When Wade McGee was diagnosed with COVID-19 at 3 a.m. Friday, there was nowhere in Tucson he could get treatment.
So the next morning the 63-year-old mining retiree and former paramedic was taken by ambulance from Northwest Medical Center, 6200 N. La Cholla Blvd., to a hospital in Phoenix.
McGeeβs wife, Wendy McGee, is finding it hard to get information on her husband, who is not doing well.
She wishes heβd been able to get treatment here, but also said sheβs glad he wasnβt transferred out of state β which is the fate some patients are facing as the health-care crisis worsens.
Pima County residents with COVID-19 are being treated in San Diego, Albuquerque or Las Vegas when shortages in staffing, equipment or bed space make it impossible for hospitals close to home to take them.
Others are being sent around the state, like to Wickenburg or, in the case of McGee, Phoenix.
βItβs so disturbing,β Wendy McGee said. βAt the beginning of this (pandemic), we were told thereβd be pop-up hospital facilities for the overflow, but thatβs never been done.β
She would like some answers.
βWhy not, I want to ask. You knew this was going to happen,β she said. βWe opened up the state and said βhave a ballβ and look where we are now.β
Dr. Theresa Cullen, the Pima County health director, said referrals are initiated when the hospitalsβ staffs feel they cannot adequately provide long-term care for patients, such as keeping someone on a ventilator longer than a day.
The emergency room situation went from stable last week to βwithout equivocation,β critical, Cullen said, as the number of new coronavirus cases in the county has risen tenfold in the last two months.
There is no shortage of ventilators, she said. Availability of Intensive Care Unit beds ebbs and flows throughout the day, but as of Monday morning there were 11 remaining beds staffed with an intensivist in the Tucson area, she said, adding that includes five beds provided by the VA hospital.
βWe are in a critical situation right now. That doesnβt mean weβre unstable because you can be critical and stable. But our numbers keep increasing,β Cullen said.
Cullen said officials are actively talking about an alternate care site in Pima County. The Arizona Daily Star reported in April that the Army Corp of Engineers toured the Tucson Convention Center and the vacant Tucson Heart Hospital as potential sites.
βIt behooves us to ensure that we have contingency plans in place, which are what we do if we needed more beds,β Cullen said, pointing out that the decision regarding the overflow sites is made by the state.
The Arizona Health Department did not respond to a list of emailed questions sent Monday.
βHospital does not decideβ
Patients from Northwest Medical Center facilities, which also include Oro Valley Hospital, 1515 E. Tangerine Road, are not being transferred out of state yet, said Northwest spokeswoman Veronica Apodaca.
βWe monitor our census continually, and it changes frequently throughout the day,β she said. βAs local cases have increased, there have been times our COVID units were at capacity and we utilized the Arizona Surge Line to transfer COVID-positive patients outside of our system.β The surge line is a hot line and system set up by state officials to help hospitals manage high patient loads.
On Monday morning, Northwest received a small Disaster Medical Assistance Team, which includes ICU nurses and a respiratory therapist, and that is helping with tight staffing, Apodaca said.
βWe have also been successful in acquiring some additional staffing resources from other states and our supply chain remains strong,β she said. βWhile our staff has done a truly extraordinary job preparing for the surge and caring for COVID patients since March, this is a serious situation. We urge the community to continue to follow CDC-recommended masking and social distancing measures.β
Banner Healthβs medical centers in Phoenix and Tucson are sharing patient loads and transferring patients based on where thereβs room at any given time.
βAt this time, we still have capacity for COVID-19 and non-COVID-19 patients in our Arizona facilities and we have sufficient PPE and other supplies,β said Rebecca Ruiz Hudman, a Banner Health spokeswoman, referring to personal protective equipment.
She said Banner continues to deal with high patient numbers and has enough supplies at this time.
βIt is important to understand that hospital capacity is about more than just beds,β said Ruiz Hudman. βWhen we look at our ability to deliver care at the highest level, we are also factoring in equipment, supplies and staffing.β
Tucson Medical Center, like other hospitals, is using the Arizona Surge Line to both transfer and receive patients as needed.
βThe hospital does not decide where patients are transported. The surge line is called, and the state places patients based on capacity,β said TMC spokeswoman Angela Pittenger.
βThe goal is to keep them as close as possible. However, if there are no beds available within the community, they are transported to the nearest hospital that has capacity to give the level of care the patient needs.
βPatients are transported the fastest available way. That could be via ambulance or helicopter, depending on the needs of the patient.β
None of the hospitals provided information about who pays for patient transports or what happens if someoneβs loved one dies of COVID-19 in another city or state.
βA pretty tough cowboyβ
As of late afternoon Monday, Wendy McGee still hadnβt spoken to a doctor in Phoenix about her husbandβs condition.
βI havenβt talked to any doctors since he arrived, but the nurse he had yesterday was amazingly sweet and kind and kept me updated on everything,β she said.
Wendy McGee, 54, said their nightmarish ordeal started last month when she was exposed to coronavirus at work and then tested positive. Wade McGee was also tested with his wife and they learned on June 25 that he was negative.
Or at least thatβs what that first test showed.
βWe were both just staying home and then, the next thing I know, heβs sick,β she said of Friday, July 3. She took him to Northwest Medical Center when he started having excruciating abdominal pain.
He was first diagnosed with colitis, which is inflammation of the colon and intestines. Then, after his COVID-19 test came back positive, she was told the colitis was due to coronavirus.
What Wendy McGee knows so far: He needs insulin treatment for COVID-induced diabetes as well as help for what appears to be chronic obstructive pulmonary disease, or COPD.
Her husbandβs awful experience stands in stark contrast to her own.
βI lost my sense of taste and my sense of smell, and had headaches here and there,β Wendy McGee said.
For her brother, Bill Spurbeck, the fact his brother-in-law had to go to the hospital was enough to make him worry right at the outset.
βHeβs a pretty tough cowboy,β he said, βso for him to have my sister take him to the hospital, it must have been pretty bad.
βWhat if something happens to him?β Spurbeck asked. βWho is going to pay to have him transported back to Tucson?β
