Coronavirus and Walt Disney World general discussion

[DisneyCane]

One general request in this thread. If you post an image of some kind of chart or data (other than the daily FL report that we all know by now where to find), please post a link to where you generated the chart.

 

[Miss Bella]

With a 52% positive rate and only 122 tests it doesn't seem like too many random, asymptomatic people were tested. I don't think I'd look at those results as a sign of a significant increase in disease prevalence.

It sounds like the poster is from a small town. Maybe a full hospital is rare. It's not rare where I live we may have gotten rid of our Covid patients, but we are still very full.

 

[Miss Bella]

Your 1st sentence is partially true, but as a person who orders the tests, we are still screening pre op and nursing home admissions so we are still randomly sampling. Your second sentence is wrong though, in the past 2 weeks we’ve gone from having 20-30 positives a day to 50-84 a day, hospitalizations are up too. My area is blowing up, we will likely have triple digit new cases despite our low test rate this week.

We aren’t testing enough because our tests have been diverted, but we are still getting a massive increase. I wish I could pull out my county data on a graph but I haven’t found a good place to do this.

If you aren’t from a major city, you likely haven’t seen much of it, but it’s starting to hit rural areas (Florida too per Pinguins chart) and before you realize it your community is going to be over run. There is zero political will to take the steps to avoid this, and we still don’t have enough testing to test our way out of it. It’s happening in my community and it’s heart breaking.

Doesn't your hospital have an emergency plan? They've had months to prepare for this.

 

[sullyinMT]

Except this isn't a gunshot wound or a heart attack that requires immediate care/hospitalization. In the most rural area of Ohio you can be at a major hospital in about an hour. I'm sure it's a bit longer in Montata or Wyoming, but a car and a full tank of gas will get you to a hospital.

Speaking as a Montana healthcare professional - just no. There are areas of Montana, Wyoming, and the Dakotas where you are a fuel stop and 6 hours from even a decent urgent care/community clinic.
We regularly life flight strokes from other hospitals to ours because even an unregulated ambulance wouldn’t save a life.
In addition, our best hospitals “ship” patients to Denver and Salt Lake City because we aren’t equipped to handle the sickest of the sick due to low staffing or insufficient equipment.
In Yellowstone county, our most populated, we still don’t have the capacity for asymptomatic testing beyond preoperative patients. Contact tracing isn’t even a thought. Yet the NFLPA can get daily testing with quick turnarounds. I’ve said it before, but Montana (and our neighbors) are a forgotten part of this nation simply because when you add our populations together you get close to the NYC metro area.

 

[sullyinMT]

Doesn't your hospital have an emergency plan? They've had months to prepare for this.

I’ve loved your pragmatic approach in my months of lurking. I agree with almost all of your realist approach. But our rural healthcare system is hamstrung and barely hanging on by a thread in this country. No amount of emergency planning can get staffing up to where it would need to be in a surge. Even if some of our CAH’s and other rural clinics broke ground back in March, they wouldn’t have bed capacity. National Guard and Army Corps might be able to erect a field hospital, if there were infrastructure for a “shell” in place (ie, community center, fairgrounds, etc)

 

[Lilofan]

Speaking as a Montana healthcare professional - just no. There are areas of Montana, Wyoming, and the Dakotas where you are a fuel stop and 6 hours from even a decent urgent care/community clinic.
We regularly life flight strokes from other hospitals to ours because even an unregulated ambulance wouldn’t save a life.
In addition, our best hospitals “ship” patients to Denver and Salt Lake City because we aren’t equipped to handle the sickest of the sick due to low staffing or insufficient equipment.
In Yellowstone county, our most populated, we still don’t have the capacity for asymptomatic testing beyond preoperative patients. Contact tracing isn’t even a thought. Yet the NFLPA can get daily testing with quick turnarounds. I’ve said it before, but Montana (and our neighbors) are a forgotten part of this nation simply because when you add our populations together you get close to the NYC metro area.

My family member was on a business trip in North Dakota. That's realistic. If a resident in a small town needs medical attention it could be several hours drive and that's not even to a hospital.

 

[Touchdown]

My chart I posted is lifted directly from Wisconsin’s DHS. Here’s the link

 

[MisterPenguin]

DeSantis had a presser a couple of days ago where he was indicating 1 -2 weeks to stage 3 in many places. That is full open for bars etc. Still sanitation and other measures but no limit on gathering. Orlando and Disney were mentioned.

Here’s what to expect when Florida enters phase 3 of reopening

Phase three of reopening the state after expansive and ongoing <a href="https://www.clickorlando.com/topic/coronavirus/" target=_blank>coronavirus </a>closures will be what many are calling “the new normal” and will involve the loosening of even more restrictions.

www.clickorlando.com

Florida's Phase 3 is basically no restrictions at all.

I welcome in advance Florida's third spike.

 

[Andrew C]

So is the prediction yet again that hospitals will be overwhelmed? Or is it that rural people are at super risk because no hospitals are close to them? Or both?

 

[MisterPenguin]

 

[sullyinMT]

So is the prediction yet again that hospitals will be overwhelmed? Or is it that rural people are at super risk because no hospitals are close to them? Or both?

I think it is actually a mix of both. For many rural Americans, particularly in the Intermountain West, access to primary care is a multiple hours process. So, even if hospitals don’t get overwhelmed, the ability to interact with a physician at all is very limited. Telehealth only partially covers this dilemma, as our infrastructure as it relates to broadband high-speed Internet is nearly nonexistent.It is also a primary reason why so many rural school districts are letting their students back in schools, even if it isn’t the best approach for community health.

 

[Miss Bella]

I’ve loved your pragmatic approach in my months of lurking. I agree with almost all of your realist approach. But our rural healthcare system is hamstrung and barely hanging on by a thread in this country. No amount of emergency planning can get staffing up to where it would need to be in a surge. Even if some of our CAH’s and other rural clinics broke ground back in March, they wouldn’t have bed capacity. National Guard and Army Corps might be able to erect a field hospital, if there were infrastructure for a “shell” in place (ie, community center, fairgrounds, etc)

Emergency planning may not get staffing up, but money will. There are plenty of travel nurses and doctors following the surges\money. We have a lot of rural towns in Arizona I don't recall them having any issues. It's also only a very small percentage of people with Covid that need hospital care.

 

[Andrew C]

If they want to continue to keep some businesses closed, they should really have an obligation to provide the business owners with additional relief at this point. Otherwise, I am not sure what they expect from them. The alternative would be to allow them to slowly reopen and crack down on the rule breakers. You figure they could make this happen 6 months in...

 

[sullyinMT]

Emergency planning may not get staffing up, but money will. There are plenty of travel nurses and doctors following the surges\money. We have a lot of rural towns in Arizona I don't recall them having any issues. It's also only a very small percentage of people with Covid that need hospital care.

And there in lies the problem. There simply is not the money to go around. That is why I mentioned the national guard and army corps of engineers, hopefully being staffed through federal money. You are right, that not everyone needs hospital care. But, the supervision of physicians is simply not available.Many of these places don’t have the money to extend credit any further. Padlocks were already being placed on doors before the pandemic was “officially” announced. They are staying open to meet community need, but likely won’t be open once we reach endemic level with this virus.

 

[Miss Bella]

So is the prediction yet again that hospitals will be overwhelmed? Or is it that rural people are at super risk because no hospitals are close to them? Or both?

I think it's probably the latter, but that's a known risk of living in a rural area.

 

[Miss Bella]

And there in lies the problem. There simply is not the money to go around. That is why I mentioned the national guard and army corps of engineers, hopefully being staffed through federal money. You are right, that not everyone needs hospital care. But, the supervision of physicians is simply not available.Many of these places don’t have the money to extend credit any further. Padlocks were already being placed on doors before the pandemic was “officially” announced. They are staying open to meet community need, but likely won’t be open once we reach endemic level with this virus.

Are your cases increasing? I didn't think the numbers in Montana were very high.

 

[Touchdown]

It’s been extremely steady throughout that about 5% need to be hospitalized during the course of their illness.

 

[sullyinMT]

Are your cases increasing? I didn't think the numbers in Montana were very high.

We are on the downslope of a summer surge. As a state, we’re doing ok. Could be better with more robust testing for contact tracing purposes.
As a county (Yellowstone), we’re persistently high entering flu season because of an overwhelming percentage of maskholes. Sometimes the Montana libertarian spirit that I love is our own worst enemy. Our healthy distrust of government and bureaucratic overreach leaves many gaps in sensible behavior in a time like this.

ETA: Montana is a very aged state. Even our average physician age is over 60. It leaves a lot of room for hospitalizations to become a problem very quickly.

 

[Andrew C]

Are your cases increasing? I didn't think the numbers in Montana were very high.

Montana two week case trend...

The Covid-19 Tracker

As the virus that causes Covid-19 spreads worldwide, this dashboard offers a snapshot of confirmed cases by geographic location. Click a country name to get a more detailed geographic breakdown at the state, province, or county level. Learn more.

www.statnews.com

 

[Miss Bella]

We are on the downslope of a summer surge. As a state, we’re doing ok. Could be better with more robust testing for contact tracing purposes.
As a county (Yellowstone), we’re persistently high entering flu season because of an overwhelming percentage of maskholes. Sometimes the Montana libertarian spirit that I love is our own worst enemy. Our healthy distrust of government and bureaucratic overreach leaves many gaps in sensible behavior in a time like this.

I think your numbers should continue to go down. The tourists are leaving. Don't you guys hibernate in the winter......joking of course.