GoodTaste
Key Member
- Joined
- Feb 19, 2016
- Member Type
- Student or Learner
- Native Language
- Chinese
- Home Country
- China
- Current Location
- China
I understand "diagnosed on the reservation" as "diagnosed at their home." Well, dictionaries show that in this context, "reservation" possibly means "arrangement". I am not sure.
What does "on the reservation" mean? Does it mean "in our community"? (Because the authors introduce in the very beginning of the correspondence:"Ours was one of the last areas in the state to see Covid-19" - such it is like a natural reservation that avoids human disturbance. Okay, I simply make a guess here)
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The second reason has been the unexpected utility of frequent follow-up visits made by our team members that make them more available to the community. Many patients with the “happiest” hypoxemia — those with minimal or no dyspnea — are young, relatively healthy people who might not otherwise present for medical care at all. We try to evaluate everyone in the household when we are visiting elders, and we frequently discover people with oxygen saturations of 80% or lower who did not know they were infected. Only by being in the field are we able to identify such patients early, initiate supportive care, and perhaps save a few lives.
More than 1600 cases of Covid-19 have been diagnosed on the reservation served by our hospital, with only one of these patients being intubated in our emergency department. Of some 400 patients who needed hospitalization, nearly half have been transported to facilities that provide higher-level care. Our community’s case fatality rate so far is 1.1%, less than half the rate reported for the rest of Arizona.
Source: New England Journal of Medicine July 2, 2020
https://www.nejm.org/doi/full/10.105...=featured_home
What does "on the reservation" mean? Does it mean "in our community"? (Because the authors introduce in the very beginning of the correspondence:"Ours was one of the last areas in the state to see Covid-19" - such it is like a natural reservation that avoids human disturbance. Okay, I simply make a guess here)
====================
The second reason has been the unexpected utility of frequent follow-up visits made by our team members that make them more available to the community. Many patients with the “happiest” hypoxemia — those with minimal or no dyspnea — are young, relatively healthy people who might not otherwise present for medical care at all. We try to evaluate everyone in the household when we are visiting elders, and we frequently discover people with oxygen saturations of 80% or lower who did not know they were infected. Only by being in the field are we able to identify such patients early, initiate supportive care, and perhaps save a few lives.
More than 1600 cases of Covid-19 have been diagnosed on the reservation served by our hospital, with only one of these patients being intubated in our emergency department. Of some 400 patients who needed hospitalization, nearly half have been transported to facilities that provide higher-level care. Our community’s case fatality rate so far is 1.1%, less than half the rate reported for the rest of Arizona.
Source: New England Journal of Medicine July 2, 2020
https://www.nejm.org/doi/full/10.105...=featured_home