Ep. 56 - LiveWell Talk On...COVID-19 (May 22, 2020) May 22, 2020

Ep. 56 - LiveWell Talk On...COVID-19 (May 22, 2020)

   Subscribe so you never miss an episode!

   Apple Podcasts | Google Podcasts | Spotify | Pandora | iHeart Radio |   
   Google Play Music | Stitcher TuneIn SoundCloud 

Host: Dr. Dustin Arnold, chief medical officer, UnityPoint Health - St. Luke's Hospital

Dr. Arnold (00:10):

This is Well Talk On...COVID-19. I'm Dr Dustin Arnold, chief medical officer at St. Luke’s Hospital. Today's weekly COVID-19 podcasts is for the week of May 18. The hospital at this time is doing very well in regards to handling the treatment of COVID-19 patients. We've obtained tremendous experience and I and are doing quite well with that and I'm very proud of our teams from door to door. They've done an excellent job in taking care of COVID-19 patients. We are starting to see the patients with chronic medical conditions that have, I don't know if neglected or ignored coming into the hospital or seeing their physician, it's starting to accumulate. And the hospital census today was at, at budget and that's in quotation marks, but that the census was what we would expect it to be.

Dr. Arnold (01:05):
It was actually two patients over, which means we're back to where our normal volumes were and the hospital is going to continue to get busy, particularly with going to phase two of our surgical restoration, which will start on Monday. That will be increasing the surgical capacity that may lead to us, I anticipate there's going to be a spike of COVID-19 perhaps in a couple of weeks, but I'm very confident that we have the capacity and the knowledge as well as the resources in staff and supplies to handle that spike. However, we continue to need to practice social distancing and, and reduce the transmission of the contagion. That discipline that we've demonstrated needs to be maintained as we start to reopen the economy. And businesses of recent news story described a rare disease that was cared for in St. Luke's pediatrics, possibly associate COVID-19 19.
Dr. Arnold (02:03):
And what this essentially is, is it's Kawasaki's disease. Well, just like the motorcycle and that's how I always remembered the M is for motorcycle and M is also for medium because it affects the medium blood vessels. So you have small, medium and large blood vessels and  it causes inflammation, the medium blood vessels and can cause symptoms from head to toe with the inflammation in those blood vessels. This is a relatively uncommon condition in pediatrics and there is the belief that it may be associated with COVID-19 and that sort of a post infectious phenomenon with the original infection the in several weeks prior and also the child being for the most part asymptomatic during that time. With the leadership of Dr. O'Connor in the hospitalist program and Dr. Bhurtel and cardiology because Kawasaki's doesn't does the blood vessels of the heart.
Dr. Arnold (03:00):
They have performed stellar work, the patient is doing well and anticipate complete recovery. We will have Dr. Bhurtel on in a future podcast in the near future to describe the treatment as well as the diagnosis of this particular condition. It does make one speculate… Are there other post-infectious phenomenon that will be seen from COVID-19 19? And it's too early to tell. But regardless, if we keep a clear minds and quick hands that are also clean, we'll do fine with anything that this contagion may present. We know what we do and we know how we do it. It's times like these, we learn the why.