Originally posted by Serkevan It is worth noting that the statistics for medical errors include:
A) Cases where the patient would have died without medical attention, but a correctly applied medical procedure would have more or less been guaranteed worked.
B) Cases where the patient would have only a certain (possibly slim) chance of dying despite "perfect" medical attention, but the procedure was not applied correctly - decreasing the chances of the patient.
C) Case where the treatment provided actively hurt the patient.
B) An incompetent doctor basically kills a perfectly healthy patient.
A) and B) would have resulted in deaths nonetheless, C) and D) could be counted as "medical error deaths". At least, assuming that those numbers aren't further confounded by the definition of "medical error".
The precise definition here is very important: does making a controversial call in the operating room when there's no time to think count? Do we count "there weren't enough hospital beds"? Do we count "the patient didn't have health insurance and only sought treatment when at death's door, while having undocumented underlying conditions that led to a wrong call by the doctors"?
A single number (or range) seldom tells a whole story. Proper interpretation of data is crucial, or else you end up with damned lies (and statistics).
Of course. The British Medical Journal contains a lot of assumptions that are problematic. A patient in an ICU is given the wrong dose of antibiotic and later dies. There is of course no guarantee that giving the right dose of antibiotic would have saved the patient nor that the wrong dose hastened their end, but it certainly is a medical error and the patient died.
Some other thoughts not on that...
That said, I have a problem with the equating of an acute problem -- COVID-19 with chronic problems -- heart disease, cancers, etc. Somehow the fact that we have lots of people die every year from chronic conditions makes it OK to allow a bunch more to die with COVID? The same with medical errors. They are a problem and should be improved (having wide spread electronic health records and such should be helping at least some as they have built in checks and balances for medication interactions, dosing errors, etc), but fixing them has no impact on deaths from COVID.
In addition, somehow when social distancing starts to work and cases and deaths start to slow, a group of people is quick to say, "See, it wasn't as bad as you predicted it would be." As though it would be better to have a million deaths in the United States than 70,000. If a doctor tells a patient, "If you don't take this medication, you are going to die," and the patient takes the medication and lives, it doesn't quite seem right for them to complain about the outcome.
For whatever reason, the south and midwest have been relatively spared in the US. I have no idea why, but almost half of the US cases lie in the states of New York, New Jersey, Pennsylvania and Massachusetts. Maybe it is population density (although parts of Florida are pretty densely populated too), but certainly the cases per million are way lower in the rest of the country. Maybe that will change if they "restart" the economy in Georgia, but my guess is that people are going to continue being pretty careful, even as they begin to do things again and maybe there won't be as big a jump as some think there will be.
---------- Post added 04-26-20 at 04:53 PM ----------
Originally posted by gaweidert Mistakes made by medical professionals kill between 250,000 and 350,000 people every year in the US. Yet there is not one person calling for change. They seem to have no problem standing on that hill. Also in the US there is great pressure to list every patient who has the virus who dies list the virus as the cause of death. This no matter that the person may already nave several other underlying causes going on. For a person who has these underlying health problems is the virus the cause of death or the other health issues that they suffer from. Just about any illness could kill them.
For the last decade, the New York state Department of Health has been aggressively closing hospitals and forcing others to reduce the numbers of beds in those that remain open. How much of this is at fault? A few years ago the state of NY auctioned off hundreds of surplus respirators. The governor ordering nursing homes to take in Corona virus patients. This bringing the virus to those most vulnerable.
One problem in New York City is the well known underground parties being held in supposedly closed venues. Then there were the college student placing their own desires in the forefront because they seem to think that they have some sort of God given right to spring break partying. What exactly are colleges teaching today? Even during the annual summer polio summer epidemics the healthy people were not quarantined.
Like it or not herd immunity is the only way this virus will become controllable. According the "the experts", a vaccination is either 6 months or two years away. Which number is correct? Sweden is taking the right approach. Second and third wave outbreaks will be much less there than in countries that try to keep their populations under house arrest.
Interesting hot mike conversation between two employees at the White House while they wiped down the area before a press conference. One was heard to say that he was not worried because he was already vaccinated. While the video is out there I have heard of no major news outlet looking into this.
I commented on the study done in New York. It is not adequate to give a real prediction as it sampled 3000 individuals from around the state at places like super markets. In addition, obviously the people who would be out and about would be significantly more likely to have been exposed to COVID than people hunkered down at home (who knows how many of those there are?). That said, if you do the calculation based on 14 percent of the state of New York having had COVID-19, the mortality rate is more like 0.75 percent. Which is seven and half times worse than influenza. And that's with 14 percent of the population affected. Bump that number up to 50 percent and you are talking 65,000 deaths in New York alone.
Sweden for some reason gets bandied about a lot as a paragon of something. But it is at 18.000 cases and 2200 deaths and clearly is still climbing. It is a similar size to the state of Virginia which is at 13,000 cases and 450 deaths and seems to be peaking right now, hopefully starting to see a decline next week.
Vaccines are under testing right now. People have gotten them (not the person who made this comment however), but I think the estimation is that it will take 18 months from the beginning of research to finish testing and get a decent supply out to those who need them. But Johnson and Johnson is working on one and the University of Pittsburgh is working on another. There are several being tested in Europe. No one knows for sure which if any of these will pan out but testing is underway and honestly that makes me feel better, even if it is still aways off.