US-NEWS-CORONAVIRUS-ORE-CALIF-MCT

A team from the intensive care unit at Asante Rogue Regional Medical Center in Medford prepares to intubate a crashing COVID-19 patient.

If you live in one of the rural communities tucked into the forested hillsides along the Oregon-California border and need serious medical care, you’ll probably wind up at Asante Rogue Regional Medical Center. It serves about nine counties on either side of the border.

It is one of three hospitals Asante owns in the region. All three ICUs are 100% full of COVID-19 patients, according to staff members.

“We’ve had two deaths today. So, it’s a very grim, difficult time,” Dr. Michael Blumhardt, medical director of the hospital’s intensive care unit, said on a recent Tuesday. “The delta virus is passing through the region like a buzz saw.”

Unlike earlier COVID-19 waves, he said, patients are in their 20s, 30s, 40s and 50s.

“We’re seeing clusters of families being admitted. We had a father and an adult daughter admitted to the intensive care unit, and he passed away. Right before, I had to put the daughter on life support,” he said.

Overall, vaccination rates in many states look pretty good. Oregon and California both have vaccination rates above the national average. But zoom in on any state, and you’ll see a checkerboard effect with huge differences among counties. In Oregon, around big-city Portland, two-thirds of all residents are fully vaccinated. But rural counties aren’t even close to that. Jackson County, on the California border, has the largest number of unvaccinated individuals in Oregon. That’s pushing hospitals to their limits.

Blumhardt blames the current surge on the delta variant, but also a widespread rejection of the vaccine.

“This is far more severe for this region than the prior COVID-19 waves,” he said.

Inside the Asante ICU, Chelsea Orr, a registered nurse, closely monitors patients, “just trying to keep people alive,” she said. “We’re taking care of a lot of ventilated patients here that are super sick.”

What feels different about this stage of the pandemic, she said, is the incredible loss of life: “We’re working harder than we’ve ever worked before and still losing.”

Down the hallway, Justin McCoy waited outside another patient’s isolation room. “I’ve been an ICU nurse for 10 years. I’ve never seen anything like this,” McCoy said. “It’s really terrible seeing these patients who can’t breathe. That is a very difficult thing to watch. It’s really terrifying for them, and it’s really difficult for us to see day in and day out.”

Blumhardt said the vast majority of their COVID-19 patients are unvaccinated.

“We admit nine unvaccinated to every one vaccinated individual. So clearly the vaccine is protecting against hospital admission,” he said.

Jackson County has been seeing record numbers of new COVID-19 infections. Within weeks, many of those people may need hospital care — and a recent forecast from Oregon Health & Science University predicts that by Labor Day the state will face a shortfall of 400 to 500 staffed hospital beds.

Blumhardt said smaller hospitals in Oregon are trying to transfer their sickest patients to Asante, but so far they’ve had to decline around 200 people because of lack of space.

Even though Asante has already postponed some surgeries, staffers are simply worn out, said emergency room physician Dr. Courtney Wilson.

“I think people are frustrated,” Wilson said. “It feels discouraging that we have had a vaccine available for a really long time in this community and we have a really low vaccination rate here.”

Oregon Democratic Gov. Kate Brown recently sent National Guard troops to overwhelmed counties, to help with nonmedical tasks, including about 150 soldiers to Southern Oregon. Medical leaders at Asante and another local hospital system, Providence, have asked for the state to set up a 300-bed field hospital.

“I don’t know how we’re going to get everybody taken care of. That’s the bottom line. We’re all hands on deck at every level of the organization,” Blumhardt said.

Residents of Jackson County are starting to respond to the crisis. The rate of new vaccinations here has grown to about twice that of the Portland area. But thousands of people still need to be vaccinated to catch up.

{span}This story is part of a partnership that includes Jefferson Public Radio, NPR and KHN ({span}Kaiser Health News){/span}, a national newsroom that produces in-depth journalism about health issues.{/span}

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(5) comments

Transitory Inflation

Predictable and tragic. SMH

I thought about that old-man that stayed-put on Mt St Helens just before it bl3w. The story circulates around the major anniversaries of the eruption, you should read it. He shared all of his objectively false ideas about the mountain and chance of eruption with reporters. (A decade before Fox and two decades before the information age, btw.) He came off as self-delusional (and very old). It still seemed a reasonable choice for the, I think, 85yo single man, a widower. I had thought that his mind was maybe trying to soften the existential dread of knowing the probable outcome from staying on the mountain, and reaching his end in a fiery blast. But seeing these 20-40yos willfully meeting their end with a bunch of nonsense in their heads, it makes me wonder. Maybe there is just a significant percentage of homo-sapiens that cannot really track reality.

BuckeyeDuck

Regarding your last couple of sentences. Darwinism in action.

Transitory Inflation

Yeah. I don't think my 'tracking reality' is exactly right. I keep coming back to this idea that some people are just de-facto empiricists. They just don't build or believe 'theoretical', non-sensory constructs, period!

Transitory Inflation

and good to see your name on the board.

BuckeyeDuck

Thanks. Good to be here. Nice new moniker BTW. I find the lack of the anti mask/vaxxers recognizing the irony of their actions a big head shaker. Case in point. I follow the Boise and Des Moines papers because of in laws living in both areas. Currently there are a number of schools in Idaho shut down and quarantining because of Covid outbreaks. Many are mask optional or allowed parents to opt their kids out of wearing a mask. I believe close to 25% of the Boise district parents opted out due to the mandate there. District dollars are going towards deep cleaning the schools, wages are lost by folks having to remain at home with elementary students, not to mention the healthcare dollars being spent by them, and due to a teacher shortage many of the subs are saying “What, work in an infectious environment. Sorry, no.” No doubt some of the folks staying at home were those saying “My child, my healthcare decision for them.” I wouldn’t be surprised to see them blaming others for their own actions. But hey, I have my freedom and liberty…

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