Corona virus cases will skyrocket in a week.

Dennixx · Mar 12, 2020

Good bye cruel world, I'm off to join the circus

not4hire · Mar 12, 2020

Cat sdp said: ↑

Here you go........

Read below: From a doctor on the corona front lines in Italy. Let us help our healthcare workers however we can . . .

Dr. Macchini posted a description on Facebook of what the hospital was like on March 6 vs. what it was like a week before. Below is a condensed translation of his post (which is written in Italian and can be read in its entirety here).

"After much thought about whether and what to write about what is happening to us, I felt that silence was not responsible.

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.

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 activities were interrupted, intensive care were freed up to create as many beds as possible.

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.

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.

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. 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 ###### same: bilateral interstitial pneumonia.

Now, explain to me which flu virus causes such a rapid drama. 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, 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. Cases are multiplying, they 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.

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.

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.

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?"

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.

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.

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.

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."
Click to expand...

Sobering.

Scooter Jones · Mar 12, 2020

Our country's citizens aren't quite yet in full panic mode yet, but theyre getting close.

Scooter Jones · Mar 12, 2020

Received this text from my medical provider this morning:

If you feel unwell with a fever, cough or difficulty breathing seek medical care early and call ####### triage line at ######### to limit exposure.

######## IS UNABLE TO TEST FOR COVID-19 AT OUR FACILITY. Please check your email for further details.

scott180 · Mar 12, 2020

Sometimes I hate being right.

1) Test comes out.
2) Those gravely ill are tested.
3) This skews the numbers to a terrifying degree.
4) New reports without proper context.
5) Public panics.
6) Economy suffers.
7) Public truly suffers.
8) Fright slows.
9) Drivers suffer.

Dennixx · Mar 12, 2020

It's going to be a tough spring and will affect us all.

Today's WHO briefing.

WHO Director-General's opening remarks at the Mission briefing on COVID-19 - 12 March 2020

2 wks. ago

https://www.nejm.org/doi/full/10.1056/NEJMp2003762

https://www.nejm.org/doi/full/10.1056/NEJMe2002387

Numbers

Thread by @LizSpecht: I think most people aren’t aware of the risk of systemic healthcare failure due to #COVID19 because they simply haven’t run the numbers yet.…

The three phases of Covid-19 – and how we can make it manageable

https://elm.nsupdate.info/virus/#world

Brandt · Mar 12, 2020

Amazon is sold out on Amazon brand toilet paper. If it get real bad like they think. The roads should be wide open for trucks if everyone staying home. They probably have to remove the HOS limit like they do in hurricane zone if it get as bad as they keep saying

stevep1977 · Mar 12, 2020

Fake news.

Scooter Jones · Mar 12, 2020

Dennixx · Mar 12, 2020

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