Holy cow, has our volume picked up! And from colleagues it’s not just here, it’s throughout the ED’s of North Texas. Less than 3 years ago my ED occasionally held admitted patients. This morning, we were holding 27, and that’s nowhere near the high for the last several weeks.
We have theories, but no facts, as to why this is occurring, and there’s no end in sight (we’re looking). One of my favorite quotes has to do with personnel management: “You ride your best horses to death”; in this instance, our staff are all thoroughbreads, and they’re tired. Troopers, but tired.
Tangentially, this has made me have some uncharitable thoughts: who were the genuises in the mid to late 80′s I kept reading about who had meetings and decided we had way too much hospital capacity, too many beds, and we needed to close them to avoid disaster. I’d like to have them carry urine samples in my ED, all day long. It’s a fitting punishment.
And, again, we lack any prolonged surge capacity. We’re running full, at top speed, all the time. We could handle something like a plane crash, but an epidemic (natural or manmade) would be nearly impossible to manage.
Where are the pointy haired fortune tellers who set us up? Send them to me, I have something for them to carry.