There was a point in late March/early April where we were admitting tonnes of patients exactly the same - I could practically cut and paste my clerking.
Black male bus driver or taxi driver, late 40s/early 50s, bit of high blood pressure on ramipril, caught covid 10 days ago, told to stay home by 111/999, and they had conscientiously done as they were told and avoided coming to hospital, up to the point where they keeled over. These young fit men were being brought in moribund, shut down, in multi-organ failure - I had literally never seen anything like it in anyone under 80.
Loads of them died immediately, and most of the rest died in ICU over the following weeks. It was absolutely horrific.
That aggressive messaging to stay home and protect the NHS was completely fucked up and wrongheaded - if those patients had presented 2-3 days earlier they might well have lived.
We also saw people failing to present with acute heart attacks and strokes because of fears of coming into hospital, or feeling like they weren’t supposed to bother us.