Jump to content
justhookit

COVID-19 2nd wave - Texas only (no politics)

Recommended Posts

Posted (edited)
11 minutes ago, htown85 said:

Some good news....

Only 280 new cases in Harris County today.  Down 70% from last Tuesday (944).  That should help drive Texas case numbers down, too, which appear to be dropping per Google.

LOLNOPE, new record of 6,975 cases today, per the Statesman just now.

Edited by J.R. Juniors Junior Jr.

Share this post


Link to post
Share on other sites
2 minutes ago, J.R. Juniors Junior Jr. said:

LOLNOPE, new record of 6,975 cases today, per the Statesman just now.

Yeah, sucks.  At least we have some good trajectory in Houston.  Hopefully we'll see it through the rest of the state soon.

Share this post


Link to post
Share on other sites
3 minutes ago, htown85 said:

Thanks.  Looks like there was a decline starting before today.  Makes it appear even worse in smaller counties since Harris had such a big drop.

I'm happy about the Harris numbers, as I'll be flying in tomorrow.  The downward trend of their numbers is making me less anxious. 

Share this post


Link to post
Share on other sites

If you are going to focus on cases, there is no reason to look at anything other than the 7 day average.  There is too much variation in reporting results day to day.  And now I've seen numerous reports that due to the demand for tests the lag time is creeping back up again (in Dallas the free drive-through tests are reportedly 8 day lag on average).  I can't fathom any metro area in Texas is trending in the right direction case wise if looking at 7 day average.

Share this post


Link to post
Share on other sites
Posted (edited)
31 minutes ago, B00M said:

Just curious, did y'all consider cross-training nurses to prepare for this? It seems like all the nurses and doctors knew there'd be a nursing shortage. 

Good luck and thank you!

They did cross train nurses in anticipation of our surge staffing. I had nurses from the OR, PACU, and downgrade units shadow me. The cross training is really just for nurses from other units to get a feel for how it is in the ICU as under their scope they still cannot do ICU tasks. Currently I take care of 1-2 ICU patients. When we do switch to surge staffing I will be taking care of 3-6 ICU patients and have 1-3 nurses under me to do non-ICU tasks. Which isn't that helpful as the nurses assisting me will not be able to manage the ventilator or titrate medications which is a big part of COVID patient care. 

Edited by whithou

Share this post


Link to post
Share on other sites
28 minutes ago, Skipper said:

If you are going to focus on cases, there is no reason to look at anything other than the 7 day average.  There is too much variation in reporting results day to day.  And now I've seen numerous reports that due to the demand for tests the lag time is creeping back up again (in Dallas the free drive-through tests are reportedly 8 day lag on average).  I can't fathom any metro area in Texas is trending in the right direction case wise if looking at 7 day average.

That's actually trending down, too.  For the sake of transparency, I'm just going off the @HoustonHealth twitter account for the Houston Health Department (www.houstonhealth.org).  I'm not going to act like their data is the best, but it seems to be a logical source to rely on.  Their 7-day average has been flat/declining since Friday.

Share this post


Link to post
Share on other sites
Posted (edited)

158 in Hays. Was interesting the county left off the total count of new cases, instead focusing on 1 death and the number of recovered. 

 

Oh, and 17 hospitalizations. We have a total of 23 Emergency room or ICU beds from the last information I saw from Judge Becerra. Anyone know the real count? 

Edited by InkaUtexas

Share this post


Link to post
Share on other sites
2 minutes ago, Hanrahan said:

I am not seeing any data indicating a drop off in Harris county.  Shit still looks fucked.

 

Share this post


Link to post
Share on other sites

Anecdotal, employee had to get tested because her son has it and she's showing symptoms.  Went today and they said she'd have her results in 7-10 days.  What happened to the rapid test results? Luckily we let her work from home yesterday because her son was in town so no exposure in office.

Share this post


Link to post
Share on other sites
12 minutes ago, Message Board User said:

 

This just kind of illustrates the reporting problem.  So "Texas" reports 21 deaths.  Dallas reports 20 deaths.   I highly doubt only 1 other death in the State.  How the hell have we not managed to sync up reporting?  Like, I dunno, every County has to provide data they will release that day to the State by 2 PM so the State can release at 5PM.  Doesn't seem that difficult. 

Share this post


Link to post
Share on other sites
9 minutes ago, Skipper said:

This just kind of illustrates the reporting problem.  So "Texas" reports 21 deaths.  Dallas reports 20 deaths.   I highly doubt only 1 other death in the State.  How the hell have we not managed to sync up reporting?  Like, I dunno, every County has to provide data they will release that day to the State by 2 PM so the State can release at 5PM.  Doesn't seem that difficult. 

I read somewhere that the state number is a day old, which could be why Tuesdays are so high since some counties don't report on Sunday.

Share this post


Link to post
Share on other sites
7 minutes ago, htown85 said:

I read somewhere that the state number is a day old, which could be why Tuesdays are so high since some counties don't report on Sunday.

Yup just reporting lag. Dallas is big enough to have its own public health reporting infrastructure (like Houston, Los Angeles, etc.) so they can report the day they send the data to DSHS. DSHS won't have the number in theirs until the following day. 

Ideally you would get the number from the CDC as it's likely Dallas sends their info directly to the CDC as well as to DSHS. CDC would then have the true aggregate as they are supposed to remove Dallas from the number they receive from DSHS, but it gets messy and double counting is inevitable. It's possible for COVID that CDC is only receiving data from state agencies but for other reportable diseases it can come from municipal public health departments as well. 

Share this post


Link to post
Share on other sites
Yeah that tells a different story.  I don't know.  I guess pick whatever fits your narrative just like every other 2020 conversation?


I don’t have a narrative. I was one of the ones early on saying this would be a whole bunch of nothing, just like the chicken little Ebola thread a few years ago. I admit to being wrong.

I got scared in March when no one knew if this thing was spreading like crazy in Texas like it was in New York. It wasn’t and l thought the worst was behind us in May. The mid-to-late June numbers for Texas are pretty scary. We’re on an upward trajectory that’s not showing signs of abating. Daily numbers will fluctuate.

Share this post


Link to post
Share on other sites
38 minutes ago, Skipper said:

This just kind of illustrates the reporting problem.  So "Texas" reports 21 deaths.  Dallas reports 20 deaths.   I highly doubt only 1 other death in the State.  How the hell have we not managed to sync up reporting?  Like, I dunno, every County has to provide data they will release that day to the State by 2 PM so the State can release at 5PM.  Doesn't seem that difficult. 

Ector County (Odessa) reports confirmed and probable cases. The number on the website linked above (BNO Newsroom) is showing only the confirmed cases.  The probable cases are all from rapid testing done at a private site and are all positive, like an additional 200+ cases.  The Ector County Health Dept. doesn't consider the rapid test accurate enough to report them as confirmed cases. However,  a doctor at one of the hospitals basically came out and said the test were accurate and those probable cases should be listed as confirmed.

Odessa gonna Odessa...

https://www.newswest9.com/article/news/health/coronavirus/new-details-from-ector-county-officials-on-wednesday-paint-new-picture-of-total-covid-19-case-count/513-1f8ad4b6-7b32-427a-8082-307b63570206

Share this post


Link to post
Share on other sites
This just kind of illustrates the reporting problem.  So "Texas" reports 21 deaths.  Dallas reports 20 deaths.   I highly doubt only 1 other death in the State.  How the hell have we not managed to sync up reporting?  Like, I dunno, every County has to provide data they will release that day to the State by 2 PM so the State can release at 5PM.  Doesn't seem that difficult. 

Even that Dallas number is likely on a lag too, and includes deaths aggregated over several days. States that report date of death (MA used to) make this very apparent. I don’t mind reporting lags; I just wish date of death were reported publicly.

Share this post


Link to post
Share on other sites
3 hours ago, South Austin said:

I’m concerned that young man may run out of gas.

Lol, I saw that too.

Share this post


Link to post
Share on other sites
3 hours ago, South Austin said:

I’m concerned that young man may run out of gas.

Words that have crossed the lips of your mom many times before. 

Share this post


Link to post
Share on other sites
54 minutes ago, Hanrahan said:

 


I don’t have a narrative. I was one of the ones early on saying this would be a whole bunch of nothing, just like the chicken little Ebola thread a few years ago. I admit to being wrong.

I got scared in March when no one knew if this thing was spreading like crazy in Texas like it was in New York. It wasn’t and l thought the worst was behind us in May. The mid-to-late June numbers for Texas are pretty scary. We’re on an upward trajectory that’s not showing signs of abating. Daily numbers will fluctuate.

 

My comment wasn't meant to be a jab at you - more a jab at our society as a whole.

Share this post


Link to post
Share on other sites
1 hour ago, bschoolprof said:


Even that Dallas number is likely on a lag too, and includes deaths aggregated over several days. States that report date of death (MA used to) make this very apparent. I don’t mind reporting lags; I just wish date of death were reported publicly.

Oh for sure.  Noticed that early on when the teenager died and news interviewed the family and said she passed on either Friday or Saturday but it wasn't in the report until Tuesday.  For whatever reason, Tuesday has always been the big death aggregation day.  It used to be the same with cases as well although that seems to have somewhat leveled out.

Share this post


Link to post
Share on other sites
26 minutes ago, Walte464 said:

Hidalgo county had 440 test positive with 11 deaths today.

Yep - the valley is getting crushed.  Would love to see numbers by county per capita because Hidalgo has to be up there.

 

Share this post


Link to post
Share on other sites
2 minutes ago, Message Board User said:

Yep - the valley is getting crushed.  Would love to see numbers by county per capita because Hidalgo has to be up there.

 

Hearing Cameron county is going to be huge today, waiting for the numbers to be released.

Share this post


Link to post
Share on other sites

Some interesting notes from the SA update today. 
 

815 critical care nurses on the way. 250 from the Navy. 565 from the state. #tannedrestedandready

159 vented patients in San Antonio. 55 vents still in surplus. Not sure if that’s for the whole city or just the hospital system sending out this update. 
 

One to two months supply of iso gowns currently. One months worth of masks. Will continue reprocessing. 

Share this post


Link to post
Share on other sites
1 minute ago, GRHorn said:

Some interesting notes from the SA update today. 
 

815 critical care nurses on the way. 250 from the Navy. 565 from the state. #tannedrestedandready

159 vented patients in San Antonio. 55 vents still in surplus. Not sure if that’s for the whole city or just the hospital system sending out this update. 
 

One to two months supply of iso gowns currently. One months worth of masks. Will continue reprocessing. 

 

Are the vents even really the stress point anymore now that the treatments have moved away from defaulting to them? Seems like staff and beds are the real worry now.

Share this post


Link to post
Share on other sites
2 minutes ago, BradInATX said:

 

Are the vents even really the stress point anymore now that the treatments have moved away from defaulting to them? Seems like staff and beds are the real worry now.

I don’t think so, but I included it because it had a hard number.
 

One of the smaller hospitals I work at today converted it’s Pacu to a mini Covid ICU. It’s definitely an issue here. 

Share this post


Link to post
Share on other sites
22 hours ago, justhookit said:

So Nueces County new cases once again at 205. ICU up from 18 to 29. Hospitalizations up from 80 to 93.  I THINK this is a lag from not reporting those hospital/icu numbers yesterday. So it’s not quite as bad as it might look.

However we’ve been reporting new case numbers every day and it’s been steady around 200 for 6 days now. I’ve got a growing concern that this is being caused because we are at or very near our testing limits and not because we are “flat”.

Daily bad news update out of Nueces. Record new cases at 274. Hospitalizations up to 105. ICU to 33. Hopefully the trend holds and the majority of these cases are young and handle this well without having to go to the hospital. If not, look out over the next 2-3 weeks. And we have to at least level this spike off.

Share this post


Link to post
Share on other sites

Dallas detailed data released this evening just confirms what we all knew.  Spreading rapidly here.   I actually don't think I've left my house other than walks in neighborhood for like 10 days now that I think about it so really no idea how things are, but hope people are taking it more seriously.  

Share this post


Link to post
Share on other sites

If you check out healthweather.us, they are showing that this outbreak may be centered right now around Austin/San Antonio, the hill country, and areas going south down to the border and coast.  Those areas of Texas are showing higher temperatures than the rest of the state.  DFW and Houston show elevated temps but not as bad as central and south Texas.  Texas as a whole is "hotter" than the surrounding states, indicating more illness.

 

Share this post


Link to post
Share on other sites
2 hours ago, Message Board User said:

 

105 cases reported in Starr county. 650 total cases for the valley today.

Share this post


Link to post
Share on other sites

1268 cases in San Antonio today. Omfg. Not a typo. 1268. Last in literacy, first in herd immunity. I'm never going to get to leave my house

Share this post


Link to post
Share on other sites

Someone should check in on [mention]ChickenSandwich [/mention]

He hasn’t posted Kung Flu numbers lately.

Share this post


Link to post
Share on other sites
1 hour ago, Mitch Cumsteen said:

1268 cases in San Antonio today. Omfg. Not a typo. 1268. Last in literacy, first in herd immunity. I'm never going to get to leave my house

But at least you have all the wonderful decor to stare at while contemplating life

Share this post


Link to post
Share on other sites

Dallas mayor has been giving updates on healthcare system numbers and they’ve remained pretty much level for about 3 weeks. Friend of mine works at parkland and their covid px count is up from about 80 to 140 in the last 10 days, so something seems off. Then I came across this article that makes it sound like the Dallas icu bed count is fluffed by pediatrics and neonatal


https://www.google.com/amp/s/www.nbcdfw.com/investigations/nbc-5-exclusive-icu-bed-count-missing-inconsistent-as-covid-19-patients-fill-north-texas-hospitals/2395910/%3famp

Share this post


Link to post
Share on other sites

Is there any benefit to getting tested even if you feel sick but not dying? I’m fine now, but if I get mildly illl I’m not gonna wait in a 5+ hour line with other sick people to get tested for something that’s untreatable. I think the only numbers worth looking at are hospitalizations and deaths, & hospital space. 

Share this post


Link to post
Share on other sites
1 hour ago, Helobious said:

Is there any benefit to getting tested even if you feel sick but not dying? I’m fine now, but if I get mildly illl I’m not gonna wait in a 5+ hour line with other sick people to get tested for something that’s untreatable. I think the only numbers worth looking at are hospitalizations and deaths, & hospital space. 

Sure. Imagine there is a guy out there right now - sick and has symptoms of Covid - and he decides to go to work rather than going to the doctor. He coughs all over the office bathroom - where you lay your keys. You wash your hands and pick up your keys when a horsefly lands on your nose - you bat at your nose with the keys in hand causing your nose to hurt like you broke it. You rub your nose with your hands - - - and the time clock starts ticking for you.

If sick, get tested. Early treatment. Plus you might save many lives who aren't ready to die yet.

It's a great question. We shouldn't be afraid of data. The more data the better. That is how we are going to beat it. 

Share this post


Link to post
Share on other sites
1 hour ago, bluto said:

Dallas mayor has been giving updates on healthcare system numbers and they’ve remained pretty much level for about 3 weeks. Friend of mine works at parkland and their covid px count is up from about 80 to 140 in the last 10 days, so something seems off. Then I came across this article that makes it sound like the Dallas icu bed count is fluffed by pediatrics and neonatal


https://www.google.com/amp/s/www.nbcdfw.com/investigations/nbc-5-exclusive-icu-bed-count-missing-inconsistent-as-covid-19-patients-fill-north-texas-hospitals/2395910/%3famp

My neighbor is a nurse at methodist. She said it has been bad for almost a week now at her hospital. Bunch of other nurses tested positive and she is supposed to get her results tomorrow 

Share this post


Link to post
Share on other sites
5 hours ago, washparkhorn said:

If sick, get tested. Early treatment. Plus you might save many lives who aren't ready to die yet.

It's a great question. We shouldn't be afraid of data. The more data the better. That is how we are going to beat it. 

Agree about the data, but in real life I'd go the other way on that testing advice. You can also save lives by keeping yourself isolated at home until the symptoms have been gone for two weeks. That's how it was in the northeast when testing without a doctor's order was impossible (as far as I know, it still is). If you have trouble breathing, go to the ER for sure. But basic cold symptoms, I think a ton of people just rode it out at home.

Share this post


Link to post
Share on other sites
Posted (edited)
15 hours ago, B00M said:

Just curious, did y'all consider cross-training nurses to prepare for this? It seems like all the nurses and doctors knew there'd be a nursing shortage. 

Good luck and thank you!

you can't just cross train for ICU, you can in a ton of places but two that are let's say more difficult to cross train for are ICU and OB Units.

it's a different skill set for much higher acuity level patient with a much lower nurse:patient ratio (he talked about it above)

 

Edited by NoName

Share this post


Link to post
Share on other sites
6 hours ago, washparkhorn said:

Sure. Imagine there is a guy out there right now - sick and has symptoms of Covid - and he decides to go to work rather than going to the doctor. He coughs all over the office bathroom - where you lay your keys. You wash your hands and pick up your keys when a horsefly lands on your nose - you bat at your nose with the keys in hand causing your nose to hurt like you broke it. You rub your nose with your hands - - - and the time clock starts ticking for you.

If sick, get tested. Early treatment. Plus you might save many lives who aren't ready to die yet.

It's a great question. We shouldn't be afraid of data. The more data the better. That is how we are going to beat it. 

This may be great advice on a message board and on the interwebs, but the problem occurs in real life where if I get tested today I may not get the results back for 1-2 weeks.

Are you expected to quarantine and miss work for 1-2 weeks while waiting for results?  Tell that to the working stiff or single mom who knows they will get fired if they ask for 1-2 weeks off because they may be positive.

The lack of rapid testing is a major problem and a main driver of the spread.

Share this post


Link to post
Share on other sites
10 hours ago, Mitch Cumsteen said:

1268 cases in San Antonio today. Omfg. Not a typo. 1268. Last in literacy, first in herd immunity. I'm never going to get to leave my house

Well, San Antonio has always wanted to be first in something and step out from behind Austin, Houston, and Dallas' shadows. Congratulations. It's your moment to shine.

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


mpu


Football ... Basketball ... Baseball ... Other Sports ... Recruiting ... Gambling ... Movies & TV ... Music ... Hobbies ... Lulz ... Food & Travel ... Daily Texan ... Help ... For Sale ... Politics ... Board Discussion
×
×
  • Create New...