Volume is fairly close to normal, but not on the surgery side. Patients have to get COVID swabs, then self isolate until the day of surgery. Previously, turnaround was about 3 days on the hospital and ASC-certified test sites, now it is running closer to 7 - 10 days. I have had several surgeries cancel already because people just can't comply with that, result didn't get back in time, they forgot to lie to the pre-op nurse about going out of their house after the test but before surgery, etc.
Another complicating factor is that I have had to change my office template to allow for more time between patients for room cleaning, temperature testing, waiver signing, etc. And I don't spray Afrin and lidocaine in the nose to scope patients any more because of the risk of aerosolizing nasal secretions - I put it on pledgets and then insert those in the nose and wait for it to be absorbed. And they usually sneeze or breathe heavily or whatever when I do put those in.
Add to that the fact that almost every employee in my office, except me, has been ill at some point and has self-isolated. The only person that I am pretty sure had COVID (her daughter had it and she had a lot of symptoms consistent with it) tested negative. To tell you the truth, I am rather amazed that I haven't gotten it already, as an ENT who cannot tolerate an N95 all day in the office.
But I live in America, I eat every day, I have a roof over my head, and I get to write and say whatever I want unless it incites violence. Overall, not bad.
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