Pedestrian |
Mar 18, 2020 8:00 PM |
Quote:
Originally Posted by Crawford
(Post 8866341)
Most doctors/nurses aren't in hosptials, though. Why wouldn't those reservists be made available? Of course they aren't "just sitting around doing nothing" but their dermatology practice in Ohio probably isn't essentially to the current fight. Wouldn't the armed forces have the right to call them up?
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Sure the armed forces has a right to call them up. But if you tell a dermatologist he's going to have to provide primary care or, worse, care of acutely ill virus patients, he'll tell you, "Sorry. No way. I don't have those skills," and in many cases he'll be correct.
Specialists are not interchangeable. These days, general and rotating internships where future specialists learn about things they'll never do again are pretty uncommon. And even if a dermatologist learned how to take care of an accutely ill person, they likely remember little of it.
The point is that there's literally nobody to work in new hospital capacity we might create except people already working in existing hospitals.
What may be useful is developing the ability to segrgate virus patients from everyone else. I saw one proposal to use the hospital ships to provide continuing "regular" medical care--appendectomies, strokes, heart attacks and all the rest--while we turn one or more hospitals ashore into exclusive use for virus patients. That, along with suspending elective hospitalizations for any reason, could make a lot of sense because it keeps hospitals from being places where peopkle who don't have coronavirus can catch it.
But I'm not sure the politicians understand the distinction.
One additional point: I saw reports that the Chinese brought in thousands of "military doctors" to work in their temporary hospitals. That might be true because in China, if reports can be believed, the disease was remarkably localized to Hubei and, somewhat, to Beijing so medical personnel may have been available in the rest of China to use in Wuhan. America is not so lucky. The disease here (and in Europe) seems much more widespread around the country (and getting more so--it's in every state now) so there aren't medical people in unaffected places to move to affected places.
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