As Dr. Shane Wilson makes the rounds at the tiny, 25-bed hospital in rural northeastern Missouri, many of his movements are familiar in an age of coronavirus. Masks and gloves. Zippered plastic walls between hallways. Hand sanitizer as he enters and exits each room.But one thing is starkly different. Born and raised in the town of just 1,800, Wilson knows most of his patients by their first names.He visits a woman who used to be a gym teacher at his school, and later laughingly recalls a day she caught him smoking at school and made him and a friend pick up cigarette butts as punishment. Another man was in the middle of his soybean harvest when he fell ill and couldn바카라 게임 웹사이트t finish.In November, Wilson treated his own father, who along with his wife used to work at the same hospital. The 74-year-old elder Wilson recovered from the virus.The coronavirus pandemic largely hit urban areas first, but the autumn surge is devastating rural America, too. The U.S. is now averaging more than 170,000 new cases each day, and it바카라 게임 웹사이트s taking a toll from the biggest hospitals down to the little ones, like Scotland County Hospital.The tragedy is smaller here, more intimate. Everyone knows everyone.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Memphis, Missouri, population 1,800, is the biggest town for miles and miles amid the cornfields of the northeastern corner of Missouri. Agriculture accounts for most jobs in the region. The area is so remote that the nearest stoplight, McDonald바카라 게임 웹사이트s and Walmart are all an hour away, hospital public relations director Alisa Kigar said.People come to the hospital from six surrounding counties, typically for treatment of things like farm and sports injuries, chest pains and the flu. Usually, there바카라 게임 웹사이트s plenty of room.Not now. The small hospital with roughly six doctors and 75 nurses among 142 full-time staff, is in crisis. The region is seeing a big increase in COVID-19 cases, and all available beds are usually taken.Scotland County Hospital바카라 게임 웹사이트s doctors already are making difficult, often heartbreaking decisions about who they can take in. Wilson said some moderately ill people have been sent home with oxygen and told, 바카라 게임 웹사이트If things get worse, come back in, but we don바카라 게임 웹사이트t have a place to put you and we don바카라 게임 웹사이트t have a place to transfer you.바카라 게임 웹사이트Meanwhile, a staffing shortage is so severe that the hospital put out an appeal for anyone with health care experience, including retirees, to come to work. Several responded and are already on staff, including a woman working as a licensed practical nurse as she studies to become a registered nurse.The hospital바카라 게임 웹사이트s chief nursing officer, Elizabeth Guffey, said nurses are working up to 24 extra hours each week. Guffey sometimes sleeps in an office rather than go home between shifts.바카라 게임 웹사이트We바카라 게임 웹사이트re in a surge capacity almost 100% of the time,바카라 게임 웹사이트 Guffey said. 바카라 게임 웹사이트So it바카라 게임 웹사이트s all hands on deck.바카라 게임 웹사이트It바카라 게임 웹사이트s especially difficult to watch friends and relatives struggle through the illness while a large majority of the community still doesn바카라 게임 웹사이트t take it seriously, she said.바카라 게임 웹사이트We spend our time indoors taking care of these very sick people, and then we go outdoors and hear people tell us the disease is a hoax or it doesn바카라 게임 웹사이트t really exist,바카라 게임 웹사이트 Guffey said.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Glen Cowell wasn바카라 게임 웹사이트t so sure about the virus until it knocked him to his knees.At 68, Cowell still works his 500-acre farm near Memphis and is healthy enough that he takes no daily pills. He started feeling poorly around Nov. 11, tested positive four days later, then gradually got sicker. On Nov. 18, an ambulance took him to the emergency room. He was treated and went home.바카라 게임 웹사이트They only had one bed left and I didn바카라 게임 웹사이트t feel I was sick enough to take somebody else바카라 게임 웹사이트s bed,바카라 게임 웹사이트 Cowell said.But soon, breathing became difficult and nausea set in. Worst of all, his temperature spiked to 104 degrees. Another ambulance trip was followed by a lengthy hospital stay.He바카라 게임 웹사이트s not sure where he got the virus but admits he wasn바카라 게임 웹사이트t overly cautious.바카라 게임 웹사이트I바카라 게임 웹사이트m as independent as a hog on ice,바카라 게임 웹사이트 Cowell said. 바카라 게임 웹사이트I was pretty ambivalent about it. If Dollar General said I had to wear a mask, I wore a mask. If I walked across the street to Farm & Home, I didn바카라 게임 웹사이트t wear a mask. I really wasn바카라 게임 웹사이트t aware of the fact that it could get ahold of you and not let go.바카라 게임 웹사이트Brock Slabach, senior vice president of the National Rural Health Association, based in suburban Kansas City, said it takes 바카라 게임 웹사이트space, staff and stuff바카라 게임 웹사이트 to run a rural hospital. 바카라 게임 웹사이트If you don바카라 게임 웹사이트t have any one of those three, you바카라 게임 웹사이트re really hamstrung,바카라 게임 웹사이트 he said, noting that many hospitals face shortages in all three areas.Wilson spent hours on the phone one day, trying to find a larger hospital capable of providing the critical care that might save a man in his 50s who was critically ill with the virus.By the time the University of Iowa Hospital agreed to take him, it was clear he couldn바카라 게임 웹사이트t survive the 120-mile trip.바카라 게임 웹사이트I don바카라 게임 웹사이트t know that getting him to Iowa City would have made a difference,바카라 게임 웹사이트 Wilson said. 바카라 게임 웹사이트Sometimes people are sick enough that they바카라 게임 웹사이트re not going to survive, and that바카라 게임 웹사이트s the reality of what we have to deal with. But it바카라 게임 웹사이트s still pretty damn frustrating when you바카라 게임 웹사이트re sitting here with your hands tied.바카라 게임 웹사이트
As Dr. Shane Wilson makes the rounds at the tiny, 25-bed hospital in rural northeastern Missouri, many of his movements are familiar in an age of coronavirus. Masks and gloves. Zippered plastic walls between hallways. Hand sanitizer as he enters and exits each room.
But one thing is starkly different. Born and raised in the town of just 1,800, Wilson knows most of his patients by their first names.
He visits a woman who used to be a gym teacher at his school, and later laughingly recalls a day she caught him smoking at school and made him and a friend pick up cigarette butts as punishment. Another man was in the middle of his soybean harvest when he fell ill and couldn바카라 게임 웹사이트t finish.
In November, Wilson treated his own father, who along with his wife used to work at the same hospital. The 74-year-old elder Wilson recovered from the virus.
The coronavirus pandemic largely hit urban areas first, but the autumn surge is devastating rural America, too. The U.S. is now averaging more than 170,000 new cases each day, and it바카라 게임 웹사이트s taking a toll from the biggest hospitals down to the little ones, like Scotland County Hospital.
The tragedy is smaller here, more intimate. Everyone knows everyone.
Memphis, Missouri, population 1,800, is the biggest town for miles and miles amid the cornfields of the northeastern corner of Missouri. Agriculture accounts for most jobs in the region. The area is so remote that the nearest stoplight, McDonald바카라 게임 웹사이트s and Walmart are all an hour away, hospital public relations director Alisa Kigar said.
People come to the hospital from six surrounding counties, typically for treatment of things like farm and sports injuries, chest pains and the flu. Usually, there바카라 게임 웹사이트s plenty of room.
Not now. The small hospital with roughly six doctors and 75 nurses among 142 full-time staff, is in crisis. The region is seeing a big increase in COVID-19 cases, and all available beds are usually taken.
Scotland County Hospital바카라 게임 웹사이트s doctors already are making difficult, often heartbreaking decisions about who they can take in. Wilson said some moderately ill people have been sent home with oxygen and told, 바카라 게임 웹사이트If things get worse, come back in, but we don바카라 게임 웹사이트t have a place to put you and we don바카라 게임 웹사이트t have a place to transfer you.바카라 게임 웹사이트
Meanwhile, a staffing shortage is so severe that the hospital put out an appeal for anyone with health care experience, including retirees, to come to work. Several responded and are already on staff, including a woman working as a licensed practical nurse as she studies to become a registered nurse.
The hospital바카라 게임 웹사이트s chief nursing officer, Elizabeth Guffey, said nurses are working up to 24 extra hours each week. Guffey sometimes sleeps in an office rather than go home between shifts.
바카라 게임 웹사이트We바카라 게임 웹사이트re in a surge capacity almost 100% of the time,바카라 게임 웹사이트 Guffey said. 바카라 게임 웹사이트So it바카라 게임 웹사이트s all hands on deck.바카라 게임 웹사이트
It바카라 게임 웹사이트s especially difficult to watch friends and relatives struggle through the illness while a large majority of the community still doesn바카라 게임 웹사이트t take it seriously, she said.
바카라 게임 웹사이트We spend our time indoors taking care of these very sick people, and then we go outdoors and hear people tell us the disease is a hoax or it doesn바카라 게임 웹사이트t really exist,바카라 게임 웹사이트 Guffey said.
Glen Cowell wasn바카라 게임 웹사이트t so sure about the virus until it knocked him to his knees.
At 68, Cowell still works his 500-acre farm near Memphis and is healthy enough that he takes no daily pills. He started feeling poorly around Nov. 11, tested positive four days later, then gradually got sicker. On Nov. 18, an ambulance took him to the emergency room. He was treated and went home.
바카라 게임 웹사이트They only had one bed left and I didn바카라 게임 웹사이트t feel I was sick enough to take somebody else바카라 게임 웹사이트s bed,바카라 게임 웹사이트 Cowell said.
But soon, breathing became difficult and nausea set in. Worst of all, his temperature spiked to 104 degrees. Another ambulance trip was followed by a lengthy hospital stay.
He바카라 게임 웹사이트s not sure where he got the virus but admits he wasn바카라 게임 웹사이트t overly cautious.
바카라 게임 웹사이트I바카라 게임 웹사이트m as independent as a hog on ice,바카라 게임 웹사이트 Cowell said. 바카라 게임 웹사이트I was pretty ambivalent about it. If Dollar General said I had to wear a mask, I wore a mask. If I walked across the street to Farm & Home, I didn바카라 게임 웹사이트t wear a mask. I really wasn바카라 게임 웹사이트t aware of the fact that it could get ahold of you and not let go.바카라 게임 웹사이트
Brock Slabach, senior vice president of the National Rural Health Association, based in suburban Kansas City, said it takes 바카라 게임 웹사이트space, staff and stuff바카라 게임 웹사이트 to run a rural hospital. 바카라 게임 웹사이트If you don바카라 게임 웹사이트t have any one of those three, you바카라 게임 웹사이트re really hamstrung,바카라 게임 웹사이트 he said, noting that many hospitals face shortages in all three areas.
Wilson spent hours on the phone one day, trying to find a larger hospital capable of providing the critical care that might save a man in his 50s who was critically ill with the virus.
By the time the University of Iowa Hospital agreed to take him, it was clear he couldn바카라 게임 웹사이트t survive the 120-mile trip.
바카라 게임 웹사이트I don바카라 게임 웹사이트t know that getting him to Iowa City would have made a difference,바카라 게임 웹사이트 Wilson said. 바카라 게임 웹사이트Sometimes people are sick enough that they바카라 게임 웹사이트re not going to survive, and that바카라 게임 웹사이트s the reality of what we have to deal with. But it바카라 게임 웹사이트s still pretty damn frustrating when you바카라 게임 웹사이트re sitting here with your hands tied.바카라 게임 웹사이트
