Yeah, obviously I know your stance with the vaccine, and I respect that. What’s happening in real life is…well, real life. So that’s why I like to share at times. My hospital is relatively small, but I do like looking at the data! Yes, I think it’s “officially” reported that only 2-4% of COVID admissions are vaccinated, which is definitely lower than what I have seen over the past few months. I would say closer to 10-30% are vaccinated. The vaccinated have had better outcomes so far though generally speaking.
So today we have 13 total patients, with 2 being vaccinated. Only 1 patient on a ventilator who is a 45 years old, unvaccinated, and only medical history is diabetes, and he’s not fat! Just got intubated this morning.
Yeah, the baricitanib is mainly used for rheumatoid arthritis, so it is ultimately intended to inhibit the cytokine storm in this case. There is data out there, but literally the only reason they used it was because we are out of tocilizumab.
That woman who now wants the vaccine is a PIA! She spends way too much time wondering why she got such severe symptoms, stresses about every little thing and overanalyzes it. Spends way too much time trying to be her own physician. I had a heart to heart with her and told her she needs to stop stressing out, and leave it to us to make her better. It’s not going to help anything for you to be so wound up, and we can’t always give you answers about your course because it’s individual and we are all still learning about it
Our ED is 75% filled with admitted patients on most days, and they have to wait up to 2 days for a hospital room. People on stretchers in the halls etc. Doesn’t leave much room for emergent care. Whenever we try to transfer a critically ill patient to a larger facility to receive ECMO in state or in Massachusetts, they are denied due to lack of beds. So it certainly isn’t great, and it’s not a good sign for the next few months. I hope things don’t get as bad as last fall/winter!!
I will get back to you, it’s time to give report on my patients and GTFOH!