🧵The Widow-Maker. "Please come to the hospital soon, because your husband will likely not survive," I said. These conversations about death usually occur in the ICU, but with lack of statewide ICU beds because of the pandemic, I begin these conversations in the ER. 1/8
Between NYC & Arizona, I've seen so many wives become widows b/c of this virus. Today I took care of 7 hypoxic COVID patients. "My husband is admitted with the virus, then I got it," said one, "with his underlying conditions, we tried our best to protect him," said another 2/8
Rural hospitals, Yuma included, are struggling to find places to transfer patients as COVID19 surges. We expanded our COVID19 unit and ICU, but at the same time, there are also sick patients with liver failure, sepsis, strokes, and GI bleeds without COVID. 3/8
cc:@yumacountyaz

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More from @Cleavon_MD

23 Nov
Just got to work and was notified there are no more ICU beds in the state of Arizona.
What happened to the 175 beds??? We likely don’t have nursing to staff them. This is not good.
ZERO ICU Beds!! @dougducey what are you going to do??
Read 4 tweets
22 Nov
🧵Busy night. Several sick patients and many of them were hypoxic from COVID. Several intubations. Imagine your mother, father, brother, or sister lifeless on a breathing machine and getting a call from ME at 4 in the morning to tell you they are on a breathing machine. 1/6
No one ever thinks COVID is going to affect them, until it eventually does. But COVID is rapidly sweeping through households in underserved communities who can't physically distance in small apartments. 2/6
4,331 new cases this morning. Patients are waiting hours for ICU beds because there are only 175 beds in Arizona. Same story nationwide. "Sorry doc, we have no room in our ICUs, Is the patient COVID or non-covid? Send the COVID test and let us know" 3/6
Read 6 tweets
19 Nov
⚠️dead at 34
Amber Vasquez was a nurse in Dallas Texas who died from COVID because @GovAbbott failed to enact public health measures. Her body was irreversibly damaged by the virus. Let's ensure her family gets death benefits for her sacrifice.
gofundme.com/f/xemd3z-amber… ImageImage
⚠️dead at 45
Dr. Yecid Mora, family medicine doctor in Moore Haven Florida died from COVID19. @GovRonDeSantis
southcentralfloridalife.com/stories/dr-yec… ImageImage
⚠️dead at 49
Patrice Grossman, NICU nurse with Intermountain Healthcare, Utah died from COVID19. She is survived by her husband and 5 kids.
abc4.com/news/utah-coun… ImageImageImage
Read 12 tweets
19 Nov
🧵A LETTER TO @dougducey and @GOP governors who fail to lead and listen to frontline healthcare providers!! You are KILLING US!!! You sit in your ivory tower, taunt the virus, ignore public health measures & attack the Affordable Care Act, while we die on the frontlines. 1/9
There are only 184 ICU beds and 931 inpatient beds (⚠️new record) left in Arizona! Even worse, we can't even use those beds because our healthcare workers are SICK and calling out. 53 ICU beds opened up yesterday, but tragically because 53 people DIED!!! 2/9 There are only 931 inpatient beds left in the state of Arizo
As the virus sweeps across hospitals infecting staff, even non-covid hospitalized patients are getting infected, similar to the nosocomial spread in assisted living facilities nationwide. 3/9
ktar.com/story/3704314/…
Read 17 tweets
19 Nov
🧵Today, I admitted 6 hypoxic patients with COVID and the waiting room was packed when I left my shift. Arizona had 3,206 new infections & 53 deaths. Nationwide, today was the DEADLIEST day of the pandemic with 1,869 deaths & 164,000 new infections 1/9
"Your loved one is really sick and has a high probability of dying," I said a few hours into my shift. Same outcome, different day, different family. Farmworker, grandmother, Native American, Latino, snowbirds.. they all blend together 2/9
Nurses, ER docs, Respiratory Techs, ICU docs, Janitors, Hospitalists etc.. were all pawns in an attack against public health by politicians scared to step inside a hospital, while the virus sickens us. We already have colleagues sick with COVID, so we scramble to cover shifts 3/9
Read 9 tweets
18 Nov
🧵I wish you could see what I see every day. Loved ones crying at the bedside of their family members struggling to breathe despite maximum oxygen. The look in their eyes when I tell them, there is a high probability their loved one might die despite being on a ventilator. 1/8
A 90 year old is not going to survive chest compressions resulting in sternum and rib fractures, if their heart stops beating. There is also a very low likelihood of elderly patients in their 80s getting off a ventilator if intubated for COVID. 2/8
I know holidays are near, but the pandemic is here. I'm not trying to be a downer, but please have these discussions with your elderly family members before the time comes in an emergency room. 3/8
harborlighthospice.com/blog/what-is-a…
Read 8 tweets

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