East Texas hospitals struggling without safety net during latest COVID surge

Even as cases and hospitalizations soar, Texas' vaccination rate trails the national average.

As of Sunday, there were only six ICU beds open in Austin, 51 in San Antonio and 42 in Houston, critically low numbers for three of the nation's largest cities, according to the latest state health department data. In Austin, that number may be even lower due to a lag in ICU availability data reporting. "Yesterday we were down to two ICU beds," Dr. Desmar Walkes, medical director and health authority of Austin-Travis County, said during a Tuesday press conference. "What I am seeing during my shifts is just as bad, if not worse, than what I saw last year," said Dr. Owais Durrani, an emergency medicine physician who works at several freestanding emergency departments and hospitals in East Texas. "Before COVID, sending patients home on oxygen was unheard of. We are now sending patients home on oxygen again due to hospital capacity issues." Critical access hospitals and freestanding emergency departments, like the ones Durrani works in, usually aren't designed or staffed to keep patients for extended time periods. Instead, they rely on transferring patients to other facilities for critical care. But given the lack of available beds across the state, transferring is now nearly impossible, Durrani explained.