A week after declaring surge
capacity met, County now says
there aren't enough beds to
reopen Montgomery County
Montgomery County officials attempted to address growing concerns over their lack of defined strategy for ending the coronavirus lockdown yesterday. In a streamed Zoom meeting, County Executive Marc Elrich said he thought the current statistics might point toward reopening the county in one or two weeks. But one number that Health Director Travis Gayles expressed concern about was ICU hospital bed capacity, and that four of the county's hospitals were at-capacity for ICU beds over the last week. This would make it difficult to handle a surge in new patients if a new wave of Covid-19 infections were to break out a few weeks after the Stay-at-Home order would be lifted.
Now, you may remember the county was 500 beds short of the projected need when the coronavirus pandemic began. On April 1, with great fanfare from their friends in the local media, the Montgomery County Council declared it was appropriating $10 million for county hospitals to add those 500 beds. Keep in mind, this is several hospitals' worth of beds.
To those more skeptical than our local press, this sounded like a hefty degree of magical thinking. If you know anything about construction, the regulatory hoops alone would have tied such expansion up for months. Permits would have to be processed, construction work would have to pass inspection. Not to mention that the work would have to be put out for bid, contractors selected, etc. The very expensive beds themselves - and all related equipment that is needed for each bed, particularly in an ICU setting - have to be ordered and shipped.
Just last week, Gayles told Bethesda Magazine in an email that - incredibly - this David Copperfield act had been magically pulled off. In only 41 days, Gayles wrote, Montgomery County hospitals had added all 500 beds. Interestingly, with all of the news cameras hanging out at local hospitals these days, we never saw footage of these new rooms or wings being opened on the TV news.
Ten days ago, we were told we had enough beds to handle a coronavirus surge. Yesterday, still under lockdown before any such surge has even taken place, we were told that a lack of bed capacity is now a primary reason the County cannot reopen its economy.
Something doesn't add up here.
Photo courtesy Hill-Rom