New York City hospitals begin planned surgeries delayed by coronavirus
Source: Politico
NEW YORK New York City and Long Island hospitals are preparing to resume elective surgeries, though the Cuomo administration has yet to approve the procedures as the coronavirus continues to tear through the region.
Hundreds of New York City patients have been trapped for months in surgical limbo by a blanket hold on the procedures. While the term elective surgeries evokes face-lifts and tummy tucks to many, it includes many needing surgery for severe spine disease, heart disease, cancer-related procedures and operations aimed at relieving chronic and debilitating pain.
Hospitals say now that the procedures, scheduled before the coronavirus took hold in New York, may have been elective at the time they were scheduled, but after months of delay are gaining in urgency. Also urgent for many hospitals is the dwindling revenue from one of its most lucrative practices, which have been on hold downstate for more than a month.
These aren't luxury procedures, said Dr. Richard Besser, president and CEO of the Robert Wood Johnson Foundation. You don't want to do [elective surgeries] when there's no room in your [hospital] system, but if your system has room, [hospitals can] minimize and reduce the risk of someone coming in for another procedure if theyre diligent about infection control.
Read more: https://www.politico.com/states/new-york/albany/story/2020/05/09/city-hospitals-begin-planned-surgeries-delayed-by-coronavirus-1282465
EarthFirst
(2,905 posts)forthemiddle
(1,383 posts)And waiting for your elective knee replacement surgery, Im sure you wouldnt be complaining about the for profit healthcare system.
Do you have gallstones that act up on an occasional basis? That cholecystectomy is elective.
What about cataracts that makes it impossible to read your newspaper? The cataract surgery is elective.
Do you suffer from spinal stenosis, that makes it unbearable to even sit still, or stand up and walk? That spinal fusion is elective.
What about that mole that recently doesnt look normal? That biopsy is elective.
All healthcare providers arent evil, nor are the employees that have been furloughed the last few months because their hospital census is so low.
Zeus69
(391 posts)sarge43
(28,946 posts)That "elective" surgery to remove blockage in a major artery.
Thanks for pointing out cataracts. My "elective" operation has been put off for six months. I fear by then I might not be able to drive.
forthemiddle
(1,383 posts)Because I was just talking to a friend that works for an ophthalmologist. She was telling me of two different patients that are being affected by the shutdown right now.
One was a truck driver that had one eye done before the shutdown, but now is required to wait for the other side to be completed before he can go back to work (you dont remove the cataracts from both eyes at the same time).
Another patient is also waiting for her second cataract to be removed, and she is debilitated by dizziness because of the equilibrium of her sight. She also was scheduled for her surgery when the shutdown was announced and it is now on hold until Michigan reopens. This should be in the next week or so.
appalachiablue
(41,184 posts)described here. Health/medical corporations have needs and motivations as well, to keep operating for profit systems that are not known for being 'the milk of human kindness.'
democrattotheend
(11,607 posts)People have been waiting too long for procedures that they really need but are considered "elective". Meanwhile tons of healthcare workers are losing their jobs if they are not on the frontlines, and even those on the frontlines are being asked to take pay cuts when they should be getting hazard pay. "Elective" procedures are not just cosmetic surgery, FYI.
Betty88
(717 posts)who hasn't had as much as a blood test in months I find this great news.
justgamma
(3,667 posts)for a heart valve replacement that was postponed in Michigan. He got a call yesterday that they plan on rescheduling it for 2 weeks from today. He lost his wife last summer and his youngest is only 10. I've been worried sick. Don't know whether to be relieved or more worried. I guess I have to trust his doctors to do what's best.
truthisfreedom
(23,160 posts)Delmette2.0
(4,174 posts)The surgery was for stage 2 colon cancer. I was in a lot of pain and could hardly eat because that triggered the pain. I had lost 10 of my 110 pounds. That was not good.
I can't imagine waiting 2+ months for the procedure.
If the hospitals keep COVID 19 patients and staff totally seperated it should be alright.
JustABozoOnThisBus
(23,375 posts)Mastectomies, etc, I don't know how they're "elective" if cancer has been detected. I can understand delaying them if they're "preventive" where no cancer has yet been detected.
And it's easy to minimize the impact of joint pain, when it's happening to someone else. Start the replacements.
Steelrolled
(2,022 posts)But somehow that is the term everyone like to use. The correct term is "nonessential surgery".
From https://www.facs.org/covid-19/legislative-regulatory/executive-orders
1. threat to the patient's life if the surgery or procedure is not performed
2. threat of permanent dysfunction of an extremity or organ system
3. risk of metastasis or progression of staging and
4. risk of rapidly worsening to serve symptoms.
I believe quality of life (e.g. pain) can also be taken into account.
It is not only the US where we want to ramp up hospital utilization, as possible, it is health systems around the world.