Today’s batch of burning questions, my smart-aleck answers and the real deal:
Question: Although it now looks like hospital systems are NOT going to be overwhelmed by COVID-19 in a way that makes radical triage necessary, I have been wondering about what happens in that case. Does Mission Hospital have an ethics policy, or is there a state law, that determines, God forbid, who gets priority in the case of mass critical care needs and limited availability of treatment? In other words, if 100 people need a ventilator at one time and 15 are available, what system would doctors use to decide? From what I read, only a very few states have had the vision and courage to pass laws that address this. Are North Carolina doctors just stuck out there on their own?
My answer: They did not like my suggestion of having a drawing for the short ventilator tube.
Real answer: Dr. William Hathaway, chief medical officer at Mission Health, took this one on.
And no, the hospitals are not left to their own devices or thrown to the wolves on this.
"As we know, disasters and pandemics can create unprecedented and unpredictable demands on healthcare systems and resources," Hathaway said. "Those demands may result from 'surges' of patients who require medical attention, and those surges can create real challenges to healthcare providers and their ability to follow 'conventional' standards of care."
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With that in mind, Hathaway said, the North Carolina Institute of Medicine, the North Carolina Healthcare Association, and the North Carolina Medical Society developed the N.C. Scarce Resources Protocol recommendation, which was distributed to hospitals by the N.C. Institute of Medicine.
"These protocols involve the creation of both a Crisis Care Committee and a Triage Committee which would follow these guidelines, in the event of a public-health emergency or crisis on the scale of a pandemic, or if healthcare equipment and resources may become insufficient to meet demands," Hathaway said. "These committees meet when there is a need to transition from conventional standards of care to 'crisis' standards of care and their decisions are informed by this state guidance."
More: Mission Hospital earns B in new safety grades, improving on fall score
Hathaway said Mission also would heavily rely on its clinical ethics team, "which includes community members whose input would be critical if we ever reach such a situation.
"Our hope and goal is that a uniform approach would be adopted by all hospitals across Western North Carolina," Hathaway said. "We are working collaboratively to ensure that this happens."
Question: I was watching Brownie Newman sign some sort of county order on TV, and I wondered what his legal first name is, guessing that "Brownie" is a nickname. Does he use "Brownie" to sign these legal documents?
My answer: It's actually his middle name. First name is "Chocolate." These family names are out of control.
Real answer: It is indeed the real McCoy, or in this case, the real "Brownie."
"As you might imagine, I am sometimes asked, where did you get your name?" Newman said via email. "Brownie Newman is my legal name."
I can only imagine how many bad jokes Newman has endured over the years, including mine above. My apologies.
At any rate, "Brownie" comes with a history, as you might imagine.
"My grandfather’s name was Burrel Newman," Newman said. "He was an Air Force pilot in World War II and, unfortunately, on June 11, 1943, his B-17 was shot down over Germany and he died in the crash."
More: Coronavirus: Buncombe to require face coverings in Phase 2 for certain public settings
"After the war, my grandmother married again to a man named Brownie Stevenson," Newman continued. "He was a father figure to my dad, and his name was passed on to me."
Newman's name is listed on the North Carolina Voter Registration site as "Brownie Wayne Newman."
I suppose this is as good a time as any for a confession: My legal first name is "MoonPie." I cannot believe no endorsement deal has ever come my way.
This is the opinion of John Boyle. To submit a question, contact him at 232-5847 or jboyle@citizen-times.com
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May 25, 2020 at 04:13PM
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Answer Man: Does Mission have a triage plan? 'Brownie' really Newman's name? - Citizen Times
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