Abstract
From the Front Lines of COVID-19 at HSS: An Oral History
Highlights
In mid-March 2020, at the start of New York City’s battle against COVID-19, the disease caused by the deadly severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), leaders at Hospital for Special Surgery (HSS) realized that in order to protect both patients and staff, the hospital would have to stop performing all nonessential surgery
Within 2 weeks, as the city’s facilities ran out of room to care for the crush of COVID-19 patients, the hospital’s leadership decided that HSS would transform itself into a hospital capable of treating COVID-19 patients
Can we identify biological markers? Are there genetic predispositions that increase the likelihood of adverse outcomes after exposure? When you are treating people in their 70s and 80s for debilitating arthritis or spine problems leading to neurological deficit, you start to see this conflict between the urgency of the surgery and concerns about adverse outcomes related to comorbidities
Summary
In mid-March 2020, at the start of New York City’s battle against COVID-19, the disease caused by the deadly severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), leaders at Hospital for Special Surgery (HSS) realized that in order to protect both patients and staff, the hospital would have to stop performing all nonessential surgery. If we can think about the decisions we are making based upon what it will look like 10 years when people are reading about what we did, we want to make sure that it’s the right story. The nurses here take care of patients who are healthy and recovering from surgery They too went to the ICU to learn. We know that in other parts of the world COVID-19 patients having surgery have had very high complication rates, which is why we’ll be doing a lot of testing. We’ve instituted rigorous testing policies to make sure we are not operating on patients who are actively exposed or COVID-19 positive. HSS will have the most significant influence on understanding how orthopedic patients respond to surgical procedures in the COVID-19 era
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