UPDATE: Governor’s briefing on ‘restart of all medical services’ – dental, too

2:37 PM: Just under way, Gov. Inslee is talking about reopening for elective medical procedures. He’s joined by Bill Robertson, president and CEO of MultiCare; Sally Watkins, executive director of the Washington State Nurses Association; and Vice Admiral Dr. Raquel Bono, director, Washington state COVID-19 health care response. We’ll add notes as it goes.

2:40 PM: He opens with words of gratitude for health-care providers but says we’ve weathered the peak and so he says he’s issuing a proclamation allowing non-urgent medical and dental procedures, if safety protocol can be followed. … He says PPE availability and hospital capacity remain key in “readiness” for this. He acknowledges that getting PPE may be a challenge for some providers and so that might affect their ability to reopen. Waiting-room limits, distancing, hygiene are other parts of the new rules. Regarding hospital capacity, he says there’s now a tool to track that in real time.

He urges people not to be afraid to contact their health-care professional to talk about their concerns and needs.

2:44 PM: Watkins is talking about the guidelines and how they help individual providers assess their readiness. She says they don’t intend “unintended health consequences” by people delaying important care such as vaccinations. Robertson subsequently reiterates that message – don’t avoid care if you need it.

2:56 PM: Now it’s media Q&A. First question is about governors’ call with the president today; Inslee says he was not it. Next question: What about June 1? “We would really like to move to Phase 2, but we can’t guarantee when that will happen. … we will be able to make that decision in the days leading up to that time … we have to look at the course of this disease. … We are hopeful; there have been some signs of progress recently … but we’re going to have to monitor this on a daily basis in the next several weeks.”

Next question: A new study claims up to 13 percent of Washington’s 1,000 COVID-19 fatalities might be from another cause. Inslee says even if that were so: “887 deaths – that’s OK?” He then goes on to decry “conspiracy theories” as “disappointing … I’ve heard people say things that are from a different planet.”

Then: Why did the governor change his mind about requiring restaurant patrons to leave contact information? “We figured we’re going to get enough voluntary compliance … to not risk disagreements at the reservation counter.”

Also: If we get to Phase 4 as soon as mid-July, might we get back to large sporting events? “We don’t know …. we need to make the decisions when we have the information” to make them, Inslee replied. He adds that the success in the next few months will be related to the 14-day isolation capability of people who test positive and their families, or people otherwise exposed.

What about testing capacity? Inslee says again that the state has a good capacity for analyzing samples – 20,000 a day – but doesn’t have enough materials to do that many tests, because the federal government still isn’t living up to its commitment. He goes on to detail a “maddening” case of getting the wrong supplies. Then he says that he’s also infuriated that the president has said that testing is overrated.

Another question about when the Phase 2 decision will be made. Inslee repeats that when they have enough data “in the days leading up to” June 1st, he’ll decide. What’s the criteria? He lists some of the types of data they are monitoring, not just positive cases and deaths – hospitalizations, for example, and the much-mentioned “R0” number – how many additional people are infected by each new patient – and he says that number is back around 1.

3:17 PM: Asked a followup about the earlier mention of a possible error in the fatality total, the governor clarifies that he has no reason to doubt the number is accurate, and again decries “conspiracy theories” as “disgusting” and “malarkey.”

Three minutes later, he wraps up. The video window above should show the recording soon. And we’ll add a link when the medical/dental proclamation document is available.

5:23 PM: Here’s the full writeup from the governor’s office; here’s the proclamation.

35 Replies to "UPDATE: Governor's briefing on 'restart of all medical services' - dental, too"

  • Becky May 18, 2020 (3:47 pm)

    CoNsPiRaCy MaLaRkEy Jeez get a grip gov

    • Um, No! May 18, 2020 (4:14 pm)

      Agreed.   CDC’s own guideline for reporting deaths lead to many deaths being claimed as Covid death when they are not.   Dying “from” Covid and dying “with” Covid are two different things. If someone is even suspected of having a Covid related symptom at time of death, it’s reported as a Covid death.  And this is whether a test confirms Covid of not.  And this is not some conspiracy theory or Makarkey.   It’s CDC’s own guidelines.   It’s almost like there is an incentive for Hospitals to report deaths that might not be the result of Covid? Hmmmmm?    If the Governor is going to relay on facts, date and science, at least that information should be accurate.  

      • Stay well May 18, 2020 (5:37 pm)

        There is current discussion and thought that there has been an initial under-reporting of covid-19 cases and deaths in the US. This would make sense, as there were likely cases and deaths related to covid-19 before the ‘first cases’ were identified here, before we knew much about it, before we had adequate testing, etc.

        I think I can trust that in the majority of cases, doctors can identify if someone has died from this severe, novel, respiratory illness or something else. The presentation and treatment of severe illness from covid-19 has sounded pretty consistent, from the stories I’ve heard covered in the news. Of course, there may be a handful of wrongly attributed to covid deaths, but this is probably a small percentage. The good news is that numbers going forward will likely be more accurate.

        https://www.nytimes.com/2020/05/13/opinion/coronavirus-us-deaths.html

        • Um, No! May 18, 2020 (6:44 pm)

          LOL, when the referenced article starts out by saying “many supporters of Trump”, I take it with a huge grain of salt.  I fact, it’s just an opinion and rightfully in the Opinion section of the Times. Do you really think doctors can determine on their own the cause of death when symptoms are so similar to other ailments. Hardly. The doctors I work with and many of whom are my personal friends would also beg to differ. Doctors who think one of the symptoms prior to death is similar to Covid, they mark it Covid per CDC guidelines.    Bottom line, Hospitals have incentive to mark cause of death as Covid when they truly don’t know short of a test which is done at a very low rate on people who have died.  I’m not saying the discrepancy is massive but it’s statistically relevant. Especially of the number is being relied on.  

          • heartless May 18, 2020 (7:22 pm)

            Individual doctors might not know, I agree.  But epidemiological statistics, in the long term, will be able to provide a very accurate picture of the pandemic death toll.  In simple terms, they will look at how many more people died in these months than would be expected sans pandemic*. 

            So yeah, individual doctors determining COD will absolutely be prone to error, but the overall trends in mortality will be fairly accurate, it’s just looking at molecular v molar levels.

            *And that will be an underestimate of course, since rates of cold and common flu and motor vehicle accidents are all diminished–but that can all be more or less corrected for later in the reporting.)

          • Stay well May 18, 2020 (8:50 pm)

            Just curious, are you a supporter of Trump?

            Many supporters of Trump do seem to be believing the numbers are inflated, and that makes sense, since he has suggested that himself. So what’s the problem with this being stated on the article?

            Yes it’s an opinion article, but it’s not just the journalists opinion that the numbers have likely been under reported. If you read the article, you will see that other experts, statisticians, etc. contributed or are quoted as having this opinion (Dr. Fauci, for one, has said the numbers are likely under reported).

            And yes, I do think that doctors can fairly determine if the death is covid-19, at this point. Initially, many were likely reported simply as ‘influenza’ or respiratory failure, rather than attributed to covid-19. And maybe some went the other way, but it would make more sense to me that they would have generalized more, rather than incorrectly attributed to covid if there was doubt. I could be wrong, but that seems to make sense to me.

            And wouldn’t we be hearing from doctors in the media if they were feeling really challenged with differentiating this from the flu or other things?

            There have been enough cases with similar presentations, and they’ve identified some of the more unique aspects and patterns of this illness. I’ve heard it said time and again by doctors that this isn’t the typical flu, it’s more serious, some have funky symptoms like loss of smell/taste, some people start to improve and then decline rapidly, they can’t breathe, they cough up frothy blood, etc.Not saying there aren’t some mistakes being made on death certificates, but if anything, it seems more likely deaths due to covid-19 have been under reported, especially at the start.

            Take a look at this graph and you will see a comparison of the flu (probably last seasons numbers) and covid-19 over age groups.  The flu death rate is lower, especially across more age groups, as compared to how covid-19 is presenting across age groups and with a higher death rate. Even with the numbers likely not being completely accurate, this is still a helpful ‘snapshot’ / at a glance comparison.When doctors are seeing people younger than the typical serious flu patients, that is just one of the indications that probably points them towards a covid diagnosis, along with the other symptoms, and other factors, like risk of exposure to covid-19.

          • Um, No! May 18, 2020 (9:26 pm)

            LOL, not a Trump supporter. Nice try.  When in doubt, insinuate they support Trump!  Argument Won!   Stay Well, I must say your are mainstream media’s (left & right) target audience.  Hook line and sinker. Keep staying well! 

          • Stay well May 18, 2020 (9:51 pm)

            Nope, that’s not something I do. I wasn’t insinuating, I was asking a question because I was curious and trying to understand where you’re coming from, and why that statement at the start of the article bothered you.

          • rac May 18, 2020 (9:38 pm)

            The lack of quality data is appalling.  It makes it very hard to have a fact based conversations.But, if COVID would were so dangerous, wouldn’t we all know people – young people – who had perished.  Yet, at least in my experience, very few people know anyone who has perished.  And if they do, in most cases they were an elderly relative.  This pervasive fear is not based on personal experience.  It’s based on sensational media accounts and government reactions.  They have created this boogeyman that so many are terrified of but yet so few have every seen in person.   Life is full of risks.  Generally, we get to live our lives according to our own risk tolerance.  But now we’re being forced to live according to the most risk averse in our society.  It’s a problem.  Those who are scared should protect themselves.  The rest of us should be allowed to take our own calculated risks.  I’m not prepared to live in a cave because you are afraid I might make you sick.  If you are scared, stay in your cave.  The rest of us will keep the world running.

          • Stay well May 18, 2020 (10:11 pm)

            The reason there haven’t been so many cases that we don’t all know someone personally who has died from it, is due to the dramatic mitigation measures taken to flatten the curve. Without the stay at home orders and restrictions, it would have been far worse at this point. And if we just open things back up, it’s expected that this would get much worse and quickly.  This isn’t about people being unreasonably scared or risk adverse. This is about many people getting really sick and some dying from a virus that shouldn’t have to lose their life right now. We can manage this situation in a way that saves lives.

            And next time you find yourself doubting how devastating this virus is, think about our neighbor who tragically lost his mother and 2 sisters all to covid-19, one right after the other. That doesn’t happen from the flu.

          • Anna May 19, 2020 (9:46 am)

            I don’t know that anyone is saying that this isn’t dangerous, or that it’s just like the flu. It seems instead that people are saying that maybe the virus isn’t as scary as the media is making it out to be. I find myself reminding myself all the time that I would be fine if I got this virus, that my family would be fine.  Most people who get the virus–by far–are fine. It’s good to be cautious, and I respect everyone who is being more cautious than I am, and I respect everyone who is being less cautious than I am. I do think “disgusting” perhaps is not the best word to use when describing a theory, although I didn’t watch the media briefing and I’m not sure which conspiracy theory the Governor was talking about. It sounds like it was a published study though? Perhaps if he disagrees with the study, he could use a word like “misinformed.” We are all just trying to figure this out, and have our own responses to all the changes that have been happening. I don’t think anyone’s response is “disgusting,” as misinformed as it may be.

      • JDLR May 18, 2020 (6:16 pm)

        People don’t die from car crashes, they die from bleeding out or getting crushed. Completely unrelated! /s

        • Um, No! May 18, 2020 (8:55 pm)

          The difference being that a large portion of those who have died from Covid had underlying pre-existing health conditions and many might have died from unrelated causes but because they exhibited a single possible Covid symptom,  they were marked as a Covid death.   Most car crash victims weren’t already bleeding out or in the process of being crushed prior to an accident. And again, these criteria are set by CDC.  But, you won’t usually find this if all you read is politically slanted opinion articles from either side of the aisle. 

          • heartless May 18, 2020 (9:08 pm)

            I mean, since you brought up the car crash analogy: if I have terminal cancer but die in a car crash…  It’s the car crash that done me in.  It really reads like you’re disagreeing with this?

          • Um yes May 18, 2020 (9:17 pm)

            Keep spinning the no-basis-in-fact theories UM NO. “Many might have died from unrelated causes but had one symptom” – care to cite any study for this?When studies say that a large number of COVID deaths had underlying conditions, that means those conditions made them more susceptible to the virus. Their obesity (or whatever) wasn’t great for their health, but on its own it wasn’t the cause of death.Facts don’t choose a side of the aisle, they just are.

          • Um, No! May 19, 2020 (5:20 am)

            I like the name! So if a person dies of heart failure due to ongoing heart disease and they happen to test positive for Covid when they die but had no symptoms or they display a symptom in addition to heart disease that “might” be related to Covid, they should be counted as a Covid death? 

          • Stay well May 18, 2020 (9:24 pm)

            ‘The difference being that a large portion of those who have died from Covid had underlying pre-existing health conditions and many might have died from unrelated causes but because they exhibited a single possible Covid symptom,  they were marked as a Covid death.’

            Can you back this up with credible sources, wether data or opinion based or both?

            Where have you heard that if someone exhibits one single symptom of covid-19 but dies from another cause, the death is being attributed to covid-19? If this is true, I would appreciate you sharing evidence that this happening.

            This is from the conclusion of the CDC’s guidelines for reporting covid-19 deaths:

            Conclusion
            An accurate count of the number of deaths due to COVID–19 infection, which depends in part on proper death certification, is critical to ongoing public health surveillance and response. When a death is due to COVID–19, it is likely the UCOD and thus, it should be reported on the lowest line used in Part I of the death certificate. Ideally, testing for COVID–19 should be conducted, but it is acceptable to report COVID–19 on a death certificate without this confirmation if the circumstances are compelling within a reasonable degree of certainty.’

          • Um, No! May 18, 2020 (9:44 pm)

            Stay Well, I’m starting to think you have a thing for me. You seem to comment on every post I make.  I’m flattered.  My support is from CDC and speaking to actual doctors who are dealing with this every day. Although not as much recently given hospitalizations are way down  But, hey what do they know right?  The New York Times says otherwise! Have a good night, I have to work tomorrow! CDC’s website:     “ COVID-19 deaths are identified using a new ICD–10 code. When COVID-19 is reported as a cause of death – or when it is listed as a “probable” or “presumed” cause — the death is coded as U07.1. This can include cases with or without laboratory confirmation.”

          • Carrie May 18, 2020 (10:06 pm)

            So the answer is, no, then. You can’t back up your claims with credible sources. 

          • Um, No! May 19, 2020 (6:29 am)

            I’m sorry,  are you saying CDC’s own guidelines and resources are not credible? 

          • CAM May 18, 2020 (11:54 pm)

            If you want a better estimate at how many people are dying from Covid-19, look at the excess deaths compared to the same time period in prior years. Here’s one chart based on numbers from Yale and the article discussing how to interpret it. Also, your thinking that doctors are for some reason providing inaccurate diagnoses on any widespread level suggests to me that you aren’t familiar with how diagnoses are made. Diagnoses are “presumed” true far more frequently than people suspect, often because there’s no good reason to dedicate resources to further investigation because the problem resolved itself before you could run the tests. https://www.washingtonpost.com/investigations/2020/05/02/excess-deaths-during-covid-19/

          • Um, No! May 19, 2020 (6:32 am)

            I love when people insert there own terms (widespread) into their arguments to make them more valid as if it’s something the person they are replying to actually said.    And, I can assure you that I am very aware of how physicians make a diagnosis and again,  I never said “widespread”.  Your own statement below pretty much sums up  my point that we really don’t know if some people are truly dying “from” or “with”  Covid.  Your statement,  “ Diagnoses are “presumed” true far more frequently than people suspect, often because there’s no good reason to dedicate resources to further investigation because the problem resolved itself before you could run the tests.”   I’m not saying physicians are being dishonest,  far from it.   They are simply following CDC’s guidelines and I can tell you from speaking with several physicians,  if they even suspect a patient might have died while exhibiting one or more symptoms possibly related to Covid, they are listing that on the death certificate.  Even if they have no idea if Covid was actually the true cause of death or if it even contributed.  Why, because that’s what the CDC says to do.  Hospital are hemorrhaging money right now because they are relatively empty and hospitals and physicians are paid more if the death is listed as Vivid related.  Again, not saying they are doing anything wrong, they are just following CDC guidelines.   My whole point is the data on true Covid related deaths is not all that accurate right now.  Some believe it’s low, some believe it’s high.  We’re all free to read what we want and make out own conclusions.  

          • CAM May 19, 2020 (9:52 am)

            It’s interesting (not surprising) that you firstly did not address the main content of my response to you in denying that it had any validity and secondly argued your way around to the exact opposite of what you started out saying by the end of your comment. For those interested, see linked descriptions of common logical fallacies: https://blog.hubspot.com/marketing/common-logical-fallacies

          • Stay well May 19, 2020 (7:55 am)

            Lol. Um, no.

            When I comment on your posts it’s because we seem to disagree and have different perspectives and understandings of things.

            You seem frustrated at anyone challenging your perspective here.

          • KBear May 18, 2020 (10:26 pm)

            Um, No: We are all dying. If Covid-19 speeds it along, I think it’s fair to say it’s a Covid-19 death. What makes you think Inslee is inflating the numbers? What could possibly be his motivation? It’s easy to see why Trump would want to downplay the seriousness of the pandemic—it’s bad for business. You say you’re not a Trump supporter, but you’re trying to confuse people about the facts—that’s classic Trump.

          • Um, No! May 19, 2020 (4:47 am)

            @Kbear, when did I say Inslee was inflating numbers?  I said that due to reporting guidelines, some deaths may being attributed to Covid when that is not the actual cause of death.  I don’t know how many but I think it relevant to consider.  I said if Inslee was going to rely on those numbers it would nice if they were accurate.   This isn’t a political statement.  It’s been wide reported the numbers are not completely accurate. Both over counted and under.  So please, please don’t twist my words and try to confuse people as to what I’m clearly stating. Clearly you are the Trump supporter here with your tactics. 

  • beanie May 18, 2020 (4:30 pm)

    Thanks for the play-by-play updates WSB!Also encouraged by the “R0” number getting close to 1 – that’s fantastic news.

  • appreciative May 18, 2020 (5:08 pm)

    Thanks for the update. Very helpful.

  • Lin May 18, 2020 (5:43 pm)

    Thank you, WSB! And thanks to Gov Inslee for working hard to protect our lives! Hopefully new cases/deaths numbers will continue to go down. Our child’s daycare is planning to open in phase 2, and we’ve been hesitating but the downward trend has given us a bit more hope.

  • Beekery May 18, 2020 (10:54 pm)

    I’m always amused at reading the comment-feud between Um, No! and Stay Well on coronavirus-related blog posts. Without unveiling any of my personal opinions that could sound like “taking sides,” I can maintain it is quite entertaining to read the comments. I have seen (and been involved in) loads of in-person debates regarding the pandemic, and none of them are as contentious as the internet commenters. Remember we are all part of the same community xx

    • Um, No! May 19, 2020 (5:24 am)

      No feud. I just can’t seem to post here without Stay Well reacting to it.  Is there a stalking rule here on WSB?  LOL. 

      • heartless May 19, 2020 (8:20 am)

        Consider, perhaps, that Stay Well isn’t responding to ‘you,’ but rather to the contents of a post.  That might assuage any worries you (jokingly?) have about being singled out?

        • Um, No! May 19, 2020 (9:34 am)

          @Heartless.  Yeah, I was able to pick up on that.  Thanks for heads up though.  

        • Stay well May 19, 2020 (10:43 am)

          Thank you Heartless.  Exactly.

          I find some of these insulting responses to be inappropriate and concerning.  It’s really not conducive to a safe and friendly place for sharing different perspectives. If you can’t participate here respectfully and refrain from nasty comments like this, when your position is challenged, maybe you shouldn’t participate.  This shouldn’t be a place for bullies.

  • Dawn May 19, 2020 (9:12 am)

    Thank you for the update, WSB!

Sorry, comment time is over.