01/28/2021
Just to throw it out there...Just because a small hospital does not mean they are less skilled or capable. In fact in some instances, with less available equipment and resources, to be a medical professional here you gotta rely on critical thinking skills much more to treat patients. This is true especially for covid19.
One other important detail for rural hospitals many don't realize...In some ways, even with the volume of the death toll smaller, it seems to hit harder for the whole community and the hospital workers as many know the patient, grew up with them, relate to them, or maybe they were an influence in their lives in some way. So when that person passes it hits harder for sure. Imagine seeing you aunt or teacher every week in the ICU and having to treat them. It's like that. Watching them suffer as they try to breathe, as they get worse, or they die on the ventilator. I think it makes the staff here put more of their heart and soul than they normally would in a bigger city hospital. What happens though is the emotional stress can be much higher having to deal with the suffering and death from this disease.
On a positive note though, using chest percussion, high flow O2, steroids, and just being more aggressive early in care looks to help patients recover and stay off of the vent. so, props to the long term facilities taking on the rehab part of it with high flow covid patients, and getting them well enough to go home. Keep doing an amazing job everyone.