I spent a lot of time speaking with nurses and docs about what a spike in new cases would mean for their hospitals. The anxiety is especially high in Wisconsin. One nurse I spoke to said her hospital is at capacity and that she's seen an influx of pediatric cases in recent weeks:
This one nurse said she's treated more than a dozen babies under 60 days as well as a slew of children with diabetes, including one 13 year old who remains intubated.
This nurse said one of the biggest issues she has to deal with is families coming into the ER convinced that COVID-19 is not real or that it doesn't impact children.
“I had a 13-year-old come in with diabetes and she had all the signs of COVID. The parents said ‘She doesn’t have it.’ Sure enough the test came back positive and they asked, ‘Oh is that bad if she has diabetes?’ There’s so little education [about COVID] here," she said.
There's also been an influx of college students with COVID returning to the ER more than a month later with severe chest pains. Scans are clear but the college students are still in pain
Misinformation about the virus is spreading in other states, including in rural communities. In Modoc County, CA, once known as the only county in the state without a COVID case, residents originally didn't wear masks because they thought they were immune.
So, long story short, states already experiencing spikes in new cases and hospitalizations are worried about what the Thanksgiving holiday may bring. And for states like Wisconsin, docs say the worst of the third wave is yet to come.
“We are not seeing any decline,” said Dr. Nasia Sadfar, the medical director of infection control at UW Health. “And we’re worried about an additional increase after the holiday. We need to reduce all non essential activities temporarily to stop the uncontrolled spread."
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The CDC is recommending people do not travel for Thanksgiving this year.
Guidelines will be published later today
The CDC describes these guidelines as "strong recommendations" but not mandates. Points to increasing hospitalizations and cases as reason for caution.
Spoke to Dr. Fauci for a while tonight. Here's a rundown of where we're at with the vaccine:
1. "This is a new platform and there was always skepticism about using a new platform. Now we know it was successful"
Fauci said MODERNA vaccine is also likely going to be successful
2. Fauci said that the Pfizer vaccine targeted the "spike protein" and so the fact that Pfizer vaccine is successful bodes well for other companies.
"It's predictive of being even more good news with the other vaccines."
3. "Thus far — from what I hear the supply chain process is in place," Fauci said.
He said the CDC, in consultation with an advisory committee, "is the one that decides the priority of the distribution and it is all being worked out now"
This outbreak is a reflection of how the WH has handled the national response to this virus. They have continued to ignore the advice and guidance from health officials and scientists. And they’ve endangered the livelihood of those around them as a result.
What’s more is that there’s an expectation on their part that everyone else has to play by the rules. And the WH is quick to point the finger at state leaders for not doing enough to stop community spread.
You’d think by now that there’d have been some public reckoning on the WH’s part that more than 200,000 have died from this virus. But the message has been ‘its bad but it could be worse and we’re opening back up’.
Docs I've spoken with tonight say getting someone in a hospital to run tests before symptoms get really bad (not saying this will happen but ie: needing a ventilator) is quite normal/preventative. Not sure this is the case. But lots of other patients took this course of action
Also I know this wasn't an option for so many! It was nearly impossible for people in hot spot cities to get bed space/ get treated in some instances.
But speaking from a clinical standpoint, getting people checked out before symptoms get bad makes sense, according to these docs
SCOOP: The AG in the District of Columbia is investigating USA Pavilion 2020, a non-profit effort, overseen by the State Department, to build an expo at the World Fair in Dubai.
NEW exclu: Inside Jared’s relationship with Dmitriev, the CEO of one of Russia's sov wealth funds (Seychelles Prince meeting). The two have talked privately on everything from that ventilator delivery to NYC, to OPEC deals, to the ME Peace Deal. thedailybeast.com/jared-kushners…
NEW scoop: More than a dozen Trump officials spoke to us for this story. They described Jared’s relationship with Dmitriev, a close confidant of Putin, as a byproduct of four years of Trump distrusting his nat sec and intel officials
NEW: Officials described years of frustration—of trying to push ahead on a Russia strategy only to get sidelined from conversations in the White House and from those between Jared and Dmitriev. thedailybeast.com/jared-kushners…