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Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

npr.org

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Re: Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

#3
There is also another opinion: that many people go to the ER who don't really need to go there.

I had to visit the ER recently. I did not want to go but my doctor insisted. A family member who is also a doctor also insisted I go.

The ER was eerily empty. The ER doctor saw me immediately. There were only a couple of other patients that I could see. This contrasts to prior experiences in the ER where there is a long wait as I get triaged, with lots of people waiting to be seen.

Fortunately my situation was nothing serious. When I returned home and told my relative, he said his hospital's emergency department was also very light. In his opinion, there were a lot of people going to the ER who didn't need to go in the first place.

Edit: I am referring to non-trauma related admissions to the ER. E.g. I have a headache and I am going to the ER to be seen now.

Re: Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

#5
Dying at home, many of them. Excess mortality is way up, and it’s not all COVID-19:

https://www.washingtonpost.com/health/patients-with-heart-at...

> The possibility that patients may be suffering — and even dying — at home rather than going to a hospital led the American College of Cardiology to launch a “Cardiosmart” campaign last week, attempting to reassure a wary population and encourage those with symptoms to call 911 for urgent care and to continue routine appointments, through telemedicine when practical: “Hospitals have safety measures to protect you from infection,” it reads.

> “The emphasis here is safety,” said Harlan Krumholz, a cardiologist and health care researcher at Yale University and Yale New Haven Hospital, who advised on the campaign. “We want to make sure preventable deaths aren’t happening.”

> There is no pill, no action, no behavior, he said, that could account for the almost 40 percent drop in STEMI patients. “We don’t have a means to cut your risk in half,” he said. “Not even primary angioplasty or stopping smoking.”

Re: Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

#6

There is also another opinion: that many people go to the ER who don't really need to go there. I had to visit the ER recently. I did not want to go but my doctor insisted. A family member who is also a doctor also insisted I go. The ER was eerily empty. The ER doctor saw me immediately. There were only a couple of other patients that I could see. This contrasts to prior experiences in the ER where there is a long wa…

The article addresses this. They expect fewer trauma patients as there are fewer people on the road, etc. but they expect the number of stroke, heart attack, etc. patients to remain constant, which hasn't been the case.

Re: Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

#7
[IANAD] Diabetes, hypertension and cardiovascular issues are among the frequent issues in serious covid cases. If covid is that widespread as some studies suggests, may it be that covid triggers the hospitalization earlier than the heart attack/stroke/etc. would have happened to that person otherwise. US heart attack rate is 2K/day, ie. on a scale of covid deaths and significantly less than covid hospitalizations.

Some other factors to consider - much cleaner air these days, no traffic/noise/rush and associated stress, and you can even hear birds singing through the day. Personally i find it very relaxing to not spend the days in our tightly packed badly air-conditioned to the point of serious sweating (our BigCo. is very big about its "green" energy saving chops) horrendously lit (those lights burn the eyes and make bright spot reflections on monitor, and the half-transparent blinds kill when afternoon Sun gets into those windows) "collaboration and communication stimulating" (read - very stressful) very modern open floor office.

Re: Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

#8
post #4

Of course, people hesitate to go to the doctor. But I see a second factor: Maybe it’s because of a slowing down in many regards. Hence, less stress, and less heart attacks?

Fairly sure the country as a whole is more stressed. Economy and media at least portray that.

Re: Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

#9

There is also another opinion: that many people go to the ER who don't really need to go there. I had to visit the ER recently. I did not want to go but my doctor insisted. A family member who is also a doctor also insisted I go. The ER was eerily empty. The ER doctor saw me immediately. There were only a couple of other patients that I could see. This contrasts to prior experiences in the ER where there is a long wa…

You not have overlooked these details when you read the article:

> One study collected data from nine hospitals across the country, focusing on a crucial procedure used to reopen a blocked cardiac artery after a heart attack. The hospitals performed 38% fewer of those procedures in March, compared with previous months.

> At Harborview Medical Center in Seattle, Dr. Malveeka Sharma has tracked a 60% decline in stroke admissions in the first half of April compared with the previous year

Re: Eerie emptiness of ERs worries doctors: where are the heart attacks and strokes?

#10
It'd be interesting if the quarantine from the coronavirus has also quarantined us from the ravages and stresses of day to day life, leading to improved cardiovascular outcomes.

I'd be curious about suicide statistics as well--would they be going up or down right now?

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