Inside New York City’s Virus-Besieged Emergency Rooms

NEW YORK (AP) — A “cacophony of coughing” in packed emergency rooms. Beds squeezed in wherever there is space. Overworked, sleep-deprived doctors and nurses rationed to one face mask a day and wracked by worry about a dwindling number of available ventilators.


This is a companion discussion topic for the original entry at https://talkingpointsmemo.com/?p=1299562

“To think we could mimic Italy seemed risible a week ago. Not today.”

Yet VP at preser said NOT to get tested if you have mild symptoms!

Gee are we back to “But my numbers…I like my numbers”?

When are Americans suppose to be tested, when one cannot breath anymore?

Ah…Tx Lt. Gov did in essence say
= OK to KAG…Kill American Geriatrics FOR Wallstreet $$$

Meanwhile…profiteering during a pandemic?

Trump Regime FDA granted Gilead Sciences

“orphan” drug status for remdesivir, a Covid-19 drug…The designation is generally reserved for drugs that treat rare illnesses affecting fewer than 200,000 Americans!

Orphan drug status can be lucrative windfall for Gilead Sciences…and one of Trump’s WH Covid-19 Task Force member is Joe Grogan, who lobbied for Gilead from 2011 to 2017 on issues including the pricing of pharmaceuticals.

Greed Over People!

Addendum:

OMG…NOT content with playing Dr Donnie from Trump Univ of Trickery, Thievery and Quackery…

Covidiot Trump is enacting a quid pro quo during a pandemic with the governors that needs Covid-19 resources so that they will be nice to him!

What a sick SOB…you need to RESIGN NOW!

https://twitter.com/joshtpm/status/1242533718620876800?ref_src=twsrc^tfw|twcamp^tweetembed|twterm^1242533718620876800&ref_url=https%3A%2F%2Ftalkingpointsmemo.com%2Fedblog%2Fabsorb-these-words

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South Korea has people walking around in hazmat suits with sanitizing spray tanks sanitizing public places, park benches, etc. Other countries blocked streets and checked IDs when people HAD to go out for essentials. And they are are STILL fighting this. Look how serious other countries are taking this. We aren’t even close…

Meanwhile, half our country still thinks a flu bug is in the news headlines…

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Italy’s total went up cases and death totals went back up today. The last 2 days were just a dip and not a downward slope.:fearful:

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Every GOP politician downplaying the coming shitshow, should be required to serve as orderlies in hospitals across the country.

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Columbia University chief surgeon Dr. Craig Smith wrote in a note to colleagues: “To think we could mimic Italy seemed risible a week ago. Not today.”

This is a criminally negligent statement for a supposed medical professional. Every epidemiologist on the planet has been screaming that exactly this was coming,

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“Faced with an infection rate that is five times that of the rest of the country, health workers are putting themselves at risk to fight a tide of sickness that’s getting worse by the day amid a shortage of needed supplies and promises of help from the federal government that have yet to fully materialize.”

“Then, son,” I’ll tell my little boy, “came that terrible, awful day when the last doctors and nurses, themselves, fell sick and dying.” That’s when I’ll begin weeping and shaking uncontrollably, as I hold him tightly and remember the horror of it all, and how senseless and avoidable it all was – assuming, of course, that we both survive it.

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I literally do not understand how his approval numbers aren’t just not going down–and drastically–but are actually inching up. How stupid is the average American? Trump is not leading, and he’s not helping. He’s making things worse, indisputably, and is literally causing people to die needlessly by his lack of concern and not taking the lead in getting whatever is needed to be made and delivered to where it’s needed ASAP. Yet he gets on TV each afternoon and says some stupid shit that stupid as shit people misinterpret as leadership, and they think he’s leading. Our collective stupidity is killing people!

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Coincidentally, the President beat Lindsey Graham in a rousing round of golf that same day.

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Deplorable, ain’t it?

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I don’t recall people being so stupid when I was younger. I really do believe that we’ve gotten dumber, I assume due to worsening schools, an explosion of mass media entertainment options, social media, and dumbed-down news. It’s just too easy to be stupid these days.

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[quote="druid800, post:6, topic:179090”]

Columbia University chief surgeon Dr. Craig Smith wrote in a note to colleagues: “To think we could mimic Italy seemed risible a week ago. Not today.”

This is a criminally negligent statement for a supposed medical professional. Every epidemiologist on the planet has been screaming that exactly this was coming,
[/quote]

“Supposed”?

I will refrain from commenting on that but here is his complete note (March 21; “NYP” is the hospital):

Dear Colleagues,

One week ago I was optimistic that our health care systems could avoid being overwhelmed, even as we began eliminating elective surgery. Yesterday I realized that only planning, cooperation, execution, personal sacrifice, and maybe a little luck will allow us to avoid being overwhelmed within a few weeks. In my update yesterday I overshared data to help make this point to you–and to myself–as I grappled with decimating the urgent surgery schedule. We are past requiring late-breaking fine-detail data to show you which way the wind is blowing. The NYP Infonet and Columbia University can be your primary data sources going forward. In broad strokes, we know New York is the national epicenter of COVID-19 infection, with a 10-fold increase in cases in just one week. To think we could mimic Italy seemed risible a week ago. Not today.

No one is standing still, wringing their hands. In the past week the number of Department of Surgery volunteers for deployment to the front lines is well into double digits. ICU’s, step-down units, and patient floors have been reorganized around COVID+ patients. Institutions not renowned for their fast reflexes have been remarkably nimble. Case in point, 3 days ago Governor Cuomo signed an executive order allowing all NYP-credentialed practitioners (MDs, NPs, PAs) to work at any NYP facility if required. Today NYP issued a sweeping “updated recommendation” on use of PPE that shows impressive practicality and flexibility. I urge everyone using PPE to read it, and conform to it. Compliance will be absolutely critical to preserving our dwindling supply of PPE.

I predict the next few days will show that the reservoir of undetected COVID+ patients is much larger than we imagined. Consequently COVID+ patients will be cropping up among patients with important primarily surgical problems that must be treated. Our policies and procedures will need to adapt accordingly, and you should be alert for announcements that address these issues. In the past few days it has also become obvious that the virus has breached our Department walls, and we can expect to hear about increasing numbers of infected Department colleagues. It should be no surprise if these infections appear in clusters associated with the care of infected patients. This underlines the importance of deploying providers strategically to minimize the chance of incapacitating all or most of one subspecialty because of illness and quarantine.

101 years ago Lenin said “There are decades where nothing happens, and there are weeks where decades happen.” This has been one of those weeks! A more modern revolutionary (John Wooden) said "Failing to plan is planning to fail.” That will not be us.

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Lotta “magical thinking” out there. Just because in a democracy, all persons are created equal does not mean that all ideas are created equal. Sadly, the legacy press does not agree.

Speaking of magical thinking:

https://twitter.com/kylegriffin1/status/1242598390304628737

It’s all about PR and the con.

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Send trump to that ER. Make him watch people die. Maybe then he will get off his fat ass and get medical people what they need any way he can.

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And let’s not even get started on “the market-place of ideas."

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I got short changed in the marketplace of ideas.

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It’s always been out there, but never at such a level to such a degree. Sure, St. Ronnie and Bush the Lesser weren’t exactly rocket scientists, but they could at least pretend to be up to the job most times and not validate and promote stupidity and vileness to the degree that he is. It’s like, there’s always been dogshit and it’s always been horrifically stinky, but this is like letting dogshit into your living room each night and liking it. WTF is wrong with these people?!? How can anyone this stupid survive?

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Magical thinking… wonderful. Just what we need

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Why do all the denier’s of how serious COVID-19 is, all assume that everyone in the country was potentially exposed to it ON THE SAME DAY, and that day only?

It’s a rolling contagion, such that assuming that a fixed two week window, or by Easter, will get us through, is criminally stupid and they should be held culpable.

Thanks, Donnie.

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I don’t know, but I’m of the opinion that to some extent societies have always been this way. We always had gossips, but they didn’t have the internet. We always had grifters, but they didn’t have cable tv channels. I realize this is not a “sophisticated” outlook, but it appears to me that “stupid people” have so much more power to promulgate their nonsense and affect our environment than in the past. That’s all I got for now.

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