospital treatment).

    Without the vaccine rollout, the numbers would be stratospheric were society to fully reopen (even the UK realised that early on). The hurlers from the ditch want all restrictions gone today and the consequence of that will be that lots of people who would have lived through hospital treatment will die instead. I'm suggesting that the time for dropping restrictions this year is passed (and it was only from August that we had high enough vax rates to avoid really high numbers) and the next opportunity will be Spring. If you are saying that time is today, you have to be able to say, like titan18 seems to have done, that certain groups, if sick from COVID, and if hospitals are at capacity, won't get treated.

    We may get to that point with the current restrictions anyway, but we'll get there much much faster without them (unless you believe that restrictions have no effect, but we know they do so it's impossible to argue with someone of that viewpoint because the entire viewpoint is built on a lie, which they'll try and deny).



  • Posts: 0 [Deleted User]


    Stratospheric??..

    Like, is there not evidence in various jurisdictions that higher cases seem to track higher vaccinations?..



  • Posts: 8,647 ✭✭✭ [Deleted User]


    I guess you never read the patient information leaflet. Embarrassing for you. It's not that big a document. Jesus Christ. Some people want to be hand held through life.



  • Posts: 8,647 ✭✭✭ [Deleted User]


    Christ. What age are you that you that you avoided the MMR jab? Worthy of a Tusla referral these days as negligence.



  • Registered Users, Registered Users 2 Posts: 12,052 ✭✭✭✭titan18


    Ya, I mean obviously I'd love if we were able to get into a situation where we're discriminating against no one but if boosters don't work on the group that are dying and we're still on this situation, then ultimately we really can't keep this going. Vaccination is being given for free atm and if that's going to continue for more doses (3,4,5 etc) then we're cutting money from elsewhere anyway or paying more taxes to keep this going. I really don't think we can continue like this to extend the life of a 75 plus year old or whatever and restricting the lives of and placing debt on younger people. We know theres going to be a climate crisis, we can't add this to young people's future too imo. It's grand doing this short term, but there needs to be a longer term plan here.



  • Registered Users, Registered Users 2 Posts: 7,276 ✭✭✭Allinall


    Why did they not just introduce a lockdown now?



  • Registered Users, Registered Users 2 Posts: 8,641 ✭✭✭ceadaoin.


    Yes, the fact that even places with 100% of people with 2 doses are having record cases just shows that the vaccines are working!



  • Registered Users, Registered Users 2 Posts: 3,672 ✭✭✭ElTel




    In the four months since the end of June 139 cases have been transferred from care homes/similar to hospital. 135 died.

    We are mortal. Treatment in hospital is not considered for many whether surge capacity/triage is going on or not, at least that's what I thought.

    "We will do all we can to prevent covid19 deaths" is dangerous short term thinking. It's mot the only thing in town.

    There are blood markers that can be checked that are a good indicator of the likelihood of severe covid19 I think. Are these SOP in our hospitals and are/will some people be given oxygen in their own homes?



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  • Registered Users, Registered Users 2 Posts: 17,416 ✭✭✭✭astrofool


    Vaccinations are ridiculously cheap, like almost a nothing cost compared to the costs of running the health service, they pay themselves off in droves. Flu vaccine is also free to most annually.



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