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

npr.org

61–70 of 221 posts

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

#61
post #17

Cars kill us: Far fewer car crashes, more sleep as no need to commute so early in the morning, no horrible drive into the office screaming and honking at the idiot driver, no horrible drive home while texting. Alcohol kills us: no drunk fights at bars, drunk driving, falling in front of moving vehicles. Not saying it explains it, but a lot of people get hurt and die for stupid reasons.

The article focuses on strokes and heart attacks which presumably should remain constant.

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

#62

Earlier quoted context omitted.

How is that related to the lockdown? Hospitals are open. People are staying home because they're scared of getting sick, that's not something that can be fixed by public policy.

>> People are staying home because they're scared of getting sick, that's not something that can be fixed by public policy. Staying home IS the public policy in many places right now. Mere weeks ago, my social media feed was full of information about hospitals cancelling all non-emergency procedures, being overrun, doctors flying to New York, PPE shortages, etc. I wouldn't be at all surprised if a lot of people who w…

> Staying home IS the public policy in many places right now.

Staying home from the hospital is absolutely not policy anywhere, nor has it been, ever. You missed the context.

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

#63

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…

A lot of people don’t have insurance. You can’t go to a doctor for a $150 appointment without insurance. But you can go to the ER when it gets really bad for a $2000 appointment (which you don’t pay. May go to court against you but if you are poor, they won’t collect)

[deleted]

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

#64
post #35
post #29

Earlier quoted context omitted.

Could relaxing still home and cooking your own meals reduce activity-causing heart attacks? It’s a trope in the North-East that middle aged men die shoveling snow.

Possibly in the short term - in the long term the quarantine is likely going to increase heart disease due to people having more sedentary life styles... It's quite likely this is just a result of the math of going to a hospital shifting - a lot of folks decide not to go to the hospital with minor chest pain due to other obligations[1] and the addition of the outbreak likely adds to the reasons not to go to the hospi…

That and I would suspect that people are eating more "junk", or carbs mixed with sugar and fat. I know I depression-ate out of my prepper stash for the first few weeks.

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

#65
post #29

Earlier quoted context omitted.

Could relaxing still home and cooking your own meals reduce activity-causing heart attacks? It’s a trope in the North-East that middle aged men die shoveling snow.

Most people don't have easy remote-ok-browse-hacker-news-at-4pm jobs. They are at home, watching their debt grow and wondering how they will be able to find a new job to pay their bills.

Yeah, amazes me how many people think everyone is just relaxing at home playing Animal Crossing with paid time off wondering why we can't stay in quarantine indefinitely.

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

#66

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…

A lot of people don’t have insurance. You can’t go to a doctor for a $150 appointment without insurance. But you can go to the ER when it gets really bad for a $2000 appointment (which you don’t pay. May go to court against you but if you are poor, they won’t collect)

The article addresses a decline in critical admissions such as strokes and heart attacks, so that would not explain it.

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

#67
post #35

Earlier quoted context omitted.

Possibly in the short term - in the long term the quarantine is likely going to increase heart disease due to people having more sedentary life styles... It's quite likely this is just a result of the math of going to a hospital shifting - a lot of folks decide not to go to the hospital with minor chest pain due to other obligations[1] and the addition of the outbreak likely adds to the reasons not to go to the hospi…

This is anecdotal, but I've never seen more people out walking around town than the last couple months. Is there research showing people are more sedentary now?

Crime is down, while domestic violence is up. That's evidence people are staying inside more.

https://www.bbc.com/news/world-us-canada-52416330

As a counter anecdote, I know many people that only leave their house a few times per week, including for walks. They are definitely more sedentary now.

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

#68
post #29
post #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 c…

Could relaxing still home and cooking your own meals reduce activity-causing heart attacks? It’s a trope in the North-East that middle aged men die shoveling snow.

On the other hand, I think many folks are under a lot more stress in the current economic situation. That might have negative public health implications.

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

#69

Doctors in California went on strike and mortality dropped. One reason for the drop may be due to elective surgeries not being performed. And since more people at staying at home in a safe environment, due to COVID there will be fewer accidents. And far fewer medical mistakes too, not COVID related. "The third-leading cause of death in US most doctors don’t want you to know about" https://www.cnbc.com/2018/02/22/medi…

IMO, there is a lot of hocus pocus going on in the "medical error is the 3rd leading cause of death" statistic, and the case they chose to highlight is extremely atypical. The vast majority of health care spending and the vast majority of medical resources are spent on old people in their last 18 months of life. Most deaths due to medical error are very old people undergoing risky and invasive surgeries they demand to have and are unlikely to have a great outcome in, not children. How much of the blame should be placed on the doctor when the patient is 80+ years old, has comorbidities, has been counseled on the risks, and wants to proceed with treatment? Bypass surgery is quite effective on someone younger than 60 who is also put on a diet and exercise regimen, and doesn't have diabetes. Bypass surgery is not effective for someone over 60 who is obese and has diabetes and will not change their diet habits.
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