Hospitalization: How Long

[harbormaster]

The guys wife was cute so I clicked on the article; how does someone spend this long in the hospital with Covid?

https://pagesix.com/2020/06/18/nick-cordero-lost-65-pounds-while-fighting-coronavirus-wife/

Thought it strange he'd be in the hospital since April?

[Sousuke]

The guys wife was cute so I clicked on the article; how does someone spend this long in the hospital with Covid?

https://pagesix.com/2020/06/18/nick-cordero-lost-65-pounds-while-fighting-coronavirus-wife/

Thought it strange he'd be in the hospital since April?

There is a link to when he came out of the coma - that was May 12th. So it sounds like he has been awake for just over a month.

[vintage rider]

Two weeks

[maggie06]

I read somewhere that it takes 10 days rehab for every 1 day on a ventilator. Not sure if true, but could explain long treatment stays.

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[balgor]

Depends average is 2 weeks, but some people it's months.

[cleonard]

The length of stay is highly correlated to the severity. Some who don't have severe symptoms don't stay too long. If you get to the point of needing a ventilator, it is more like a month minimum and perhaps longer.

The long hospital stays are one of the things driving the governments response. The original goal of not overflowing the hospitals is still there and when people stay for many weeks, overflow is a very real possibility when as cases rise.

[sd_shooter]

Covid care in the USA is lacking. Due to the $40k bounty paid for each patient on a vent, hospitals deliberately hold routine care in order to ensure that the pneumonia progresses to the point where a ventilator is the only remaining option (eg. no oxygen is administered.)

[smashycrashy]

https://azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/covid-19/dashboards/index.php

[duenor]

Covid care in the USA is lacking. Due to the $40k bounty paid for each patient on a vent, hospitals deliberately hold routine care in order to ensure that the pneumonia progresses to the point where a ventilator is the only remaining option (eg. no oxygen is administered.)

That has not been the experience of either my buddy who got it (wrote about this a month ago), or my GMIL, who is in the hospital at WHMC right now.

If anything, they want these patients to GTFO. Medicare pays very poorly (historically, based on previous experiences with mom last year) for each day they are in the hospital, and from what it looks like the COVID19 bonus (if there is one, I don't know), must not be making it worthwhile. SOP is apparently that as soon as the patient is stable enough, send them back to home or SNF/ALF (skilled/assisted facility). They wanted to send GMIL home yesterday night, but the SNF refused because at 12am her temp went a bit up to 99.1. That is not considered a fever for normal people but obviously this is different. Mind you this is a 90 year old with both pneumonia and UTI, clearly still very infectious and sick, can't even get up in bed, and they just want to get her out.

Not saying this can't happen, but from what I'm seeing the hospitals just want to get patients stable and out, just the same as it has always been. Only if insurance is willing to pay ridiculous amounts of money to keep them there do they allow them to stay super long - for example, my very old aunt who had some kind of crazy legacy policy with no limits on anything was able to stay at Huntington Memorial for 6 weeks. The bill was well over 1.2 million.

[balgor]

Covid care in the USA is lacking. Due to the $40k bounty paid for each patient on a vent, hospitals deliberately hold routine care in order to ensure that the pneumonia progresses to the point where a ventilator is the only remaining option (eg. no oxygen is administered.)

People on a vent end up in the ICU for weeks, many hospitals even with the 40k bonus tend to lose money on these patients. Besides, doctors don't intentionally kill their patients for extra money. It's a violation of the hypocratic oath and criminally negligent to intentionally let someone deteriorate to needing a ventilator. It's like intentionally not giving someone clot busters to induce a heart attack or stroke, so you get paid more. Medicare routinely audits hospitals and if a doctor engaged in such blantenly criminal behavior they'd lose their license and end up in prison. The whole hospital could end up decertified for not catching and stopping such behavior before the audit.

[sd_shooter]

People on a vent end up in the ICU for weeks, many hospitals even with the 40k bonus tend to lose money on these patients. Besides, doctors don't intentionally kill their patients for extra money. It's a violation of the hypocratic oath and criminally negligent to intentionally let someone deteriorate to needing a ventilator. It's like intentionally not giving someone clot busters to induce a heart attack or stroke, so you get paid more. Medicare routinely audits hospitals and if a doctor engaged in such blantenly criminal behavior they'd lose their license and end up in prison. The whole hospital could end up decertified for not catching and stopping such behavior before the audit.

Are you saying all the "veritas-style" videos of hospital staff talking about stuff are fake? (Certainly possible, but they don't seem staged)

[cleonard]

Covid care in the USA is lacking. Due to the $40k bounty paid for each patient on a vent, hospitals deliberately hold routine care in order to ensure that the pneumonia progresses to the point where a ventilator is the only remaining option (eg. no oxygen is administered.)

What is the evidence for this? I have seen something about public assistance patients and some bonus for Covid, but not anything for private insurance. That $40k might not even cover the hospital's costs anyway. Today the treatment protocol is to delay as long as possible which goes against what you propose.

[SanDiego619]

I feel bad for that guy he got majorly screwed up bigly, dunno why it hit him so hard.

[cleonard]

Are you saying all the "veritas-style" videos of hospital staff talking about stuff are fake? (Certainly possible, but they don't seem staged)

No I don't think so. You might be surprised what nurses say about doctor's decisions sometimes. If I remember correctly, these were from New York and in those bad early days. There were basically no treatment protocols at the time. Even now there really isn't much that they can do.

[MrBlond]

"Broadway star" ...it's because he has AIDS.