If you need a wake-up call, here it is: My husband was on a large conference call of American med school deans last night. One asked about legal coverage for pulling people off ventilators to give to others more likely to survive. I.e., not being charged with murder. Here we are.
Doctor’s log. Helldate 2020. Equipment & facilities remain in short supply as the President suggests a scale down in containment efforts. Today some of my colleagues & I vowed to tell each other’s kids how much they were loved, if any of us are not around to tell them ourselves.
In last 24 hrs there've been prominent US voices calling for a stop to social distancing, citing rationale that they're worse than impact of COVID itself. It’s worth looking very closely at that claim, where we are in US COVID epidemic and what happens if we stop. 1/x
Anyone advising the end of social distancing now, needs to fully understand what the country will look like if we do that. COVID would spread widely, rapidly, terribly, could kill potentially millions in the yr ahead with huge social and economic impact across the country. 15/x
These big social distancing measures take time to work. The impact of big interventions in Wuhan China took about 3 wks to start to reverse things. And then everyday after the situation got better. In the US, we're about 7 to 10 days into this, depending on the state.10/x
How do we gain time to let hosps get more supplies & prepare for high number of pts? How do we lower the speed of spread of COVID in US? How do we lower odds that ICUs will run out of vents, hospitals run out of space? The answer for now is large scale social distancing.7/x
In Asia, we've seen these interventions work to lower
pace of the epidemic, lower numbers of critically ill, lower
the number of people who get COVID. In
Asia where big social distancing measures have been in place for two months,
they have had very strong impact. 8/x
In Asia they've slowed the disease by slowing social interaction. Left to its own, this disease spreads from 1 person to about 2.5 people, and then they do the same, and so on. For this disease to stop, we need to make it so that the avg person spreads it to <1 other person. 9/x
All the major cruise lines are asking for bailouts from the U.S. Government.
Yet, Disney Cruises sails under the Bahamian flag ... Celebrity Cruises under Liberian/Maltese flags & Carnival Cruises under the Panamanian flag - all to avoid U.S. taxes & employment law
Just sayin'
I will summarize for you what the party in power decided today:
It is worth the price to lose 2% of the population to open up the economy.
The republicans are basically saying: hitler, hold our beer, your final solution wasn’t final.
There it is. 2% of the population for $
Well it finally happened to me.
A dentist just tried to call in scripts for hydroxychloroquine + azithromycin for himself, his wife, & another couple (friends).
NOPE.
I have patients with lupus that have been on HCQ for YEARS and now can’t get it because it’s on backorder.
So, the last week I have been battling COVID-19 & Pneumonia. Never in my life have I been this ill. “Young people aren’t at risk, they’ll only have mild symptoms” Wrong.
I want to open up about the difficulties I’ve gone through these past days, what it was like in the ICU...