d*********o
发帖数: 6388 | 1 https://threadreaderapp.com/thread/1239290389963714562.html
https://twitter.com/colemillertv/status/1239324873798733824?s=21
新增127例。西雅图一共１２台EMCO, 四十岁以上或BMI大于25不能使用。很多病人死于
心脏衰竭而不是肺衰
The Seattle situation isn’t quite at Lombardy levels yet… but it’s
getting there.
First of all regarding the clinicians. None are sleeping more than a couple
hrs a night. Everyone is utterly exhausted. My colleague has seen so many
people die as to have become totally numb. /2
It’s also nearing Status Lombardosus with regard to resources. They haven’
t run out of ventilators (yet), but every single ICU bed in Seattle metro is
full. And the onslaught shows no signs of stopping. They’ve run out of
other things as well. /3
My colleague saw a patient who had a half-full syringe left attached to her
IV line. The syringe had an antibiotic. First thought was that this was some
gross nursing error.
It turned out not to be a mistake at all, but rather an accomodation to dire
circumstances. /4
It was a drug that was supposed to be infused over hours. But there were no
IV pumps available. So the nurse had given some of it, left the syringe
attached, and planned to come by to give more a little later, and then
finish it.
Here in the wealthiest country in the world. /5
They are also at the point of having to ration some kinds of care. For the
most severely ill patients, there’s a machine called ECMO — extracorporeal
membrane oxygenation — which is basically like an external lung that
oxygenates blood when the patient’s lungs won’t work. /6
Seattle has 12 machines, which is less than what’s needed. So a central
committee there is deciding: you can’t go on ECMO if you're >40 yrs old, if
you have another organ system failing, or… incredibly… if your BMI is>25.
Turns out these are all major poor prognostic signs. /7
(Note: that doesn’t mean that anybody with a BMI >25 is in trouble if they
get COVID. Just that if you’re critically ill from it, that is apparently a
poor prognostic marker. Not sure anybody has a clear idea why.) /8
Meanwhile the combo of exhausted health care workers & no open ICU beds has
made a very hazardous health situation for the entire region. If you have a
stroke, a heart attack, etc., it will be hard to get the best care. There
are patients in ERs for hours waiting for ICU beds. /9
My colleague told me something else remarkable: COVID patients are not dying
of lung disease.
This seems to be a very distinct syndrome, and in severe cases the pneumonia
leads to ARDS, a condition in which the lungs leak fluid & the patient can
’t breathe w/out a ventilator. /10
But apparently the ARDS is not too severe, and they can manage people
through that part of it.
Instead, after several days, the virus suddenly attacks the heart, causing
it to precipitously fail. The myocarditis phase is savage and kills people
within a day or two. /11
My colleague has seen a number of cases in which multiple family members
were in the hospital and critically ill. Maybe this means there’s some
genetic predisposition, but it’s probably too soon to say. /12
And then there’s the fear that comes with an epidemic. Apparently people
shopping wearing the hospital’s logo on their clothing have been asked to
leave the store. And some who work in the hospital have been asked to move
out of their apartment buildings for a few months. /13
Restaurants have refused food delivery, with some of them refusing to even
leave the food on the ground outside. The hospital had to send the medics to
go pick it up. One doc’s housekeeper refused to come clean for her. /14
In short, this is a nightmare, teetering on the precipice of even worse
destruction. The goal of every American city should be to avoid becoming the
next Seattle.
Everyone needs to understand not just how bad this could get, but HOW BAD
THIS ALREADY IS in one major US city. /15x
P.S. This isn’t my first hand info.
Obviously the colleague who told me this has no reason to make stuff up. But
on basic journalistic principles I would welcome anyone who can corroborate
this picture. |
b****n
发帖数: 6896 | 2 只要计算一下时间
就知道有多危险
叔上周就知道危险了
马上打报告给学校不让孩子们上学
好在一批下来没两天就停课了 |
g***n
发帖数: 14250 | 3 医护不够，各城市估计都会这样。。。
比中国要更难，毕竟武汉有很多外省的支援。。。可以建火神山雷神山，开方舱医院。
。。
这些在西方都不可能做到 |
o******t
发帖数: 1994 | |
C******e
发帖数: 1850 | |
n****f
发帖数: 3580 | 6 方舱医院没啥难度吧。
火神山雷神山花了十多天。那一阵国家没太多支援。靠武汉硬撑。
【在 g***n 的大作中提到】
: 医护不够，各城市估计都会这样。。。
: 比中国要更难，毕竟武汉有很多外省的支援。。。可以建火神山雷神山，开方舱医院。
: 。。
: 这些在西方都不可能做到
|
l*******t
发帖数: 1430 | 7
外省支援是建立在封国保证外省平安的基础上的
【在 g***n 的大作中提到】
: 医护不够，各城市估计都会这样。。。
: 比中国要更难，毕竟武汉有很多外省的支援。。。可以建火神山雷神山，开方舱医院。
: 。。
: 这些在西方都不可能做到
|
n****f
发帖数: 3580 | 8 医院困难是可以想见的。毕竟那个养老院就有那么多病人。还有其他的。
撑过这段时间，隔离和控制的效果开始显现，就会好了。
couple
【在 d*********o 的大作中提到】
: https://threadreaderapp.com/thread/1239290389963714562.html
: https://twitter.com/colemillertv/status/1239324873798733824?s=21
: 新增127例。西雅图一共１２台EMCO, 四十岁以上或BMI大于25不能使用。很多病人死于
: 心脏衰竭而不是肺衰
: The Seattle situation isn’t quite at Lombardy levels yet… but it’s
: getting there.
: First of all regarding the clinicians. None are sleeping more than a couple
: hrs a night. Everyone is utterly exhausted. My colleague has seen so many
: people die as to have become totally numb. /2
: It’s also nearing Status Lombardosus with regard to resources. They haven’
|
g***n
发帖数: 14250 | 9 西方各国本来只需要处理输入病例，结果搞成这个样子。。。。
现在东亚各国控制输入病例轻轻松松
: 外省支援是建立在封国保证外省平安的基础上的
【在 l*******t 的大作中提到】
:
: 外省支援是建立在封国保证外省平安的基础上的
|
g***n
发帖数: 14250 | 10 如果隔离效果跟武汉差不多，也许还有希望。就怕有人不肯隔离，或者无意间出去浪。
。。
: 医院困难是可以想见的。毕竟那个养老院就有那么多病人。还有其他的。
: 撑过这段时间，隔离和控制的效果开始显现，就会好了。
: couple
【在 n****f 的大作中提到】
: 医院困难是可以想见的。毕竟那个养老院就有那么多病人。还有其他的。
: 撑过这段时间，隔离和控制的效果开始显现，就会好了。
:
: couple
|
|
|
d******y
发帖数: 2787 | 11 妈的两个条件都不符合岂不是废了
【在 d*********o 的大作中提到】
: https://threadreaderapp.com/thread/1239290389963714562.html
: https://twitter.com/colemillertv/status/1239324873798733824?s=21
: 新增127例。西雅图一共１２台EMCO, 四十岁以上或BMI大于25不能使用。很多病人死于
: 心脏衰竭而不是肺衰
: The Seattle situation isn’t quite at Lombardy levels yet… but it’s
: getting there.
: First of all regarding the clinicians. None are sleeping more than a couple
: hrs a night. Everyone is utterly exhausted. My colleague has seen so many
: people die as to have become totally numb. /2
: It’s also nearing Status Lombardosus with regard to resources. They haven’
|
g***n
发帖数: 14250 | 12 只能宅家，出门买菜时祈祷店里人少。。。
忍过一两个月就好办
: 妈的两个条件都不符合岂不是废了
【在 d******y 的大作中提到】
: 妈的两个条件都不符合岂不是废了
|
B*Q
发帖数: 25729 | 13 少吃东西
少拉屎
节省卫生纸
[在 goFan (够范) 的大作中提到：]
:只能宅家，出门买菜时祈祷店里人少。。。
:忍过一两个月就好办
:<br>: 妈的两个条件都不符合岂不是废了
:<br> |
b*********4
发帖数: 1 | |
d*****w
发帖数: 688 | 15 这就是医疗水准一流，而公共卫生水准是第三世界中低水准的美国现状
这个国家的医疗系统不是为大众服务的
如果不是三德子实在太左倾的话，靠疫情击败川普是稳稳的
拜登应该有机会上位 |
b*********4
发帖数: 1 | 16 这要发生在中国，还不被老将喷死
【在 g***n 的大作中提到】
: 西方各国本来只需要处理输入病例，结果搞成这个样子。。。。
: 现在东亚各国控制输入病例轻轻松松
:
:
: 外省支援是建立在封国保证外省平安的基础上的
:
|
b*********4
发帖数: 1 | 17 拜登应该有机会上位没用，还是修修补补，非得三德子不可
【在 d*****w 的大作中提到】
: 这就是医疗水准一流，而公共卫生水准是第三世界中低水准的美国现状
: 这个国家的医疗系统不是为大众服务的
: 如果不是三德子实在太左倾的话，靠疫情击败川普是稳稳的
: 拜登应该有机会上位
|
M****H
发帖数: 1057 | 18 是符合任何一个条件的不给用。。。救年轻人，老的救了也没啥用，还得死
【在 d******y 的大作中提到】
: 妈的两个条件都不符合岂不是废了
|
g***n
发帖数: 14250 | 19 四十几岁的正是家里有小孩需要抚养的阶段，尼玛不救那就是一家人都惨了。
要我说单身无孩的就都别救了。。。
: 是符合任何一个条件的不给用。。。救年轻人，老的救了也没啥用，还
得死
【在 M****H 的大作中提到】
: 是符合任何一个条件的不给用。。。救年轻人，老的救了也没啥用，还得死
|
a****l
发帖数: 8211 | 20 上了ecmo的基本下不来，没用。
couple
【在 d*********o 的大作中提到】
: https://threadreaderapp.com/thread/1239290389963714562.html
: https://twitter.com/colemillertv/status/1239324873798733824?s=21
: 新增127例。西雅图一共１２台EMCO, 四十岁以上或BMI大于25不能使用。很多病人死于
: 心脏衰竭而不是肺衰
: The Seattle situation isn’t quite at Lombardy levels yet… but it’s
: getting there.
: First of all regarding the clinicians. None are sleeping more than a couple
: hrs a night. Everyone is utterly exhausted. My colleague has seen so many
: people die as to have become totally numb. /2
: It’s also nearing Status Lombardosus with regard to resources. They haven’
|
o******t
发帖数: 1994 | 21 汉奸喷中国时那真是一脸的正义， 尼玛正义的不能再正义了， 美帝如此糟糕政府不断
撒谎却使劲的遮掩跪舔。所以这些货不是人， 根本不是人。一群垃圾人渣。
【在 b*********4 的大作中提到】
: 这要发生在中国，还不被老将喷死
|
k***n
发帖数: 1557 | 22 京人有所不知，这已经发生在中国了，而且还要严重得多
【在 b*********4 的大作中提到】
: 这要发生在中国，还不被老将喷死
|
