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kpete

kpete's Journal
kpete's Journal
July 17, 2020

Covid-19, I'm not a fan.

From: Mary Glas Gaspers FB

I graduated from Georgetown Medical School in 2002 and have been taking care of children since that time. I specialized in pediatric critical care medicine. I care for the sickest of children up to age 21.

Until covid-19 arrived, I had not cared for adults since 2002. I now work in Arizona where we have been making news recently for the surge in cases. Fortunately, children worldwide are mostly ok with this virus. Some have become ill and died, though not in the same numbers that are affecting adults. So my Adult Critical Care colleagues are seeing the bulk of the disease right now. I do expect a surge of children getting sick here in a couple weeks, like they saw in NYC. For now, the adult ICU beds are filled and the doctors, nurses and respiratory therapists, pharmacists, PT, OT, Speech therapy, Social work, dieticians, patient care assistants, housekeepers, culinary team, laundry facility, blood bank, etc are all overworked, stressed and being asked to work harder and longer hours every week as this pandemic rolls on.

ICU patients are spilling out to the regular floors.

So my colleagues and I in pediatrics are taking care of adults now. All over the country, because of the surge in ill patients, it’s becoming necessary for people to step out of their comfort zone and practice medical or nursing care that they have no recent training or experience with.

And the patients are pretty sick. When an ICU doctor says someone is pretty sick, that means it’s bad. Some of the patients didn’t believe that covid was real until getting it themselves.

I have a relative discomfort in taking care of patients older than my usual. I can manage very well with the ventilator and the sedation, the tube feedings and the central lines and medicines for their low blood pressure and anticoagulation for their clots. So mostly I’m ok with this current shift in my practice. But I didn’t train in internal medicine. So I have to read and learn and ask the adult docs what I’m not thinking about. I Imagine it might be like a preschool teacher suddenly teaching high school or college. Or like a small animal veterinarian suddenly taking care of zebras and giraffes. The principles of teaching or animal care may be the same, but the details and approach will change.

There is definitely a high risk category for critical illness among men, those with diabetes, hypertension, obesity, lung disease, and among those who are Hispanic/Native American/Black. But I’ve also cared for young children, teenagers and muscular young Caucasian men with critical illness and COVID-19. No age group has been spared.

We all know that if we get sick from taking care of patients with covid-19, there’s limited space and resources for our own medical care. So we wear a reused N95, additional mask, face shield, gown, hat, and gloves. We wash our hands often and don’t touch our face. We can’t gather together for snack breaks or coffee since we wear a mask for the entire 12 hour (or longer) shift.

Patients can’t have visitors except for one hour when they are about to die, so they have FaceTime/video chats if they are able, maybe once a day, when the team has time to make that happen.

Even when patients survive, there’s strokes, renal failure, blood clots, ongoing lung disease and oxygen requirement, and need for rehab services due to muscle weakness.

We - your healthcare teams- are tired. We are frustrated by the reluctance by some to “believe in” Covid-19 and reluctance to listen to the evolving science that is coming to light. Despite this, We will continue to go to work and provide the best possible care, putting ourselves on the line and leaving our families to worry about us.

There are simple things that the public can do in order to stop this madness. To stop the disease and death. The 130,000+ deaths are already too many. We need to stop this trend.

Mask, hand wash, social distance. Focus on the public health and not on the politics. Listen to the scientists.

I am a Catholic White married physician and mother of 3. I believe in God. I believe that God created us and gave us brains and talents and the ability to reason and choose. Scientists have studied and evaluated all aspects of this incredible human body and know how the body responds to illness. Since this is a new infection, we have had a lot to learn. Thank God, We are learning. We are gathering data and evaluating what treatments are and are not effective.

At first, there wasn’t good evidence about how the illness was transmitted and if that transmission could be reduced/prevented by the use of masks. Now we know it can. Masks can help. Testing and contact tracing will give even more information about this illness.

Even my kids know the golden rule- treat others as you would be treated. Love your neighbor as yourself. Right now, that means the responsible, the patriotic, the healthy, the neighborly thing to do is to follow the advice of our public health experts and wear a mask. Social distance. Wash your hands. I believe in this country and I believe we can do this if we work together.

I will wear a mask for you. Will you please wear a mask for me? For your family? For your neighbor?
MaskUpUSA
MaskUpAZ
https://www.facebook.com/groups/marchforscience/permalink/2797385280545291ttps://www.facebook.com/mary.gaspers/posts/10157595050023806

July 17, 2020

Wallace fact checks Trump & tells Trump that he's wrong to claim that Biden wants to defund police

Trump says Biden wants to defund the police, pointing to his “charter” with Sanders.

Chris Wallace points out the Sanders-Biden task force doesn’t mention defunding police.

Trump, lying: “Oh, really? It says abolish, it says...” To aide: “Let’s go. Get me the charter, please.”

Trump interrupts interview to show proof that Biden plans to defund the police. It did not go well

https://twitter.com/kylegriffin1/status/1284211497388797954?s=20
https://twitter.com/ddale8/status/1284207453333266433?s=20

July 17, 2020

Justices Expedite Ruling In Trump Tax Subpoena Case

“The U.S. Supreme Court put a clash over a grand jury subpoena for President Donald Trump’s financial records on a fast track, formally returning it to the appeals court level ahead of schedule,” Bloomberg reports.

“Manhattan District Attorney Cyrus Vance had asked the justices not to wait 25-plus days, as they normally do after issuing an opinion.”

https://www.bloomberg.com/news/articles/2020-07-17/high-court-fast-tracks-remand-of-new-york-trump-subpoena-case

July 17, 2020

San Diego - Karen strikes again, demands half of the money raised for barista she harassed

Remember the Karen who accused barista of discrimination by trying to make her wear a mask at local Starbucks. He received 100k in a go fund me campaign. Well now Karen thinks she deserves half the money😂😂😂😂😂😂
What do you think?

?1594935185
Starbucks barista Lenin Gutierrez, whose photo went viral on social media after refusing service to a maskless woman.

https://twitter.com/lunaticopresid1/status/1283907971873898503?s=20
https://m.dailykos.com/stories/2020/7/16/1961317/-San-Diego-Karen-strikes-again-demands-half-of-the-money-raised-for-barista-she-harassed

July 16, 2020

Posted by a teacher on facebook:

Dear faculty: please put your life at risk by offering in-person classes, but also live-stream your class for students who can't/won't do in person, while also handling in-person discussion, discussion and chat via the live stream and also would you please record every class for students who can't do synchronous learning despite our requirement that you do synchronous teaching, create robust asynchronous class content, accommodate anyone who wants to take your class in any way they want to take it, create an attendance policy that is not actually tied in any way to attendance, re-do your syllabus 6 times (in-person, in-person/low density, a/b/c-day classes, hybrid, synchronous, asynchronous, all of the above) and also could you teach in a mask, turn part of your house into a classroom, sterilize your classroom technology and desk, don't eat/drink or pee on campus, teach behind a barrier, police the students' mask use and social distancing, and while you're at it, maybe solve Fermat's last theorem? Here--here's a stick for your trouble. To poke elevators with. We paid tens of thousands of dollars to have our logo put on your stick and mail it to you


https://www.facebook.com/leslie.harrison/posts/10157612836960669

July 16, 2020

Trump Plays With Trucks In WH Lawn Shitshow

On South Lawn, WH seeks to make a political point by setting up a crane lifting the weights of regulation from the bed of a "red" truck, while showing the burden of regulations weighing down a "blue" truck.



Trump wanted to play with trucks. This is a shitshow of epic proportions all while ignoring the pandemic that destroyed the economy. Trump's idea of lifting regulations is to shift the burdens of pollution on to those unable to protect themselves so millionaires like Trump profit

https://twitter.com/lawhawk/status/1283858220793110554?s=20
https://twitter.com/markknoller/status/1283872141138694146?s=20

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