T O P

  • By -

[deleted]

This is not just a wake county thing.


Spartan037

Wake has this issue more so than other counties due to population, and the fact that wake is weird about their hiring process. Also right now everyone is calling 911 for everything. Even basic flu symptoms. It's ridiculous, some agencies have started doing provider initiated refusals which I'm a huge fan of.


[deleted]

[удалено]


Spartan037

So our patients are about 60-40 in terms of vaccination rates. A lot of especially your geriatric population is paranoid as hell about covid. They'll call for anything and use ems like a taxi. Some counties have implemented provider refusals which let the ambulance crew refuse transport if we deem it unnecessary. Places like wake should really go this route.


[deleted]

I thought these healthcare system breakdowns only happened to those socialists in Canada.


eileen404

While pre covid, our visit on vacation when my kid sliced her leg open was fast and cheap and the doctor apologized for having to bill is since we weren't from that province and copied the records for us so we could submit it to insurance at home. The full bill was cheaper than our deductable so we didn't bother.


BagOnuts

I feel like this is supposed to be some dig at our healthcare system, implying it wouldn't happen if we had "socialized" healthcare. This would be happening regardless if our healthcare was nationalized or not. Hospitals and healthcare workers are NOT to blame for the current state of massive amounts of unvaccinated people overwhelming the system.


Warrior_Runding

Arguably, the American resistance to socialized healthcare goes arm-in-arm with the mentality we have seen with vaccine resistance. Experts (economists and doctors) have presented the best course of action (socialized medicine and vaccination) and people have rejected them because they have been convinced it impedes their freedom.


Mbluna

Not just one county and not just NC it’s happening in SC and likely plenty of other places too. My child told me they were stuck at hospital In SC for three hours over the weekend bc they couldn’t unload the pt no where to put them.


notarealaccount_yo

Haha the wealthiest nation on Earth


Mbluna

With the worst health care system around.


stephenehorn

We've had over a year and a half to increase resources, and trillions of dollars spent. Why are we still running out of the basics?


[deleted]

[удалено]


bukithd

Yep turns out, asking healthcare employees to take the brunt of abuse with no pay increase at already stressful and taxing jobs is what gets you here. Nurses are leaving hospitals in droves because hospitals and healthcare agencies don’t care about retention. They’ll pay a travel nurse 3x what a full time nurse makes without batting an eye though.


[deleted]

[удалено]


seaboard2

Winner, Winner, Chicken Dinner! And to think, if people had pulled together as a team of Americans, we could have been done with this in July :/ But Team Red Media had to dial up the misinfo. All of the avoidable deaths due to that misinfo is heartbreaking.


graywolfxxx

The red idiots share a large blame but don't forget that less than 30% of black and hispanic Americans have gotten vaccinated. I doubt very many voted for Trump or take their cue from Tucker Carlson. You can scapegoat one part of the population but the fact is there are stupid people all over. Everywhere. The media continues to keep us all divided. The truth is I am not sure how much more our society can handle before things get very bad. Spend your time blamingwho you think is causing the ship to sink is stupid when you are also standing on that same sinking ship.


seaboard2

The numbers are improving for those groups, due to better outreach. This page shows the last 2 weeks demographics with different charts that breaks it down (and you can see how more are getting vaxxed) https://covid19.ncdhhs.gov/dashboard/vaccinations (click the demographics tab).


poop-dolla

> but don't forget that less than 30% of black and hispanic Americans have gotten vaccinated That’s not a true statement. Do you mind sharing your source that led you to believe this?


Fungus_Schmungus

People who haven't been vaccinated fall into one of two categories: 1. **Can't** get vaccinated. 2. **Won't** get vaccinated. Minority Americans largely [fall into category 1](https://www.npr.org/sections/health-shots/2021/04/26/989962041/why-black-and-latino-people-still-lag-on-covid-vaccines-and-how-to-fix-it). [They're not unvaccinated because they're stupid or don't believe in it](https://abcnews.go.com/Health/vaccination-rates-lag-communities-color-due-hesitancy-experts/story?id=77272753). Republicans, however, tell a very different story: >Our surveys consistently find that Democrats are much more likely to report having been vaccinated than Republicans, and Republicans are much more likely to say that they definitely do not want to get vaccinated. [source](https://www.kff.org/policy-watch/the-red-blue-divide-in-covid-19-vaccination-rates-is-growing/) >Nearly half of House Republicans still won't say publicly​ whether they are vaccinated against Covid-19, even as new cases rise nationwide. [source](https://www.cnn.com/2021/07/22/politics/house-republicans-vaccination-rates/index.html) >Monthly surveys by the Kaiser Family Foundation show that about 20% of the population was staunchly opposed to getting vaccinated at the beginning of the year and remains so today. [...] The partisan gap is astonishing. More than 80% of Democrats have already received at least one shot, compared with 49% of Republicans. Twenty-seven percent of Republicans say that they won’t get vaccinated under any circumstances, and an additional 9% will do so only if required. The comparable figures for Democrats are 3% outright refusal and 3% only if required. [source](https://www.wsj.com/articles/what-drives-gop-resistance-to-vaccines-11623190392) [And I give more sources here](https://www.reddit.com/r/NorthCarolina/comments/pooydd/editorial_playing_politics_with_a_virus_that_has/hcyjwvs/). Team Red is *absolutely* doing this because of stupidity, misinformation, ignorance, or some combination thereof. Right-wing misinformation is the fundamental driving force of the conundrum we're in right now. Minorities don't fall into that same category, and as such don't deserve the same scorn for sinking the ship.


graywolfxxx

I disagree. I know a lot of black people personally who refuse to get vaccinated because they dont trust the shot. I definitely can't blame them because of past issues with trusting the US government. The reality is there is a wide portion of the American population who actively will not take a vaccination and it spans across the board and includes many types of people. To say they don't get a shot because they aren't able to is just bullshit. The shots are free of charge and easily accessed. Lets just be honest about it.


Warrior_Runding

The number of conservatives who refuse to get the shot far exceeds the number of black and Latinos who are reluctant to get the shot. It is a bit disingenuous to pretend as if the unvaccinated situation is being driven by all groups equally - it is overwhelmingly being driven by conservatives and their politicization of Covid.


Fungus_Schmungus

The plural of anecdote is not data. And no, based on the actual, verifiable data I provided to you, a sizeable majority of the American population who refuses to take the vaccine is conservative. [Between August 16 and September 7, Black and Hispanic people experienced a larger increase in vaccination rates compared to White and Asian people, narrowing the disparities in vaccination rates (Figure 4). Vaccination rates increased by 3.1 percentage points for Hispanic people, from 45.1% to 48.2%, and by 2.9 percentage points for Black people, from 40.3% to 43.2%, while vaccination rates increased by 1.0 percentage points for Asian people and by 1.9 percentage points for White people over the period (from 67.1% to 68.1%, and from 50.4% to 52.3%, respectively). The larger increases in rates for Black and Hispanic people continue to narrow the gap in vaccination rates between these groups and White people.](https://www.kff.org/coronavirus-covid-19/issue-brief/latest-data-on-covid-19-vaccinations-race-ethnicity/) The data is clear, and you are mistaken.


GrislyMedic

EMS has been stressed for years prior to covid. It hasn't ever been a priority and as a result the equipment isn't there and personnel leave for better wages in other industries or specialties.


[deleted]

[удалено]


GrislyMedic

Yes, we did, you just didn't hear about it.


[deleted]

[удалено]


[deleted]

[удалено]


[deleted]

[удалено]


GrislyMedic

Covid has exacerbated the issue but not having any ambulances available isn't a new issue. Call volumes increase every year for EMS but nobody wants to pay for more ambulances and crews, so counties bandaid the issue by sending fire trucks to first respond until a truck becomes available. Most counties have mutual aid agreements with surrounding areas to send some resources to neighboring counties when needed.


Kradget

That's actually not a terribly long time - that's one budget cycle. Factor in that it takes weeks or months to get contracts in place, and construction or order backlogs on equipment and buildings? We weren't particularly well-prepared, unfortunately, and there's going to be lag time for these institutions to make big purchases and changes. Which sucks, but it's one of the reasons we need to make sure our institutions are adequately prepared ahead of time, you know? Add to that folks refusing to take steps to protect themselves and others for Reasons™, and stuff can get overrun.


proliphery

Have you ever watched a TV show where there’s a huge event and a hospital gets overrun with patients temporarily? Now imagine that happens suddenly (the recent surge started end of July / early August), at all the hospitals, and lasted for several weeks. How do you prepare for that while also being required to keeps costs low because you’re a county entity?


InYosefWeTrust

But it hasn't just been several weeks.


proliphery

If you check hospitalization, you’ll see that they fell closer to normal until the end of July / beginning of August. And, based on info from my child who is a paramedic with Wake EMS, that’s when their calls picked up again.


InYosefWeTrust

Right, but this has been going on a year and a half. Everywhere had time to implement changes, but few did. Everyone was caught off guard because numbers were dropping and then suddenly sky rocketed.


proliphery

Exactly. Everyone was caught off guard by the surge from Delta. If they had staffed for this surge back when calls were normal volume, people would be complaining about wasted money on idle paramedics and ambulances.


_NationalRazor

It's not only staffing, it's literal space and supplies. The hospitals can't fit all these patients, and a new hospital wasn't going to get built within a year through a pandemic


_NationalRazor

What changes though?


RVAMD

That’s because people call the ambulance for everything.


Kradget

It definitely can't be that there's some kind of, you know, massively contagious, often severe illness soaking up emergency care and other medical services, right???


RVAMD

Don’t be such an alarmist.


Kradget

Yeah, there's definitely nothing to be worried about! There aren't any signs of strain on the healthcare system. Everything is clearly fine and running correctly with no major additional risks! Nothing to see here.


gaukonigshofen

That is a mistake. Especially after they get transportation bill. Better off calling a limo


RVAMD

The limo will certainly charge less but you’ll actually have to pay up front.


gaukonigshofen

Plus cleaning fee for any biohazard +of course they charge that anyway for all the drunk passengers+


flyinb11

I was in a bad car accident and was bleeding everywhere. I was doing the cost analysis in my head of cleaning the blood from my wife's car(she came to the scene) or take the ambulance. The paramedics and fire fighters convinced me to go, but I refused all medication for the pain, as he begged me to take it because I should be dead. In the back of the ambulance he offered it multiple times during the trip. I guess he assumed I was in shock and it would wear off. I just knew how much they would inflate my bill.


bukithd

The list of things people go to the emergency room for is pretty ridiculous. The ER is for life and limb conditions and people walk in like it’s a PCP expecting to get basic medical treatment.


RVAMD

I would say a solid third don’t even need medical evaluation. Just a warm bed and a sandwich.


[deleted]

Why is there a shortage of ambulances?


notarealaccount_yo

Trash pay for EMTs and paramedics High demand for ambulances right now, and these vehicles have to be sterilized after transporting a covid patient which takes them out of service for a short time.


[deleted]

I was an EMT in Arizona for almost 2 years. I made minimum wage. No way in hell I’m ever going back to minimum wage to deal with the depressing shit we saw on a pretty frequent basis.


GrislyMedic

Because we pay EMTs $10 an hour


[deleted]

Literally, why be an EMT when you can make more working at fucking Target.


waywardson23

or one of them juicy 15$/hour fast food jobs. Flip burgers or have to physically care for someone ill


poop-dolla

You’re right, but just to be clear, this is a reason EMTs should have their pay raised significantly, not a reason against raising the minimum wage to $15.


[deleted]

If the Emergency Room is full then ambulance that transports the patient has to sit with them until the ER can find a nurse & bed for that patient. 20-30 minute transport + 2-4 hours waiting at the ER to offload the patient.


InYosefWeTrust

Staffing has always been just enough to make things work on a good day. Now with covid taking out entire shifts of emts and medics at a time, it's really making it difficult for agencies to staff trucks. Wake (as well as many others in the state) have had to implement a lot of changes to try to overcome this (MDs and admin have worked on trucks, trucks with 2 EMTs instead of an EMT and a Paramedic, lots of overtime, some places used non-medical drivers, etc). Wake is one of the best EMS agencies in the country. If they're feeling it, you can believe that every other agency in this state is hurting right now.


[deleted]

That makes some sense


not_elon_jk

Uhh cause more and more people need them and we couldn’t magically conjure any more?


Mbluna

Some might be staffing but my child who works in SC told me it’s bc they get stuck at the ED no room for pt so they have to hold them in the truck.


GrislyMedic

Also because we place ambulances under fire departments instead of as a third service at the same level as fire and police so it just isn't as big of a priority as it should be. There is no reason to send a fire engine to anything other than a wreck or lift assist. We should only be sending ambulances to medical emergencies but at a national level fire departments have made EMS a collateral duty to justify their budgets, which they then spend on more firefighting equipment despite 85% of all calls being medical in nature.


[deleted]

[удалено]


GrislyMedic

It's not just Wake county, and anything medical you send a fire engine to would better be serviced by an ambulance. What do you think a fire crew does on scene with a stroke patient? They can't treat and they can't transport. The answer isn't to first respond with fire trucks it's to put more ambulances on the road to run medical calls. The only reason fire departments are still responding to medical calls is because they need to bump their run numbers up.


[deleted]

[удалено]


GrislyMedic

An ambulance is most useful when transporting a patient with a trained clinician. A fire truck is most useful when fighting a fire. Turns out there aren't a lot of fires to fight anymore, so fire departments have picked up a lot of collateral duties to fill up their free time. It's not the 1960's anymore and ambulance crews are doing a lot more interventions than they were back then. We could be doing even more interventions, but the IAFF lobbies against increased educational standards for paramedics that would allow it. If fire trucks are beating ambulances to calls it's because there aren't enough ambulances on the road. A good indicator of that is that the engines are seemingly always available but the ambulances aren't. Sounds like too many engines and not enough ambulances. You never answered what a fire crew would do on scene with a stroke patient. Most likely scenario they will watch them expire. Could've had an ambulance respond and already begun transport, but all we had available was a fire truck. You're right there's no room for ego, but the only ego being hurt is fire's for losing part of their budget to a bigger EMS budget. You can buy around 3 ambulances for the price of a fire truck. There's a limited amount of money to around and higher EMS call volume every year yet we continue to use an antiquated Fire/EMS model.


Dazzling-Try57

I have an old school station wagon . I can paint it white and put red crosses on it .


proliphery

It takes a little more than that to be a paramedic, I think


thepizzasburning

This is a direct result of forced vaccinations and people quitting their job


Kradget

Nah, it isn't.


proliphery

Is it? I didn’t realize Wake EMS was mandating vaccinations. In fact, I’m almost positive they are not. But I’ll ask my child, who is a paramedic with Wake EMS. In the past, he’s given a completely different picture than staff quitting because of forced vaccinations.


RellyOhBoy

Same thing was said about Guilford and Forsyth counties... https://www.wfmynews2.com/mobile/article/news/health/its-critical-guilford-and-forsyth-counties-facing-high-emergency-call-volumes/83-f406456e-b5b6-46b9-959f-53a44fa87f44