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Weekly Rounds 3-29-20


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Please join our efforts to respond effectively to COVID-19 by signing on to our letter calling for public health safeguards and protection of health workers.

In the letter we call on federal, state, & local government officials and health systems to:

  1. Enact Shelter-in-Place Nationwide Through Federal And/or State-level Action.

  2. Ensure access to Personal Protective Equipment (PPE) & Clear Protocols on PPE Use.

  3. Ensure That Our Health Workers Will Continue to Be Healthy and Available to Take Care of Our Patients and Communities.

Read the full text of the open letter and add your name >>

If you've already signed, thank you, and please share it with friends and colleagues.

We remain so proud and thankful for the awe-inspiring work you are doing.

THE MUST READS:

What It’s Like Being a New York ER Doctor During This Pandemic - (Washington Post)

ER Doctor in NYC says ‘Everything is Transformed’ as COVID-19 Grips Hospitals - (PBS NewHour)

Note: Both of the above stories are about Dr Craig Spencer’s experience as an ER Doc. in NYC. Because Dr. Spencer tells his very personal story he has helped Americans to better understand the scope, reality and intensity of this pandemic. WE NEED MORE OF THIS. Please, If you can, tell your story on social media and tag @DrsforAmerica and use the hashtag #COVID19USFrontlines, and #DFAdocs

How the Pandemic Will End - (The Atlantic)

THE WEEK IN QUOTES:

 

THE EPICENTER: We (The United States) are the new global epicenter of the disease,” - Dr. Sara Keller, Johns Hopkins Medicine

 

FRONTLINES: "We are scared. We are stressed. And we are worried about ... our ability to take care of our patients and our communities. As well as our ability to take care of ourselves." - Dr. Megan Ranney

 

STAY HOME: If someone told me if I would be able to save 40 lives if I stayed home, missed school, lost income & missed socializing  for 6-10 weeks, I would do it in a second. Everyone would. If it was 4 lives or 1– someone’s mom— we would.Andy Slavitt - @ASlavitt - Former Medicare, Medicaid, ACA head for Obama 

 

A MESSAGE FROM ITALIAN DOCTORS: "We are learning that hospitals might be the main COVID-19 carriers, as they are rapidly populated by infected patients, facilitating transmission to uninfected patient," Italian Doctors - New England Journal of Medicine

 

THE ORIGINAL SIN: “The testing fiasco was the original sin of America’s pandemic failure, the single flaw that undermined every other countermeasure. If the country could have accurately tracked the spread of the virus, hospitals could have executed their pandemic plans, girding themselves by allocating treatment rooms, ordering extra supplies, tagging in personnel, or assigning specific facilities to deal with COVID-19 cases. None of that happened.Ed Yong - The Atlantic  - A MUST READ ARTICLE

 

PATCHWORK: The Trump administration declined to issue a national shelter-in-place order. The resulting patchwork across the country left enough economic hubs closed to crash the economy, but enough places up and running to allow the virus to continue to spread rampantly.” - Caitlin Owens, Axios

 

THE TIMELINE: "You don't make the timeline, the virus makes the timeline." - Dr. Anthony Fauci

 

BILL GATES: We’re entering into a tough period that if we do it right we’ll only have to do it once, for six to 10 weeks. It has to be the whole country, we have to raise the level of testing and the prioritization of that testing quite dramatically in order to make sure we go through one shutdown … Having states go at different things or thinking you can do it county-by-county, that will not work. The cases will be exponentially growing anywhere you don’t have a serious shutdown,” ... Basically the whole country needs to do what was done in the part of China where they had these infections.” - Bill Gates - Founder of Microsoft Corporation

 

YOU’RE MISSING THE MAGNITUDE OF THE PROBLEM: You want a pat on the back for sending 400 ventilators? What are we going to do with 400 ventilators when we need 30,000 ventilators? You’re missing the magnitude of the problem, and the problem is defined by the magnitude.”- New York Governor Andrew Cuomo

 

MEDIA COVERAGE: 

 

COVID-19:

 

Assessing Underlying State Conditions and Ramp-Up Challenges for the COVID-19 Response - (The Commonwealth Fund)

 

PERSONAL PROTECTIVE EQUIPMENT: 

 

Critical Supply Shortages — The Need for Ventilators and Personal Protective Equipment During the Covid-19 Pandemic - (New England Journal of Medicine)

 

Scramble for Medical Equipment Descends Into Chaos as U.S. States and Hospitals Compete for Rare Supplies - (Washington Post)

 

Governments and Companies Race to Make Masks Vital to Virus Fight (New York Times)

 

The Next Coronavirus Crisis Will Be a Shortage of Doctors and Nurses - (Vox)



COVID-19 TESTING:

 

CDC Coronavirus Testing Decision Likely To Haunt Nation For Months To Come - (Kaiser Health News)

 

FDA Approves Plasma Treatment for Coronavirus on Conditional Basis - (Wall Street Journal)

 

U.S. Communities Struggle to Deal With Coronavirus Testing Backlogs - (Wall Street Journal)

 

New Coronavirus Test Returns Results in 45 Minutes, but it May Be Limited to Hospitals - (STAT)

 

HEALTH SYSTEM RESPONSE:

 

Project N95 The National COVID-19 Medical Equipment Clearinghouse - (Project N95)

 

US Hospitals Brace for Another Challenge — an Unprecedented Shortage of Nurses - (NBC News)

 

The Hardest Questions Doctors May Face: Who Will Be Saved? Who Won’t? - (New York Times)

 

Health Workers Fear U.S. Hospitals Will Become Coronavirus Hot Spots - (Politico

 

CAPITAL HILL RESPONSE: 

 

What Exactly Is in This Massive $2 Trillion Senate Coronavirus Bill? - (Washington Post)

 

COVID-19 Economic Stimulus Deal Passes Senate With Billions in Hospital Funding - (Modern Healthcare)



TRUMP ADMINISTRATION RESPONSE:


Trump Team Failed to Follow NSC’s Pandemic Playbook - (Politico)

 

Exclusive: U.S. Axed CDC Expert Job in China Months Before Virus Outbreak - (Reuters)

 

AFFORDABLE CARE ACT AND COVID-19:

 

Could ObamaCare Save Jobless Americans from Coronavirus? - (Politico)

 

ACA Coverage Could Swell in Response to Coronavirus, Testing Health Law - (Wall Street Journal)

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REACH OUT:  If you get an opinion piece or letter to the editor published PLEASE send me (Pete Van Vranken - pete@drsforamerica.org) an email with a link to your piece and I will include it in the next edition of the Physician Rounds.  Also please send me any feedback you may have on the “Rounds” - Much Appreciated  - Pete

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