28 patients this morning All Covid-19 (as usual). 18 on Oxygen+Dex, 6 recently on it. 12 clear X-Ray changes 7 had GI upset (other causes excluded). 11-Diabetes. Only 4 on O2 had underlying resp disease

Most Covid cases in hospital not managed on ICU or HMU but acute wards
and most cases not managed in hospital but community settings with variable degrees of support/monitoring/self care.
the case mix we who have worked many winters in acute NHS hospitals are seeing and the clinical features of many patients do not in any way resemble a "normal flu season" or whatever other cliche people trot out who do not practice clinical medicine and never did
ICU is a critical part of our system but because it is high tech and dramatic and some sicker (often younger0 patients news values mean media (esp visual broadcast) tend to focus on it. Lots of other parts of acute care system & post-acute/subacute also affected by Covid-19
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