Hans Howe

Best New Yawk Rant EVAH

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Let’s be clear: We are watching the criminal destruction of our republic by a sociopathic game show host-cum-con man, under the cover of a crisis he helped bring about. Donald Trump and the Republican Party are exploiting the pandemic as an excuse for a further neo-fascist power grab and a permanent end to fair elections in favor of one-party rule.
Robert Edwards
https://thekingsnecktie.com/2020/04/12/a-special-circle-of-hell-awaits/

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Two Poets
– or, why English is such a difficult language to learn –
by Julie Cadwallader Staub

Hey—we’ve been passing like ships in the night.
Can’t we hang out together
and make beautiful music like we used to?

You must have lost your marbles, she says.
You need to turn on a dime
and step up to the plate
if we’re going to make hay while the sun shines.

Wait a minute—you’re putting the cart before the horse.
Let me cut to the chase.
We’ve been treading water, and all I’m trying to do
is move the ball down the field.

I know, she says, but you have to have
your oar in the water too.

Look, he says, you’re my north star.
I know I missed a few beats, but
don’t throw the baby out with the bath water.
I’ve turned over a new leaf.
I’m watching my p’s and q’s.
I’m dotting my i’s and crossing my t’s.

Now we’re cooking with gas, she smiles.

I’m so relieved. I was afraid you had hung me out to dry.
If we can be like two peas in a pod again,
everything else will be icing on the cake.

“Two Poets” by Julie Cadwallader Staub from Wing Over Wing. Paraclete Press, © 2019.

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https://www.nbcnews.com/politics/donald-trump/mayo-clinic-cardiologist-inexcusable-ignore-hydroxychloroquine-side-effects-n1178776?cid=sm_npd_nn_fb_ma

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https://www.medscape.com/viewarticle/928156

John Whyte, MD, MPH: Hello. I’m Dr John Whyte, chief medical officer at WebMD. Welcome to “Coronavirus in Context.” Today we’re going to talk about whether we’re managing coronavirus correctly; do we need to think about a change in our treatment regiments? My guest is Dr Cameron Kyle-Sidell. He’s a physician trained in emergency medicine and critical care, and he practices at Maimonides in Brooklyn, New York. Welcome, Dr Sidell.

Cameron Kyle-Sidell, MD: Thank you very much. Thank you for inviting me.

Whyte: You’ve been talking a lot about the number of patients, the percentage of patients dying on ventilators. When did you first notice this trend?

Kyle-Sidell: In preparation of opening what became a full COVID-positive intensive care unit, we scoured the data just to see what was out there—those who have experienced it before us, primarily the Chinese and the Italians; it was hard to find exactly, like the rate of what we call successful extubation—meaning, someone was put on a ventilator and taken off. And that data are still hard to find. I imagine there are a lot of people still on ventilators. But from the data we have available, it appears to be somewhere between 50% and 90%. Most published data puts it around 70%. So, that’s a very, very high percentage in general, when one thinks of a medical disease.

Whyte: You’ve been talking on social media; you say you’ve seen things that you’ve never seen before. What are some of those things that you’re seeing?

Kyle-Sidell: When I initially started treating patients, I was under the impression, as most people were, that I was going to be treating acute respiratory distress syndrome (ARDS), similar in substance to AIDS, which I saw as a fellow. And as I start to treat these patients, I witnessed things that are just unusual. And I’m sure doctors around the country are experiencing this. In the past, we haven’t seen patients who are talking in full sentences and not complaining of overt shortness of breath, with saturations in the high 70s. It’s just not something we typically see when we’re intubating some of these patients. That is to say, when we’re putting a breathing tube in, they tend to drop their saturations very quickly; we see saturations going down to 20 to 30. Typically, one would expect some kind of reflexive response from the heart rate, which is to say that usually we see tachycardia, and if patients go too low, then we see bradycardia. These are things that we just weren’t seeing. I’ve seen literally a saturation of zero on a monitor, which is not something we ever want and something we actively try to avoid. And yet we saw it, and many of my colleagues have similarly seen saturations of 10 and 20. We try to put breathing tubes in to avoid this very situation. Now, these patients tend to desaturate extremely quickly, so these situations have occurred. Still, what we’re seeing—that there was no change in the heart rate—is just unusual. It’s just something that we are not used to seeing.

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