Hospital takes urgent steps to treat the sick
Legions of sick people descended on the hospital yesterday, filling the emergency room and pushing other parts of the building past capacity.
The flu and other flulike illnesses are driving the rush.
Evidence of it can found in the absentee rolls at local schools, the busy phone lines at doctors' offices and the four-hour waits at walk-in clinics.
But it was the hospital which was the busiest of the busy, almost buried under a wave of illness that began sometime Sunday or Monday.
"Things just evolved quickly," the chief operating officer, said last night. "I've never seen this many people present to our emergency room."
Hospital officials reacted to the overload as they would a major snowstorm or power outage. They opened their emergency command center at about 1:30 p.m. and kept it open until about 6:30 p.m.
During that time, they called in off-duty workers and contacted other hospitals to see if they could take the overload. None could.
With all 318 of its beds full, and 40 people waiting to be admitted from the emergency room, officials began crafting new space from what they called "nontraditional" areas.
Two 34-foot Gulf Stream coaches were temporarily moved to the rear of the building near the emergency room to serve as extra treatment areas. The vans usually serve as Mobile Health Clinics for the working poor in the region.
Last night, seven treatment areas in the interventional radiology section were converted for use by the emergency room.
Thirteen beds in the same-day surgery section were opened for inpatients. The first of those patients moved in last night.
And 23 patients who were scheduled to have elective surgery this morning were called and told that their procedures would have to be postponed or moved to the Fredericksburg Ambulatory Surgery Center. Officials feared that there would be no beds for these patients when their surgeries were done.
By last night, these changes had provided some relief. The number of patients waiting to be admitted from the emergency room had dropped to 15.
Still, the ER lobby was crowded at 7 p.m., and officials were awaiting the second wave that usually arrives when people get home from work and decide they need care.
"Patients who are not experiencing a medical emergency and come to the emergency room should expect long waits," Allenbaugh said.
The hospital's new wing is coming a little too late for this rush. The tower is nearing completion, and the first of the 94 beds will be phased in next month.
The federal Centers for Disease Control and Prevention warned last month that the flu season appears to be starting earlier than usual. The CDC said it was too early to tell if this means that the flu season will be longer and busier this year. Still, the signs are worrisome, officials said, since the flu causes more than 114,000 hospitalization and 36,000 deaths each year. The very young and very old are at greatest risk.
For the week ending Nov. 22, the CDC said that Virginia was one of eight states with moderate or "local activity."
Dr. Sunil Sharma of Fredericksburg Walk-in Medical Center on Plank Road said yesterday that he was "definitely" seeing more flu this year than last year, and that the volume had picked up in the last week.
Christy Wood of Garrisonville Urgent Care in North Stafford reported a similar jump in cases in the last two weeks.
Leah Halfon, epidemiologist for the Rappahannock Area Health District, said that she has been tracking flu cases through the reports of local providers, including Mary Washington Hospital.
Halfon counted 98 cases for the week ending Nov. 23, and 132 cases for the week ending Nov. 30.
She cautioned that her numbers are only a sampling and do not represent all of the flu cases in the area. Still, "it's a good estimate," she said. "The flu has surfaced early this year."
Halfon and others said it's not too late to get a flu shot. The worst of the flu season usually occurs in January and February, and the season lasts until March.