4th wave has Teens phoning parents to say Goodbye. Beds & Staffing are too tight to monitor visitation.
Infxs Dz doc @katieoneallsu told me we’re descending to new lows in a crisis of the #unvaccinated. Listen as she describes a nightmarish reality.
2/🎥 In previous waves, it was adults saying goodbye to kids. Now it’s the other way around. In LA, @ololhealth & other major centers are no longer able to provide quality care because their teams are too overwhelmed.
3/🎥 How do you solve this problem? @katieoneallsu speaks of temporary pseudo-answers: creating “new ICU beds” & staffing them w non-ICU caregivers. “The only way to truly stem the tide is by #Vaccination. We have weeks ahead in which this gridlock will continue to hurt people.”
4/ People are not cows! With a safe/effective #vaccine available, all social media wants to talk about is a cow dewormer. Medical teams are suffering moral injury. We’re now depleted of great nurses who’ve lost hope & feel broken. Misinformation kills.
3/🎥 I cared for 9/11 hero Colonel Victor Correa as he died in our @VA hospital years later. His story is told in #EveryDeepDrawnBreath. He carried men out of the Pentagon saving lives. Watch more of his testimonial…
1/🧵🎥 Tennessee has highest #COVID19 case rate IN THE WORLD 🌎‼️
1/3rd are KIDS, & we haven’t even peaked!
Dr. Jeff Balser, @VUMChealth President & CEO, explains our dire situation. Despite 375M doses of #Vaccine is US alone, we have ~50% overall #Vaxxed & need YOUR help.
2/ This surge is different. The children are disproportionately affected – 1 in 3 new cases. Overall, and this is hard to believe, but we are at our ALL TIME HIGH in admissions.
3/ 🎥 Except for immunocompromised patients, almost all in hospital are #unvaxxed. We are re-deploying OR personnel to the ICU and having to curb care for non-COVID pts. It’s just not fair to them. Not getting vaxxed means more suffering for everyone.
2/ Early in COVID, computers predicted “Berry” (for Bari-citinib), an FDA-approved medication for rheumatoid arthritis, could be repurposed to stop SARS-CoV-2 from killing us. Now we proved it! Why did the computers think it would work?
3/ Bari has antiviral mechanism but mainly we thought it would work by interfering with the intense inflammation the virus 🦠 causes, which is what leads to so much lung, heart, blood vessel, & brain damage (#delirium).
By no means do I think the #Unvaxxed patients filling our ICUs to capacity are evil. NO. But I do think there is evil involved in the misinformation leading many good, caring people to that decision. And I listen to each. Please hear me out.
2/ Philosophers define evil as “a deprivation of the rationality that proper human action requires individually and as a member of society.” In that sense, we can discuss choosing not to be vaccinated and “cooperation with evil.”
3/ Thus far, “cooperation with evil” has been used as an argument by some in the #antivaxx culture as a reason NOT to get #Vaccinated. The main argument is that Pfizer and Moderna were safety texted w the HEK-293 fetal cell line.
1/🧵 “Live every day like you have a terminal illness.”
The most important thing I learned @ISICEM, after 3 ✈️ & 4,400 miles to Belgium for this huge meeting of #COVID ICU doctors, had nothing to do w science.
The iconic @JRandallCurtis1 taught me…(pic & story shared w perm)
2/ My friend of 25 years opened his lecture on End-of-Life with, “I have a disclosure of sorts. I’ve been diagnosed with ALS (Amyotrophic Lateral Sclerosis, aka Lou Gehrig’s disease), so this will probably be the last time I lecture at this meeting.”
Then he asked us to PAUSE.
3/ Talk about a Frame Shift.
I already knew, but it all hit me like a thunderbolt⚡️. The Father of ICU EOL #PalliativeCare research & former president of @atscommunity had just told us all that he has a fatal illness, and we could hear it in his speech pattern.
2/ of every human being who comes into my care is such that they feel fully human, fully respected, and that they don’t think they lost part of themselves in the process of critical illness.”
Yet #LongCovid pts are telling me they’ve lost themselves.
3/ my colleague #delirium neuro @doctorShawniqua is haunted by this too. She’s trying to find out what exactly happens to the neurons & synapses in the brain of critical illness survivors so that we can manage people more safely during and after illness.