covid 19- business as usual?

[Guest]

our department has made zero changes for the coming infection
we have a bunch of big spine wacks next week, all elective
some resident is going to get infected and need hospitalization or will just spread it to all of our patients

has anyone's neursorugery department made any changes?

[Guest]

(03-12-2020, 01:50 PM)Guest Wrote: our department has made zero changes for the coming infection
we have a bunch of big spine wacks next week, all elective
some resident is going to get infected and need hospitalization or will just spread it to all of our patients

has anyone's neursorugery department made any changes?

What do you expect people to do? Shut down everything indefinitely and let your patients sit at home with crippling radiculopathy? Unless you have a clear exposure (someone tested positive at work) you're still going to have cases. A lot of our patients have problems that are worse than coronavirus and we can't just delay their care for months without a clear reason.

[Guest]

You can have patient contact and do elective cases but you can’t take Boards. Too dangerous!

[Kawase]

We should definitely cancel AANS this year


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[Guest]

Im surprised AANS hasnt cancelled yet. With many vendors, foreign countries, and various institutions banning business travel, their hand is pretty forced. Theyre going to lose money either way, why put people at risk?

Most other conferences in the same time period have already cancelled.

[Guest]

(03-12-2020, 02:18 PM)Guest Wrote:

(03-12-2020, 01:50 PM)Guest Wrote: our department has made zero changes for the coming infection
we have a bunch of big spine wacks next week, all elective
some resident is going to get infected and need hospitalization or will just spread it to all of our patients

has anyone's neursorugery department made any changes?

What do you expect people to do? Shut down everything indefinitely and let your patients sit at home with crippling radiculopathy? Unless you have a clear exposure (someone tested positive at work) you're still going to have cases. A lot of our patients have problems that are worse than coronavirus and we can't just delay their care for months without a clear reason.

Yes, that's exactly what i expect people to do. 

"Crippling radiculopathy" is not worse than ARDS. All elective surgeries should be cancelled now.

[Guest]

(03-12-2020, 08:02 PM)Guest Wrote:

(03-12-2020, 02:18 PM)Guest Wrote:

(03-12-2020, 01:50 PM)Guest Wrote: our department has made zero changes for the coming infection
we have a bunch of big spine wacks next week, all elective
some resident is going to get infected and need hospitalization or will just spread it to all of our patients

has anyone's neursorugery department made any changes?

What do you expect people to do? Shut down everything indefinitely and let your patients sit at home with crippling radiculopathy? Unless you have a clear exposure (someone tested positive at work) you're still going to have cases. A lot of our patients have problems that are worse than coronavirus and we can't just delay their care for months without a clear reason.

Yes, that's exactly what i expect people to do. 

"Crippling radiculopathy" is not worse than ARDS. All elective surgeries should be cancelled now.

Ridiculous comparison. If you look at the published literature, the proportion of COVID patients developing ARDS requiring ventilation in the West is 1% or less. In terms of risk of exposure, a significant proportion of those who develop complications from it (old age, multiple comorbidities) wouldn't be good candidates for the majority of elective cases anyway. Look at the actual published data, not the hype.

We have almost no confirmed cases in my area and no huge influx of ARDS patients needing ventilators. What do you want us to do with a young parasagittal mening patient who presented with seizures and foot drop? Delay them another 3 months?

[Guest]

(03-12-2020, 08:41 PM)Guest Wrote:

(03-12-2020, 08:02 PM)Guest Wrote:

(03-12-2020, 02:18 PM)Guest Wrote:

(03-12-2020, 01:50 PM)Guest Wrote: our department has made zero changes for the coming infection
we have a bunch of big spine wacks next week, all elective
some resident is going to get infected and need hospitalization or will just spread it to all of our patients

has anyone's neursorugery department made any changes?

What do you expect people to do? Shut down everything indefinitely and let your patients sit at home with crippling radiculopathy? Unless you have a clear exposure (someone tested positive at work) you're still going to have cases. A lot of our patients have problems that are worse than coronavirus and we can't just delay their care for months without a clear reason.

Yes, that's exactly what i expect people to do. 

"Crippling radiculopathy" is not worse than ARDS. All elective surgeries should be cancelled now.

Ridiculous comparison. If you look at the published literature, the proportion of COVID patients developing ARDS requiring ventilation in the West is 1% or less. In terms of risk of exposure, a significant proportion of those who develop complications from it (old age, multiple comorbidities) wouldn't be good candidates for the majority of elective cases anyway. Look at the actual published data, not the hype.

We have almost no confirmed cases in my area and no huge influx of ARDS patients needing ventilators. What do you want us to do with a young parasagittal mening patient who presented with seizures and foot drop? Delay them another 3 months?

Hey retard. That patient sounds like needs urgent surgery. It’s not an elective case.

[Guest]

(03-13-2020, 11:22 AM)Guest Wrote:

(03-12-2020, 08:41 PM)Guest Wrote:

(03-12-2020, 08:02 PM)Guest Wrote:

(03-12-2020, 02:18 PM)Guest Wrote:

(03-12-2020, 01:50 PM)Guest Wrote: our department has made zero changes for the coming infection
we have a bunch of big spine wacks next week, all elective
some resident is going to get infected and need hospitalization or will just spread it to all of our patients

has anyone's neursorugery department made any changes?

What do you expect people to do? Shut down everything indefinitely and let your patients sit at home with crippling radiculopathy? Unless you have a clear exposure (someone tested positive at work) you're still going to have cases. A lot of our patients have problems that are worse than coronavirus and we can't just delay their care for months without a clear reason.

Yes, that's exactly what i expect people to do. 

"Crippling radiculopathy" is not worse than ARDS. All elective surgeries should be cancelled now.

Ridiculous comparison. If you look at the published literature, the proportion of COVID patients developing ARDS requiring ventilation in the West is 1% or less. In terms of risk of exposure, a significant proportion of those who develop complications from it (old age, multiple comorbidities) wouldn't be good candidates for the majority of elective cases anyway. Look at the actual published data, not the hype.

We have almost no confirmed cases in my area and no huge influx of ARDS patients needing ventilators. What do you want us to do with a young parasagittal mening patient who presented with seizures and foot drop? Delay them another 3 months?

Hey retard. That patient sounds like needs urgent surgery. It’s not an elective case.

I think it's urgent but it's definitely not an emergency and according to you it's "not worse than ARDS" right? Fortunately it sounds like the rest of your department isn't as stupid as you and not doing what you're suggesting.

[Guest]

Hopkins canceling every elective case. Brem confirmed positive for covid.