Medical clinics strip services to the 'essentials' during the COVID-19 crisis | Town Square | Palo Alto Online |

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Medical clinics strip services to the 'essentials' during the COVID-19 crisis

Original post made on Mar 19, 2020

Palo Alto Medical Foundation, Kaiser Permanente and Stanford Health Care are canceling routine and "nonessential" procedures, to protect workers and make them available to care for coronavirus patients as the need arises.

Read the full story here Web Link posted Thursday, March 19, 2020, 1:19 PM

Comments (17)

3 people like this
Posted by Anonymous
a resident of Duveneck/St. Francis
on Mar 19, 2020 at 4:37 pm

It is essential that major medical services continue around the country. I am stuck out of state in a big city not only owing to Coronavirus making travel unwise, but also owing to being here for several weeks already, providing constant care to my close family member who had surgery one week ago.
Post-operative patients require followup medical care/appointments. In our case, it’s vital. Our problem is continuing to get transportation via rideshare to a major medical clinic. There are certain medical treatments that must occur. I’m sure thousands of others are in the same worrisome situation, too.
While there’s “non-emergency,” the decision on “non-essential” classification of some patients could come with lifetime consequences if intelligent people aren’t making those decisions! So far, my relative is considered an essential patient for ongoing attention from her surgeon and associates, this must continue to be the case.


6 people like this
Posted by TimR
a resident of Downtown North
on Mar 19, 2020 at 8:13 pm

I'd like to hear more about what these hospitals, and other big ones in CA, are doing to expand capacity, not just manage existing capacity. And that goes double for UC hospitals. They all have billions of dollars available to them, and need to really start doing more. Or maybe they are doing more, and no one's writing about it? We as CA are willing to put up with the social and business restrictions, but as time goes on, only if we know the most important issue--hospital capacity--is being fully addressed.


18 people like this
Posted by Online Name
a resident of Embarcadero Oaks/Leland
on Mar 19, 2020 at 8:46 pm

Please do a follow-up with the PAMF CEO because PAMF/ Sutter and the authorities seriously need to review their procedures, especially as regards their new Respiratory Clinic. Maybe they didn't anticipate the demand for respiratory testing when they blocked off the back courtyard and shut down much of the back garage during a cold, rainy morning?

Bottom line: It was hazardous getting to my Weds morning appointment in Lee because they had long lines of people waiting for the tests blocking the back entrances to Lee and Jambliss. People were packed in like sardines and the guard did nothing to enforce "social distancing" of the people in line and nothing to ensure they left room for patients like me trying to enter or leave the building.

It was bad going in but scary plowing through a large crowd of people with potential respiratory problems 20 minutes later because the crowd had grown and gotten impatient.

Today (Thurs.) my partner went for several tests in different parts of PAMF so he got to see more examples of bad practices: lots of unmasked staff and volunteers directing people, unmasked people handing out shared clipboards and pens that weren't sanitized between each use.



4 people like this
Posted by Rick
a resident of Adobe-Meadow
on Mar 20, 2020 at 9:33 am

Went to the grocery store this morning. Angry at the number of people wearing N95 masks that do -them- no good, but keep the masks away from the medical people who need them. Amused and alarmed that the staff were all wearing gloves, but paying -no- heed to the fact that the -outside- of those gloves were happily transferring bacteria and virus from one customer to another. I’ll
Bet the staff was not trained on how to safely remove those gloves, so at the end of their day they get the entire viral load transferred to their hands snyway! This one store is going to me a major source of infection and I’ll bet most others are not any better.


8 people like this
Posted by PAMF Worker
a resident of Greenmeadow
on Mar 21, 2020 at 1:56 pm

CEO Rob Nordgren of PAMF is quoted saying something that is not true:

"When a staff member comes into contact with a patient who tests positive for COVID-19, the staff member stays home until they have tested negative for the virus."

I work at PAMF Palo Alto and was notified that I had a patient last week who tested positive for COVID-19. I was not told to stay home; I continue to work. I heard later through the grapevine (coworkers who also had patients positive for COVID-19) that we were supposed to be told to take our temperatures twice a day but I wasn't even advised to do that.


12 people like this
Posted by Online Name
a resident of Embarcadero Oaks/Leland
on Mar 21, 2020 at 2:28 pm

PAMF Worker, so sorry to read that and love to see some followup.

I was pretty horrified having to brave a crowd of possibly infected people and then finding that Trader Joe's Town & Country after my appointment was observing better procedures than PAMF -- separating entering customers by spraying customers' hands with alcohol and then wiping down shopping cart handles for each new customer.

We're obviously PAMF members but got NO notice about the respiratory clinics but did get about 5 confirmations each for our appointment.

PAMF quality has suffered under Sutter's continued expansion, resulting in months of delays in getting appointments and leaving some dedicated doctors coming in for Saturday appointments to try to clear the backlog. We joke about how they might clear the backlog if they cut back on the constant ads for new patients.

I've been trying with no success to report the PAMF breach to the county, to medical boards, using the new PA call center ...


8 people like this
Posted by PAMF Worker
a resident of Greenmeadow
on Mar 21, 2020 at 3:00 pm

Hello Online Name - Thanks for the feedback. Would be happy to provide followup. What would you like to know? I certainly agree that Sutter management has cheapened the PAMF brand considerably. Sutter Health is a Sacramento based, marketing driven, health care holding company. Sutter has had to settle many, many lawsuits related to its unethical business practices. PAMF's handling of the coronavirus crisis has changed from day to day. I think local health care workers are doing the best they can under the circumstances, but this threat is not something any of us have seen before. I've been extremely careful with infection control, but like you, I am alarmed that some of my coworkers are not as careful as they could be - of course this describes the general public too.


7 people like this
Posted by Online Name
a resident of Embarcadero Oaks/Leland
on Mar 21, 2020 at 3:44 pm

PAMF Worker -- Thanks. I've been reading about the "many, many" lawsuits and yes, it's alarming that some of your co-workers AND the general public are not as careful as they should be. I was shocked that a Palo Alto crowd that should be smart and aware could so blithely be crowding and pushing each other in front of the Lee entrance. I didn't envy the poor guard. One would expect more from educated people.

I'd like to know with whom to file a complaint at PAMF, at Sutter and, more importantly, at the appropriate state and county medical boards. I'm sure I'm not alone. I want to do so in a way that discourages retaliation. (If you want to connect with me personally, Palo Alto Online has volunteered to connect individuals here by writing to the moderator and to Bill Johnson, the publisher, and requesting it.)

I'd also like to know when PAMF will follow Kaiser and Stanford in offering virus testing. how much it will cost and when they'll inform PAMF members.

Thanks much!


7 people like this
Posted by PAMF Worker
a resident of Green Acres
on Mar 22, 2020 at 11:31 am

Online Name:

The CEO of Sutter is Sarah Krevans. Sutter is based in Sacramento. The CEO of PAMF is Liz Vilardo. I believe she is based at PAMF Mountain View. I'm guessing they're a little busy right now.

PAMF is doing limited testing. The respiratory clinics are designed to decide who gets tested based on history and symptoms, given that tests are a limited resource. Their tests are sent out to Quest Diagnostics and turnaround time is 3-5 days. Stanford has its own test and I've read the turnaround is 1 day. Keep in mind PAMF is not a research institution or a hospital and has less resources to develop tests.

Obviously we would all like to get a test on demand but the inability to do so is a nationwide problem, not a local problem.

Stay safe!


2 people like this
Posted by Anon
a resident of Another Palo Alto neighborhood
on Mar 23, 2020 at 5:17 pm

Posted by TimR, a resident of Downtown North

>> I'd like to hear more about what these hospitals, and other big ones in CA, are doing to expand capacity, not just manage existing capacity. And that goes double for UC hospitals. They all have billions of dollars available to them, and need to really start doing more.

One of the articles mentioned how few hospital beds there are now in SCC. Recently, I read that Seton is supposed to close due to lack of funding. Web Link. Amazing that this is under consideration considering that it has 357 beds that are, at the moment, highly needed. Web Link


4 people like this
Posted by Online Name
a resident of Embarcadero Oaks/Leland
on Mar 24, 2020 at 8:41 am

PAMF Worker, thanks for the info. I did get a response from "City of Palo Alto" to my note on NextDoor after one of their health posts. They first offered to followup and then wrote back saying "they" had conveyed their concern to "PAMF."


2 people like this
Posted by Anon
a resident of Another Palo Alto neighborhood
on Mar 24, 2020 at 11:45 am

Follow up: The State is reserving beds at Seton and a mothballed LA hospital to keep the capacity available if needed: Web Link

It is expensive. Good for the State of California to do this.


5 people like this
Posted by PAMF Worker
a resident of Green Acres
on Mar 26, 2020 at 11:11 am

Great article on Medscape on how health care employers are muzzling their employees from speaking out regarding the lack of PPE, etc.:


Web Link

Very consistent with how PAMF CEO Rob Nordgren is saying we are being sent home after contact with a positive C19 patient when we are not. [Portion removed.]


4 people like this
Posted by Online Name
a resident of Embarcadero Oaks/Leland
on Mar 26, 2020 at 2:06 pm

PAMF Worker, thanks for that info. Hope you and your colleagues stay as safe as you can.


3 people like this
Posted by PAMF worker
a resident of Another Palo Alto neighborhood
on Apr 11, 2020 at 12:26 am

The CEO of Palo Alto Medical Clinic is either turning a blind eye to how the clinics are run or she is behind the pure greed business model. Doctors are share holders and love referred appointments to make more money for themselves. Sutter feeds on more profit for share holder doctors. Patients are profit tools. The COVID 19 outbreak is hurting this organization's profit for doctor share holders and when shelter in place is over, watch out! [Portion removed.]


2 people like this
Posted by Resident
a resident of Palo Alto High School
on Apr 11, 2020 at 12:35 pm

The doctors have been hunkering down and hiding out - they don't want to get sick.
Hospitals all over have cut non-essential surgeries and services. Some claim they are doing this to save supplies for Covid patients, which may be true. But who would want to go to a clinic or hospital now?
The hospitals are suffering financially. Some smaller hospitals may go under and re-direct any sick people to larger hospitals like Stanford or County.


Like this comment
Posted by Anon
a resident of Another Palo Alto neighborhood
on Apr 12, 2020 at 12:07 pm

Here's hoping that clinics will migrate to having facilities that clearly segregate infectious disease treatment from other treatment. Even before SARS-CoV-2, I found it annoying to have to share air space with all the influenza/bronchitis/pneumonia patients when getting treatment for anything else (dermatology, say). It makes no sense to mix them together.


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