Tragic—a mother lost **both** her sister and her 13 year old son Peyton to #COVID19. The bereaved mom took the bold step to publicly share the chilling images of her son’s blood-spattered hospital room in a bid to urge Americans to take COVID seriously.
the-sun.com/news/1995186/s…
2) “Stephanie Franek, 44, watched as doctors battled to save her son Peyton Baumgarth's life as the treatment to oxygenate his blood failed.
The youngster passed away just 6 days after developing symptoms of infection when he became extremely fatigued & his nail beds turned blue.
3) The mom-of-two endured another Covid loss when her sister Cyndi Crawford, 57, died five weeks after Peyton in the ICU.
Stephanie, a nurse from St Louis, Missouri, said: "One loss would have been heartbreaking alone but these two have completely shattered our hearts."
4) “Stephanie was horrified to discover that her son's oxygen levels had plummeted to just 44 per cent - a healthy person's blood oxygen levels are between 95 to 100 per cent.
"As a nurse, I have never seen someone walking and talking with an oxygen saturation level of just 44%
5) “We had only been in the ER for probably one hour when doctors decided they needed to put him on a ventilator."

While Peyton suffered from a thyroid problem and had asthma, she did not consider him particularly at risk from the respiratory infection.
6) “I was scared he was going to be put on a ventilator but I also thought we'll get over this hump and bring him home."
Doctors treated Peyton w/ extracorporeal membrane oxygenation (ECMO) where blood is temporarily removed from the body to allow artificial oxygenation of blood”
7) “His condition worsened suddenly—he began to hemorrhage.
"He had this big coughing fit & he basically started to hemorrhage in his chest.
"The surgeons were trying to replace ECMO & doing CPR to help circulate his blood—his pulse was so weak & his oxygen levels were so low."
8) As doctors desperately tried to replace the ECMO tubes in Peyton’s neck, the blood that had pooled in his chest sprayed over the walls.
Stephanie said: “It was all over the cardiothoracic surgeon and he just kept working.”
9) “Stephanie, who had been granted special permission to be in the hospital as she had Covid, watched as 10 nurses and four doctors battled for an hour and 15 minutes to save her son's life before calling the time of death.”
10) “"Never did I ever think this was going to happen,” Stephanie said.
"You don't hear about kids getting Covid and it being that serious.
"I was just in shock.
"I can't describe that sudden devastating loss."
11) “Adding to Stephanie's pain, her sister Cyndi, a trauma registrar, came down with Covid a week before Thanksgiving.
She was also put on a ventilator and received ECMO but she passed away on December 7.”

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More from @DrEricDing

21 Dec
📍Mutation “feat never seen before”...

UPDATE on UK 🇬🇧 strain of #SARSCoV2 & how it evolved so fast:

Variant B.1.1.7 (aka VUI-202012-01) has 23 mutations—but acquired suddenly 17 mutations “all at once”—which experts say is *a feat never seen before*.🧵
sciencemag.org/news/2020/12/m… Image
2) First, today’s 🧵 further elaborates on yesterday’s 31-post 🧵.

Notably, we previously discussed the possibility of antibody therapy (convalescent plasma and monoclonal antibody drugs) in maybe exacerbating the mutation in someone chronically infected. (Post #18 and #23+)
3) But let’s first talk about the mutations.

One reason to be concerned is that among the 17 are eight mutations in the gene that encodes the spike protein on the viral surface, two of which are particularly worrisome... Image
Read 35 tweets
21 Dec
Bad take—this table shows the risk of HOSPITALIZATION by age versus comorbidity—1 comorbidity condition = 65+ elderly age.

Meanwhile, Nate’s figure was just death **if hospitalized**, a very narrow subset. Feel free to tell overwhelmed HCWs that merely 🏥 is no biggie. Image
2) Other fellow PhD epidemiologists like @AbdulElSayed also agree Nate’s analysis sucks.
Read 4 tweets
21 Dec
THAT DAY HAS ARRIVED—

Los Angeles County hospitals are preparing for potential *healthcare rationing* as ICUs overloaded with #COVID19. New proposed guidelines call for a shift towards maximizing saveable lives, and prioritizing care with best chance. 🧵
latimes.com/california/sto… Image
2) “Instead of trying everything to save a patient, their goal during a crisis is to save as many patients as possible, meaning those less likely to survive will not receive the same level of care they would have otherwise...”
3) “Doctors will no longer be pulling out all the stops to save a life but instead strategizing about how to keep as many people as possible from perishing.
Read 9 tweets
21 Dec
NEW—Canada 🇨🇦 suspends entry of all commercial & private passenger flights from the United Kingdom 🇬🇧 for 72 hours, effective midnight. Canada joins a slew of European countries in ordering travel bans from UK over risk of importing new #SARSCoV2 variant.
canada.ca/en/public-heal…
2) US still has not acted to impose any travel restrictions from UK yet. Meanwhile...
3) While wait for Trump WH to act, catch yourself up on the latest U.K. 🇬🇧 mutated strain that is causing headache and worry worldwide.
Read 4 tweets
20 Dec
Who did this? It’s brilliant!

The coronavirus vaccine won’t leave a scar. But it’ll protect us and our next generation. #COVID19 Image
2) born in a developing country, I was in the final generation to get the smallpox vaccine. The bifurcated needle scar sits on atop my deltoid as a reminder.

Smallpox vaccine has literally saved HUNDREDS OF MILLIONS OF LIVES. If you only knew life before the vaccine...
3) Many are asking about the new U.K. #SARSCoV2 mutation... here is a detailed thread 🧵 I wrote overnight that explains the latest.
Read 4 tweets
20 Dec
New more worrisome South Africa 🇿🇦 strain: the new 501.V2 variant has troubling details:

—seems to spread faster

—higher viral load

—possibly more severe among young adults

—2 of 3 mutations in 501.V2 **reduce virus sensitivity to some antibodies** 🧵
businessinsider.co.za/what-we-know-a… Image
2) The lower virus sensitivity of new South Africa 🇿🇦 to some antibodies mean that previously adapted antibodies may not be as effective against this new variant. These mutations were not seen in new variants in the UK and Australia.
3) We do not yet know the how it could affect vaccines. But in some ways, this is very troubling.

Mkhize (South Africa health ministers believes the already developed vaccines should still be effective against 501.V2, but though likely, that is not guaranteed just yet.
Read 7 tweets

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