35 Burst results for "ICU"
There's a Reason Daniel Horowitz Uses the 'G Word'
"You used the G word early on. You're Jewish, to say genocide is a big deal. Can you elaborate on that? Some people would disagree. Sure. Well, I mean, how many millions of people died from COVID? COVID is not natural. Everyone knows that. It is not. It came from somewhere. That is a genocide. Denial of treatment. Here's the thing. The juxtaposition of the standard for which they use to not just approve, but market, not just market, but coerce. Upon us, the vaccines that Therapeutics that they're using versus the standard they're using not just to block but to almost criminalize doctors off of using things that have four decade long safety profiles, won the Nobel Prize. It listed as WHO essential medicine. At worst, it's just a placebo. Okay, let's say it doesn't work. It certainly couldn't do any harm. They will literally use Remdesivir, which was pulled from a clinical trial for Ebola because of kidney failure failure. They'll use it on people that have kidney disease. And it doesn't work. It doesn't work. WHO recommended against it because they did a large randomized controlled trial. It doesn't work. There's stuff doesn't work. And they block it. You know, when I talk about genocide, let me say this. There's a man named Ralph. He did all the Ivermectin right to try legal cases in the hospital. And he was up against people in the Rochester house systems in court, where they were blocking Ivermectin. The judge ruled in Ralph's favor. They got Ivermectin into the person. And the guy is home today with his kids this day. Even though he was ready on a ventilator, very, very hard to recover from that. This happens several times. Yet the same lawyer for the hospital systems will go up against him again. Why would you possibly do that? He told me they testified in court that they had advised the patient's family to take them off life support. So it's not just the bottom of the 9th inning, game over. And yet they wouldn't allow them to try something that was regarded as one of the safest medications around when they said it was over with, but they'll have no problem using stuff in the ICU that has FDA black box warnings for blood clotting. It's called lumia. It's one of the few drugs they use and Remdesivir. You can't recover from that observation, Charlie. This stuff I've seen and heard in hospitals. It's
Oregon hospitals near breaking point during COVID surge
"Health health health health officials officials officials officials say say say say coronavirus coronavirus coronavirus coronavirus cases cases cases cases in in in in Oregon Oregon Oregon Oregon are are are are slowing slowing slowing slowing but but but but hospitals hospitals hospitals hospitals there there there there are are are are near near near near their their their their breaking breaking breaking breaking point point point point Oregon Oregon Oregon Oregon health health health health officer officer officer officer an an an an epidemiologist epidemiologist epidemiologist epidemiologist Dr Dr Dr Dr dean dean dean dean side side side side Langer Langer Langer Langer says says says says Oregon Oregon Oregon Oregon hospitals hospitals hospitals hospitals are are are are struggling struggling struggling struggling as as as as hospitalizations hospitalizations hospitalizations hospitalizations due due due due to to to to bomb bomb bomb bomb a a a a crown crown crown crown wave wave wave wave peak peak peak peak in in in in that that that that state state state state with with with with over over over over eleven eleven eleven eleven hundred hundred hundred hundred corona corona corona corona virus virus virus virus patients patients patients patients statewide statewide statewide statewide Sideling Sideling Sideling Sideling reports reports reports reports that that that that only only only only fifty fifty fifty fifty nine nine nine nine adult adult adult adult intensive intensive intensive intensive care care care care unit unit unit unit beds beds beds beds were were were were available available available available and and and and ninety ninety ninety ninety four four four four percent percent percent percent of of of of non non non non ICU ICU ICU ICU beds beds beds beds were were were were filled filled filled filled as as as as of of of of Thursday Thursday Thursday Thursday about about about about a a a a week week week week ago ago ago ago the the the the governor governor governor governor more more more more than than than than double double double double the the the the number number number number of of of of National National National National Guard Guard Guard Guard members members members members deployed deployed deployed deployed to to to to help help help help with with with with non non non non clinical clinical clinical clinical duties duties duties duties at at at at places places places places like like like like West West West West Valley Valley Valley Valley hospital hospital hospital hospital in in in in Dallas Dallas Dallas Dallas Oregon Oregon Oregon Oregon which which which which is is is is seeing seeing seeing seeing high high high high volumes volumes volumes volumes and and and and shortages shortages shortages shortages in in in in staff staff staff staff side side side side winger winger winger winger says says says says cases cases cases cases are are are are plateauing plateauing plateauing plateauing with with with with a a a a nine nine nine nine point point point point five five five five percent percent percent percent decrease decrease decrease decrease from from from from the the the the week week week week before before before before but but but but it it it it will will will will still still still still take take take take weeks weeks weeks weeks for for for for hospitalizations hospitalizations hospitalizations hospitalizations to to to to come come come come back back back back down down down down he he he he says says says says nearly nearly nearly nearly all all all all the the the the most most most most recent recent recent recent deaths deaths deaths deaths from from from from cove cove cove cove in in in in nineteen nineteen nineteen nineteen could could could could have have have have been been been been prevented prevented prevented prevented by by by by vaccines vaccines vaccines vaccines he he he he urged urged urged urged people people people people to to to to wear wear wear wear masks masks masks masks in in in in public public public public and and and and continue continue continue continue to to to to limit limit limit limit large large large large gatherings gatherings gatherings gatherings I'm I'm I'm I'm Jennifer Jennifer Jennifer Jennifer king king king king
My Conversation with Dr. Pierre Kory and Dr. Chris Martenson
"We go. We are here with two special guests. Doctor martinson and doctor Corey, thank you guys for joining our show. Great. Thanks for having us. Good to be here. So let's just kind of have you guys introduce yourselves. Doctor Corey, you first. Okay. Yeah, so I'm a lung and ICU specialist. I spent my whole career in academia teaching. So I was known as an educator. I used to run a training program for doctors and my specialty would do ICU and lung medicine. And in COVID, you know, I like to say that I was a pulmonary pulmonary critical care physician at a time when the world got hit with the pulmonary and critical care pandemic. And I think I showed up, you know, I showed up. Me and my colleagues that we now formed a group called the frontline COVID-19 critical care alliance. And these are some of my close colleagues. We came together and all we've tried to do is figure out how best to treat this disease. So we put together protocols. We've researched the ends of the earth about anything that works and we put together really affected protocols. And what we've been trying to do is try to give folks agency and give providers physicians and people knowledge on how to treat this. And I'm really proud of that work. Our organization and the protocols have really made it around the world. And it's made a big difference. And you know, I'm really excited to be a part of it, so I'm glad to be here to talk about it today. It's safe millions of lives and it's protected liberty. The suppression of early treatments, I believe has been directly correlated to civilizational changes. If you have early treatments, then a lot of these other things that we've seen wouldn't have happened and as bad as America feels it's actually there's a lot of countries in the western world that are far
Marc Lamont Hill: Why Do Children Need to Be Vaccinated, Despite Low Severity Cases?
"Mark kelman hill had the NIH director on his show And this did not get picked up by the media That's why I'm bringing it to you now And he asked the NIH director about the stats Why are we vaccinated all these kids if it just doesn't make sense Now when he says that makes sense here's what he means listen The risk of children getting a severe case of COVID is .0 5% Why are COVID vaccines necessary for children Well I'm not sure when you give that percentage that that really conveys what most people are worried about is my kid at risk I mean go to any pediatric ICU in the country and you will see kids there with COVID Some of whom are on respirators as a result And we have seen a 145 children die these are kids between the age of 5 and 11 of COVID-19 Many of them without any predisposing medical condition that would have made you think they were vulnerable So it may be uncommon but it's certainly all right I have to ask a question about the 145 kids have died How many kids did you count that really didn't die from COVID but you counted as COVID I'll give you an example There are parents that were whistleblowers about a kid that died because of injuries from a car wreck Now they apparently tested and he had COVID and they put it down as a COVID death and the parents were like no this isn't a COVID death He got T boned by a drunk driver That's not a COVID death There was another child Who had an asthma attack And of course in a kid's life couldn't didn't have an inhaler far away from the hospital They test them for
Caller Responds to Merriam-Webster's Definition of 'Anti-Vaxxer'
"Though, I've gone to the ICU for the three regular flu shot I've had in my life. I'm not getting that. I hear your thought. Here's the thing. When you said that by law, it's a law mandating it. Webster's own definition for a mandate is not a law. It is a command from a superior to an underling. They did not call it a law in their own dictionary. So how can you be against a law that's not a law? Yeah, it's not even we all know that Biden has taken the pen and the cell phone approach that Obama has to try to circumvent any kind of legislation. There's no legislating this. This is not a law.
Joy Reid Tries Uninspiring Joke on Gov. Ron DeSantis' Brilliant Invitation for First Responders
"Joy Reid joy Reid she's hateful Joy Reid she doesn't like this because why Because Ron DeSantis Ron L Don the sentence What did he say He said oh guess what Whatever state you're in you got fired I'm giving $5000 bonuses What's up Come be a cop in Florida Come be a first responder over here Was good This is why I like him because he brings the fight to the left He doesn't wait to get punched in the face He's like how are you trying to punch me Watch this Wow And he catches him and they're like oh how did he do that Oh he's terrible He's killing everybody with COVID Listen to joy Reid On Sunday the Florida Republican announced plans to offer unvaccinated cops $5000 bonuses to relocate to Florida and join police forces there Rolling out this perverse dystopian tourism ad to the COVID blue line Are you big on ordering people to comply but you hate complying with health mandates yourself Do you dream of a resting people's ability to breed while you arrest them Well pack up your potentially infectious self you're bad in your gun and come on down to Florida Take this taxpayer bonus money and enjoy constant interaction with vulnerable senior citizens you can breathe on Every breakthrough case in ICU admission is the virus of freedom spreading And don't forget the sunscreen Now you know my bias may prevent me from laughing at that I think that that may have been funny if it was arranged a little better I got to admit and maybe this is me tooting my own horn I think I might be a little bit funnier than joy Reid I really do Sometimes I listen and I go you know what that was actually pretty good Do we read Boo That wasn't any good You were talking about cops These are heroes These are the people that went into the burning buildings in 9 11 cops and firefighters in the ambulance Come on EMTs This is
Texas Down to 270 ICU Beds Amid Covid Surge
"Beds at hospitals in texas has dipped to a new low. Texas public radio's paul. Flab has more on how the state is dealing with the kovic search that began in early july. At two hundred and seventy there are now less than one staffed. Icu bed for every one hundred thousand. Texans doctors have warned about tough decisions around. Care coming governor greg. Abbott has continued about a local government and school districts over there prevention efforts thursday abbott attacked president joe biden over new federal rules requiring businesses with more than one hundred employees testing regimen or mandate. Vaccinations calling it an assault on private businesses. Abbott has himself imposed requirements on businesses banning. Them from asking people for proof of vaccination meanwhile the state has been near historic hospitalizations for two weeks. I'm paul flavin. San antonio
Idaho Begins Rationing Health Care as COVID-19 Surge Crushes Hospitals
"How the front page today of the times news. In twin falls idaho top story above the fold says quote. Hospital rationing begins northern idaho hospitals under crisis standards of care last night. I mentioned at the top of the show. That idaho has now had to do something no state ever wants to have to. They announced that they are implementing crisis standards of care for ten hospitals and medical centers in north idaho due to the overwhelming cova search. There this is the first time idaho's history that the state has ever had to take stuff like this. Here savvy p. describes what this announcement means in practical terms quote those deemed in most need of care and most likely to benefit from it are put on priority lists for scarce. Resources like icu. Bits others in dire need but with lower chances of surviving will be given comfort care to help keep them pain-free whether they succumb to their businesses or recover other patients with serious but not life. Threatening medical problems will face delays in receiving care until resources are
Blue Cross Blue Shield Will No Longer Waive All COVID-19 Treatment Costs
"The early months of the pandemic people who were hospitalized for covert nineteen infections and had private insurance could be reasonably sure. They wouldn't end up with crushing medical bills analysis. By the kaiser family foundation were kf f found that in november of last year nearly ninety percent of people with insurance had their co pays co insurance or deductible costs waived if they had been hospitalized for a covert nineteen infection but the times. They are a changing last week. Blue cross blue shield of michigan announced that it will no longer cover all costs related to cova treatment. Starting october first hospitalized patients will be responsible for copays deductibles and co insurance for treatment of the virus. The insurer will still cover. All vaccination costs making them free to members including booster shots. The insurance company is the latest join a growing number of private insurers who were taking similar action now that vaccines are widespread and cova treatment so expensive. Insurers are holding patients responsible for their share of the costs again. Blue cross blue shield research found that the average cost for a hospitalized. Couvert nineteen patient could be as high as forty five thousand dollars. That quickly soared to over one hundred thousand dollars if the patient was in the icu. In a report out this month. Kf analyzed the two largest health plans in each state and washington dc which includes companies like kaiser cigna and united health. All of them had waived out of pocket costs at some point during the pandemic most have stopped doing so or will in the near future by the end of the nearly all will have ended such waivers. There are a few holdouts like humana which will continue cova coverage for its medicare advantage members. According to a report by fox business
"icu" Discussed on The Signal
"Okay so in most cases people at their because they need help getting enough oxygen and in the cases where they need a lot of help. That is to be ventilated. That going to be there for weeks on end most likely once again. Increasing the pressure on those wards beyond that a dedicated covert. Icu has some specific features worth noting the ratio of of stuff to patients. It's much higher. Secondly in a place where you is being treated. Then yes everybody who has contact with. The patient needs to use for protective equipment and that will include obviously mosques and face shields as well as gloves and ganz in many parts of sydney. Some of the intensive care facilities have been modified especially for covered. So that they can either be individual rooms or spaces where patients can be kept separate from stuff to reduce the risk of transmission and in some cases improved ventilation as well to reduce that transmission. But you'd imagine that this is obviously a really challenging situation for many hospitals where they have certain capacity in their intensive care and so. There's the need to adapt those facilities to be able to look after the patient's optimally. So greg what is the title icu. Capacity and new south wales currently so depends on the estimates that you look at according to the new south wales government data as of july twenty twenty. One there were five hundred. Ninety two commissioned at all bids in new south wales right so so when we get an icu utilization number of sort of like less than two hundred which is where we're sitting at the moment. That means that half to a third of the icu beds in new south. Wales are being used for private patients. That would be right. Yes but i think it's important to understand that there is also surge capacity and so that number is the number that have been currently commissioned inside. There'd be additional bids that would be conductive needed. So i suppose on the surface of things to a casual observer hearing that the capacity is somewhere around six hundred maybe a bit less and that we have fewer than two hundred. Covert patients requiring an icu. Bed at the moment. It doesn't sound like this so much pressure and yet we are hearing that i see you. Departments are already stretched people working double shifts. And it's very stressful environment. Much more so than usual. How do we reconcile that. It's important to understand that there's a lot of additional book that's generated because of managing patients with covert. It's not purely related to the number of patients who innovated given time so first of all patients who may be borderline on will my need to come into intensive care and be monitored in may move out again and each each time you move patients in and out of an environment. Then there's a whole lot of infection control processes that need to go on and all of the that we discussed and secondly the patients who are being looked after in icu's not just covert patients at all of the other patients who have critical illnesses. That require care as well. And so you're bringing into those environments additional patients on top of the usual workload and so that creates a substantial additional pressure the other thing which is also challenging at the moment in new south wales is simultaneously challenge in managing covered nineteen and also in vaccinating as many people as quickly as we can and so there are pressures on hospitals to provide high quality k. Both the intensive care and also in delivering those vaccines and that creates pressure on the healthcare workforce. Let's talk now about what may lie ahead. So we've heard from the new south wales premia gladys burji claim that there's this potential so the surge capacity of two thousand ventilated. Icu beds available to covert patients if we needed them i mean it's a pretty ugly thought but if we had all of those beds and most of them were filled. What kind of impact is that going to have on the health system. I've role in new south wales. Clearly if if the number of patients requiring ventilators increases substantially that's going to place a huge demand upon the critical care services to be able to staff those intensive care units around the clock. You know most of the time. There is some but not very much spare capacity within the intensive care system and so if you bring in a huge additional caseload then that's going to require additional stuff and that may require bringing back nurses who have previously been trained in critical care about a no longer working that environment to play those roles may require upskilling of the stuff and it may require asking for for people who are outside of the public system to critical care services that occurs. He's going to be a need for a major boost in the workforce available without that. I think that it's not going to be sustainable. For the existing workforce to continue and just more and more and as we mentioned we are likely to get more information this week as to what specific moves new. South wales is making to achieve that expanded. Icu capacity but whatever. Those steps are greg says. Governments in australia have had plenty of warning. This moment was coming. It's been very well recognized since the start of the pandemic last year that there was a real risk to hospitals becoming overwhelmed. And that's been shown to be the case in many other countries around the world. We've been very fortunate in australia that we haven't had to stretch our intensive care departments in that way. And so i think certainly something that governments have been well aware of. I think the question really is around that combination of physical infrastructure about also healthcare workers as well and making sure that they're available to be able to provide the quality care that you need. It's not just about having a ventilator it's about being.
"icu" Discussed on The Signal
"So what's going to happen when this outbreak peaks i'm steven smiley and i managed lovelock pierre. And tha down the signal with a number of icu. Patients in new south wales expected to keep climbing into october. What's the plan to cope with that pressure so along with the grim but entirely predictable news that new south wales had cracked one thousand five hundred daily cases this weekend. The new south wales premier gladys g clean also had to prediction actually had a couple of predictions about when things might start to turn around all the modeling indicates to us. The paik is likely to be here in the next week or two and then the pain hospitalization and intensive care is likely to be with us in october. Okay so the daily case numbers could well start to drop later this month. I see us on. The other hand are not likely to get a reprieve until mid-october so about five or six weeks from now. The problem is there are already signs that sydney's hospitals are under significant stress. Which is why this week. The new south wales government is promising to release the details of the state's surge plan. Meaning what will happen when that paik comes what we want to do this week. Which is what we will do is provide the community assurance that even when we anticipate i worst case scenario of the number of people who are luckily require hospitalization and intensive care that our system has already made the plans for that surge capacity. And you might need to hear it from me. You'll actually hear it from the clinicians. The people that put the plan together. And why why. It's a good plan but it doesn't mean we're not going to be stretched. It doesn't mean that frontline workers aren't going to be stressed and it doesn't mean that things will be done the same. We have to do things differently. And managing pandemic. We can't pretend that the rules that exist for health system a guy to be the same. We're in the middle of the west beat of a major outbreak in the pandemic. So what should we expect. Name's greg i'm professor respiratory medicine at the university of sydney and respiratory physician hospital. And i'm calling you from sydney. We know that the number of patients who requiring intensive care in new south wales has been steadily climbing over the past few weeks. how other states. I see us coping with the current caseload at the moment in sydney the case load of patients recovered nineteen has been concentrated primarily in the west and the south west of sydney and so in those places the critical care services. I really under a lot of pressure. They have been standing up very well. And the new south wales health department is being ensuring that patients looked off to optimally But i'm as the numbers increase. We'd expect that that patient will continue to rise and so particularly in those areas where there are a lot of patients coming through. The numbers are likely to increase over the coming weeks. It's a little boring. I suppose he headlines such as patients are now being diverted from west made and leave a pool. i see us because they're at their local. Icu capacity. should we be worried by that kind of headline. I think it's important to understand that. The code pandemic response is going to require the hall of new south wales to pull together and allocate resources appropriately so as you would expect if there are hospitals that are under strain and need to to to share patients with other hospitals in. That should be done. I think we should certainly be concerned that the patient care for people who are critically ill with covered is the best that possibly can be so evacuate can be delivered in hospital with a lower caseload then i think that we better for patients but of course it's great to see those numbers rising and to see the bid capacity's really being stretched in some parts of sydney. We do want to talk about that capacity and the sort of surge capacity that we've heard about as well but before we do that so we just talk a little about what it actually means when it covered patient ends up in an intensive care unit. What what kind of treatment are they there to save. What is a covert. Icu ward lock so patients with covered. Who get sick enough to require. Oxygen at a high level typically will end up in an intensive care would and the reason is that patients who have got significant. Oxygen requirements can get on a will quickly and so in intensive kid apartment is the best place for them because if they do become much thicker than they can receive immediate care and that may include ventilation and other acute medical treatments. And so if you look in new south wales at the moment most of the people who are intensive kids not on ventilators but they requiring more intensive medical treatment than patients who've been treated at home or in the wards now one of the things which is challenging about nineteen is the duration of time that people have to stay in intensive care once they have been put on a ventilator is typically much longer than for patients with other acute conditions and so for that reason the patients may stifle for weeks in intensive care which can.
WV Hospitals Report Record Numbers of Admissions as Pandemic Surges
"Hospitals in west virginia among those reporting record numbers of admissions as pandemic surges fuel by the highly contagious delta. Variant day missed it of west virginia public broadcasting reports hospitalizations and the use of intensive care units are not expected to peak in the state until later this month. Those advising governor. Jim say the current surge has put immense stress on hospital. Staff and things are likely to get worse in the coming weeks the university of washington's institute for health metrics and evaluation projects that west virginia will need more than fifteen hundred hospital beds and five hundred. Icu beds for cova patients by late. September more than double what was required during previous periods of peak demand
California hospitals running out of ICU beds: health officials
"Hospitals. In california's central valley are running out of beds in their intensive care units because of a large increase in covert patients. State officials said on friday that hospitals in the twelve county san joaquin valley region have had fewer than ten percent of staffed adult. Icu beds available for the past. Three
What Hurricane Ida Means for Louisiana's COVID-19 Problem
"Natural disaster strains local health systems and louisiana's medical community is bracing for the inevitable surge in emergency room visits as people injured in the storm or those seeking medical care. They couldn't get during the peak of the crisis. Flood hospitals again but healthcare workers are also wary of the additional burden weighing on them in recent months from cove in nineteen with only about forty percent of louisiana residents vaccinated. The delta variant is spreading as quickly as ida's floodwaters weeks before ida struck the state recorded its highest daily number of new cases since the pandemic began since august around fifteen to sixteen percent of cove nineteen cases in the state have come up positive and eighty eight percent of the state's. Icu beds are occupied about half of them by cova. Nineteen patients ida didn't change any of those trends but it did put them temporarily on the back burner as the more urgent needs of the storm took precedence but with ida now moving away the dual challenge of shouldering. The anticipated storm related health emergencies on top of cova. Nineteen care looms large for the area's
Packed With Virus Patients, Louisiana Hospitals Await Ida
"Louisiana prepares for ida hospitals there and throughout the south role ready tact with coloured patients and going into lockdown. Tom yomas reports from new orleans tonight. Nbc news taken inside one of new orleans. Busiest covert icu's. The state already swamped with nearly three thousand hospitalized patients. Here sometimes just been thinking that we're dealing with a pandemic another surge and now a major hurricanes last year we had a lot of kinds of uncertainty where we thought hurricanes coming but this one looks like it's headed right for us of course that's really concerning timing storm couldn't be worse. Hurricane ida is about to collide with the fourth wave of kobe in new orleans. I see us like this when all across the city or in near capacity just a little too long to get back day sixty two year old. Deborah alexander infected during this latest search. She's been praying. She beats covy tonight. She's praying for new orleans guy at the officer medical center. They're taking no chances hoping emergency planning and new tools like these high water vehicles to evacuate patients. Help them survive the storm. So how many patients can you fit in the back so seated we could probably fit fifteen to twenty and laying down on a stretcher public close to ten or twelve. Do you think you're gonna have to use this. I hope not but we're ready for if we do
Seattle School Shooting: 17-Year-Old Critically Wounded, 14-Year-Old in Custody
"For his life in the ICU right now another face to judge Friday for the first time. This was after that shootout in front of a key. Caruso, the middle school in South Seattle. Almost Cole Miller on the steps of AKI Karoshi Middle School of violent clash between two teenagers. Seattle police say a 14 year old boy began shooting at a 17 year old. He then fired back. The 17 year old now in critical condition at Harborview, and then we heard the sirens and said, Yeah, those were gunshots. It's just very discouraging. As for the 14 year old, he's been booked for assault and unlawful possession of a firearm going before a judge. Despite the defense, asking, he be released with an electronic home monitoring device to his father. That judge declined the conversation about gun violence in Seattle, picking up yet again. The city seeing a surge and shootings this year. It's a tragedy all the way around. These were both Children. Aaron Goodman is with the South Precinct Advisory Council in the wake of a deadly weekend. Last month, a rash of shootings turned homicides. She says she's heard from the mayor just a handful of times, but I didn't hear a plan of action. I didn't hear these are the next steps, and that's what I'm waiting to hear. Investment in youth programs continues, and so do some calls for more police. But in the short term, she says, more has to be done to prevent something like this from happening again. This was the first week of
ODH Issues Warning as COVID-19 Cases, Hospitalizations Surge Across the State
"The Ohio Department of Health Friday giving an update on the rise in covid related hospitalizations. Director Dr Bruce Vanderhof said on July 9th only 200 Ohioans were hospitalized with the virus. On Thursday, the number was over 2000. Sadly, it continues to be true that unvaccinated Ohio Islands are by far and away. Covid 19 patients who are filling our hospital bets. Doctor Vanderhof also saying the delta very it is putting even younger people in the hospital, Ohio Friday with the report E 800 new Covid 19 cases In the last 24 hours. There were 165 new hospitalizations, 21 to ICU admissions and 70. More deaths were
Comirnaty? How Pfizer's Vaccine Got Its Brand Name
"That the pfizer. By on ted cova vaccine has officially received. Fda approval here in the us the companies behind it are allowed to market it. Which maybe i don't know they'll be able to do more successfully than anyone else has yet in trying to get the vaccine hesitant to get. It moved along with that marketing. Means the broad rollout of its official brand name community community c. o. m. i r. n. a. t. y. community the internet's as you can imagine did not give them an easy time with this name. Twitter user happy farmer tweeted quote community. It's easy to remember. It's like saying community when you're drunk and quotes an icu. Doctor nick mark tweeted quote. I feel like the brainstorm session that came up with the name. Community either ended too soon or went on way too long and quotes based on what naming experts are saying. I'm gonna go with way too long and probably too many cooks in the kitchen. And when i say cooks i mean. Ceo's years the thing though even though community is getting all the attention right now. It's not actually news. It was announced as the brand name for the pfizer biotech vaccine. At least as early as december. Twenty twenty and beth snyder bullock senior editor fierce pharma did a great right up back then. Talking to the folks who came up with the name specifically brand institute one of the top naming agencies in the world. Scott your groc- brand institute president of operations and communications told fierce pharma. Last year quote the name is coined from cove nineteen immunity and then embeds the m. are a in the middle which is the platform technology and as a whole the name is meant to evoke the word community and quote and continuing from fierce pharma quote. The goal in naming drugs is to overlap ideas and layer meaning into a name he said. In this case the high priority concepts the teams started with were coverted. Immunization and the m. are a technology. The clients themselves came up with community as an image association. They wanted to elicit bugliosi said and quotes
Hawaii Governor Begs Tourists to Stay Away as Covid Surges
"You to stay home and you can blame rising covid infections and hospitalizations. Alex Stone is covering this for ABC News and spoke with Cuomo's Taylor van size Alex. Tourism It doesn't take a genius to know is essential to the Hawaiian economy. How bad is the situation on the ground there to warrant their governor to issue this kind of a request? Yes, Taylor pretty abrupt change for Hawaii. Being that they were hit so hard last year, and in the last couple of months, travel has been booming Hotels been packed. Crisis through the roof. Car rentals have been hard to find flights have been full. They've been wanting the money they've been saying, come on in. And and now it Covid rising in Hawaii, the governor David IgE, Saying, Do not go to the island. Here's how he put it is not a good time to travel to the island. Uh, restaurant capacity has been restricted. There is limited access to rent a cars. He's asking tourists to stay away and for travel to Hawaii to be only for business. Hawaii's seven day average hitting 671 yesterday, triple what it was four weeks ago. Hospital resources on the island are limited. And he said hospitals are at capacity. Our ICUs are full. This comes as Hawaii has really strict entry rules, police enforced quarantine or proof of vaccination or a negative test and We talked to passengers at L. A X today, hopping on flights to Hawaii and they're saying no, They're not going to cancel their trips. They're going to go anywhere. That's enough. It's been two years. I need to go on vacation Last year was cancelled. As
75 Doctors from Florida Hospitals Walk Out in Protest
"You wanna talk responsible for just a moment. How irresponsible is it for a doctor to refuse to treat a sick patient because of a decision that that patient made regarding of vaccine. Is that responsible. I is that a violation of the hippocratic oath is a doctor supposed to pledge to do no harm first do no harm. I want you to hear this conversation. Between joe scarborough at msnbc and reporter kerry sanders about seventy five doctors who literally staged a walkout at a florida hospital. This happened apparently in south florida. Seventy five doctors marched out of the hospital saying they will not treat unvaccinated patients. Listen to this conversation over to. Msnbc would americans don't understand is for every unvaccinated person. That's filling up an icu. Bed that means with the hospitals jammed somebody with a heart attack. And i've known somebody in this position goes there has trouble getting in. Can't get treatment. Can't get a bed is a nightmare for the doctors. A nightmare for the nurses and doctors point of view. It's worse yet for sick people the want help from them. That is truly reflective of the frustration that you see behind me. These doctors have gathered some coming off their shifts to come out here gathering to try to tell people please first of all ignore the nonsense in the absurdities that you're hearing people say public meetings and recognize the value of what a vaccine will
"icu" Discussed on The Daily Dive
"Hospital reporter at the wall street journal joins us for more. Next one of the main storylines we heard throughout the pandemic were households. Getting new puppy whether it was the combat loneliness. Forgive the kids something. Do endemic puppies were all the rage but on the other side of things many were already dealing with aging pets and through shutdowns and work from home. Setups many took the time to say goodbye to beloved pet. Many got a chance to include them more in their new routines and also had to readjust those routines once they got. Hey rebus reporter at the washington post joined the spur another perspective on pandemic pet life. It's news without the noise. Let's dive in. I'm hearing from the director of my public hospital system. He's having to make decisions about which patients to be. Able to put in the icu. Because of severe nurse shortage joining us. Now is melanie evans. Hospital reporter at the wall street journal. Thanks for joining us. Melanie thanks for having me wanted to talk about the situation with hospitals right now. We're seeing the delta variants spread all over the place. Hospitalizations arising in a lot of places florida in particular has seen just huge increases of cases and hospitalizations. They're reaching You know their peak. Icu beds are reaching their peak..
"icu" Discussed on All In The Mind
"I ended up collapsing at work. And they took me to emergency and from there. I was placed in icu. And that's what. I figured out that the whole time i'd never had. It was a cardiomyopathy That was caused by the virus that i quoted in bali and i didn't really understand when they said to me that i have heart failure What that meant to me in my mind. I thought it was a death sentence to be honest. I thought that i was not going to live for very much longer and My heart was going to give out but they assured me that a lot of people live with heart failure every day and just managed with medications. And i should be okay to continue a quality of life on medications but that medication stop working and much quicker than doctors were. Expecting beck was told. She'd need a heart transplant. She had to endure allot of other complications. Nine months later she got the call. A donor match had been found after a twelve hour. Operation beck was taken to intensive care with her new heart. I didn't get any sleep. I was yelling. I wasn't very nice to some people without realizing the nurses have to. Do you know hourly checks On you so most of the time you'd wake up from that so you barely getting any sleep. I mean the lots still on most of the time. It's not dark at all and you. You have a lot of weird thoughts going on in your mind. The first is you stay. I had didn't have too many bad thoughts. It was more like just weird things like those one time. I asked my mom to ken candidates and she was like. Why do you want me to ken. Candidates and i was like you're wearing a really pretty dress and my mom was like i'm not wearing a dress so i would be seeing things a lot of the time. I was hallucinating and i said there was a puppy in the sky. Wants and a dolphin tried to eat my arm and like all these funny funny things. They went scary at this stage. But the next icu. Stay so the one. After my transplant was probably the worst. That i've ever experienced. I pretty much had not as like every night i would even hallucinate with my eyes. Open i would hear voices. I would think people up beside me when my eyes and they're not there but i could still hear them the brought lots would constantly be like on. Even though i've got my eyes closed it's like it would just be embedded. That lights are on I the noise of people who again. Icu is for critical patients. So not everybody is awake a lot of the time for me. I was awake..
"icu" Discussed on All In The Mind
"They're very sick loved ones but for patients themselves. There were multiple times at night time. Especially when i wake up screaming because i just couldn't deal with it anymore. It was like this evil who they didn't even have a face it's surprisingly common. Icu patients to experience. An acute confusion state called delirium which can involve terrifying hallucinations and there seems to be something about icu's in particular that leave patients prone to delirium. You're listening to all in the mind. I'm donna qatar today. Delirium in the icu. Producer jennifer leak. Has this week's episode. I was hallucinating at sutton. Us as we're going to kill me. What's it like a it's like being in jail at one stage. I thought i had. Osama bin laden operating these testimonials from real patients voiced by actors the describing what it was like to have delirium in intensive care drew bad. I dreamt that they had captured me and costatini bass data on not safe. He was so frustrated. That i said get me a gun on a cumulus of the patients. Experiences with gathered by the critical care research team at the prince. Charles hospital in brisbane. They're on a mission to transform the.
"icu" Discussed on Reveal
"I grew up in like a mexican household with a lot of like soap operas and like that was kind of the measure of a woman successes finding a man having children and i guess only thing i've done in my life has get a doctorate and i have no partner no children so according to mexican soap operas that would be a failure but that's okay when she gets back to the hospital. She stops by the icu to check in on her former patients. She has a list of people she's been wondering about. I went back to look at the ones that i had taken care of. And go down the list and see deceased deceased disease deceased deceased all of them except one had died on september twenty second twenty twenty another milestone two hundred thousand americans have died of covert but the second wave of infections has finally flattened and things seemed to be turning around around the same time. Paloma gets a little space from the virus. She begins rotating through departments. Where code is less prevalent. And she sends me audio dispatches. Along the way i i. She heads to the trauma ward where. She works the overnight shift. I've been running around responding to a bunch of pages. It is just a matter of time before get another page i'm currently. There's the page i knew. It was just a matter of seconds in october. She moved to anesthesiology where she learns how to intubate a patient the breadth sphere. We wanna feel your oxygen with a wanna fill your lungs with oxygen. Okay go do the tube in november. She works with kids at a pediatric clinic. Are riley see what the heck were haircut by my gonna go with dinosaurs. orwell's today let's go with wales mammal monday gathering one new skill after the next is exhilarating. My brain is just swelling with knowledge. And it's really amazing to see the growth. I mean i've only been a doctor for a few months and so just to think that. I'm gonna continue to have this. Incredibly steep curve of learning is pretty exciting but by november cova cases started to climb again on november eighteenth..
"icu" Discussed on Reveal
"Everyone. I've talked to. Who knows paloga tells me she's an extrovert. Which makes this time. Feel even more isolating. She doesn't know anyone in fresno she's trying to make friends but it's hard when she can't even hang out in person with her fellow residents. It's not like they can just grab a drink or go out for brunch. I feel pretty disconnected from people right now. Honestly um and i had to like you know. Call my therapist and call my old friends. Just because i don't really feel very connected to people right now and it's nobody's fault it's just the pandemic well. I hope you're getting some quality time with the kitty least. You're actually. My mom ended up taking him for a bit a really. I was not home at all to take care of him. I was feeding him and cleaning his litterbox. What he was getting really anxious and he was not playing so my mom took him now. That chuck the cat is gone. Paloma is all alone. When she gets home i can tell she's worn out and lonely so many healthcare workers are struggling right now. All over the world people are trying to cheer them on calling them. Heroes back in the spring of twenty twenty when the first wave of cova cases hit new york there was a nightly ritual for people clapped for healthcare workers being pots pans every day. When paloma heads into the hospital she walks past these signs. A superman silhouette wearing a mask and the words heroes work here. It bothers her. I don't feel like a hero. That's not me. I'm not doing the impossible not bringing people back you know. Of course we're doing the best that we can't but at the end of the day people are still dying there so much that i wish i could give to my family's like their ability to visit their loved ones their ability to have those moments that i have taken with me of seeing their loved ones last words last interactions with the world last two opening up there is on their own. I wish that i could give that to them. I wished that was my superpower by september. Paloma finishes her. Icu rotation she gets much needed vacation and drives down to la to see her family for her birthday. She stays an airbnb to keep them safe. It's kind of nice in some ways in my mom had already recovered from cova and so it didn't feel as socially irresponsible to go see her. They got me a really nice lettuce. Cake my mom people solely it was awesome. It was a big one. She turned thirty..
"icu" Discussed on Reveal
"A from the center for investigative reporting and pr x. This is reveal. I'm outlet anyone who's ever seen an episode of grey's anatomy kind of has an idea what medical residency is all about working long hard hours for not a lot of money while carrying an average of two hundred thousand dollars in medical school debt. Getting dropped in the deep end making mistakes and learning fast and doing it. As a team the cohort. But that's not what looked like for dr paloma. Marin navarre's is class new residents like her had to battle covert in some ways alone when she started last year she couldn't hang out with other new doctors. Because of social distancing wearing hospital scrubs mask and other p. p. colleagues sometimes didn't recognize her paloma says that would sting since she was at the hospital all the time working an average of eighty hours a week was isolating reporter. Ginny goal of kaiser. Health news started following paloma in the summer of two thousand twenty trying to understand what it's like to be a brand new doctor staring down this pandemic by early august. Paloma is in the middle of icu. Rotation kovic is surging in california's central valley and many of the sickest patients are coming to palomas hospital in fresno here sitting in the cafeteria. I was luckily able to sign out early today and rare occasion. Because it's been a long time. And i have been out of the hospital and been able to see the sunlight in the icu. Palomas usually in charge of five patients at a time which is a lot an older resident tells her that in non kobe times she probably would have had just two. She monitors patience ventilators and heart monitors and checks in on them constantly. It's really hard to say no to families that they can't come visit families usually spend a lot of time with loved. Ones in the icu. They play music. Offer prayers and ask questions of the doctors and nurses but these days. The icu is a lonely place there so very strict policy right now that the only people who are allowed to visit their loved ones is if they are actively dying so it falls to paloma and the other hospital staff to bridge the gap at the end every day she steps into an office and calls her patients families to give them an update. The news is usually not good and these conversations are complicated by all the misinformation. That's floating around at this point and there was this one particular interaction that i had with patients. Family member asking me a lot of questions about different treatments that have been on the media so things about hydroxy chloroquine. Many doctors think is extremely successful. The hydroxy lyric throughout much of the last year former president. Donald trump promoted hydroxy chloroquine. Even though study after study found that the drug is not effective at treating cove it..
"icu" Discussed on Reveal
"And it doesn't take paloma long to notice how different things are here compared to stanford i'm starting to see just how the the shortage of medical providers really translates to patients waiting a very very long time for care. You know the the waiting room starts to fill up quickly and the day. There's a hallway where patients wait for care. And you know it's really hard to see them waiting for the most part palomas first. Few weeks aren't so different than they'd be any other year. She's in charge of her own patients taking their medical histories performing exams and coming up with a plan for care and on a moment's notice her supervisor. The attending doctor could quiz her about pretty much. Anything like tell me the name of every nerve in the hand so it's almost like you have this like john norma's hat and it's just full of facts and you just have to pull like five random facts out of this jain hat. And then sometimes he'll get it like. Wow like this was actually relevant. And sometimes they won't. Was there a moment when you were like I don't feel like a doctor. I'm falling on my face all the time like literally like i call myself a ceo of hot mess central. Like i feel like a train wreck all the time. Reality check here. When i interviewed paloma supervisor leader she told me paloma is super organized. Definitely not a train wreck. And i've been told that i'm really harsh on myself but i also it's how i cope. I feel like making fun of myself. That's how i get through things early. On palomas program tries to protect residents by keeping them away from kovic patients but that will eventually change as the pandemic gets worse. California hospitals are rushing to make room as he prepared for a surgeon couvert patients. We are seeing a dramatic spike in cases in california over the past twenty four hours white house task force advising hotspots to buckle down. This is the beginning of the second wave of cova cases in the us as infection rates. Climb the virus catches up with palomas personal life on july seventh twenty twenty during one of our regular check ins. She breaks the news to me. Actually my mom just got cova did. Yeah so my mom tested positive last week..
"icu" Discussed on Reveal
"The governor's mask mandate by june twenty. Twenty it's been four months since the first kobe case was recorded in the us and already more than one hundred thousand people have died. The country is reached another sobering milestone in the corona virus pandemic surpassing two million cases and this warning sign. Hospitalizations are surging in many states. When i speak to paloma over zoom. She's just settling into her new apartment in fresno behind. You all your walls or blank yes totally. Yes how packing going. I moved in about a week ago. The unpacking has been good. It's been really exciting. It's the first time she's had a place of her own and she adopts a kitten to keep her company hughes just really adorable very playful. What's his name. His name is john charleston. Oliver israel neighbors his given name was chuck. Paloma is about to start training to be a fully-fledged er doctor something. She's been working towards for years in emergency medicine. We talk a lot about being the people at run into a burning building when things are breaking down and when things are chaotic. Like we're the ones who kind of run in there and try to figure things out my are you on june twenty six. Twenty twenty paloma. Has her first shift in the hospital. Cover wonderful day. Paloma is working at community regional medical center in downtown fresno. It's big ten stories high and six hundred eighty five beds. It's a safety net hospital. That serves lots of low income and uninsured patients..
"icu" Discussed on WBZ NewsRadio 1030
"The ICU. Now we've been talking lately about how some health experts are supporting the concept of double masking. They say This is one of the best ways to protect yourself against these new variants of covert, which may end up being more contagious. The CDC says. It's got some new data out this week showing that's true double masking, they say can cut transmission by 95% wearing a single mask is good, but you could doom or, according to a new CDC study being presented in the medical journal JAMA researchers finding double masking is better with a surgical mask on the bottom layer in a cloth mask above and making sure whatever mask you wear is sealed tightly to the face. CDC director ratio Wolinsky includes wearing a mask with the most multiple knows why. We're not in the ear loops on your mask or wearing a cough mask over a procedure or disposable mass like stone, ABC News and at 606. Police in Middleborough said a man was stabbed this morning at the Quality Inn. First responders called to the hotel on East Clark Street just before nine o'clock, it said. They found a man there with a stab wound in his chest. He was having trouble breathing. It brought him to the hospital and Brockton with what they call life threatening injuries. Details pretty slim tonight. We don't have any word on who stabbed that man, or what sort of motive might be involved here? And it sounds like something you'd see in a movie stranded for nearly a month on a remote, deserted island. This actually happened in real life and a trio of Cuban nationals yesterday were rescued by the Coast Guard. But the question remains. How did they get there? The married couple and another man were found on Anguilla Cay, a small island between key West and the Bahamas. We actually discovered them waving. Next to their a temporary shelter that they've built for themselves. Coast Guard Lieutenant Mike Allert was on the aircraft that made the rescue with little food and water. They reportedly survived off rats and conch shells. What's very common in the Bahamas are conch shells, which have muscle inside them. They were dehydrated and tired, but not seriously hurt. And that report from ABC s Andrea Food G. 60 Wait another one of those mixed days on Wall Street. Let's see how it shook out in Bloomberg business due to shut her bars, restaurants, concerts and sporting venues. 2020 was not a good year for beer. Heineken, the world's second largest brewer. Posting worse than expected earnings and his announcing plans to slash its workforce. 10% 200 more people who work for discount brokerage company Charles Schwab have been shown the door. It's part of the ongoing integration of TV Ameritrade, which swab purchased last year to eliminate what a company e mail call's overlapping or redundant rolls. Stocks bounced around all day at the closed two of three indexes had bounced lower. Dow Up 62 NASDAQ, though down 35 has to be 500 down one and zero day Bloomberg business on WBZ, Boston's news radio. There are all kinds of voice controlled gadgets in your house. Tell one of them to play WBC news radio on my heart radio and.
"icu" Discussed on KTAR 92.3FM
"At the same time ICU patients beginning to flood hospitals and some hard hit cities governor Greg Abbott of Texas now urging people to wear face coverings and stay indoors Dr mark broom the CEO of Houston Methodist hospital says allies to use are not full in his system numbers of covert nineteen patients are higher than they've ever been and why are they seeing this surgical interest completely let their guard down it's it's very I mean obviously is a is a health care professional's physician myself it's really frustrating he says the average patient is younger now many under thirty years old the good news is KO VAT is less fatal in younger patients Alex stone ABC news the governors of New York New Jersey and Connecticut announcing a regional joint quarantine for visitors they say coming in from hot zones states were coronavirus infection rates are high governor Andrew Cuomo says after working hard to bend the curve the states have to take those steps we are announcing today a joint travel advisory people coming in from states that have a high infection rate most quarantine for fourteen days governor say they're concerned about the community spread in other states that lifted restrictions early in a surprise ruling an appeals court ordering the dismissal of the Kim criminal case against Michael Flynn a two to one decision the DC circuit court of appeals ruled that the justice department must have the authority to decide that further prosecution is not in the interest of justice as it sided with the D. O. J. in its attempt to drop the case against flint the department first attempted in may to dismiss the criminal charges against the former national security adviser but a District Court judge temporarily blocks the move inside an outside review of the case Flynn initially twice pleaded guilty to misleading investigators probing his contacts with Russia A. B. C.'s Adam Kelsey you're listening to ABC news Arizona state KTA are on air ninety two three FM online A. T. T. A. R. dot com and streaming live on the KTAR news app your breaking news and traffic it's nine oh two I'm Bob McLean here's our top stories coronavirus in Arizona today is the single deadliest day for corona virus in Arizona since the pandemic began KTA ours Taylor cameras live in the news started to explain yeah Bob seventy nine new deaths reported this morning but the Arizona department of health services says fifty three of those deaths come from a death certificate matching from previous backdates now the death toll has reached fourteen hundred sixty three seventeen hundred ninety five new cases reported this morning that's down by about half compared to yesterday the percentage of positive cases increased to ten point seven percent up two tenths of a percent from yesterday after about eighty six hundred people were tested for the virus now not nearly sixty thousand Arizonans have contracted corona virus and again the death toll has reached fourteen hundred sixty three like the new center Taylor canter up KTAR news the nation's top infectious disease experts says he's very concerned about a surge of do covert nineteen infections and we're right in the hot zone right now the next couple of weeks are going to be critical in our ability to address those surgeons that we're seeing in Florida and Texas and Arizona Dr Anthony Fauci again stressed the critical need to avoid crowds and wear masks he also told Congress that he has not been asked to slow down testing he says he wants testing ramped up the nine hundred acre Akela fire in north Phoenix that destroyed one home and threatened dozens of others is only five percent contained and many people are still evacuated this morning KTA ours Jim crosses live near twenty Seventh Avenue and the carefree highway yeah barber is on a forestry says the fire five percent contained at nine hundred acres more than a hundred twenty five firefighters here including crews from Utah the Kaibab National Forest in northern Arizona cloud road is still closed from here to desert hills people in the area of the evacuation zone can leave but they're not allowed to return back and yet about to enter homes were evacuated many people again still out because of the hot spots near the downed power lines A. B. as with cruise on the job off firefighters again able to keep this fire to destroy only one home and they kept the fire south.
"icu" Discussed on Medicine ReMixed
"The other patients whomever else is on the unit. One of the reasons we wanted to have garhi on this series is because the media has done a great job covering doctors and nurses during this pandemic but hasn't really highlighted the invisible workforce on the offensive line of this biological war or as garvey calls it the invisible fifty when i say invisible fifty. I think what people need to understand is that it's an equation. And then in every scenario you strive for one hundred percent. In every scenario. Kobe turn on the fifty percent. Is the most obvious your nurse and it's your physician but the invisible p r the physician assistance the nurse practitioners and the hair study the respiratory therapists. The clinical pharmacists. And in some situations the deficit the physical therapists that at this moment knocked coming to the covert i us. But they're they're so much nutritionists all. These people contribute in a meaningful way to progress. Patient care an offer insight into what needs to be done to optimize the patient's clinical condition so the invisible fifty have a lot to offer in terms of attorney contribution clinical stalled actual execution of plan. Maneuvering troubleshooting when you're critical care attending is unavailable because they're very swamped during the console. Managing the other patient in the other room case in point two weeks ago when our kerber care. Icu started to blow up. I was in the middle of putting in a central line for patient. That just came up into baited in the middle join. The nurse comes in and says by the way the patient downstairs is also crapping out. I said okay. Can you tell the attending she goes no the attendance shooters down. Intimidating another mission. So you're seeing staff relieved trying to do as much as they can because we're limited. And so i think when you strengthen your app that physician now has like this burden taken off of them. Because i'm medical manage these other sick patients and temporizing what. I can and stabilized then so that that physician can focus on what is the most utmost priority recumbent back rerun the list we sort of reconnecting gold through what has happened and i think that model has allowed for extending icu. Level care beyond the issue. Wolves yeah i mean i. I think you painted a really good picture there just with that that last anecdote of just how crazy things are right now so with that being said. How do you guys handle this. I mean. I don't know that anybody's really ever seen anything like this so like you know. What is the morale like power. You guys like supporting each other through this and you know i. Obviously you know. We're all on social media. Were connected that way. We're hearing stories of our fellow providers you know being affected by this or worse case scenarios. People dying from this. How are you handling everything and you know. Do you have any stories like you know to to share to really shed light on what you guys are going through while i haven't cried today. So that's a start. I think the first two weeks for the pinnacle of stress in my career and i did a residency for position assistance in surgery. So that was insane but this is stress. Like i've never imagined. I myself Within a few days of having her. icu's blow up. You know received a call from my fertility clinic and they told me they've canceled my cycle. That was started within a day. I cried for few minutes. A fellow walked by and stood six feet away. Offered her condolences And it's just this sort of beautiful bittersweet organized. Chaos i cried. I told her what happened about five minutes later. We both got fold to respective patient rooms.
"icu" Discussed on Medicine ReMixed
"And I think that model has allowed for extending ICU. Level care beyond the issue wolves. Yeah I mean I. I think you painted a really good picture there just with that that last anecdote of just how crazy things are right now so with that being said. How do you guys handle this? I mean I don't know that anybody's really ever seen anything like this so like you know. What is the morale like power? You guys like supporting each other through this and you know I. Obviously you know. We're all on social media. Were connected that way. We're hearing stories of our fellow providers you know being affected by this or worse case scenarios. People dying from this. How are you handling everything and you know? Do you have any stories like you know to to share to really shed light on what you guys are going through while I haven't cried today. So that's a start. I think the first two weeks for the pinnacle of stress in my career and I did a residency for position assistance in surgery. So that was insane but this is stress. Like I've never imagined I myself Within a few days of having her. Icu's blow up. You know received a call from my fragility clinic and they told me. They've canceled my cycle. That was started within a day. I cried for few minutes. A fellow walked by and stood six feet away. Offered her condolences And it's just this sort of beautiful bittersweet organized chaos I cried. I told her what happened about five minutes later. We both got fold to respective patient rooms and then that was up. People are stressed out with.
"icu" Discussed on Medicine ReMixed
"Thing is that there's nothing consistent at put it that way so you you get there usually around six forty five in the morning. Start getting sign now. If a new unit has been you should expect to get slammed with seven to ten admissions. I'd say ninety percent of those are going to get intimated on arrival So you're sort of mentally preparing getting prepped for rounds managing the acute patients with your care physician. And if you happen to have a fellow as well. So you're getting all your data together. You're presenting very efficiently on realms so that you can get through your seventeen to eighteen. Icu local patients to then essentially execute. The plans start managing ventilators throughout the day. Because you're attending might be pulled to do something else and help another attending out with that are happening. Throughout that timeframe you are putting in central lines putting announces his catheters for people that have no unfortunately gone until like multi organ failure and start dialysis So it's a lot of just flint wind up all in and out of the rooms following up with the nurses getting used to all these new ventilators that we've been using from the. Or and is a lot like learning and executing at the same time to literally get to the end of your shift to now give sign out for the nineteen. It just seems like a rollercoaster. First of all what kind of a patient requires admission to the ICU? And then kind of what is their hospital. Course look like sure. That's a great question. So essentially what.
"icu" Discussed on Cardionerds
"Or not a successful innovation and I can only imagine that code situations impatience with Kobe will definitely lead to more spread of the virus. And so that's something that we want to avoid. Oh my God. I didn't even think about that right because we're dealing with our patients in the ICU. Exact robot. Imagine you're just on the floor with a rule out and now you need to intubate and you don't have all the things that you have set up in the ICU. That could be a disaster. Yeah it's been a big topic of conversation as we're getting more patients you know. Where should they be? Should they be on special units just for ruling out or special units that they're positive so you have all the equipment available at and I'll say there's meetings every day and lots of great conversation? People have been unbelievably dedicated to trying to figure out the best way to take care of people and make sure that patients can get the best care possible while all the providers are so guys back to our patient because we are a patient centered. Podcast sack obits being treated by the right team. Who made the right decision? And she was intimated but she's still very agitated and her blood pressure is through the roof and breathing is totally out of sync with the ventilator Sam. What is your approach for sedation in kinds of patients? And how do you modify with patients with prior cardiac issues are patient so I think the theme of the episode of One size does not fit. All a definitely applies to sedation. I think it's important to know as the provider there's no perfect sedation regimen for for all comers. I think in general the ICU you again. This is somewhat of an evidence free zone. There's not great guidelines for a sedative use specifically for cardiac patients so I think most experts yes. You providers are following general isolation guidelines which means to limit benzodiazepines which are associated with delirium and longer. Icu stays mortality in favor of shorter. Half-lives medications like Fenella Index Meta Tommy. Also things like propofol. The one thing I would. Caution providers about in in the elsewhere is that we have to weigh the risks and benefits of today the patient and potentially the negative consequences of those sedating agents like negative. I treaty with things like fall. Negative Carney trophy with things like that. With the negative effects of a patient being severely agitated and that could be negative effects for the whole team meaning risk to the staff if they have covert could spread that by a self excavating but also came to namic risks We talked about how negative spontaneous breathing has a negative sequentially for LV and RV. After load. You can imagine a really agitated patient pulling that pressure wave on the vent all the way down to baseline so that negative pressure that Jack Net really intense negative pressure is going to have drastic sequentially. Wow that's great. You know. You have a patient that is just struggling struggling struggling and but they have to get into bed you intimate them and like anything that any little bit of negative on entropy could just totally take that out of the RV and again RV not pumping leaves lv without any P- reload leaves Lv. Not Contract issues. But you know stroke volume issues and Kartik overall cardiac output so I could see a total Cardiac collapsed in our institution. Anesthesia comes in helps us with the anticipation just so appreciative. With what they do end the thought processes are in the way you just explained to really gives me insight into what's going through their minds at the time of innovation so I really think a lot of times we talk about intimating the PH patients in. How awful that is because mechanical ventilation itself might be might be helpful. I think a patient in respiratory distress breathing forty liters a minute with big tidal volumes. Because their has their feelings so dismissed the intimation might actually be better for their human dynamics but dropping their pre load and schemic right ventricle into Bache is certainly always a bad thing and that's really can get him through the intimidation they can do all right. I'm really developing a better understanding of a complex interplay I that goes on with innovation and proper ventilation Meanwhile MISC- OVID's appears to be more comfortable. She's properly sedated. But we're clearly not out of the woods yet. She's hypothesis setting. The low blood pressure is down to eighties or fifties. The chest x Ray shows proper to placement but their bilateral infiltrates that blossoming. So she's tanking. We've got a complex interplay of both her lungs and are hard dynamics Dan. Let's get the catheter into figure out what's going on boom. Pa Catheters in guys since shows there right atrial pressure of eight millimeters of mercury. Rv pressure forty five over eight a peer pressure of forty five over twenty with a mean of twenty seven and a wedge pressure of Eighteen S Vr. Systemic vascular resistance was low normal at eight hundred and a cardiac index. That was low at one point. Eight this is concerning for mix genyk and distributive shock and given that we have pulmonary. Dima we could probably say that the patients Dima carcinogenic and non cardio pulmonary Dima so we'll have more episodes that go through how we talk about small numbers in entrepreneur but simply put for.
"icu" Discussed on New Jersey 101.5
"God. She was in hahnemann hospital ICU, and they told us that is forty eight. She they told us that she, you know, she might live. He might live and be disabled or she might die. And it would all depend on how much your brain. Well, insiders all I asked every doctor. This was nineteen ninety nine. I asked every doctor while if that's gonna determine the outcome, and it got worse and worse as the night went on. I'm like why can't you cut a hole in her skull and let her brains out to the whole? Oh, no. We can't do that. Dinner for Gabby giffords years later when she got shot in the head. And when I found that out I lost it, and I've talked to military people who said they've been doing it for years. But whatever. So meanwhile, though, Oregon donor people from the gift of life, which we didn't know who they were. We just knew some woman with kinda befriending my sister's partner, and they were hovering around like vultures, and nobody had any sensitivity for what me and my dad and my sisters partner regarding through and. Thank you. So they declared a brain that at five thirty the following morning and. No. Then the question was, well, we were we gonna donate her Oregon, and I had a resonate yell at me. 'cause I said, well, she doesn't look bad to me, you know, or callers good or temperatures good or blood pressure is normal and that was on a respirator and not conscious and the. Yelled at me. What can I tell you? She said her brain herniated sensitive people at times, you know. It's you gotta remember this is nine hundred ninety nine and from a long way since then. And I'm sorry that you went through something like that. And yeah, you know, they should have been more sensitive. I don't know the case. I couldn't tell you. They know a lot more than we do in some cases as to why they couldn't do what they did. But now did you when they harvested the organs, do, you know, any of the people that they helped? That's the other part of the bad experience. Now. My mother always raised us to write. Thank you notes. You've been for little. Of life program, and they promise us all kinds of you know, supportive counseling. We never got it and. Yeah. I I the people who got they sent me a letter and outlined all the different people that got the different organs, and it was a lot. Then. Get to help people. I mean, you can take comfort in that. Right. Wow. You know, only one person route. Yes, thank you know, you have to go through the agency can't like directly back then you couldn't directly contact each other. So one person wrote. Thinks she got my twins lungs, and it was like five pages of complaints. Everything that went wrong anything positive happened added is free. I I it's just, you know, it's it's an incredible experience to be able to donate an organ to someone, you know. And I'm sorry what you went through with your sister. And I really am. And you know, the way you were treated and everything, but your sister did help a lot of people, you know. She didn't die in vain and absorb that. You feel the way that you do. But. The only thing you can t comforting is knowing that she did..