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My cousin had an appointment yesterday at the Cleveland Clinic for an operation on an aneurysm on her brain which gives her headaches and affects her vision. They called her to cancel it because there are no open beds in their ICU due to covid patients. They have rescheduled her appointment for February. This isn't good.
One of the weird things about this virus is that it doesn't follow the normal patterns we're used to seeing. Normally, we expect outbreaks of respiratory viruses to happen in the summer in the Southern US and in the winter for the Northern US. The viruses followed people as they move indoors.
This virus is looking for populations of vaccinated or vulnerable people. It moves from different parts of the US until enough unvaccinated people develop immunity after infection (or until they die off). This is why cases are flat but currently, Texas hospitalizations are down but Michigan is a hot spot- we still have 1,000 people dying daily, but it's in different states from month-to-month.
When school started in September, it was the range of States eastward from Texas to Florida that got hit. It them moved to Colorado, Missouri, South Carolina. Then it was Alaska, Nebraska, Wyoming, Hawaii. Now it's Minnesota, Wisconsin, Michigan, Ohio.
February might be better, assuming enough of the unvaccinated people in the midwest and Great Lakes areas have either gotten COVID-19 or enough people have died off so that ICU beds are open again.

