Midwest hospital staffs struggling with coronavirus surge 'boggles the mind,' emergency doctor says

The current wave of coronavirus hasn’t spared many parts of the U.S., and the Midwest is getting hit harder than ever before.

Hospitals in the region are beginning to run out of hospital beds to treat the overwhelming number of patients affected by COVID-19, the disease caused by coronavirus.

“We’re looking at rising case counts again,” Dr. Steven McDonald, an emergency medicine physician at Columbia University, said on Yahoo Finance Live (video above). “And it pains me to read the accounts of these doctors in the Midwest who are reliving the trauma that we lived here in New York. It boggles the mind the lesson one unlearned in the same year. I hope that we finally get it right this time.”

Hospital systems are strained in the Midwest. (Graphic: David Foster/Yahoo Finance)
Hospital systems are strained in the Midwest. (Graphic: David Foster/Yahoo Finance)

The issues facing hospital staffs — down to personal protective equipment (PPE) shortages — mirror what happened to the Northeast in the spring, when New York City was the epicenter of the virus and saw its health care system overwhelmed with COVID-19 patients.

At Minnesota’s Mayo Clinic, one of the top health care institutions in the country, capacity is strained after more than 900 employees tested positive for the virus. In North Dakota, there is such a shortage of front line health care workers to keep up with the demand of COVID patients that the governor authorized that COVID-positive but asymptomatic employees can treat coronavirus patients.

A virus that won’t slow down

Although the Midwest has become the country’s latest hotspot, transmission of the coronavirus is accelerating in 45 U.S. states.

“The emergency room where I work is definitely becoming busier and busier,” McDonald said. “We’re by no means at the levels of critical patients that we were in March and April. But there is an uptick in volume.”

According to the New York Times, 17 states added more coronavirus cases “in the seven-day period that ended Sunday than in any other week of the pandemic.”

Coronavirus is hitting Middle America very hard. (David Foster/Yahoo Finance)
Coronavirus is hitting Middle America very hard. (David Foster/Yahoo Finance)

While South Dakota’s GOP Governor Kristi Noem has still refrained from enacting a statewide mandate, despite coronavirus running rampant in the Mount Rushmore State, other Midwestern states — including North Dakota, Iowa, and Montana — implemented more guidelines and restrictions.

“The lessons from March and April have gone relatively well-learned,” McDonald said. “Many hospitals have an action plan, including mine, should things hit that crisis level again. But I do want to emphasize that the control of that lies with the government, not with hospitals. And it involves shutting down for dining and et cetera.”

Registered nurse Dana Simmers' glasses fog up as she dons a 3M N95 protective mask before beginning her shift at a drive-thru testing site inside the Bismarck Event Center as the coronavirus disease (COVID-19) outbreak continues in Bismarck, North Dakota, U.S., October 26, 2020. REUTERS/Bing Guan
Registered nurse Dana Simmers' glasses fog up as she dons a 3M N95 protective mask before beginning her shift at a drive-thru testing site in Bismarck, North Dakota, U.S., October 26, 2020. REUTERS/Bing Guan

‘This is real’

Most states began rolling back their restrictions for businesses and allowed indoor dining. However, public health experts have warned that this is part of the reason why there is a surge in cases.

“It does seem silly to me to close schools and not close indoor dining,” McDonald said. “Indoor dining, gyms — these are things that have been linked to high levels of transmission. Emphasis on indoor dining which is three-fold higher than the next highest competitor there.”

Though many businesses have struggled throughout the pandemic due to closures and restrictions, the virus isn’t going away any time soon, he stressed.

People have lunch at Bottino Restaurant in Chelsea as New York City restaurants open for limited capacity indoor dining on October 1, 2020 in New York. (Photo by Bryan R. Smith / AFP) (Photo by BRYAN R. SMITH/AFP via Getty Images)
People have lunch at Bottino Restaurant in Chelsea as New York City restaurants open for limited capacity indoor dining on October 1, 2020 in New York. (Photo by BRYAN R. SMITH/AFP via Getty Images)

“I want to paint the clearest picture I can that yes, we’re getting a lot of critical patients coming into the emergency department,” McDonald said. “Yes, people are still oxygen-starved. And yes, this is very real. It’s killed 250,000 Americans. This is real. I don’t know how to convey it any better than that.”

As cases keep rising, McDonald said it’s “demoralizing” to see his hospital admit more COVID patients as New York City faces another wave of coronavirus transmission.

“When I see people walking around the street without a mask on,” he said, “when I see people indoor dining, I have the thought: ... What is it all for that we worked so hard and tirelessly in the spring?”

Adriana Belmonte is a reporter and editor covering politics and health care policy for Yahoo Finance. You can follow her on Twitter @adrianambells.

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