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Doctor Texas

Texas doctor, 28, dies following two month COVID battle after she became infected treating patients – Daily Mail

A young Texas doctor, 28, has died from coronavirus after becoming infected treating positive patients in a hospital emergency room and suffering a ‘massive brain bleed’. 

Adeline Fagan, an OB/GYN doctor originally from LaFayette, New York, died Saturday morning following a two month battle with COVID-19.

Fagan had taken a turn for the worse hours after her family said she was ‘doing wonderfully’ in her fight against the deadly virus.  

Her devastated family announced the tragic news on a GoFundMe page set up to help pay for the doctor’s medical expenses. 

Adeline Fagan (pictured), a 28-year-old Texas doctor, has died of a ‘massive brain bleed’ following a two month battle with COVID-19, after she became infected with the deadly virus while treating positive patients in a hospital emergency room

Fagan was in her second year of residency at a hospital in Houston, when she became sick back in July. 

The doctor, who had a history of asthma, worked in the OB/GYN unit delivering babies but was working shifts in the ER treating COVID-19 patients as the state’s hospitals buckled under the weight of soaring cases and deaths.

During a 12-hour shift on July 8, Fagan began feeling ‘under the weather’ with flu-like symptoms, according to the GoFundMe page.

She tested positive for COVID-19 and her condition deteriorated, leading to her being hospitalized.

Fagan spent several weeks in hospital, with doctors giving her several drugs and respiratory therapies to help her overcome the virus. 

She was intubated and placed on a ventilator on August 3 as her lungs could no longer support her, the GoFundMe post read. 

The following day doctors ‘took the last remaining step available’ and placed Fagan on ECMO, extracorporeal membrane oxygenation, to oxygenate her blood because she was ‘not responding well to the ventilator’.

Fagan, an OB/GYN doctor originally from LaFayette, New York, died Saturday morning, hours after a nurse found her unresponsive and she was rushed for emergency surgery

Fagan’s devastated family announced the news of her death on a GoFundMe set up to help pay for the doctor’s medical expenses in her fight against the virus

Her sister Maureen wrote on the GoFundMe that the family expected her to be on the ventilator and ECMO for at least six to eight weeks while her lungs healed from the virus.  

Maureen described her sister as a ‘fighter’ who had ‘set her mind to surviving this virus’.   

Brant, the doctor’s dad, posted an update on the GoFundMe page Saturday announcing Fagan had died early that morning. 

He said his daughter had been ‘doing wonderfully for the last few days’ and the family got a ‘good report’ on her condition just minutes before she suddenly worsened. 

‘As we settled down for the night 30 minutes later, the phone rang – Houston, TX,’ he wrote. 

A nurse had found Fagan ‘unresponsive’ and she was rushed for a CT scan that showed she had suffered a ‘massive brain bleed’.  

She needed emergency surgery and doctors warned her chances of survival were limited. 

‘The neurosurgeon said it was a ‘1 in a million’ chance she would even survive the procedure, but that Adeline would have several severe cognitive and sensory limitations if she did survive,’ he wrote.  

A brain bleed can be a side effect of the ECMO, he explained. 

‘Everyone was crushed by the events, the nurses, the doctors, and, of course, us. The doctor said they have seen this type of event in COVID patients that spend time on ECMO,’ Brant wrote.

‘The vascular system is also compromised by the virus, resulting in bleeds. We spent the remaining minutes hugging, comforting, and talking to Adeline. And then the world stopped.’  

Brant wrote of the family’s heartache when their ‘world stopped’ and paid tribute to his daughter, urging others to ‘be an ‘Adeline’ in the world’.

‘The time the world stopped for a moment and will never be the same. Our beautiful daughter, sister, friend, physician, Adeline Marie Fagan, MD passed away,’ he wrote.   

‘If you can do one thing, be an ‘Adeline’ in the world. Be passionate about helping others less fortunate, have a smile on your face, a laugh in your heart, and a Disney tune on your lips,’ he wrote. 

Fagan’s death comes as cases have topped 729,284 and the death toll reached 14,843 in hard-hit Texas.   

Across America, the death toll has now topped 200,000 and more than 6.8 million people have been infected. 

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Doctor recommends

Doctor recommends waiting until October for flu shot – WBRZ

BATON ROUGE – Some providers are already offering the flu vaccine and shipments will increase in September. With the ongoing pandemic, doctors say this year’s flu vaccine is very important.

“We’re trying to prevent people from having two respiratory infections at the same time,” Baton Rouge General Family Medicine Dr. Rachael Kermis said.

Concerns about flu season are heightened with COVID-19. Kermis says it might be tempting to get that flu vaccine now, but this year it’s recommended that people wait until October if they can.

“Some places have started offering them now in September, but ideally we want you to kind of wait until October, because that way you get about six months of coverage with the flu shot,” she said.

Flu season starts anytime in the late fall, peaks in January or February, and sometimes continues into May. Kermis says by getting the flu shot in October, it extends coverage over when the peak of flu is happening.

“Already, COVID-19 has so many unknowns in how it attacks the body, but we know it hits the lungs pretty hard. And the flu hits the lungs hard as well. So to minimize the risk, we want to get those flu shots,” she said.

Another reason the flu vaccine is extra important this year is to not overwhelm health systems if COVID-19 cases start spiking. The flu vaccine is one of the main ways to prevent the virus. Kermis says in addition to the vaccine, practice good handwashing, wear a mask, and stay away from others who are sick.

It takes two weeks after vaccination for your body to produce antibodies that will protect you from the flu. Anyone six months and older is recommended for annual flu vaccination.

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Doctor Football

PSU football doctor: 30-35 percent of COVID-19-positive Big Ten athletes had myocarditis – Centre Daily Times

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Coronavirus Doctor

Coronavirus: ER doctor says trend just beginning for Orange County as hospitalizations spike – KABC-TV

ORANGE COUNTY, Calif. (KABC) — Orange County has seen a 9.4% increase in hospitalizations over the last 3 days. It’s been a trend for the last couple of weeks.

“For Orange County specifically, I would say we’re in the top of the 2nd inning. I mean, this is just the beginning. We’ve heard about it all over the country, but it’s real now for us in Orange County,” said Dr. James Keany, a doctor in the emergency department at Mission Hospital in Mission Viejo.

Although they’ve seen an increase in COVID-19 patients, he says they’ve been able to manage it all inside the hospital. If they surpass 12 patients at any given time, they’ll have to start using the triage tent outside.

“Nobody knows what the future holds, but I can tell you, we’re on a trajectory for a serious surge at this point. I mean we’re definitely seeing a huge increase in numbers. We probably have four times the patients in the hospital now than we did a week ago,” Dr. Keany said.

Right now, about 60% of the more than 6,000 hospital beds in Orange County are occupied. If that changes, along with a number of other factors, the Orange County Health Care Agency tells us they would move to crisis care, urging hospitals to modify operations like cancelling elective procedures again or staffing surge beds.

Over at Hoag Hospital in Newport Beach, they’re also ready to adjust, but the surge has them needing plasma.

“We need people who have had the infection and gotten past the infection to donate plasma that contains these important antibodies that can neutralize the Covid virus,” said Dr. Arell Shapiro, medical director of clinical lab and transfusion service at Hoag Hospital in Newport Beach.

There’s more research that needs to be done, but Dr. Shapiro says they’re hopeful it will help patients as it did with Ebola.

“I think it’s a really important thing to do and I know there’s a lot of people out there that are looking for ways to help. This is a great way,” she said.

To donate, go to Hoag.org/COVID.

A spokesperson for Providence says its three Orange County Hospitals are prepared for an escalation of cases, working from lessons learned in the four months since the pandemic hit Southern California. We’re told they have fine-tuned protocols for triage and treatment, increased supplies of PPE and devised methods for ensuring the safety of everyone in the hospitals.

Kaiser Permanente Orange County says it fortunately did not undo all the preparation work it undertook in the last couple of months to brace for the worst. They say they are in a position to identify and manage potential hot spots and surges of patients seeking high-level care for COVID-19.

3 more California counties added to COVID-19 watch list, Gov. Newsom announces

Copyright © 2020 KABC-TV. All Rights Reserved.

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Doctor Treated

Top E.R. Doctor Who Treated Coronavirus Patients Dies by Suicide – The New York Times

“She tried to do her job, and it killed her,” said the father of Dr. Lorna M. Breen, who worked at a Manhattan hospital hit hard by the coronavirus outbreak.

Credit…Chris Leary Photography

A top emergency room doctor at a Manhattan hospital that treated many coronavirus patients died by suicide on Sunday, her father and the police said.

Dr. Lorna M. Breen, the medical director of the emergency department at NewYork-Presbyterian Allen Hospital, died in Charlottesville, Va., where she was staying with family, her father said in an interview.

Tyler Hawn, a spokesman for the Charlottesville Police Department, said in an email that officers on Sunday responded to a call seeking medical assistance.

“The victim was taken to U.V.A. Hospital for treatment, but later succumbed to self-inflicted injuries,” Mr. Hawn said.

Dr. Breen’s father, Dr. Philip C. Breen, said she had described devastating scenes of the toll the coronavirus took on patients.

“She tried to do her job, and it killed her,” he said.

The elder Dr. Breen said his daughter had contracted the coronavirus but had gone back to work after recuperating for about a week and a half. The hospital sent her home again, before her family intervened to bring her to Charlottesville, he said.

Dr. Breen, 49, did not have a history of mental illness, her father said. But he said that when he last spoke with her, she seemed detached, and he could tell something was wrong. She had described to him an onslaught of patients who were dying before they could even be taken out of ambulances.

“She was truly in the trenches of the front line,” he said.

He added: “Make sure she’s praised as a hero, because she was. She’s a casualty just as much as anyone else who has died.”

In a statement, NewYork-Presbyterian/Columbia used that language to describe her. “Dr. Breen is a hero who brought the highest ideals of medicine to the challenging front lines of the emergency department,” the statement said. “Our focus today is to provide support to her family, friends and colleagues as they cope with this news during what is already an extraordinarily difficult time.”

Dr. Angela Mills, head of emergency medical services for several NewYork-Presbyterian campuses, including Allen, sent an email to hospital staffers on Sunday night informing them of Dr. Breen’s death. The email, which was reviewed by The New York Times, did not mention a cause of death. Dr. Mills, who could not be reached for comment, said in the email that the hospital was deferring to the family’s request for privacy.

“A death presents us with many questions that we may not be able to answer,” the email read.

Aside from work, Dr. Breen filled her time with friends, hobbies and sports, friends said. She was an avid member of a New York ski club and traveled regularly out west to ski and snowboard. She was also a deeply religious Christian who volunteered at a home for older people once a week, friends said. Once a year, she threw a large party on the roof deck of her Manhattan home.

She was very close with her sisters and mother, who lived in Virginia.

One colleague said he had spent dozens of hours talking to Dr. Breen not only about medicine but about their lives and the hobbies she enjoyed, which also included salsa dancing. She was a lively presence, outgoing and extroverted, at work events, the colleague said.

NewYork-Presbyterian Allen is a 200-bed hospital at the northern tip of Manhattan that at times had as many as 170 patients with Covid-19, the illness caused by the coronavirus. As of April 7, there had been 59 patient deaths at the hospital, according to an internal document.

Dr. Lawrence A. Melniker, the vice chair for quality care at the NewYork-Presbyterian Brooklyn Methodist Hospital, said that Dr. Breen was a well-respected and well-liked doctor in the NewYork-Presbyterian system, a network of hospitals that includes the Columbia University Irving Medical Center and the Weill Cornell Medical Center.

“You don’t get to a position like that at Allen without being very talented,” he said.

Dr. Melniker said the coronavirus had presented unusual mental health challenges for emergency physicians throughout New York, the epicenter of the crisis in the United States.

Doctors are accustomed to responding to all sorts of grisly tragedies, he said. But rarely do they have to worry about getting sick themselves, or about infecting their colleagues, friends and family members.

And rarely do they have to treat their own co-workers.

Another colleague said that Dr. Breen was always looking out for others, making sure her doctors had protective equipment or whatever else they needed. Even when she was home recovering from Covid-19, she texted her co-workers to check in and see how they were doing, the colleague said.

[If you are having thoughts of suicide, call the National Suicide Prevention Lifeline at 1-800-273-8255 (TALK) or go to SpeakingOfSuicide.com/resources for a list of additional resources. Here’s what you can do when a loved one is severely depressed.]

Benjamin Weiser and Joseph Goldstein contributed reporting.

  • Updated April 11, 2020

    • When will this end?

      This is a difficult question, because a lot depends on how well the virus is contained. A better question might be: “How will we know when to reopen the country?” In an American Enterprise Institute report, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery: Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • How does coronavirus spread?

      It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It may also be transmitted when we touch a contaminated surface and then touch our face.

    • Is there a vaccine yet?

      No. Clinical trials are underway in the United States, China and Europe. But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away.

    • What makes this outbreak so different?

      Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

    • What if somebody in my family gets sick?

      If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

    • Should I stock up on groceries?

      Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home.

    • Should I pull my money from the markets?

      That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.


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