Dr. Jim Souza provided @BoiseMayor facts about what’s happening at @StLukesHealth as #COVID19 spreads out of control in our community. Inpatient numbers steadily rising over 6 weeks. October: Daily average number of COVID+ patients = 35, then 50, 90, 110, 120, then 135 yesterday
2/ @StLukesHealth ICU COVID-19+ patients were in the single digits in October, then mid-teens, then up to 24 yesterday. That’s added on top of the usual operations as people get sick and need hospital care for other reasons.
3/ Our own @STlukeshealth caregivers are getting sick in the community and it’s impacting how much care we can provide. Dr. Souza told @BoiseMayor we have 197 clinical staff out sick, 133 confirmed COVID-19+.
4/ @StLukesHealth stopped scheduling non-urgent, non-emergent surgeries and procedures that require an overnight stay until after Christmas and is canceling previously scheduled surgeries on a week by week basis to make room for #COVID19 patients.
5/ Dr. Souza says @StLukesHealth is pulling out all the stops for incentivizing employees to take more shifts and longer shifts and says, “Honestly, they’re running out of gas.” He says we’re approaching the limits of what we can do staffing wise.
More to share from Dr. Souza, but temporarily switching over to the Southwest District Health Board Meeting where a board member invited people who don't believe in COVID19/masks to speak to counter @StLukesHealth EXPERTS who were also invited to speak.
Finally have time to get back to Dr. Souza’s important conversation with @boisemayor on #COVID19. Sharing a few clips...
“To the degree we continue to delay these screening studies, we’re going to have curable conditions that could have been found early become incurable ones that we find late.” Dr. Jim Souza, @StLukesHealth
On our limited capacity: “@GovernorLittle will be forced to institute crisis standards. This means health care providers would need to make triage decisions and actually ration care to those most likely to survive.” @StLukesHealth
This is a long quote, but it’s critically important for everyone, especially those who don’t worry about COVID19 or don’t think it will impact them. “We’re in the just in case business... (describing the services we offer to you and your loved ones)”...
... “If crisis standards are implemented, people are going to be caught by surprise because these sorts of therapies might not be available. If we let that happen, it’s going to be our collective failure as citizens.” ...
... “When you watch a train coming down the track towards you, I suppose you tell yourself it might stop, but it probably won’t, so you get out of the way.”...
... “We’ve been giving this message as health care providers since April and we are starting to wonder if anyone is listening.” -Dr. Jim Souza, @StLukesHealth
And Dr. Jim Souza’s advice to @boisemayor on actions that could help to slow the spread of COVID19 in our community:

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More from @StLukesAnita

17 Nov
New thread just for Southwest District Health's Board meeting. @StLukesHealth was asked to come speak to the board and will around 9:55a:
OMG... "This is a scam!" People are shouting at SWDH Board meeting.
People are thanking the board for bringing in the "other side" and speakers with different views on #COVID19 because they're only hearing "one-sided" information from health care organizations. This is where we are folks. SCIENCE and evidence-based data is "one-sided"
Read 19 tweets
10 Nov
.@BSDEducation Board is also happening now. @drkennybramwell from @StLukesHealth Children's will answer questions and provide information about #COVID19 and kids:
Since the reintroduced of secondary students, @BSDEducation says it has seen an uptick in positive rates among students and staff. They say it's to be expected when you have more people back on campuses, even part time.
.@BSDEducation says 550 elementary students are currently quarantining due to a COVID19 exposure and 507 secondary students are doing the same. It’s a small percentage, they say – less than 1%. It’s based on contact tracing efforts.
Read 9 tweets
9 Nov
1/4 of @StLukesHealth Magic Valley patients are COVID19+. Twin Falls will consider ordinance mandating face coverings when in public places to try to slow outbreak. PLEASE help show support for this, as we're hearing of large protests against it planned.
tfid.org/514/Agendas-Mi…
16% of COVID-19 tests in Twin Falls County are coming back positive right now. At one point last week 52 people were hospitalized with COVID...in ONE hospital. @StLukesHealth is hoping the TFCC will look at the data/research and take action with masks. stlukesonline.org/health-service…
If you know people in Twin Falls, please have them submit their comments in support of face coverings ASAP by 12pm to be included before tonight's 5p meeting: forms.tfid.org/Forms/CouncilC… #WearAMask
Read 7 tweets
29 Oct
1/ Would you mind saying a prayer/sending a good vibe to this patient tonight? Three years ago they survived a double lung transplant. Now they’re on a ventilator in @StLukesHealth Boise’s ICU and extremely sick with #COVID19. I can’t stop thinking about them and the care team.
2/ Before the patient went on the ventilator, they expressed deep sadness & regret to the care team, the feeling they had somehow disappointed the donor & family that gave their lungs for this patient to live, then 3 years later despite being so careful, they now have COVID19. 😔
3/ COVID19 impacts so many people in so many heartbreaking and unexpected ways. Please don’t be the reason someone like this is sick with this deplorable virus. Take it seriously. I can’t imagine the guilt the person who unknowingly passed the virus on to this patient must feel.
Read 6 tweets
27 Oct
It’s feeling like a marathon of important meetings this week and it’s only Tuesday. @CDHidaho is up next with a meeting tonight at 5:15p.
Important context if you are watching
@CDHidaho: Treasure Valley may not be the hot spot now, but our hospitals are supporting small, rural hospitals at a breaking point. @StLukesHealth's Dr. Jim Souza said on a call today, "The cavalry is not coming over the hill. We are it."
Holy cow. Dr. Souza's talk to @CDHidaho. Speechless. I recorded it on my phone and will share shortly.
Read 21 tweets
26 Oct
PLEASE do NOT go to local Emergency Departments just to get a COVID-19 test if you have mild symptoms. @StLukesHealth has same-day appointments available in clinics. EDs need to be left open for those who are truly having an emergency: linkedin.com/pulse/covid-19…
2/ In the last week as coronavirus cases have gone up, more people have come to @StLukesHealth Emergency Departments asking for COVID-19 tests. Patients often have no symptoms or mild symptoms yet are seeking emergency care. (DON'T DO THAT, PLEASE.)
3/ @StLukesHealth provides COVID-19 tests for symptomatic patients in select primary care clinics by-appointment. At this time most locations have same day tests available and results are back within one to two days. St. Luke’s is unable to accept walk-ins.
Read 6 tweets

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