You are 100% right. And I have no doubt the county will follow up and close them down. A sad Christmas for so many. And no one knows how long they will be shut down.There are no winners here. While I don’t condone what the restaurants are doing, I do understand their desperation. And I understand the public health department, trying to keep the community safe. Rock meet hard place on both sides. I have to wonder how many of their customers took an optional trip to visit family last week and will come home and spread coronavirus in the community, with little concern for business owners who have no options. Will these people who chose to travel trash the public health department for shutting down their favorite restaurants? It didn’t have to be this way. But now it is.
Coronavirus COVID-19 - Global Health Pandemic #88
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Found Deceased UK - Graham Wright, missing 8/25/25, Glasgow *human remains' found in Loch Lomond*
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SoCalDavidS
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Taylor Nichols, MD
@tnicholsmd
He came in by ambulance short of breath. Already on CPAP by EMS. Still, he was clearly working hard to breathe. He looked sick. Uncomfortable. Scared.
As we got him over to the gurney and his shirt off to switch a a hospital gown, we all noticed the number of Nazi tattoos. 1/
He was solidly built. Older. His methamphetamine use over the years had taken its usual toll and his teeth were all but gone.
The swastika stood out boldly on his chest. SS tattoos and other insignia that had previously been covered by his shirt were now obvious to the room. 2/
“Don’t let me die, doc.” He said breathlessly as the RT switched him over from CPAP by EMS to our mask and machine.
I reassured him that we were all going to work hard to take care of him and keep him alive as best as we could. 3/
All of us being a team that included a Jewish physician, a Black nurse, and an Asian respiratory therapist.
We all saw. The symbols of hate on his body outwardly and proudly announced his views. We all knew what he thought of us. How he valued our lives.
Yet here we were, working seamlessly as a team to make sure we gave him the best chance to survive that we could. All while wearing masks, gowns, face shields, gloves. The moment perfectly captured what we are going though as healthcare workers as this pandemic accelerates. 5/
We exist in cycle of fear and isolation. Fear of getting sick on the front lines. Fear of bringing a virus home and exposing our families. Fear of the developing surge of patients. Fear of losing our colleagues. Fear of not having what we need to take care of patients. 6/
And isolation because we don’t want to be responsible for spreading the virus, knowing that we are surrounded by it on a daily basis. Isolation because no one else can truly understand this feeling, these fears, the toll of this work. But we soldier on. 7/
Unfortunately, society has proven unwilling to listen to the science or to our pleas. Begging for people to take this seriously, to stay home, wear a mask, to be the break in the chain of transmission. 8/
Instead, they’ve called the pandemic a hoax, called us liars and corrupt, told us we are being too political by worrying about patients dying and trying to save lives.
They’ve stopped caring about our lives, our families, our fears, worried only about their own. 9/
He was already on high respiratory support and still working hard to breathe so I asked him about his code status and if he would want to be intubated, knowing that was all but inevitable and before the hypoxia made him more confused and unable to answer. 10/
He said that if a breathing tube was the only way he could survive, he wanted us to do everything we could. So we would. We were out of other options by this point, so we prepared. 11/
I’ve faced these situations countless times since medical school. Not the intubation - which is routine at this point for me and my team. The swastikas. The racist patients. Every single time I feel a bit shaken, but I went into this job wanting to save lives... 12/
... and every single time I’ve been able to smoothly and quickly move though those emotions to do so. “They came here needing a doctor, and dammit Taylor, you’re a doctor” is a mantra I’ve repeated to myself when I feel like my empathic core wanes. 13/
As I stepped out of the room to gear up for a high risk procedure and grab equipment, I checked my PPE. I had my N95, face shield, gown, gloves. Was I safe? Was my team safe? I pause to check and make sure I had all my equipment and backups if needed. 14/
I run through the meds and plan with the nurse and RT. I pause. I see the SS tattoo and think about what he might think about having Jewish physician taking care of him now, or how much he would have cared about my life if the roles were reversed. 16/
For the first time, I recognize that I hesitated, ambivalent.
The pandemic has worn on me, and my mantra isn’t having the same impact in the moment. All this time soldiering on against the headwinds, gladiators in the pit.
And I realize that maybe I’m not ok. End/
https://twitter.com/tnicholsmd/status/1333391178738274305
@tnicholsmd
He came in by ambulance short of breath. Already on CPAP by EMS. Still, he was clearly working hard to breathe. He looked sick. Uncomfortable. Scared.
As we got him over to the gurney and his shirt off to switch a a hospital gown, we all noticed the number of Nazi tattoos. 1/
He was solidly built. Older. His methamphetamine use over the years had taken its usual toll and his teeth were all but gone.
The swastika stood out boldly on his chest. SS tattoos and other insignia that had previously been covered by his shirt were now obvious to the room. 2/
“Don’t let me die, doc.” He said breathlessly as the RT switched him over from CPAP by EMS to our mask and machine.
I reassured him that we were all going to work hard to take care of him and keep him alive as best as we could. 3/
All of us being a team that included a Jewish physician, a Black nurse, and an Asian respiratory therapist.
We all saw. The symbols of hate on his body outwardly and proudly announced his views. We all knew what he thought of us. How he valued our lives.
Yet here we were, working seamlessly as a team to make sure we gave him the best chance to survive that we could. All while wearing masks, gowns, face shields, gloves. The moment perfectly captured what we are going though as healthcare workers as this pandemic accelerates. 5/
We exist in cycle of fear and isolation. Fear of getting sick on the front lines. Fear of bringing a virus home and exposing our families. Fear of the developing surge of patients. Fear of losing our colleagues. Fear of not having what we need to take care of patients. 6/
And isolation because we don’t want to be responsible for spreading the virus, knowing that we are surrounded by it on a daily basis. Isolation because no one else can truly understand this feeling, these fears, the toll of this work. But we soldier on. 7/
Unfortunately, society has proven unwilling to listen to the science or to our pleas. Begging for people to take this seriously, to stay home, wear a mask, to be the break in the chain of transmission. 8/
Instead, they’ve called the pandemic a hoax, called us liars and corrupt, told us we are being too political by worrying about patients dying and trying to save lives.
They’ve stopped caring about our lives, our families, our fears, worried only about their own. 9/
He was already on high respiratory support and still working hard to breathe so I asked him about his code status and if he would want to be intubated, knowing that was all but inevitable and before the hypoxia made him more confused and unable to answer. 10/
He said that if a breathing tube was the only way he could survive, he wanted us to do everything we could. So we would. We were out of other options by this point, so we prepared. 11/
I’ve faced these situations countless times since medical school. Not the intubation - which is routine at this point for me and my team. The swastikas. The racist patients. Every single time I feel a bit shaken, but I went into this job wanting to save lives... 12/
... and every single time I’ve been able to smoothly and quickly move though those emotions to do so. “They came here needing a doctor, and dammit Taylor, you’re a doctor” is a mantra I’ve repeated to myself when I feel like my empathic core wanes. 13/
As I stepped out of the room to gear up for a high risk procedure and grab equipment, I checked my PPE. I had my N95, face shield, gown, gloves. Was I safe? Was my team safe? I pause to check and make sure I had all my equipment and backups if needed. 14/
I run through the meds and plan with the nurse and RT. I pause. I see the SS tattoo and think about what he might think about having Jewish physician taking care of him now, or how much he would have cared about my life if the roles were reversed. 16/
For the first time, I recognize that I hesitated, ambivalent.
The pandemic has worn on me, and my mantra isn’t having the same impact in the moment. All this time soldiering on against the headwinds, gladiators in the pit.
And I realize that maybe I’m not ok. End/
https://twitter.com/tnicholsmd/status/1333391178738274305
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I finally read through it .. these are the things that most interested me, as we haven't heard about these things before.
Moderna have started work in seeing if their vaccine is safe and effective in children 12 and older.
And “in the coming weeks” they will start looking at children 5 to 12 years of age.
They hope that by the end of the school year they will have the right dosage for children, so that children can resume normal school life in September 2021.
They are seeing levels of immunity that they think will last one year … though they only have six months of data, so can’t be sure. They hope the vaccine will only require a booster every 5 years.
They are basing their data (efficacy) on people who got sick. They don’t know how many are asymptomatic. They will test for that but won’t know that kind of data until sometime early next year.
They still need to see if the vaccine is safe for pregnant women. And are trying to figure out the best way to do that. Maybe there will be incidental pregnancies among their vaccine volunteers, and that will help them see if it is safe for pregnant women.
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Here is a minute of happiness. We welcomed Victorians - and people stuck in Victoria - back to our state today. First time in many months since they have been allowed to be here, or to leave Victoria.
(Video posted by my state Premier. The cases of beer at the end - our main brewery gave every incomer a case of beer if they wanted it
)
(Video posted by my state Premier. The cases of beer at the end - our main brewery gave every incomer a case of beer if they wanted it
)
Last edited:
Here is a minute of happiness. We welcomed Victorians - and people stuck in Victoria - back to our state today. First time in many months since they have been allowed to be here, or to leave their own state.
(Video posted by my state Premier. The cases of beer at the end - our main brewery gave every incomer a case of beer if they wanted it
Awwwwwwww...that warms my heart. The beer is pretty neat!
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With the way information about this virus keeps changing, I would not count on that statement " no known transmission through lactation"--
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COVID-19 long haulers are developing debilitating, chronic condition called POTS | WATE 6 On Your Side
Covid Long Haulers are being diagnosed with POTS "Postural Orthostatic Tachycardic
Syndrome"
POTS is a terrible illness: My mother had something similar in her later years and it took her life. POTS is a little different from what she had- but similar. I reiterate what I have said many times. This virus is wicked. Those who deny it are simply ignorant and foolish.
Covid Long Haulers are being diagnosed with POTS "Postural Orthostatic Tachycardic
Syndrome"
POTS is a terrible illness: My mother had something similar in her later years and it took her life. POTS is a little different from what she had- but similar. I reiterate what I have said many times. This virus is wicked. Those who deny it are simply ignorant and foolish.
dixiegirl1035
I will do it, but I won't like it
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As New York moves into a new phase.. upcoming presser by Mayor as we have seen here, we learn so MUCH from the governor and mayor and NY state and NYC as to how COVID is being handled.
Started..... wow! starting out comparing to AIDS epidemic at the outset... very cool way for National Aids Day today. I had no idea.
ETA's:
Promoting blood drives as blood supply so low, down to 3 day supply during COVID. Who would have thought. As I said, NY is leading indicator and focused MOO on COVID impacts which may come to other geographies.
Highlighted needs for blood for sickle cell folks who need (mostly associated with demographic of black/African American)
Started..... wow! starting out comparing to AIDS epidemic at the outset... very cool way for National Aids Day today. I had no idea.
ETA's:
Promoting blood drives as blood supply so low, down to 3 day supply during COVID. Who would have thought. As I said, NY is leading indicator and focused MOO on COVID impacts which may come to other geographies.
Highlighted needs for blood for sickle cell folks who need (mostly associated with demographic of black/African American)
Last edited:
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Rosie Perez Contracted COVID-19 While Traveling to Bangkok in December: 'It Was Terrifying'
"I had contracted COVID when we flew to Bangkok," Perez recalled in the article published Monday. "And at that time, they were saying 'It’s a new respiratory tract infection. It's a virus that's going around. We don’t really know what it is and what it does, but it attacks the respiratory system first and then travels to other parts of your body.' "
“I remember the doctor saying to me, 'The mask that you have on, the mask that I have on, every time you go outside, every time you meet someone wear that mask — not just for you, but to protect them too,' " she said. "And I haven’t forgotten it."
——-
Is this the first time she has talked about her terrifying experience with Covid?
A year later? Was a gag order in place and they were not allowed to talk about it until the movie was released?
Did she post anything on her Twitter or Instagram pages about it when it happened?
I wonder why all the Hollywood stars that had it many months ago didn’t band together on social media way back in the summer and get the message out?
Not trendy enough?
"I had contracted COVID when we flew to Bangkok," Perez recalled in the article published Monday. "And at that time, they were saying 'It’s a new respiratory tract infection. It's a virus that's going around. We don’t really know what it is and what it does, but it attacks the respiratory system first and then travels to other parts of your body.' "
“I remember the doctor saying to me, 'The mask that you have on, the mask that I have on, every time you go outside, every time you meet someone wear that mask — not just for you, but to protect them too,' " she said. "And I haven’t forgotten it."
——-
Is this the first time she has talked about her terrifying experience with Covid?
A year later? Was a gag order in place and they were not allowed to talk about it until the movie was released?
Did she post anything on her Twitter or Instagram pages about it when it happened?
I wonder why all the Hollywood stars that had it many months ago didn’t band together on social media way back in the summer and get the message out?
Not trendy enough?
I'm going to get a covid-19 vaccination as soon as it is available to people in my category
(Old as the hills, and out of shape)
I am less concerned with any possible downsides to myself, and more concerned about, and wishing for, to eliminate myself as ever passing covid-19 to someone else...
Unknowingly
My thinking at this time
(Old as the hills, and out of shape)
I am less concerned with any possible downsides to myself, and more concerned about, and wishing for, to eliminate myself as ever passing covid-19 to someone else...
Unknowingly
My thinking at this time
dixiegirl1035
I will do it, but I won't like it
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For some reason, to add, I'm more in the camp of the AstraZeneca right now.. as tried and true as to vaccine types vs. new mRNA by Moderna and Pfizer. It could be the best... but I'm old school. And since I won't get anyway until ~May/June... I'll have time to reinforce as longer trial data to be released by then. IIRC, that's the next time Moderna and PFizer have to release info.
And by the time it gets to me I do hope ALL the info is released as it will take ~6 months for my priority.
Yep, I absolutely know the new the the world and successful Moderna and Pfizer... which will probably be the #1 for health care workers due to the timeline...
Just sayin'.....
as the old adage goes, "trust but verify"
ETA: I do look forward to the J&J vaccine (another Warp Speed vac)... who IIRC ONLY had one dose for their trials.. as all these now seen are seen to have such a bump after the second dose.
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That's not good news but it is exactly the kind of thing we are waiting to find out about. I would wager that these people had a milder case of COVID to begin with, unless they are all very elderly and have immune issues. I'd sure like to know if their second case was also mild.
The implications for the asymptomatic transmission of COVID are even more grim, if true, as many people relax their safety precautions once they've had COVID one time.
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I'm all set on the new-fangled RNA vaccine, can't say why I'm not old school. It just seems intuitive to me that the RNA-based vaccines would work. I think AstraZeneca's effectiveness is high (but now they're in that slightly messy issue of having to redo some of their results - not sure where that stands; last I read they were thinking about doing Phase 3 over, which would delay it).
Like you, I'm not in a huge hurry. I live in California, which is requiring a separate review by our local experts and will likely have its own system of rolling out the vaccines (the proposal right now puts me in either the second or third tier...but since I do not plan to head back to the classroom immediately, I would not claim a spot for essential workers, I'd use my spot given by my age). When that spot becomes available, I'll take the vaccine offered to me, most likely. It's almost certainly going to be Moderna, at least at first - so we shall see.
I think it will be at least March before I'm eligible, perhaps longer.
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It's going to be a hugely complex logistical exercise to vaccinate the population. It wouldn't be nearly so difficult if there was plenty of vaccine, and if it didn't need to be kept cold continuously, and if it didn't have a quick expiry date.
Vaccinating health care workers will be the easy part. After that, everything gets much more complex. How are the vaccines going to be administered? Will there be clinics set up? If so where, and how do you get the information to the most vulnerable people? Will the clinics be able to keep the vaccines cold? Will supporting supplies and staff be co-ordinated to make sure the vaccines are administered? What happens when the vaccine arrives, but syringes are back ordered? How are you going to make sure people get their second vaccine when there isn't a state or provincial registry to track who got what and when? What happens when the vaccine arrives at hospital ABC and they don't have refrigerator space to hold it?
How quickly can people be vaccinated so that the product doesn't expire? Vaccines have notoriously short expiry dates.
Some of the most vulnerable populations are First Nations and inner city cultural groups. There are many vulnerable people who are off the radar and not reachable by traditional means. In Canada, the logistics of sending vaccines into fly-in First Nations territories is mind boggling. Flights may be weekly. Many of the small planes have 500 pound load limits and no refrigeration. There are no clinics at the end of the flight.
How does the medical community vaccine pregnant women and those with an active case of Covid?
On and on, there are so many factors that have to line up correctly. Taking six months to vaccinate the population seems very hopeful to me.
ParkerParky
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Frontline has some documentaries that will stir your soul.
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Frankly, I just want to make it thru the next few months to get to the point of getting a vaccine. That in itself won't be easy as a vulnerable person. The virus is going to be rampant in the community thanks to the selfish people who traveled on Thanksgiving- no doubt spreading the virus far and wide. You know those asymptomatic folks who think the virus is a hoax, is media driven, or is an exaggeration--- and don't care about anybody but themselves
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RSBM
My friend is an oncologist in MI. Her earliest messages to me re: COVID were 1) Stay home and 2) Give blood.
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