Cars continue to line up around the Frederick Health medical offices as people looked to get tested for COVID-19.

The drive thru testing provided by the hospital, even on Saturday, is one service the hospital is providing to the community during the SARS-CoV-2 pandemic. But the hospital is also preparing for ways the new disease will affect the health care system.

Supplies, like masks, are adequate but tight, said Dr. Manny Casiano, chief medical officer. The hospital looks at the amount of masks and gowns every day, he said, adding that if those types of supplies run low, the hospital will have to limit or stop the drive thru testing.

The hospital is approaching the pandemic with a “whole system effort,” between taking care of patients at the hospital and the drive thru testing.

When it comes to staffing, the hospital is doing OK, Casiano said. That’s in part because they stopped elective surgeries. They also stopped X-ray services and routine lab services, and the staff there will be redeployed to areas of need. They are also limiting office hours in some practices.

“The offices are trying to do as much as possible,” Casiano said. “Video treatment to people at home or telephone calls or follow up at home rather than having people come in, so that lowers the staff requirements. So every day we're evaluating our staff in terms of folks who are not busy today, where can we redeploy them?”

If the hospital staffing becomes tight, there are contingency plans, he said.

When it comes to testing staff, the hospital is using the same testing protocol for staff as they do others looking to get tested. They need to have symptoms, such as a fever, cough and shortness of breath, while also having travel, recent contact with someone who has the disease or a comorbidity, like an underlying medical condition, Casiano said.

The hospital is not cancelling the elective surgeries but rather postponing them. This includes outpatient facilities, as well, Casiano said. In addition to freeing up staff, it allows the hospital to have more ventilators, which can be necessary in treating COVID-19.

“So for someone who is having a once-a-year routine procedure, fine, we'll put that off a month or two,” Casiano said. “If someone's got a suspicion for cancer, we're certainly not going to put that off. If someone needs treatment for an acute problem, we don't put that off.”

Right now the hospital has an adequate supply of ventilators, but “it’s tight,” he said. They ordered an additional 10 more, which will make their supply OK, if they come in. The hospital is also coordinating with outpatient surgery facilities to see if they can use their ventilators.

The hospital is also preparing for a surge in the number of people who will need hospital facilities. On any given day, about 12 to 16 beds of the hospital’s 18 bed ICU are occupied, he said. That means with more COVID-19 cases, there will need to be more beds because the patients who have strokes, heart attacks and other medical emergencies still need to be treated.

While Frederick County only has one confirmed case of COVID-19, the numbers are expected to rise, especially as more people are tested.

“Every other country that's done extensive testing has found a lot of cases, including people who never knew they had it,” Casiano said. “So, I expect throughout the United States, we're going to see the same thing that the number of cases is going to jump dramatically. Not because there are new people being infected, it's just now we're testing and finding out that this person who had a headache for two days, well, you know what it was actually COVID.”

Follow Heather Mongilio on Twitter: @HMongilio

Heather Mongilio is the health and Fort Detrick reporter for the Frederick News-Post. She can be reached at hmongilio@newspost.com.

(75) comments

Russian

Flag officers if you’re listening please save us from this imbecile.

Obadiah Plainsmen

Very good . That’s exactly what the Sanhedrin asked Pontus Pilate on Nisan 14, 30AD. If the flag officers follow Pilate decision you will get your wish.

Obadiah Plainsmen

And one more thing before I go. Now this is just a suggestion and you don’t have to do it , but I think the picture of you riding that horse with no shirt on would portray you more elegantly and more macho. I posted a link for recommended pictures.

https://abcnews.go.com/International/photos/russias-president-vladimir-putin-19690713/image-russian-prime-minister-vladimir-putin-rides-horse-47332220

Russian

An Israeli doctor working in the coronavirus epicentre of northern Italy said medics are no longer allowed to give respirators to anyone aged over 60.

Dr Gal Peleg - who works in Parma, Italy - said artificial respiratory machines are so low in numbers access must be limited.

Obadiah Plainsmen

Do you have a problem with that?

awteam2000

You did say the US government.🤔

Obadiah Plainsmen

Hey Sam, Ms Jones, Blue dawn. Did you know that the 13 colonies distrusted the government that the framers created so much that the framers had to write the bill of rights, just so it would be ratified.

Samanthapowers

i was aware and truly appreciate the history lesson. that does not deflect or distract from the current reality.

Obadiah Plainsmen

Do you trust the Hogan Administration in its handling of this crisis?

Samanthapowers

good ole op - always the joker.

Obadiah Plainsmen

The #BoomerRemover crowd and Greta Thunberg disciples will be interested in this.

https://m.jpost.com/International/Israeli-doctor-in-Italy-We-no-longer-help-those-over-60-621856

DianeD

The Italian embassy in the UK vehemently denies that. Don’t spread fake news!

Obadiah Plainsmen

So you believe the Italian govt and not ours?

Samanthapowers

Because our current government (administration) is more trustworthy and never lie? hahahaha. Good one.

Obadiah Plainsmen

I thought it was a fair question. I began to distrust the government in the early late 60’s and years later Obama really reinforced my distrust in government. Distrust in government and still obeying the laws of the land is one of the perks of Freedom.So it’s ok to say you distrust your government.

awteam2000

OP, question for you... How many America’s will die from the Coronavirus by next weekend based on Trump’s (as Pence describes) clear, precise, relentless leadership? Across the country - governors, mayors and hospitals all over the country are saying the government response has been In adequate and negligible at best. What your prediction?

Obadiah Plainsmen

Answer mine to you below then I’ll answer yours.

Obadiah Plainsmen

Aw that wasn’t fair of me. But the only prediction I’ll make concerning the current events in the USA and the world is, Jesus is coming soon.

public-redux

How soon?

awteam2000

Does Jesus have masks, medical supplies and equipment , care givers and ventilators? And can he pass a stimulus package that bails out people and small businesses over large corporations?

Samanthapowers

whoa, let's back the train up. op - you started in the '60's and only got angry with barry? explains a lot.

Samanthapowers

op - to some degree of course people distrust the government. they are made up of people like trump. what do you expect?

Obadiah Plainsmen

My prediction is soon. Soon is defined as in a “short time” , could be in a day or tonight. In the Bible 2 Peter 3:8 states that with the Lord a day is like a thousand years, and thousand years is like a day. So it could be a day or two or maybe not. If we go with Peter the Lord was resurrected only two days ago .What do you think?

awteam2000

Is that good new or bad news?

Samanthapowers

Respect for your beliefs and faith but Jesus has nothing to do with it.

public-redux

I think you didn’t answer the question honestly. Which is what I expected.

Obadiah Plainsmen

Sam , yes it does Obama went extreme left wing on issues.

Obadiah Plainsmen

Aw

With man providing all that is impossible, but with GOD all things are possible. Oh ye of little faith.

Obadiah Plainsmen

Now Public,

I did answer honestly except you can’t or won’t accept the honesty of the Bible. 1 Corinthians 1:18

For the message of the cross is foolishness to those who are perishing, but to us who are being saved it is the power of God. For it is written: "I will destroy the wisdom of the wise; the intelligence of the intelligent I will frustrate."

The honesty of the secular world is what God calls foolishness. You just can’t handle the truth. Don’t let your heart be so harden.

public-redux

Gobbledygook.

How soon?

Obadiah Plainsmen

You sound like my kids when they were young. Are we there yet, are we there yet. How soon, How soon. I said Jesus is coming soon, I’m repeating what Jesus said it 2,000 years ago . Now if you are still alive when he comes you can be the first to ask him ,what took you so long. If your dead then his coming wasn’t soon enough.

Obadiah Plainsmen

FNP if you think this article is irresponsible journalism from one of your newspaper colleagues. Please feel free to delete it.

Samanthapowers

use your ointment to soothe the pain.

awteam2000

The jpost is not the federal government. You probably believe what Trump says too.🤦‍♂️

Obadiah Plainsmen

Good job you got me. Sam didn’t.

awteam2000

Why are states bidding against other states for needed medical supplies? Does that mean NY will buy all the mask? Protective medical gear? And ventilators at extremely gouged prices and Maryland will have to fin for itself. What’s the point of nation when each state works separately on a crisis that effects use all? The president dropped the ball once, by not reacting soon enough by having mass testing 2 months ago, like S. Korea. He’s now failing by not implementing the Defense Production Act. It was created for this very purpose - fast mobilization of manufacturing and streamlining distribution with exploiting in response to a national crisis. Only the federal government has that muscle?

Obadiah Plainsmen

Also common sense was created for this purpose. Would like your reaction to the thousands who crowed (did not practice social distancing) the Tidal Basin yesterday to look at silly but beautiful cherry blossoms. The NPS had to shut the entire area down because of these nitwits. Now should the NPS have taken preventive action 2weeks ago and shut down the Tidal Basin knowing that when the blossoms peaked there would be a crowd?

awteam2000

Trump supporters... News travels slow in those circles. Ask Rand Paul.

Over 15 republicans in the House, senate and White House have been diagnosed or under quarantine, not to mention who’s been exposed to the Coronavirus.

Should house and senate members be allowed to vote on congressional bills while in Quarantine? Mitch McConnell only last week said “if you can’t be on the floor for a vote, you can’t vote.”

Obadiah Plainsmen

15 Republicans with COVID 19 or under quarantine and no Democrats? Seems to me that the Democrats got insider trading news of the potential danger of COVID 19 before Republicans. I knew all along Trump was a Democrat plant.

FCPS-Principal

The Dotard and its entire team are now a clear and present danger to American health and safety. Their incompetence and lies border on treason as American gets weaker and weaker while Russia and China get stronger and stronger. And they are not alone. Congressional Republicans have allowed their affection for the Dotard's hind end to put its stink above all else: professional ethics, country, responsibility, accountability, standards of conduct, the citizenry, the law. The Dotard is now pushing miracle cures and snake oil just like right wing religionists and conspiracists are pushing garlic, silver and Alex Jones' magic toothpaste. It has seen incredible things" it claims, "things that are impressive". I don't know what those incredible and impressive things are. Nobody does. Perhaps they are Melania's breasts. But even if they are something else they are of no use against a virus. All their lies and stupid statements are killing America. The true professional media, the media that follows professional standards of ethics, should simply stop covering the Dotard. It should no longer spread its lies and insults. The Dotard no longer has anything intelligent to say, if it ever did. Let Faux News and its phony baloney conspiracist anchors make fools of themselves.

Russian

To the Evangelicals that supported the Antichrist:

Even as I have seen, they that plow iniquity, and sow wickedness, reap the same.

Obadiah Plainsmen

Your comment is inaccurate. Evangelicals supported President Trump. The Antichrist aka ”the Beast” according to the Evangelical Bible is a person who is loved by the world (Rev. 13: 1-4, 12, 14-15, 17, chp. 19: 19-20). Donald Trump does not meet the qualifications for being the Antichrist. But don’t worry when the real AntiChrist comes you will swear allegiance to him and take his mark . So hang in there your chance is coming.

Also did you know that the President’s limousine is nicknamed “The Beast”.

Russian

Unbelievably the WH is now attempting to enact ObamaCare to address the pandemic after years of gaslighting low IQ republicans.

public-redux

I have a modest suggestion. People who feel certain that they are going to have an afterlife in paradise after their demise here should refuse testing and medical care. That would leave more resources for other people who are not so favorably situated and possibly even put a spring in their step as they shuffle off this mortal coil.

Obadiah Plainsmen

So you support antivaxers, good for you.

public-redux

Say what? That doesn’t follow at all.

Obadiah Plainsmen

The world will come up with a vaccine for COVID 19. And just like MMR the world will say all must have it to stop the spread. Those who refuse it due to their belief in the afterlife and are not afraid of the method they get there , you don’t have a problem with them?

Even though by refusing they run the risk of infecting others that can’t get the vaccine but want it.

public-redux

At this moment, there isn’t a vaccine for Covid-19 and there is a shortage of testing kits and respirators. How could I possibly be anti-vax when there isn’t a vaccination?

In answer to your question, no, I have no problem at all with people behaving consistently with their beliefs provided it doesn’t negatively affect others. Off hand, I can’t think of a person of faith who would begrudge another person of faith attaining paradise. Has it been your experience that people who share your beliefs don’t want you to attain paradise?

public-redux

“ Even though by refusing they run the risk of infecting others that can’t get the vaccine but want it.”

What vaccine?

Obadiah Plainsmen

You are not that naive that you don’t think someone/ some company will manufacture a vaccine for COVID19 in a few months. And COVID19 is not going away ever. It is here to stay, year after year just like the measles, flu, ectera. Recently the measles made a comeback and antivaxers were frowned upon for not vaccinating and causing the disease to spread.You are defecting from your original post. Why don’t you just admit that you do support those who do not take medical advice due to religious beliefs . Resulting in “more resources for other people who are not so favorably situated and possibly even put a spring in their step as they shuffle off this moral coil.”

public-redux

I don’t understand why you don’t take me at my word.

At this moment, there is not a vaccine. You agree with me on that. So what vaccine are you talking about?

And I do support those who don’t take secular medical advice due to religious beliefs, provided it doesn’t harm others. Indeed, I wonder about the sincerity of those who don’t. People who are certain they will enjoy eternal paradise after they die — people like you — might prefer to not consume scarce resources that could benefit people like me who suspect this life is all there is. Off to eternity with you and Muslims and samsara for Hindus. Why would you you begrudge me a few more years on this earth before I either go to hell for all eternity or have my component elements recycled into the universe? Surely you would rather be in heaven than here.

Tots and pears for you.

Obadiah Plainsmen

You are the Queen of deflection. “At the moment, there is no vaccine, we agree, so what vaccine are you talking about? Well I don’t know, my guess since the entire infectious disease world is working on manufacturing a vaccine for COVID 19, could it be possible that I’m talking about that “future” vaccine. I’m not begrudging you years on this earth. You should have bought a n95 respirator when they were in stock. You are pro-choice aren’t you? Choose to have the vaccine, choose to buy a respirator. However make sure your respirator is recyclable. And I like here, but I understand that we all have a death date, just don’t know the, when, where or how’s about it. Hopefully see you on the other side.

public-redux

You said there would be a vaccine in a “few months” which could be 90,000 years by your way of counting. You are as pro-choice as me but I don’t know how I can choose to have a non-existent vaccine.

Russian

If the president allowed his son in law to interfere with defending America against a pandemic all hell is going to break out.

Russian

In the early days of the outbreak, Trump downplayed the threat from the virus, and publicly accused the “Fake News Media” and Democrats of trying “to inflame” the situation. The Times reports that Kushner, who was tasked with carrying out research into the coronavirus to help Trump decide what to do next, privately told Trump what the president then repeated publicly. Kushner has reportedly sought out a bigger role for himself in the coronavirus task force despite his lack of knowledge on the topic. He is said to have urged his father-in-law to go ahead with his European travel ban and declare a national emergency, both of which were announced last week.

Russian

Our only hope is if the military will take over this historic boondoggle and corral all who allowed this pandemic to fester.

Samanthapowers

Sad how many commentators were crying media hoax, dem (dim, took a real genius to think of that one) and now all of a sudden take this seriously. It's the dump playbook. Completely ignore, blow it off, and then blame others. What stand up people

Russian

Watching a group of American Christians willing to sacrifice their own to defend the Antichrist is a sign.

Samanthapowers

They are willing to sacrifice their own - not themselves. That's just how they roll.

Russian

Jan. 22: “We have it totally under control.”

Donald J Trump

Danny2112

I was tested yesterday at this facility and was very impressed with the efficiency of the entire process. From the time I pulled in until I left was less that 40 minutes. Everyone was super nice, too.

Samanthapowers

Danny - hope all is well. Stay safe.

Obadiah Plainsmen

Hopefully those sitting in their cars waiting to be tested have taken the advice of Dr. Fauci."

Not every single person in the United States needs to get tested," said Anthony Fauci, the director of that National Institute of Allergy and Infectious Diseases,

Dwasserba

Any excuse to get out

Obadiah Plainsmen

It's an unnecessary drain on extremely limited supplies.

jayel86

All this encouragement of testing is so the scientists tracking this can these mutations as soon as they occur hopefully. I apologize for my previous comments, the numbers didn't make sense, now I see its easing people into marshall law in case this goes deadly in the US, shut things down one by one because all at once and.all the gun owners start shooting each other

.its amazing how scared and concerned folks are with their own smelly butts. Courage is so rare these days.

awteam2000

Jaye, ‘marshall law’? I think you mean ‘martial law’ - done in a crisis. imposing direct military control of normal civilian functions by a government, especially in response to a temporary emergency.

Samanthapowers

Where is the flat earth crowd that will decry this as a hoax? 100% serious. Why are they so quiet?

jayel86

Actually I take back my original thinking, this sensationalizing is actually to cause just enough panic to prepare for the mutated form virologists and geneticists are seeing in the positive tests they receive to study. Italy must have been the first when the EU refused medical supplies and shut down all ports for what seemed like no reason, now a form is spreading that can infect all age groups. I have changed my view after the recent terrible news from Italy. The government cannot tell the masses it is mutating and deadly tonally age groups, Americans are not intelligent to handle such a crises calmly.

Samanthapowers

Sensationalizing? Americans are not intelligent enough? Please, please, bail out then. A go fund you will be set up. One way only. Bye!

Samanthapowers

Oh, 'you've changed your view'? how benevolent of you. your seemingly cowardly attitude towards others make me glad you are not in charge.

FCPS-Principal

They're still around. A few of their comments pop up here and there.

VJKC

Well said

FCPS-Principal

Hard to talk with a respirator on.

Lev928

Step across the street to "the Fort" to get supplies.

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