Coronavirus COVID-19 *Global Health Emergency* #17

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Powerful narrative from a Doctor in Italy from Bergamo, that he is sharing with the world because he wants them to understand that COVID19 "is not the flu":

A thread written by @silviast9

Quotes from thread:

2/ This is the English translation of a post of another ICU physician in Bergamo, Dr. Daniele Macchini. Read until the end "After much thought about whether and what to write about what is happening to us, I felt that silence was not responsible.

3/ I will therefore try to convey to people far from our reality what we are living in Bergamo in these days of Covid-19 pandemic. I understand the need not to create panic, but when the message of the dangerousness of what is happening does not reach people I shudder.

4/ I myself watched with some amazement the reorganization of the entire hospital in the past week, when our current enemy was still in the shadows: the wards slowly "emptied", elective activitieswere interrupted, intensive care were freed up to create as many beds as possible.

5/ All this rapid transformation brought an atmosphere of silence and surreal emptiness to the corridors of the hospital that we did not yet understand, waiting for a war that was yet to begin and that many (including me) were not so sure would ever come with such ferocity.

6/ I still remember my night call a week ago when I was waiting for the results of a swab. When I think about it, my anxiety over one possible case seems almost ridiculous and unjustified, now that I've seen what's happening. Well, the situation now is dramatic to say the least.

7/ The war has literally exploded and battles are uninterrupted day and night. But now that need for beds has arrived in all its drama. One after the other the departments that had been emptied fill up at an impressive pace.

8/ The boards with the names of the patients, of different colours depending on the operating unit, are now all red and instead of surgery you see the diagnosis, which is always the damned same: bilateral interstitial pneumonia.

9/ Now, explain to me which flu virus causes such a rapid drama. [post continues comparing covid19 to flu, link below]. And while there are still people who boast of not being afraid by ignoring directions, protesting because their normal routine is"temporarily" put in crisis,

10/ the epidemiological disaster is taking place. And there are no more surgeons, urologists, orthopedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us.

11/ Cases are multiplying, we arrive at a rate of 15-20 admissions per day all for the same reason. The results of the swabs now come one after the other: positive, positive, positive. Suddenly the E.R. is collapsing.

12/ Reasons for the access always the same: fever and breathing difficulties, fever and cough, respiratory failure. Radiology reports always the same: bilateral interstitial pneumonia, bilateral interstitial pneumonia, bilateral interstitial pneumonia. All to be hospitalized.

13/ Someone already to be intubated and go to intensive care. For others it's too late... Every ventilator becomes like gold: those in operating theatres that have now suspended their non-urgent activity become intensive care places that did not exist before.

14/ The staff is exhausted. I saw the tiredness on faces that didn't know what it was despite the already exhausting workloads they had. I saw a solidarity of all of us, who never failed to go to our internist colleagues to ask "what can I do for you now?"

15/ Doctors who move beds and transfer patients, who administer therapies instead of nurses. Nurses with tears in their eyes because we can't save everyone, and the vital parameters of several patients at the same time reveal an already marked destiny.

16/ There are no more shifts, no more hours. Social life is suspended for us. We no longer see our families for fear of infecting them. Some of us have already become infected despite the protocols.

17/ Some of our colleagues who are infected also have infected relatives and some of their relatives are already struggling between life and death. So be patient, you can't go to the theatre, museums or the gym. Try to have pity on the myriad of old people you could exterminate.[BBM]

18/ We just try to make ourselves useful. You should do the same: we influence the life and death of a few dozen people. You with yours, many more. Please share this message. We must spread the word to prevent what is happening here from happening all over Italy."

20/ I finish by saying that I really don't understand this war on panic. The only reason I see is mask shortages, but there's no mask on sale anymore. We don't have a lot of studies, but is it panic really worse than neglect and carelessness during an epidemic of this sort?

19/ Full post here, you can DeepL: https://www.ecodibergamo.it/stories/bergamo-citta/con-le-nostre-azioni-influenziamola-vita-e-la-morte-di-molte-persone_1344030_11/ …
 
I don't want to hear political views, opinions either. But can we post what our world leader is telling us about the outbreak? Is that political? Or is it policy fact? I am confused because I'm getting scared about this pandemic and don't know what is right or wrong anymore.
 
Hey Everyone,

After SillyBilly's warning, I am still seeing political posts.

I really REALLY want to keep this thread open. This thread is needed but everyone needs to stop with the politics. Stop with the complaining about politics. Stop with the complaining about posters complaining about politics.

PLEASE JUST STOP!

Thank you,
Tricia
 
On peak day of Wuhan epidemic in late Feb, there were ~9600 people seriously ill; 2087 people needing critical care/ventilators. That's beyond capacity of health care system in any US city. So we need to consider how to slow COVID-19 spread in US through social distancing.3/x
Tom Inglesby on Twitter

Of note, disease control measures didn’t get implemented in Wuhan until 1 mos into spread of the disease. Same medRxiv paper showed Guangzhou (a city bigger than Wuhan) had far less cases on its peak day, it had started strict disease control measures earlier in its outbreak.4/x
 
afitzy said:
Powerful narrative from a Doctor in Italy from Bergamo, that he is sharing with the world because he wants them to understand that COVID19 "is not the flu":

A thread written by @silviast9

Quotes from thread:

2/ This is the English translation of a post of another ICU physician in Bergamo, Dr. Daniele Macchini. Read until the end "After much thought about whether and what to write about what is happening to us, I felt that silence was not responsible.

3/ I will therefore try to convey to people far from our reality what we are living in Bergamo in these days of Covid-19 pandemic. I understand the need not to create panic, but when the message of the dangerousness of what is happening does not reach people I shudder.

4/ I myself watched with some amazement the reorganization of the entire hospital in the past week, when our current enemy was still in the shadows: the wards slowly "emptied", elective activitieswere interrupted, intensive care were freed up to create as many beds as possible.

5/ All this rapid transformation brought an atmosphere of silence and surreal emptiness to the corridors of the hospital that we did not yet understand, waiting for a war that was yet to begin and that many (including me) were not so sure would ever come with such ferocity.

6/ I still remember my night call a week ago when I was waiting for the results of a swab. When I think about it, my anxiety over one possible case seems almost ridiculous and unjustified, now that I've seen what's happening. Well, the situation now is dramatic to say the least.

7/ The war has literally exploded and battles are uninterrupted day and night. But now that need for beds has arrived in all its drama. One after the other the departments that had been emptied fill up at an impressive pace.

8/ The boards with the names of the patients, of different colours depending on the operating unit, are now all red and instead of surgery you see the diagnosis, which is always the damned same: bilateral interstitial pneumonia.

9/ Now, explain to me which flu virus causes such a rapid drama. [post continues comparing covid19 to flu, link below]. And while there are still people who boast of not being afraid by ignoring directions, protesting because their normal routine is"temporarily" put in crisis,

10/ the epidemiological disaster is taking place. And there are no more surgeons, urologists, orthopedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us.

11/ Cases are multiplying, we arrive at a rate of 15-20 admissions per day all for the same reason. The results of the swabs now come one after the other: positive, positive, positive. Suddenly the E.R. is collapsing.

12/ Reasons for the access always the same: fever and breathing difficulties, fever and cough, respiratory failure. Radiology reports always the same: bilateral interstitial pneumonia, bilateral interstitial pneumonia, bilateral interstitial pneumonia. All to be hospitalized.

13/ Someone already to be intubated and go to intensive care. For others it's too late... Every ventilator becomes like gold: those in operating theatres that have now suspended their non-urgent activity become intensive care places that did not exist before.

14/ The staff is exhausted. I saw the tiredness on faces that didn't know what it was despite the already exhausting workloads they had. I saw a solidarity of all of us, who never failed to go to our internist colleagues to ask "what can I do for you now?"

15/ Doctors who move beds and transfer patients, who administer therapies instead of nurses. Nurses with tears in their eyes because we can't save everyone, and the vital parameters of several patients at the same time reveal an already marked destiny.

16/ There are no more shifts, no more hours. Social life is suspended for us. We no longer see our families for fear of infecting them. Some of us have already become infected despite the protocols.

17/ Some of our colleagues who are infected also have infected relatives and some of their relatives are already struggling between life and death. So be patient, you can't go to the theatre, museums or the gym. Try to have pity on the myriad of old people you could exterminate.[BBM]

18/ We just try to make ourselves useful. You should do the same: we influence the life and death of a few dozen people. You with yours, many more. Please share this message. We must spread the word to prevent what is happening here from happening all over Italy."

20/ I finish by saying that I really don't understand this war on panic. The only reason I see is mask shortages, but there's no mask on sale anymore. We don't have a lot of studies, but is it panic really worse than neglect and carelessness during an epidemic of this sort?

19/ Full post here, you can DeepL: https://www.ecodibergamo.it/stories/bergamo-citta/con-le-nostre-azioni-influenziamola-vita-e-la-morte-di-molte-persone_1344030_11/ …
Click to expand...
Very powerful words. My heart hurts for them.
 
Henry2326 said:
A fifth Republican congressman — Rep. Louie Gohmert of Texas — was told by officials on Sunday that he had been in proximity to the individual at CPAC who was diagnosed with novel coronavirus, but Gohmert is not planning to self-quarantine, an aide says 4 members of Congress -- including lawmaker who shook Trump's hand -- to self-quarantine after CPAC - CNNPolitics
CNN on Twitter
Click to expand...
Henry, You, PommyMommy, and JerseyGirl are now all tied for the best "WS News Sleuthers" ever...Thank you once again for your kind efforts and time spent....moo
 
Henry2326 said:
2 new cases in Colorado including a case of unknown origin in Denver
Steve Lookner on Twitter

- Female in her 30’s
- County of residence - Denver
- Exposure: no known contact with an infected person and no recent travel.
Well that's not a good sign. Sounds like community spread.
Gonzohawk on Twitter
Click to expand...

@otto pass the vodka

Damn.

—-

I feel your pain @gitana1. Seems LA and Denver just both got their first diagnosed cases of unknown origin.

—

ETA: Yeah maybe I wasn’t so crazy after all all you 19 other unconcerned people...grrr

—-

Thank GOD I’m already prepared for lockdown.

—-

ETA2:

@Henry2326, how about you do me a little favor.

You can go back and just put DBM there. Real easy. It’s three little letters..D..B...M....let’s just pretend that post didn’t happen...

:(

Hugs from a distance

—-
Tears. :(

:drama:

Denver.

Really?

:(

—-

@KayElJay

—-

Sick to my gut...

—-

Barf

—-
@dixiegirl1035 , I really miss the : puke: emoji. That was a good one.
 
Last edited:
Just had a chat with a doctor from a Baghdad hospital, said it’s safe to say Iraq’s #coronavirus cases are x30 if not more. People with symptoms refuse to go to quarantines to avoid being shamed by locals. Also said if Iran has 6k cases it means we have at least 2k
#COVIDー19
Zaid Sabah on Twitter
 
Sunny123 said:
Good luck, we will be thinking of you!
Click to expand...

Thanks for the well wishes! Luckily we were the third case called and it was quick. But the line to check in at the department was half an hour long. So I waited down the hall until it dwindled. One lady coughed without covering her mouth. I was more than six feet from her.

Inside the department my client’s brother coughed right behind me. I hope he covered his mouth.

But not bad. One other lady coughed into her hoodie. She covered her mouth with her hoodie.

So feeling brave I went to get a long necessary hair cut. Only two stylists were there and no customers. Nice. No one was sick. Half way through another worker comes in. Three other people come in. A man coughs slightly without covering his mouth. But I think he was more than six feet from me. I’m not sure.

Then, I’m almost done and feeling pretty safe. But the lady sweeping turned from the man who coughed and facing me coughed a good cough right at me. Didn’t cover her mouth. I know it’s stupid but I couldn’t help but wonder if she’s been to South Korea lately (she’s asian). The lady cutting my hair looked at me with wide eyes and a look to say, “Oh my gosh!” She got coughed on too of course.

All I can do is pray she had nothing. But THIS is why I’m paranoid. Many people don’t practice good hygiene. They just don’t. And I can’t afford the risks they take with others’ health.
 
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