Coronavirus and Walt Disney World general discussion

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DisneyCane

Well-Known Member
Heppenheimer said:
I don't think this is necessarily a bad thing. The longer the patient stays in the hospital, the higher the chances of hospital-based complications, like nosocomial infections, DVTs, falls, etc. I've seen it play out enough times to be convinced that insurance length of stay considerations aren't only about cold hard cash, they actually apply a necessary pressure to prevent complications.
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While my father-in-law was undergoing cancer treatment and associated surgeries, every time he was in the hospital it seemed like his desire was to stay as long as possible. I guess he felt safer being there. My wife was always getting on him to go home as soon as he was medically able because of the risks associated with extended hospital stays. He finally started listening.

Bottom line is that you should always try to spend as little time in the hospital as possible. Anything that can be treated as an outpatient should be.
 
ABQ

ABQ

Well-Known Member
An elderly loved one of mine was just finally released from the hospital yesterday after 3 weeks for covid treatment. She was not vaccinated. It certainly wasn't political for her to not be vaccinated, just a stubborn old lady. She could not wait to get out, but the hospital was waiting for her lungs to heal. Again, stubborn. Though she still requires supplemental O2, and for all I know will forever more, but the volume required finally dropped beneath the threshold the doctor considered acceptable and she was released. As badly as I'd like to just tell her that this was all avoidable, I respect my elders, it was her choice, as much as it pains me to bite my tongue.
 
GoofGoof

GoofGoof

Premium Member
ABQ said:
An elderly loved one of mine was just finally released from the hospital yesterday after 3 weeks for covid treatment. She was not vaccinated. It certainly wasn't political for her to not be vaccinated, just a stubborn old lady. She could not wait to get out, but the hospital was waiting for her lungs to heal. Again, stubborn. Though she still requires supplemental O2, and for all I know will forever more, but the volume required finally dropped beneath the threshold the doctor considered acceptable and she was released. As badly as I'd like to just tell her that this was all avoidable, I respect my elders, it was her choice, as much as it pains me to bite my tongue.
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When my mom got her knee replacement she couldn’t wait to get out too. She had to show certain levels of mobility before she could go and she was hell bent on doing whatever it took to get released.

I think there are still many people left unvaccinated who aren’t making a political stand. That’s part of the reason this is so hard. There isn’t one answer to getting to everyone. If there was we would have done it by now. The current focus on workplace mandates and certain large group gatherings impacts a large group of people so it’s a Big Bang for the buck but in the end they won’t reach everyone as your story points out. Someone who is elderly and doesn’t work won’t be swayed by a workplace mandate. Even young people who work for small businesses won’t be impacted. That’s why we need to continue all avenues to encourage more vaccination. Both the carrots and the stick and a whole lot of effort to reach people in their community. The grass roots stuff takes a lot of time but has a big impact.
 
Nubs70

Nubs70

Well-Known Member
Heppenheimer said:
This usually doesn't happen on a daily basis in hospital settings, and especially where the loved ones can't be there. More often than not, someone with a terminal illness goes on hospice, and they die somewhere comfortable. That isn't possible with COVID, hence all the people dying in ICUs.

For an anecdotal before/after COVID example... when I worked as a hospitalist (pre-COVID), I probably filled out less than 3 death certificates per month. On a bad month, maybe 5. I'm still in contact with my old colleagues, and during the worst COVID surges, they were declaring multiple deaths (at the same hospital where I worked) on a daily basis.

Not only does COVID-19 kill far too many, but it even denies them the chance of a relatively peaceful hospice death.
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While this doesn't happen at an individual hospital on an everyday basis, nationwide these calls happens frequently be it Covid or other cause. Simply change the names of the patient, person of contact, and physician.
.
 
Nubs70

Nubs70

Well-Known Member
ABQ said:
An elderly loved one of mine was just finally released from the hospital yesterday after 3 weeks for covid treatment. She was not vaccinated. It certainly wasn't political for her to not be vaccinated, just a stubborn old lady. She could not wait to get out, but the hospital was waiting for her lungs to heal. Again, stubborn. Though she still requires supplemental O2, and for all I know will forever more, but the volume required finally dropped beneath the threshold the doctor considered acceptable and she was released. As badly as I'd like to just tell her that this was all avoidable, I respect my elders, it was her choice, as much as it pains me to bite my tongue.
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It may not be avoidable. On Monday my locality just had a husband and wife,both fully vaxxed, die from Covid within 1 minute of each other.
 
ABQ

ABQ

Well-Known Member
GoofGoof said:
When my mom got her knee replacement she couldn’t wait to get out too. She had to show certain levels of mobility before she could go and she was hell bent on doing whatever it took to get released.

I think there are still many people left unvaccinated who aren’t making a political stand. That’s part of the reason this is so hard. There isn’t one answer to getting to everyone. If there was we would have done it by now. The current focus on workplace mandates and certain large group gatherings impacts a large group of people so it’s a Big Bang for the buck but in the end they won’t reach everyone as your story points out. Someone who is elderly and doesn’t work won’t be swayed by a workplace mandate. Even young people who work for small businesses won’t be impacted. That’s why we need to continue all avenues to encourage more vaccination. Both the carrots and the stick and a whole lot of effort to reach people in their community. The grass roots stuff takes a lot of time but has a big impact.
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For her family, and myself, the worst part was being unable to see her at all. Though the doctor's all stated "We do not believe she's contagious" after the 2nd week, they would not test her as they knew the test would still show positive even though she was not likely contagious, so until she was released, none of her family was able to see her the entire time. That was likely the greatest reason she wanted to get out so badly. Though I still give some of them the stink eye for not urging her more to get vaccinated long ago.
 
Heppenheimer

Heppenheimer

Well-Known Member
Nubs70 said:
While this doesn't happen at an individual hospital on an everyday basis, nationwide these calls happens frequently be it Covid or other cause. Simply change the names of the patient, person of contact, and physician.
.
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The point being, this is happening much, much more frequently over the past 18 months. And it shouldn't be happening at such a high frequency anymore because WE HAVE THE DAMN VACCINE TO PREVENT IT!
 
Disney Analyst

Disney Analyst

Well-Known Member
Nubs70 said:
Covid or not, this is a conversation Dr's have thousands of times .
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I continued reading the replies. Part of what is really hard on doctors and families is doing this over an iPad. Of course there was always someone who was sudden, and the family wouldn’t make it, but doctors are facing severe trauma at the level of death they have had to deal with over the past 18 months, and having to use iPads and computers do virtually connect families has been devastating as well.
 
Communicora

Communicora

Premium Member
Disney Analyst said:
I continued reading the replies. Part of what is really hard on doctors and families is doing this over an iPad. Of course there was always someone who was sudden, and the family wouldn’t make it, but doctors are facing severe trauma at the level of death they have had to deal with over the past 18 months, and having to use iPads and computers do virtually connect families has been devastating as well.
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Yes, and it doesn't necessarily only harm families with loved ones who have COVID. When my dad was in the ICU on a vent for another cause we were only allowed to "visit" him via iPad because no visitors were allowed in the hospital at all because of how much COVID there was in the community. Luckily he pulled through, but it was still traumatic for all of us. I feel so terrible for these families.
 
D

DisneyCane

Well-Known Member
Communicora said:
Yes, and it doesn't necessarily only harm families with loved ones who have COVID. When my dad was in the ICU on a vent for another cause we were only allowed to "visit" him via iPad because no visitors were allowed in the hospital at all because of how much COVID there was in the community. Luckily he pulled through, but it was still traumatic for all of us. I feel so terrible for these families.
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My dad wasn't on a ventilator in the ICU last year but hospital policy at the time was no visitors. However, they did make exceptions that allowed us to visit a few times when it became clear what his prognosis was.
 
disneygeek90

disneygeek90

Well-Known Member
Well... what has felt inevitable at times here in Florida has now happened. My brother (vaccinated) was supposed to visit this weekend for HHN. He woke up feeling a little "weird" and has taken two positive at home tests. Waiting on results for PCR.

Incredibly disappointing since we had plans, but obviously I hope he has a mild case and gets through it quickly. Honestly, in some ways here in Florida it seems like I'm just waiting until my number is called, too.
 
correcaminos

correcaminos

Well-Known Member
DisneyCane said:
My dad wasn't on a ventilator in the ICU last year but hospital policy at the time was no visitors. However, they did make exceptions that allowed us to visit a few times when it became clear what his prognosis was.
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Early in the pandemic there were often no excuses. If my aunt had died in April last year, it wouldn't have mattered. It royally sucked to get the call thinking your loved one would die alone
 
Nubs70

Nubs70

Well-Known Member
GoofGoof said:
Agreed. This has always been the case for an individual. However, if we had every person vaccinated there is a good chance the risk of death would be virtually eliminated. The last measles death in the US was in 2015.
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52 years after the first vaccination
 
M

mmascari

Well-Known Member
T

Touchdown

Well-Known Member
The Mom said:
If the patient stays in too long the insurance company also loses money, so they (insurance companies) use a one size fits all standard for length of stay, choosing the best possible outcome as the standard.
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Incorrect the hospital loses money, unless the person gets another disease (that isn’t a catheter associated UTI, central line associated bacterial infection, ventilator associated pneumonia, deep vein thrombosis or pulmonary embolism sustained while admitted or an injury sustained from a fall while in the hospital, they don’t pay for these.) Hospitals are paid a flat fee per diagnosis, it doesn’t matter how long it takes you’ll only be paid for what’s expected for that disease.

Insurance always makes money.
 
Nubs70

Nubs70

Well-Known Member
Disney Analyst said:
I continued reading the replies. Part of what is really hard on doctors and families is doing this over an iPad. Of course there was always someone who was sudden, and the family wouldn’t make it, but doctors are facing severe trauma at the level of death they have had to deal with over the past 18 months, and having to use iPads and computers do virtually connect families has been devastating as well.
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Yes the impersonal aspect of situation is bad. My father detested what the profession had become at a point prior to the invention of iPads. But i bet there is a process optimizer at some medical institution that is actively promoting the use of virtual interaction as a cost saving program.
 
Nubs70

Nubs70

Well-Known Member
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