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1/x There are 230 #COVID19 #coronavirus cases now in Arkansas. I’ve been having conversations with many health care providers around the state, and one in particular stands out. This colleague is an Emergency Medicine physician who works outside of central Arkansas ... #arpx
2/x and at the beginning of the week we had a conversation about when we thought the wave of #COVID19 patients would hit. Days later he sent me a follow up text and said, “I’m feeling the water at my toes.” This colleague is now reporting a few #coronavirus patients ... #arpx
3/x beginning to trickle in to his Emergency Department. This concerns me, and seems eerily reminiscent of how Emergency Physicians such as @Craig_A_Spencer described the situation in New York a few weeks ago. A trickle, then a steady stream, then a torrent of #COVID19 ... #arpx
4/x patients that are now beginning to overwhelm the NY health care system. Very sobering. All of which reminds me of an anecdote from the past...Years ago as a young faculty member at @HopkinsMedicine I vividly remember watching news reports and videos of the tsunami ... #arpx
5/x that hit SE Asia, particularly the videos from the resorts in Thailand. I remember distinctly one video in particular that showed beach goers lazing in the sun one moment, and then staring as the water receded leaving wet sand and fish flopping where surf had ... #arpx
6/x been. Everyone in the video seemed perplexed. Where had the water gone? No one seemed nervous. Some were laughing. But watching the video I had this sense of horror because I knew that moments later the tsunami would hit and sweep all those people out to sea. It ... #arpx
7/x made me wonder why no one screamed a warning to those people. Why didn’t someone— anyone— stand up and scream, “Get off the beach!” at the top of their lungs? What was it about that moment that caused everyone to shrug and seem so nonchalant right up to the moment they #arpx
8/x were all swept away? Maybe it was peer pressure. Maybe it was ignorance. I still don’t know, but I remember telling myself that if I were ever in that situation I hoped I’d have the courage to act, to warn people even if they didn’t believe me. #arpx
9/x Which brings me back to #COVID19 . The reports coming out of other localities are consistent and vivid. We need to prepare. We need to stick with social distancing. This is not a drill and it is very serious. It’s not a time to panic but it is a time #arpx
10/x to listen. Abide by the quarantine restrictions. Minimize contact. Encourage one another and look after each other. Pay attention.

The wave is coming.

Get off the beach.

#COVID19 #coronavirus #arpx
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