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Old 04-14-2020, 11:14 AM
Dcinmd Dcinmd is offline
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How badly is it going to affect you if Canada shuts down the border to the 1,600 nurses working in the Detroit area?

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Amyotte is one of some 1,600 Ontario nurses who cross the border to work in Detroit. Now, as Michigan suffers one of the worst outbreaks of the deadly virus in the United States, some Canadian officials are calling for curbs on their travel a move that could devastate U.S. hospitals.
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  #82  
Old 04-14-2020, 12:05 PM
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How badly is it going to affect you if Canada shuts down the border to the 1,600 nurses working in the Detroit area?
Devastating. Four of our hospitals are within a thirty minute drive from the border crossings. Most of those 1600 work at one of those facilities. Canadian nurses have been an important resource for all of my career.

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Old 04-14-2020, 03:00 PM
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Devastating. Four of our hospitals are within a thirty minute drive from the border crossings. Most of those 1600 work at one of those facilities. Canadian nurses have been an important resource for all of my career.
It didn't sound like good news when I read it. I hope it works out for the best.

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Old 04-15-2020, 11:21 AM
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One thing I haven't seen addressed is how we get people OFF of ventilators. My Dad had a couple of seizures from unknown causes last summer and wound up with pneumonia and on a ventilator in Fort Wayne, Indiana. He was there for about a month and a half before being transferred to a small hospital in Kalamazoo, Michigan that was probably an hour and a half away. He was sent there because he was so reliant on the ventilator that they had to send him somewhere to be weaned off. I don't think the Michigan hospital was big enough to handle more than a few cases like his though.

I'm sure that not every case of COVID-19 that requires a ventilator makes the patient as reliant on the machine as my Dad was, but I'm also sure that some cases are doing exactly that. So I guess my question is if you've seen people needing to be transported to specialists like that or if they're trying to do everything in one facility like yours? I feel like if enough people became dependent like my Dad did it would overwhelm our hospitals even more and we'd be hearing about it.
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Old 04-15-2020, 12:03 PM
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One thing I haven't seen addressed is how we get people OFF of ventilators. My Dad had a couple of seizures from unknown causes last summer and wound up with pneumonia and on a ventilator in Fort Wayne, Indiana. He was there for about a month and a half before being transferred to a small hospital in Kalamazoo, Michigan that was probably an hour and a half away. He was sent there because he was so reliant on the ventilator that they had to send him somewhere to be weaned off. I don't think the Michigan hospital was big enough to handle more than a few cases like his though.

I'm sure that not every case of COVID-19 that requires a ventilator makes the patient as reliant on the machine as my Dad was, but I'm also sure that some cases are doing exactly that. So I guess my question is if you've seen people needing to be transported to specialists like that or if they're trying to do everything in one facility like yours? I feel like if enough people became dependent like my Dad did it would overwhelm our hospitals even more and we'd be hearing about it.
We are not sending out any vent patients. All of our facilities are pretty good sized acute care hospitals. The percentage of vent recovery was pretty low a couple weeks ago, though I am not sure if that has changed.

I don't work in the ICU where all of our vented patients are, so I really don't have the answers for your questions. From what I understand though, patients are either able to be weaned off of a vent in a couple weeks or they just don't make it.
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Old 04-15-2020, 01:46 PM
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We are not sending out any vent patients. All of our facilities are pretty good sized acute care hospitals. The percentage of vent recovery was pretty low a couple weeks ago, though I am not sure if that has changed.

I don't work in the ICU where all of our vented patients are, so I really don't have the answers for your questions. From what I understand though, patients are either able to be weaned off of a vent in a couple weeks or they just don't make it.
Yeah my Dad didn't make it either. He got weaned off and immediately took a turn for the worse. At that point he couldn't have been intubated again because he couldn't have survived that either. I think with him it was more difficult too because he wasn't responsive enough to take commands most of the time. Word is that he had conversations, but I never got to see that when I visited. So I'm guessing that a lot of the people who can be weaned still have the brain function to communicate, and because of that they can be weaned off without having to have a trach put in.

Anyway, I'm sure you're getting lots of "we appreciate what you do" comments because what you do is so amazing. But I'll add another one. The whole experience of spending days in a hospital room with my Dad last summer really made me appreciate nurses more than anyone else. I don't know if I'd have the capacity to do it, but I sure appreciate people who do!

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Old 04-15-2020, 02:22 PM
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Cardiac Ultrasound tech from BC. b-mart is right, nurses do a lot more than most of us know or appreciate. ru4por and his kin are rock stars.

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Old 04-15-2020, 03:35 PM
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The time may come when your own mask protects your own health---from somebody hitting you with a 2x4, for being in public unmasked.
Thanks David! This made me LOL.

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Old 04-15-2020, 04:46 PM
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Yeah my Dad didn't make it either. He got weaned off and immediately took a turn for the worse. At that point he couldn't have been intubated again because he couldn't have survived that either. I think with him it was more difficult too because he wasn't responsive enough to take commands most of the time. Word is that he had conversations, but I never got to see that when I visited. So I'm guessing that a lot of the people who can be weaned still have the brain function to communicate, and because of that they can be weaned off without having to have a trach put in.

Anyway, I'm sure you're getting lots of "we appreciate what you do" comments because what you do is so amazing. But I'll add another one. The whole experience of spending days in a hospital room with my Dad last summer really made me appreciate nurses more than anyone else. I don't know if I'd have the capacity to do it, but I sure appreciate people who do!
Thanks b-mart, and I am really sorry to hear about your Dad. Losing a parent is one of the most devastating life experiences.

As a platform for one of my public service announcements, I would encourage everyone to look into advance directives and durable medical decision documents. Getting in writing, what you would like to have done medically to you, or not, in the event that you are not able to make those decisions. Most state governments have fine online documents to make use of. Make sure to file these with your local hospital for use, if anything were to ever happen.

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  #90  
Old 04-17-2020, 10:03 AM
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How are things going?
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