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What does a ventilator do and how does it help COVID-19 patients? – WAFB

March 26th, 2020

“Blowing that air in and that air coming out around that mask means that the virus can be put into the air,” Dr. Richards says. “It can stay suspended in some cases up to three hours by the best science that we have about this. Certainly, that increases the risk of other healthcare providers coming into the room, but also increases the chance of someone in the hospital becoming infected.”

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A New York City nurse dies from the coronavirus. Angry co-workers blame a lack of protective gear. – Boston.com

March 26th, 2020
Kious Kelly. —Marya Sherron via AP

Kious Kelly, a nurse manager at a Manhattan hospital, texted his sister on March 18 with some devastating news: He had tested positive for the coronavirus and was on a ventilator in the intensive care unit. He told her he could text but not talk.

“I’m okay. Don’t tell Mom and Dad. They’ll worry,” he wrote to his sister, Marya Patrice Sherron.

That was his last message. Sherron’s subsequent texts to him went unanswered. In less than a week, he was dead.

Kelly, a 48-year-old assistant nurse manager at Mount Sinai West, may have been the first New York City nurse to die from the virus.

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His sister said he had asthma but was otherwise well.

“His death could have been prevented,” Sherron said on Facebook Wednesday. Later, she added: “I’m angry. He was healthy.”

Colleagues at the hospital were angry, too. Some complained on social media channels that they did not have an adequate supply of protective clothing or masks.

A nurse who worked with Kelly said the hospital had offered nurses one plastic protective gown for an entire shift, although normal protocol required a change of gowns between interactions with infected patients. The nurse, who spoke on condition of anonymity because the staff member was not authorized to speak to the media, said Kelly had not used protective equipment, even though he regularly helped nurses on his team with hands-on care.

As recently as March 10, he helped a nurse take off her protective gear after working with a patient who tested positive for the virus, the nurse said.

Several Mount Sinai West staff members, contacted for this story, said they had been told by hospital administrators not to speak to journalists. Kelly’s death was first reported in the New York Post.

Gia Lisa Krahne, an outside consultant who provided alternative Ayurvedic care to a patient at Mount Sinai West, said she last saw Kelly at work the week of March 9, interacting with patients and hospital staff, wearing neither a mask nor protective gear.

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Bevon Bloise, a registered nurse at Mount Sinai West, complained on Facebook that the hospital does not have sufficient personal protective equipment, or PPE. “I’m also very angry with the Mount Sinai Health System for not protecting him. We do not have enough PPE, we do not have the correct PPE, and we do not have the appropriate staffing to handle this pandemic. And I do not appreciate representatives of this health system saying otherwise on the news.”

“We lost a great fighter during this war,” a co-worker named Diana Torres said on Facebook. She posted a photo of co-workers tying bandannas over their faces in an effort to protect themselves. “NO THIS IS NOT PROPER PPE,” she wrote.

On its Facebook page, Mount Sinai West said it was “deeply saddened by the passing of a beloved member of our nursing staff,” without naming Kelly.

In an email, a hospital spokeswoman, Lucia Lee, disputed the claim that the hospital had not furnished protective equipment to its staff. “This crisis is straining the resources of all New York area hospitals, and while we do — and have had — enough protective equipment for our staff, we will all need more in the weeks ahead,” Lee said in the statement.

The New York Post article included a photo of hospital staff wearing garbage bags over what appeared to be scrubs. Two nurses, who spoke on condition of anonymity for fear of being fired, said they were disposable scrubs made of permeable material, which is why nurses wrapped plastic garbage bags around them.

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The photo, they said, was taken March 17, at a time when there were many coronavirus patients at the hospital and others who had yet to be tested but who presented symptoms of infection.

In the emailed statement, Lee added that “the troubling photo circulating in the media specifically shows the nurses in proper P.P.E. underneath garbage bags.”

She did not respond to a question asking why hospital staff wore garbage bags.

Kelly lived a few blocks away from the hospital and was described by colleagues as a dedicated, good-humored colleague.

“He used to carry around a thick notepad holder that hides a box full of chocolates and candies so he can have it handy to give out to miserable/ grumbly nurses and doctors who are more likely than not ‘hangry,’” Joanne Loo, a nurse at Mount Sinai West, posted on Facebook on Wednesday.

But nursing was not his first vocation. A native of Lansing, Michigan, Kelly moved to New York more than 20 years ago to pursue a career as a dancer, his sister said. He then went to nursing school and worked as a nurse at Mount Sinai West, before being promoted to the post of assistant manager in the telemetry department.

His family is now trying to bring his body back to Michigan.

“We know we can’t have a service anytime soon, but we want him home,” Sherron said. “He died alone. We want him home now.”


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Huawei P40 Pro specs, P40 Pro Plus and P40 vs. P30 Pro and Mate 30 Pro: What’s new and what’s different? – CNET

March 26th, 2020

Royal confusion: Meghan and Harry’s Hollywood security bill leaves fans baffled – Express

March 26th, 2020

The royal pair jetted out of Canada to Meghan’s hometown in the US before the borders were shut amid the coronavirus pandemic. An insider told The Sun: “Harry and Meghan have left Canada now for good.

“The borders were closing and flights were stopping. They had to get out.

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“But this move was planned for some time. They realised Canada would not work out for various reasons and they want to be based in the Los Angeles area.

“They have a big support network there. It’s where their new team of Hollywood agents and PRs and business managers are based.

“Meghan has lots of friends there and, of course, her mum Doria.”

Now Twitter users have been left scratching their heads about who will no pay for Meghan and Harry’s private security after the UK and Canada previously picked up the bill.

One user said: “I hope the US isn’t paying for security?”

Another replied: “Oh are we brits still picking up their security while they are there?”

A third commented, “Maybe they got mad because Canadians wouldn’t pay for their security.”

READ MORE: Prince Charles speaks out for first time after catching coronavirus

“There are well-established independent processes to determine the need for publicly-funded security.”

The move comes after it was announced earlier this week that Prince Charles had been tested positive for coronavirus.

Prince Charles, 71, is now self-isolating in his balmoral estate along with key staff and wife Camilla Barker Bowles.

Meanwhile, the Queen remains with Prince Phillip in Windsor Castle.

Today Disney pushed ahead the release of a charity film about Elephants, voiced over by Meghan Markle.

Footage circulated online last month showed Prince Harry speaking to Bob Iger at the premiere of The Lion King.

Prince Harry told Mr Iger that Meghan would be “really interested in voicing over a part, to which Mr Iger replied, “we’d love to try.”

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Where are the most coronavirus cases in LA County? CSUN map charts COVID-19 city-by-city – KABC-TV

March 26th, 2020
LOS ANGELES (KABC) — A Cal State Northridge professor has created an interactive map to track the progress of coronavirus throughout each neighborhood in Los Angeles County.

Geography professor Steven Graves said he hopes to get a better grasp on how the virus is impacting people at the local level.

He has also created maps that track COVID-19 county-by-county at the national level — something that he says gives the numbers context.

His map can be viewed here.

The map shows there are cases all throughout the county, from Santa Clarita to Carson to La Verne. Some of the areas with higher concentrations naturally are those with higher population densities, such as the communities from the Westside to downtown Los Angeles.

A similar map of the United States is available here.

“There are some places in the United States that have much smaller numbers, but have much smaller populations. so their rate is double, triple or even 20 times greater than ours,” Graves said.

Graves said he created the maps because other maps he saw didn’t provide a sufficient level of detail. He acknowledged that a lot of the national data being collected may have flaws at this early stage.

“We don’t really know how good the data tracking those with the coronavirus is,” Graves said in a CSUN statement. “Everyone is doing the best they can. But once the rate at which people are being tested improves, then we will have a better picture of what is going on.”

“Right now, our maps are creating a foundation on which we will eventually create a better picture of what is going on in the country, county by county.”

Copyright © 2020 KABC-TV. All Rights Reserved.

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Nurse dies of virus after nonstop work at hospital with dwindling supplies – WISHTV.com

March 26th, 2020

NEW YORK (AP) — A nurse died from the coronavirus after working nonstop for weeks at a hospital where staffers frustrated with dwindling supplies posed in gowns made of trash bags. An emergency room doctor fears he had the virus long before getting too sick to work. Another nurse worries the lone mask she’s issued each day won’t be enough to protect her from an unending tide of hacking, feverish patients.

At New York City-area hospitals on the front lines of the biggest coronavirus outbreak in the nation, workers are increasingly concerned about the ravages of the illness in their own ranks, and that the lack of testing and protective gear is making it not a matter of if they get it, but when.

“Our emergency room was like a petri dish,” said Benny Mathew, a nurse at Montefiore Medical Center who got word Thursday that he had COVID-19 and is now worried he may infect his wife and two daughters.

“I’m angry. We could have secured enough personal protective equipment months ago. It was happening in China since December,” he said. “But we thought it was never going to happen here.”

Some hospitals are now so overrun with dying patients that they’ve brought in refrigerated trucks to handle the bodies. At Elmhurst Hospital in Queens, 13 people succumbed to the virus in one day. City ambulances have seen a surge in calls, responding to nearly 5,800 on Thursday alone.

Several doctors, nurses and paramedics told The Associated Press of deteriorating working conditions in emergency rooms and ICUs that make caretakers even more vulnerable. Sick patients are placed in beds packed end-to-end. Limited supplies of face masks, gowns and shields have them wearing the same protective equipment all day. A lack of available ventilators could soon put doctors and nurses in the agonizing position of prioritizing who gets them and who does not.

And perhaps most troubling, changes in official guidance that allow health care workers exposed to coronavirus to continue working, as long as they themselves are not showing symptoms. Some health care workers say they’re being told they can keep working even if they’ve tested positive for the disease, known as COVID-19, as long as they’re asymptomatic.

“We just have to hope we don’t get infected,” said William da Silva, a nurse at St. Vincent’s Hospital in suburban Westchester. “People are going back to work with COVID-19, and they’re going to infect the patients and each other.”

Da Silva is certain he’s been infected, but he said he’s been getting the run around from officials all week as he seeks to get tested. Self-quarantined with his pregnant wife and toddler, he’s so disillusioned by how he’s been treated that he may not go back.

“I’ve put them all at risk,” Da Silva said of his family. “I don’t think I want to go back to that environment after this because apparently we don’t matter. I can’t continue working in hospitals after this.”

While the city has meticulously tracked the toll of its outbreak — reporting 21,873 infections, 281 deaths and at least 3,900 hospitalized as of Thursday — officials say they do not have numbers on how many health care workers are sick or dying.

Hospital operator Northwell Health said 155 of its 72,000 employees have tested positive for coronavirus. The New York State Nurses Association said at least 67 nurses had been infected. The union for the city’s EMS workers said more than 50 had tested positive and more than 400 are showing symptoms. One of them, paramedic Christell Cadet, is in critical condition in a Brooklyn ICU.

It’s been a common theme as the virus has spread around the world.

In China, where the outbreak started, over 3,000 medical workers are believed to have been among the more than 80,000 people infected. Health care workers account for about one-tenth of the more than 74,000 infections in Italy, and roughly one-eighth of the 47,600 cases in Spain.

In New York City, at least one health care worker has been killed by coronavirus.

Mount Sinai West emergency room nurse Kious Kelly, 36, died Tuesday after a 10-day bout with the disease. He worked at the same hospital where three nurses, frustrated at the scarcity of supplies, posted pictures of themselves on social media wearing makeshift garbage bag protective gowns, an image splashed on Thursday’s New York Post cover with the headline: “TREATED LIKE TRASH.”

A nurse who worked with Kelly for eight years fell ill at the same time. Emailing the AP from her sick bed, she said Kelly had worked as a supervisor for weeks without a break since the coronavirus started taking hold in New York. She shared her thoughts on condition of anonymity because she said hospital policy threatens employees with termination for speaking to the media.

“He was helping nurses on the floor, pushing beds, transferring patients,” said the nurse. “A couple weeks before his death we were talking about his future plans and he was telling me that he would go back to school. I am devastated about his death and cannot stop crying.”

In a statement Thursday, Mount Sinai Health System denied that the nurses depicted in trash bags were actually using them as protective gear since the real gear could be seen beneath the bags. “This crisis is straining the resources of all New York area hospitals and while we do – and have had – enough protective equipment for our staff, we will all need more in the weeks ahead,” it said.

New York Gov. Andrew Cuomo acknowledges the ranks of health care workers are thinning while also claiming “no hospital, no nurse, no doctor can say legitimately, ‘I don’t have protective equipment.’”

Medical specialists from other areas have been redeployed to emergency rooms and ICUs, and a volunteer force of 40,000 retired doctors, nurses, therapists and technicians will soon answer the call for reinforcements.

Montefiore emergency room nurse Judy Sheridan said personal protective equipment are “clearly not being made available in any meaningful way to front line caregivers” and reusing masks will only make them susceptible to contamination.

“This is like telling a person, ‘Here are three piece of toilet paper — make that last for a week!’” said Sheridan, who is also president of the State Nurses Association.

Barbara Rosen, a registered nurse in New Jersey for more than four decades and a vice president of the Health Professionals and Allied Employees union, said members are “scared to death.”

“You’re being torn between going out and doing your duty, what you were born to do, which is to take care of sick patients, and getting sick yourself and bringing it home to your family,” she said.

While coronavirus causes mild or moderate symptoms in most people, older people and those with existing health problems could have a more severe illness, including pneumonia and death.

Rosen said her union has also heard from nurses using garbage bags to protect their clothing and receiving expired masks that could have decomposed elastic bands, compromising safety. She called the lack of resources “unheard of in the medical profession. It’s like going into a three-alarm fire with a water pistol.”

Mayor Bill de Blasio vowed Thursday to get health care workers the supplies they need: “One way or another, we’re going to get them to you every day,” he said, adding that the city has enough supplies for this week, at least.

In another effort to bolster the ranks of health care workers, the state is taking up an offer from New York University’s medical school to allow students who completed their final year of training to become doctors immediately and help in the city’s hospitals.

For Evan Gerber, among about 60 NYU fourth-year medical students who have accepted the battlefield promotion, the furor over personal protective equipment is indeed weighing on his mind.

“Of course I’m a little bit nervous to jump into this … anybody would be,” said the 26-year-old from the Phoenix area. “It’s definitely one of the risks that you take when you enter medicine. One of the big things that’s driving fear here is the unknown.”

Photo caption: Medical workers outside at Elmhurst Hospital Center in the Queens borough of New York City on March 26, 2020. (Angela Weiss/AFP via Getty Images)

Michael R. Sisak and Larry Neumeister in New York, and David Porter in Newark, New Jersey, contributed to this report.

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Animal Crossing: New Horizons Cheat – Massive Bells from Turnips and Time Travel – IGN

March 26th, 2020

‘Apocalyptic’ local hospital at the center of coronavirus crisis may be how all hospitals will be soon – WPIX 11 New York

March 26th, 2020

EAST ELMHURST, Queens — Elmhurst Hospital is at the center of the strongest outbreak of coronavirus.

It serves Queens, which has the highest number of coronavirus cases in the city with the highest number of cases in the country.

Elmhurst Hospital has had so many cases, that 30 patients have had to be moved to other facilities to try and ease the load. Francisco Moya, the local city councilmember, told PIX11 News that 30 more may go shortly.

However, it won’t be long before there’s nowhere else that can accept other patients.

“At NYU, where I’m on staff, all our covid units are overflowing,” said Dr. Purvi Parikh, a respiratory specialist of the Allergy and Asthma Network.

Her observation echoed that of every medical professional that PIX11 News encountered.

“We’re at the beginning of the curve they’re trying to flatten,” said Anthony Almojera, an EMT and firefighter who’s a senior vice president of the FDNY EMS officers’ union.

“Unfortunately, I don’t think it’s going to flatten any time soon,” he added.

At a Mount Sinai hospital facility, some staff posted photos of how they’ve been forced to use trash bags as gowns.

It was a clear demonstration of how personal protective equipment for medical professionals is in short supply, and the number of cases is expected to rise exponentially well into April.

The doctor who took video inside Elmhurst Hospital, and shared it with the New York Times, descried the situation this way.

“I don’t have the support that I need and the materials I need to take care of patients,” said Dr. Colleen Smith, an emergency room doctor, in the video. “And it’s America. We’re supposed to be a first world country,” she said.

Still, said Dr. Parikh, who’s also dealing with scarcity of resources, the one thing that just may prevent the entire New York health care system from becoming overburdened is what most New Yorkers are doing, and need to continue to do.

“Follow those guidelines [of social distancing],” she said. “All of you are helping us buy time.”

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Top CDC official: The devastating Covid-19 spike in New York is ‘just a preview’ of what’s coming – AlterNet

March 26th, 2020

A top official with the Centers for Disease Control and Prevention told The Hill Thursday that the coronavirus outbreak in New York City and state is “just a preview” of what’s to come for the rest of the U.S. as the pandemic spreads across the nation.

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“I think what we’re seeing in New York City and New York state right now is a real warning to other areas about what may happen or what may already be starting to happen,” said CDC principal deputy director Dr. Anne Schuchat.

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Schuchat said that the explosion of cases in New York City in particular could be a precursor to other cities around the country, many of which are already experiencing spikes in the spread of the disease.

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“Across the country there’s a number of areas that are escalating,” said Schuchat. “The numbers in New York are so large that they show up, but we’re looking at increases over time and we’re really seeing some in a number of places.”

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According to The Hill:

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The CDC has deployed about 1,500 of its epidemiologists, scientists, and experts to hot spots around the country, including the New York City area and Seattle, where the first American cases of the coronavirus emerged in January and early February. Now, Schuchat said, the CDC has dispatched teams to Louisiana, Wisconsin, and Colorado, among others.

Schuchat declined to name the cities that are likely to become the epicenters of new and worrying outbreaks, but New Orleans has stood out in recent days for the rapid growth in cases it has seen. Louisiana reported its first case of coronavirus on March 9; it crossed 100 cases a week later. Its case count doubled between Sunday and Wednesday, when the state reported almost 1,800 cases.

The Hill further reported that the CDC has a surveillance system in place that tracks reports of flu and flu-like conditions around the country to identify epidemics as they happen. The system is now showing outbreaks around the country.

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Schuchat emphasized the importance of continuing social distancing and lockdowns that have paralyzed the country as state and local leaders work to contain the pandemic. President Donald Trump has expressed interest in getting Americans back to work as soon as Easter, a desire that flies in the face of accepted medical knowledge and guidance from public health officials.

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“The measures are meant to be used in a layered way, and it may be possible that selected ones might be eased up on,” said Schuchat. “But as I talk to colleagues around the world who are facing different stages of this epidemic, I think we are all trying to make sure we have the very best information about how to ease up and also about how to minimize the unintended consequences, the negative consequences of the mitigation effort.”

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study in the Lancet Public Health Journal Thursday echoed that warning. The report, which relies on research co-led by London School of Hygiene & Tropical Medicine specialist Kiesha Prem, claims that extending lockdowns until April in Wuhan, China—the city hardest hit by the virus—could delay an inevitable resurgence of the virus by valuable, life-saving months.

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“The city now needs to be really careful to avoid prematurely lifting physical distancing measures, because that could lead to an earlier secondary peak in cases,” Prem told Reuters. “If they relax the restrictions gradually, this is likely to both delay and flatten the peak.”

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Wuhan has been locked down since January. Should the U.S. ease restrictions by Easter—April 12—the country could see a massive secondary spike in cases before healthcare systems have begun to recover from a peak in infections expected in early May.

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In her comments to The Hill, Schuchat said she would urge extreme caution in lifting restrictions as diseases can be unpredictable and dangerous.

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“My experience is that it’s really important to be humble when facing emerging infections and certainly when facing pandemics,” said Schuchat. “Something that looks like the best idea can pan out differently than you expect, and things that you think are working well may not turn out to be.”

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Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, warned in a CNN interview Wednesday night of the impossibility of dictating terms to the disease.

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“You don’t make the timeline,” said Fauci, “the virus makes the timeline.”

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Animal Crossing: 10 best tips to play the zen game for Nintendo Switch – CNET

March 26th, 2020