Hospital Reiterates Surge Concerns

<p>With a small bump in the Island&rsquo;s positive Covid-19 cases and Boston&rsquo;s emergence as a hot spot, hospital officials continued to reiterate their worry.

With a small bump in the Island’s positive Covid-19 cases over the weekend and Boston’s emergence as a hot spot, Martha’s Vineyard Hospital officials continued to reiterate their worry about a surge on the Vineyard, especially as spring approaches.

“The increase in our numbers, even as small as they are, really speaks directly to our concern about a surge,” hospital president and CEO Denise Schepici said at a press briefing Tuesday morning. “Boston is a quick ride away from Martha’s Vineyard. We may be an Island, but we are not immune.”

The hospital reported three new cases over the weekend, after a nine-day streak of reporting no new positive cases on the Island. On Sunday, federal immunologist Dr. Deborah Birx cited Boston during her daily press briefing at the White House when discussing emerging areas of concern nationwide.

“I am very worried,” Ms. Schepici added.

As of Tuesday morning, the hospital has conducted 271 tests for the coronavirus, with 15 tests coming back positive, 256 negative, and no tests pending. The hospital currently has no one hospitalized with the virus.

State figures released in the afternoon showed 1,556 new cases in Massachusetts, down from a high of more than 2,600 a week ago. There were 152 more deaths attributed to COVID-19, for a total of 1,961 to date. 

At the hospital briefing, officials confirmed three patients have been hospitalized with the virus since the outbreak began, and that all three of those patients were transferred off-Island for care. Two of those patients, both of whom received medical flights to Boston hospitals, were hospitalized prior to their transfer.

The briefing was hosted by Ms. Schepici, as well as the hospital’s head of nursing Claire Seguin and hospital spokesman Katrina Delgadillo.

Hospital officials also said they will be refusing any more transfer requests from maternity patients seeking to relocate their care to the Vineyard, citing an unusually large number of requests in the past week.

“To ensure the safety of moms and babies already in our queue, our services cannot accept any transfer of request care to the hospital,” Ms. Schepici said “We are asking women who are pregnant to remain with their current obstetrical care, and to avoid travel to the Island.”

Ms. Schepici said the hospital has received nine transfer of care requests in the maternity department over the past week. She described it as an abnormally large number — for any time of year or season.

“This is something in the past that we have welcomed, and in the past we would staff up for our usual summer volume,” Ms. Schepici said. “But we have seen an usual number of women who are seeking refuge here on the Island, seeking new appointments and new care. And we just don’t have the staff for that capacity.”

The hospital has a four-bed maternity unit that officials have said could be retrofitted in case of a surge in coronavirus patients on the Island. It is common practice for expectant mothers to transfer care to the Island depending on their birth and neonatal schedule. Ms. Schepici also said the hospital had received requests for other transfers of care, but not the same volume as maternity patients. She said the increase in requests for care added to her concern about travel to the Island, especially as summer approaches. Finally, she thanked towns and the Vineyard construction community for extending the current construction bans for one more week.

Ms. Schepici sent an email last week that proved influential as towns mulled extending their construction bans past April 21. Towns ultimately decided to extend the current bans until April 27, with guidelines for one and two-man crews to get back to work after that date. But with cases in Boston surging, Ms. Schepici said her concern about spread on the Island remains.

“We are so happy that the construction community decided to defer a week, but we are seeing huge numbers in Boston, and if start to have more people coming from Boston, I am very worried that we will start to see a precipitous surge,” Ms. Schepici said.

Comments

Submitted by Anonymous (not verified) on Tue, 04/21/2020 - 16:11

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Marie

Transferring TO off island hospitals is common, but don’t try to transfer from off island to MV.

Medical care, like a lot of things, seem to be a one-way street.

Tom VH

I don’t understand your point is it our tiny hospital should be importing off island patients? I do not understand what people don’t understand about the terms “national emergency “,”state emergency “ we are in the beginning of a health emergency and need to stay ready and agile to deal with what has come to us. Saying mean words and putting them out in public as a anonymous poster without having the courage or character to stand behind your words speaks volumes.

Submitted by Anonymous (not verified) on Tue, 04/21/2020 - 17:02

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What's the plan for COVID cases if we surge? MV

As we experience increased population due to travelers (from diverse locations) this is alarming. What is the plan if we surge? Is it realistic to think every case can be flown off to other hospitals during a regional surge or will they be treated at one of two Cape Cod temporary sites? Is there another tier of staff and public safety officers if others become ill? And what of the limited testing and the challenge to even get tested? Are presumptive cases treated and sent home to quarantine? If so, are they contact traced too?...And what is the plan for those needing dialysis, infusion and other non emergency but critical matters? What is the plan?

Art Jones West Tis

The infection tsunami will hit the island after the Cape because of the seasonal demographic, if measures aren't strengthened through summer, it will be a perfect storm.

Submitted by Anonymous (not verified) on Wed, 04/22/2020 - 08:16

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Greg Edgartown

I don’t understand. Expectant mothers are transferring HERE in the middle of a pandemic? Why? What does that actually accomplish?

Steve Edgartown

It accomplishes removing a pregnant woman from a densely populated city where there is going to almost definitely eventually be exposure to Corona virus to a rural house where she can safely self quarantine.

Greg Edgartown

The chances of cross contamination are much higher at tiny MVH versus virtually any hospital up there. They have entire wards that are in separate wings, hundreds of yards away from any other patients.

I'm also commenting more on the notion that people come here specifically to give birth, even in normal times. Like, what is the point of that. This whole "born here" thing has gotten way out of hand.

JM

They can free up beds in busy hospitals and protect pregnant woman from Covid. That is the right thing to do, sharing resources in the state. Islanders are often transferred to MA hospitals.

NYC hospitals have patients from all over the metro area, specialty hospitals from around the world. in busy hospitals no one questions residency.

Submitted by Anonymous (not verified) on Wed, 04/22/2020 - 09:04

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John West Tisbury

Why there have been so few tests administered, are they really so scarce they have to be held in reserve? Have other sources of tests been explored? It is well known people who have been denied tests have turned out to be positive for covid-19. We won't get a true picture of actual percentage of cases in island population without more testing.

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