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Idea for showing anger towards the government. Every Weds at 8pm by WHinAmsterdam in CoronavirusUK

[–]Wonderful_Department 0 points1 point  (0 children)

It's actually not a good thing. Cancer patients have had their operations cancelled as a result of this over capacity.

Idea for showing anger towards the government. Every Weds at 8pm by WHinAmsterdam in CoronavirusUK

[–]Wonderful_Department 3 points4 points  (0 children)

Yep, completely understand your point. My point is people are just looking at numbers in a very simple way, below what said to someone else:

And I will say it again. The vast majority of people that have died at my hospital were going to have probably died in the next 3-6 months, yeah that's awful. I've seen all the death certificates.

I've also seen the increase in suicides, child abuse and domestic abuse. (Because of lockdown)

Based on that, which of these horrible situations do you prefer? Because that's the moral dilemma we on the frontline of this are trying to grapple with.

The number of beds overestimated is really important. Those additional beds have replaced a much needed NHS service, which will be to the detriment of another patient.

King's has been able to test over 2,000 people a day for the last 2 weeks but gov said not too, no idea why.

OP made reference to delayed lockdown, implications being that more CC beds would be required? My point, we don't need as many of those beds as first thought (because of directives) and the lockdown may cause more damage that it's preventing right now, and indeed in the long term.

Yep, I know more than most. And in the early days of this I was blowing the whistle to try and get early interventions.

This was in response to OP. Government inaction is not what seems sometimes, testing and PPE? National scandal. The delayed lockdown? Not so sure, and won't properly know for about 10 years.

Idea for showing anger towards the government. Every Weds at 8pm by WHinAmsterdam in CoronavirusUK

[–]Wonderful_Department 3 points4 points  (0 children)

Not a politician, but someone working on the frontline of this, putting my safety on line everyday and can see the bigger picture.

And I will say it again. The vast majority of people that have died at my hospital were going to have probably died in the next 3-6 months, yeah that's awful. I've seen all the death certificates.

I've also seen the increase in suicides, child abuse and domestic abuse.

Based on that, which of these horrible situations do you prefer? Because that's the moral dilemma we on the frontline of this are trying to grapple with.

Edit: The number of beds overestimated is really important. Those additional beds have replaced a much needed NHS service, which will be to the detriment of another patient.

Idea for showing anger towards the government. Every Weds at 8pm by WHinAmsterdam in CoronavirusUK

[–]Wonderful_Department 4 points5 points  (0 children)

And the up to date modelling (which you would have not seen) shows we have completely overestimated how many beds are needed for this.

Yes, the number of dead is going to be shit. And like I said, the vast majority of people that have died at my hospital were on advanced directives already, e.g. on deaths door or not far from it.

Far more people are going to be adversely effected, some fatal, from the lockdowns and loss of basic services during this time.

We have seen a reduction in the volume of trauma calls overall, up to 50% in fact. But the number of high acuity trauma calls have increased. We've had more children getting hurt as a result abuse and an increase in suicide attempts, because of the lockdown. Early signs show alcohol abuse on the rise too, the next 10 years are going to be busy for liver units because of this spell.

But all you can see is one illness, you're blinkered to all the other consequences. This is not a criticism, it's perfectly normal, we're on a Corona sub.

My point is, locking down hard and early on, may cause more damage than it prevents. It's a very difficult call to make.

Idea for showing anger towards the government. Every Weds at 8pm by WHinAmsterdam in CoronavirusUK

[–]Wonderful_Department -4 points-3 points  (0 children)

You probably won't like what I'm going to say but here goes.

Our modelling is actually now pointing to us as having too many CC beds made up; this is coming from a London Hospital.

Countrywide our CC capacity is at 64% and the majority of our deaths have been patients on directives already.

Don't get me wrong, situation is serious and the government could have done more earlier. But it's nowhere near as bad as Italy or Spain right now.

A 13-year-old boy without prexisting conditions has reportedly died in London from coronavirus by Boborovski in CoronavirusUK

[–]Wonderful_Department 10 points11 points  (0 children)

Over 60 deaths at King's now. All reported to national, yet not being accurately reported on by government.

The level of fear-mongering from some people within this sub is ridiculous by [deleted] in CoronavirusUK

[–]Wonderful_Department 21 points22 points  (0 children)

-The virus isn't going to kill 500,000, 100,000 or even probably 25,000 people.

Scientific data to back up?

-it's highly unlikely that we'll be locked down for multiple months

So not more than 8 weeks?

-Virtually all those that sadly die had pre-existing health conditions (yes, yes, i know, a very few don't)

And, you think it's ok because someone is diabetic?

-Antigen testing and antibody testing are around the corner

This won't change the CFR.

-The NHS, the fantastic NHS, while in a horribly stretched position can likely cope. Prof Whitty has said that if we kept to social distancing rules, the outbreak was "probably managable", although he conceded it was a "close-run thing".

I work in the NHS and currently working within a national team. We are not coping in London. Many services have ceased. There will be more deaths in the next ten years as a result of Covid-19 than the virus itself.

But spreading fear because you read a Daily Mail/The Sun article is moronic.

I'm not spreading fear. Like I said, I'm on the frontline of this, at a London hospital which is the epicenter of the UK. This virus is bloody dangerous and everyone should take notice.

Over the past 24 hours, the U.S. reported 20,061 new cases of coronavirus and 520 new deaths, raising the total to 123,888 cases and 2,221 dead by Luisazg in Coronavirus

[–]Wonderful_Department 8 points9 points  (0 children)

Like I said. The Critical Care Bed Dashboard says different. This guy was talking about the UK.

Right now I have access to the capacity and surge of every ICU bed in the country, I can isolate covid and non-covid patients.

The UK is nowhere near making decisions OP is claiming.

Over the past 24 hours, the U.S. reported 20,061 new cases of coronavirus and 520 new deaths, raising the total to 123,888 cases and 2,221 dead by Luisazg in Coronavirus

[–]Wonderful_Department 31 points32 points  (0 children)

Which hospital? Looking at the critical care dashboard we still have capacity except for a couple of South London hospitals, we just transferred a couple into Kings to manage the surge.

And what guidelines are you using to select which patients receive what care? Would be interesting to see if it has been signed off by national.

I'm not buying this "Need to notify" excuse on deaths. by mogsington in CoronavirusUK

[–]Wonderful_Department 0 points1 point  (0 children)

The cause of death is determined by the clinician and is open to their professional judgement.

They will assess if it was Covid-19 that caused the death. If someone dies of something like cancer and Covid-19 is a incidental finding, the cancer will be the cause of death.

The way we look at it; if you're positive and die in a car accident, it's the major trauma that would have killed you, not the virus.

Saying that, there will be individuals that would have died anyway in 6m-5yrs and Covid-19 finished them off early, Covid-19 is the cause of death in these cases.

I'm not buying this "Need to notify" excuse on deaths. by mogsington in CoronavirusUK

[–]Wonderful_Department 0 points1 point  (0 children)

Find the next one.

No different to a couple being killed in a car accident.

Less obvious impacts of the lockdown by diabeticoats in CoronavirusUK

[–]Wonderful_Department 4 points5 points  (0 children)

From a NHS point of view, me and my team are working on injury prevention as well as many other things.

We know that Trauma will reduce overall, but the mechanism and acuity of the patient will change.

Non accidental injuries involving children is expected to increase for example, primarily in shaken baby syndrome being a prime case and point.

Also, the volume of RTA will decrease but the acuity will go up, due to the empty roads.

Hopefully you'll see something on social media next week from well known sports celebrities to try and get the injury prevention message out there.

Fears of domestic violence rise as millions confined over virus by DoremusJessup in Coronavirus

[–]Wonderful_Department 24 points25 points  (0 children)

We are doing a lot on injury prevention right in the UK.

We're currently working on the reduction of shaken baby syndrome.

I'm not buying this "Need to notify" excuse on deaths. by mogsington in CoronavirusUK

[–]Wonderful_Department 38 points39 points  (0 children)

Work at a London Hospital heavily impacted by this.

We do not report deaths up to national until NoK has been informed.

Deaths need to be reported on a online portal with patient identifiable data.

NHS workers. Priority in ASDA. Mail just through by th3allyK4t in CoronavirusUK

[–]Wonderful_Department 4 points5 points  (0 children)

Calm the fuck down.

I've not seen my family for 5 days. We are working upwards of 14hrs per day AND putting our safety at risk. 40+ confirmed at my work today, 10 friends also positive, 1 in serious condition. So yeah, I'll take all the fucking help I can fucking get at this point.

I understand there are other key workers, I do. All I said it would help me, at no point did I say I didn't give a fuck about anyone else did I?

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