id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-269280-1zbxjmxu	Shao, Connie	The COVID trolley dilemma	2020-05-14		.txt	text/plain	2900	152	59	As the first wave of this pandemic subsides, hospital systems are faced with prioritizing which surgical services can resume while simultaneously minimizing the disruption of ongoing care for the remaining COVID-19 patients. Patients requiring oncologic surgery now face a "double jeopardy" of increased exposure to COVID-19 due to frequent interactions with medical facilities, but also worse outcomes associated with delaying surgery. As the immediate wave of morbidity and mortality associated directly with the COVID-19 pandemic subsides, the effects of delaying both diagnosis and surgery will be revealed. Guidelines, such as those created by ACS, for careful and precarious resumption of local "elective" surgeries are moot when conservation efforts are overrun by an uncontrolled Ro. At a time that we do not have herd immunity and a vaccine does not yet exist, government-mandated orders are necessary to protect our patients, ourselves, and those who will become our patients.	./cache/cord-269280-1zbxjmxu.txt	./txt/cord-269280-1zbxjmxu.txt