Popping back into this thread to add a few points I have recently discussed in real life with people who directly work in…
- Hospital administration for a nationwide corporation
- Oncology program management for a major hospital
- Private practice - specifically as a pediatrician who is a partner in their own private practice in a major metropolitan area.
So a few things I think are important to mention here that I have heard from all these people and seen confirmed in news reports from many sources…
Hospitals around the country have plenty of capacity to treat patients… except, perhaps in the New York area. That’s the reality. There were major concerns earlier on in this situation about hospitals being overwhelmed, and not having enough ventilators and ICU beds. But again… with the exception of a few hospitals in the heart of the NYC outbreak… the worst fears about exceeding capacity to treat patients have not come to fruition… yet. No one knows if a second wave situation, or the development of new hot spots in other parts of the country will cause stress on particular hospitals and result in capacity constraints. But right now… it isn’t the case. There definitely IS a shortage of PPE at many hospitals. That is a major challenge. But not a shortage of space in ERs, available beds, ventilators, etc.
What actually is becoming a growing MAJOR issue for many working directly for major hospitals, and the private practice doctor I spoke with… the shutdown that happened within the medical field with respect to non essential procedures, and the decision by many patients to avoid going to a health care provider now for routine appointments and other care? It has had serious impacts economically on hospitals and people who work in healthcare. Many hospitals are actually furloughing staff.
So… I think concerns over falling off a horse and getting injured at a horse show, and unduly stressing a medical system that is trying to respond to Covid-19 patients are not actually warranted in most areas of the country.
With that said… if someone is at increased risk individually for infection because of an underlying condition (immunosuppressed, diabetes, age, etc), then that individual very well might NOT wan to risk showing, falling, and being injured and requiring emergency medical care at a local hospital.
So… just wanted to point that out.
Also… to the point just made by bornfreenowexpensive… I have heard that there are some significant issues with tests. Both for the disease itself, and with the antibody testing. I’m not saying this to discourage anyone from getting tested, or to disparage efforts concerning testing. It’s definitely come a long way, and is much more available. But it’s imperfect, and I’m not sure it’s a tool that should factor into the plan for starting back up with horse shows.
Also… the idea of taking temperatures and screening folks before they enter horse show grounds. That idea come with concerns that might outweigh the benefits. The folks I have spoken with who have actual experience with this right now are the oncology program manager… and folks who work in aviation. The oncology program manager mentioned STRICT protocols for oncology patients entering their facility, because many of these patients are immunosuppressed and in poor health due to treatment. Temperature taking was part of their protocol, but it was only performed by a trained nurse, and additional steps were taken EACH time an incoming person was screened to ensure that the screening itself did not transmit germs or a potential virus from one patient to the next. How would it actually be handled at a horse show? I’d personally have serious concerns about having that one protocol becoming a pathway for transmitting virus between people if an asymptomatic person without a fever walked through, and then an untrained (professionally and medically speaking) volunteer used the same thermometer on the next several folks coming to the show.
When it comes to temperature screening in airports that is meant to deal with a significant volume of people coming in and out of a terminal in an expedient, low risk way… I have heard about thermal imaging equipment being used. It’s akin to walking through a metal detector, and a person sits several feet away looking at results on a computer screen each time someone walks through, to note whether or not they have a fever. There is not the same risk of actually transmitting disease via close contact that way. But that equipment is expensive, and not likely practical for horse shows.
Maybe I am missing updates on other threads… and temperature taking and testing have already been ruled out of all plans for potential reopening of shows. If they haven’t though… I think both are more of a headache and a virus transmission risk in and of themselves than an actual practical risk mitigation tool.
Just wanted to share these perspectives on some of the issues mentioned.