
Originally Posted by
chuckman
I do not disagree with you. I am not sure I fully agree with you. In all honesty, my needle moves based on what I am doing at work, and I agree with many perspectives and disagree with parts of the same, at the same time.
BLUF, to flatten the curve does a few things. 1) it buys HC time to prepare resources, 2) it staggers input over time instead of a single deluge, 3) hopeful social distancing and quarantine prevents some illness, gives others a chance to get better, 4) prevents spread. As I am sure you know, some hospitals can play 3D chess with ICU patients: new patient needs vent, put healthiest ICU patient on CPAP/BiPAP to bridge, and move to stepdown, etc. A lot of ICUs do this, every day, especially during flu season. Smaller hospitals, one ICU, etc., cannot do this. But what none of us have done or can do, is be at 100% census in all ICUs and still have 30+ patients needing vents at the same time. That scenario is what flattening the curve is all about, and the scenario we are trying to prevent.
I absolutely believe in social distancing and quarantining. I am not so bullish on .gov-compelled shut-downs and standstills.