Apple, Dr Ezekiel Emanuel discussed on Here & Now


Thread available on apple podcasts it's here now medical experts are saying the worst on corona virus is yet to come and according to projections by Dr Ezekiel Emanuel millions of people will need medical help but he says there simply aren't enough hospital and intensive care beds or ventilators in the U. S. to treat the people who might need them and that's why New York state governor Andrew Cuomo is calling for the army corps of engineers to retrofit military bases and college dorms for temporary medical facilities one New York hospital CEO joins us to talk about what they're doing Michael Dowling is president and CEO of New York state's largest health care provider at Northwell health and former New York state health secretary welcome Michael thank you so much got to be on thank you so much tell us are your twenty three hospitals ready yes we're pretty well prepared that we have been organizing for this for a long time we have reached out to all of the retired doctors and all of the retired nurses and people have actually been writing to me volunteering to come back so we've reached out to all of them now obviously this is going to get worse over the next month or two I believe that is going to accelerate so do we have to intensify our efforts and make sure that we have the staff and the capacity in the supplies to deal with it and I'm pretty comfortable with all that for the overall back that we are in pretty good position here okay I I hear you on that but last week I spoke with two Italian doctors who shared how their hospitals are overflowing and we've seen reports where patients are treated based on whether they survive what are you most worried about for me that it's the the the biggest issue and I think all of this can be overcome I happen to be somebody that believes that you have to look at the bright side of things rather than always the negative because the negative on if only feeds anxiety you have to make sure that you have the staff available because staff do get infected and his staff people come in contact with somebody it is infected then to have to go on and be quarantined for a period of time so you have to manage does very very well and then obviously the supplies I mean that that that they have masks the gloves the columns the vans and if you have a huge spike hi we are doing everything at the moment to enhance our supplies our or our inventory of all of those supplies and if those things happen the way I believe it will happen I think I didn't think that we'd be in a I know a pretty good position but we always have to be prepared of course was something to spike beyond what I think it might happen then we will have to adapt and be flexible on Friday you and the governor opened the first drive through testing site on the east coast how is that testing going that testing is going very very well and it's restarted on Fridays you mentioned and it's it's it's operating successfully we will be opening I believe all those those some of those are in the planning stages right now but that allows people to drive and I don't have to get out of their cars I when I was there on Friday you know what they look like ten sixteen cars in a line and it was very very quickly the last waltz onto the windows of the car and so it's a it's a quick process and obviously the more your test I have the more you're able to isolate the more you're able to treat and as you know we're only testing those people that are out of sync and those people that have been in contact with somebody that has a confirmed case of course the more your taste the more cases you're going to find and that's what's going to drive despite you mentioned earlier that you feel optimistic you think that will make it through this crisis all right thank you still feel yeah you're still feeling as confident as you were on Friday I yes because you know it went with we we're faced with these issues all the time I mean we had the ball we had H. one N. one we have on occasion sandy and you know you've got to make sure that your staff that are working on the front lines all the time and that that demonstrate unbelievable compassion and commitment here back there they they they see that that that work isn't valued and that we are going to defeat this issue it may be a rough couple of months and as I said many times it's not what happens to you that matters is how you respond to it and health care organizations are very adaptable and and that that very resilient and what do the one thing I believe that add this whole event demonstrates for us as a country is that we have to build rebuild opponents are public health infrastructure we have a modest impact overall lives we should have been nationally and I think when this is all for I believe that should be done is to be an investment arena strengthening an acceleration of investment in the research in public health infrastructure and the staffing of the CDC in the US and the inventor increasing the inventories of supplies and also in our in our store houses around the place and those are the kinds of things we've got to be focusing on because after this is all for I some point in the future there will be another one and so we have to learn the lessons of this one and while I do believe we will succeed here I do believe it teaches us a lesson about how to be better prepared overall as a country for the next one because that will be such a case that's Michael Dowling he's president and CEO of New York state's largest health care provider Northwell health and former New York state health secretary Mr Darling thank you so much for joining us thank you very very much older adults are the most vulnerable to infection from corona virus and while attention is focused on the deaths in nursing homes the vast majority of older adults live independently in fact more than a million live in affordable housing regulated by the federal government and the owners of those buildings say at the department of housing and urban development has provided almost no guidance on protecting their vulnerable tenants NPR's aina Jaffe reports eighty year old Margie Ramirez moved into Bethany center in San Francisco's mission district on July fourth twenty eleven and she's been busy ever since on Tuesday it's how Latin exercise class and they do a little hip hop there are art classes on Wednesday and Thursday and another one on Friday we were working on portraits the last time I went but that life has come to a screeching halt group activities have been canceled says Ramirez replaced by isolation with this virus going on I kind of stay up in my room I find things to do I read or watch TV or on the computer or you know I mean after a couple of weeks it probably is going to be harder beyond basic advice like hand washing and social distancing she says no one has talked to her about what would happen if one of her neighbors fell ill or if they were quarantines in the building that may be because the building owners haven't been told either that absolutely should be coming from Hyde says merriment Molland spokeswoman for coffee at the owner of six buildings offering affordable housing for seniors HUD is responsible she says because while the affordable buildings are owned by non profits like via it's hard that regulates them and puts the bill heard should be advising us where we would be able to get things like additional supplies for cleaning or emergency funding if we needed additional staff or how we manage visitors coming to our communities the because while the residents in these buildings live independently they receive support of services in their homes like so many other older adults hospice nurses come in home health providers come in and we really need to head to let us know how we can manage a situation.

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