Medical Miami

Miami medical teams feel helpless as COVID-19 devastates South Florida – Reuters

MIAMI (Reuters) – As the coronavirus ravages Florida, healthcare workers in Miami hospitals are struggling to cope with the emotional and physical impact of treating a crushing wave of COVID-19 patients.

After seeing 10,000 new cases a day become the norm across the state in July, many of those on the frontlines are frustrated with the apparent inability of local, state, and federal governments to coordinate an adequate response. They are equally aghast with what appears to be the reluctance or refusal of many Floridians to honor safety precautions to stop the spread of coronavirus.

“I know, and my colleagues know, that we’re putting a Band-Aid on a problem, we’re supporting people as best we can to get them through, but the real fight happens outside,” said Dr. Eric Knott, a pulmonary and critical care fellow working in three of Miami’s largest hospitals. “If you can’t stop the spread, all of my work is for nothing.”

For Miami doctors, concerns about the virus far surpass those stirred up by even the largest hurricanes.

“A hurricane tends to be a sort of finite amount, and this is infinite,” said Dr. Mark Supino, an attending physician in Jackson Memorial Hospital’s emergency department.

Many healthcare workers and union leaders were critical of Miami’s reopening several weeks after the number of cases of the novel coronavirus first began rising in early March.

On Friday, state health officials reported a total of 402,312 cases across Florida, with 135 new deaths bringing the total to more than 5,600.

While the death toll in South Florida has not approached that of New York City, an early epicenter of the U.S. outbreak, hospital beds and intensive care units across the region have filled to capacity, and in some cases surpassed it.

At Jackson Memorial Hospital, the largest facility in the region, officials have called in hundreds of additional medical workers as employees have fallen sick and had to stay home or be hospitalized. An auditorium was sealed and prepared for COVID-positive patients with a negative pressure system to limit the air flow to prevent new infections.

“In 10 years of medicine I never had to put another nurse on life support, I never had to worry about my co-workers dying,” said Kevin Cho Tipton, a critical care nurse practitioner who works at one of Miami’s largest public hospitals. “It’s been emotionally very challenging, physically very challenging.”

Among the most difficult and stressful parts of the job are the sheer number of ICU patients.

Healthcare workers must constantly keep tabs on the vital organs of patients on ventilators, and many of the sick have to be flipped over and over again to stave off any complications from lying in one position for a prolonged period. To do so without risking detaching any of the life support systems can take up to six people.

The intensity has overwhelmed some.

Jude Derisme, vice president of Service Employees International Union 1199, which represents 25,000 medical workers across Florida, said the union had to help get one nurse, a 25-year veteran, off a hospital floor after a “break down.”

FILE PHOTO: Emergency Medical Technicians (EMT) arrive with a patient while a funeral car begins to depart at North Shore Medical Center where coronavirus disease (COVID-19) patients are treated, in Miami, Florida, U.S. July 14, 2020. REUTERS/Maria Alejandra Cardona/File Photo

“My fear is that if we don’t find a way to bring these numbers down over the next two weeks, if they’re worse than these last two weeks, we’re going to be stretched too thin,” said Martha Baker, a registered nurse and president of Service Employees International Union 1991, which represents about 5,600 medical professionals within Miami’s Jackson Health System. “The sad news is that that’s when patients die.”

While her chapter of the union along with others across Florida have advocated for more personal protective equipment, better overtime pay, hazard pay, and worker’s compensation for those waylaid by the virus, they also acknowledged that medical workers can only do so much against the pandemic.

“This is war, and instead of bullets we’ve got viruses,” Baker said. “If we don’t find a way to dampen our curve we just keep chasing our tails.”

Reporting by Zachary Fagenson in Miami; Editing by Frank McGurty and Tom Brown

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Medical Oklahoma

Oklahoma Medical Professionals Concerned With Spike In COVID-19 Cases In State – KWTV

Tuesday, July 7th 2020, 4:40 pm

By: Karl Torp

On Tuesday, the Oklahoma Department of Health reported 858 new COVID-19 cases.

That shatters the previous record high of 585 cases.

The new numbers have health experts once again calling for a mask mandate. 

“I strongly believe we need to have a mask mandate,” said Dr. Dale Bratzler, OU’s chief COVID officer.

Bratzler said wearing masks will dramatically slow the transmission of the virus and data said wearing a mask could ultimately improve the economy.

There is research that suggests COVID-19 has mutated to become a more contagious virus, but not less dangerous, Bratzler said.

“The studies I have read suggest there is more virus in the nose of those people, so they spread it easier,” Bratzler said.

The state health department data shows 9.8% tested positive of the more than 25,000 tested over the three-day holiday weekend.

More people are being tested, but the infection rate is also increasing.

New York Gov. Andrew Cuomo added Oklahoma to a list of 19 states under a quarantine order when entering the state.

The number of current hospitalizations in Oklahoma has more doubles in the past three weeks and now stands at 426.

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Medical suspensions

UFC 250 medical suspensions: Amanda Nunes, Felicia Spencer face potential six-month terms – MMA Fighting

Two-division UFC champ Amanda Nunes and featherweight title challenger Felicia Spencer had very different competitive outcomes at UFC 250, but both face potentially long timeouts.

According to medical suspensions released on Monday by the Nevada Athletic Commission, which regulated the ESPN+ pay-per-view event this past Saturday at UFC APEX in Las Vegas, Nunes needs an X-ray of her right tibia and fibula to avoid a six-month suspension.

Spencer, meanwhile, needs doctor clearance for an orbital fracture and broken nose to shorten a half-year timeout.

Nunes battered Spencer over five rounds to retain the UFC featherweight title. So dominant was the champ’s performance, many fighters said online that the Spencer’s corner could have thrown in the towel.

If Nunes follows through with her stated post-fight plans, a six-month suspension will have no effect on her career. The champ said she might not fight for the rest of 2020 as she prepares for the arrival of her daughter with UFC strawweight Nina Ansaroff.

In other notable suspensions, Raphael Assuncao and Eddie Wineland, who were viciously knocked out in respective bouts against ex-champ Cody Garbrandt and Sean O’Malley, received 60-day suspensions.

Here’s the full list of medical suspensions from UFC 250:

Amanda Nunes: needs X-ray of right tibia/fibula – if broken, needs orthopedic doctor clearance or suspended until Dec. 4; suspended at a minimum until July 7 with no contact until June 28.

Felicia Spencer: needs clearance from maxillofacial surgeon on left orbital floor and nasal fracture or suspended until Dec. 4; suspended at a minimum until Aug. 6 with no contact until July 22.

Raphael Assuncao: suspended until Aug. 6 with no contact until July 22.

Neil Magny: suspended until July 7 with no contact until June 28.

Eddie Wineland: suspended until Aug. 6 with no contact until July 22.

Chase Hooper: needs X-Ray of right thumb – if broken, needs orthopedic doctor clearance or suspended until Dec. 4; suspended at a minimum until July 7 with no contact until June 28.

Gerald Meerschaert: suspended until July 22 with no contact until July 7.

Cody Stamann: suspended until July 7 with no contact until June 28.

Brian Kelleher: needs right foot X-ray – if broken, needs orthopedic doctor clearance or suspended until Dec. 4; suspended at a minimum until July 7 with no contact until June 28.

Charles Byrd: needs left wrist X-ray – if broken, needs orthopedic doctor clearance or suspended until Dec. 4; suspended at a minimum until July 7 with no contact until June 28.

Alex Perez: needs right ankle, foot and right ribs X-ray – if broken, needs orthopedic doctor clearance or suspended until Dec. 4; suspended at a minimum until July 7 with no contact until June 28.

Jussier Formiga: suspended until July 22 with no contact until July 7.

Devin Clark: needs clearance from maxillofacial surgeon on left orbital floor fracture or suspended until Dec. 4; suspended at a minimum until Aug. 6 with no contact until July 22 for laceration.

Gilbert Burns: needs new MRI by June 3, must have left foot sutures cleared by doctor or no contact until July 7.

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journal Medical

Medical journal retracts study on hydroxychloroquine for Covid-19 treatment – TRT World

A medical journal has retracted an influential study which claimed the malaria drug hydroxychloroquine may increase heart problems in Covid-19 patients. The article, published in the Lancet last month, prompted the World Health Organization to stop trials of the drug. But as Shamim Chowdhury reports, scientists say there’s still little evidence that it’s beneficial in treating coronavirus.

#Hydroxychloroquine #Malaria #Covid19






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Medical Senior

Senior Medical Advisor in China Warns of Second Wave, Says Country is ‘Not Better Than the Foreign Countries’ – Newsweek

A medical adviser to the Chinese central government has warned citizens are “still susceptible” to new infections during a second wave of COVID-19.

Dr. Zhong Nanshan, a pulmonologist who rose to prominence during a SARS epidemic in the early 2000s, made his remarks this weekend after new clusters of the novel coronavirus re-surfaced in some regions of China, including in the city of Wuhan where the infectious respiratory disease caused by the coronavirus is believed to have originated last year.

Dr. Nanshan does not hold an official government position, but has emerged during the health crisis as a figurehead for China’s containment efforts on state TV, relaying the confirmation in January that the disease spreads from person-to-person.

Now, speaking after Chinese officials have moved to loosen city quarantines and reopen travel routes, the veteran medical expert says the crisis is not over yet.

“The majority of Chinese [citizens] at the moment are still susceptible to the COVID-19 infections because [of] a lack of immunity. We are facing a big challenge, it’s not better than the foreign countries… at the moment,” he said in an interview with CNN.

On May 11, Wuhan officials had reported the first new cluster of infections in the city, roughly a month after the 76-day lockdown ended, according to Reuters. There were five new cases confirmed, with citizens tracked to the same residential area.

Last weekend, Chinese authorities announced the city of Shulan, in the Jilin Province, had been re-designated as high risk after a new cluster was tied to a woman with no known previous exposure to the virus, The Guardian reported.

As a result, state media outlet GCTN reported city authorities ordered the temporary closure of all public places and told all residents to stay home.

China has officially recorded just over 84,000 cases of novel coronavirus, but the data has been met with skepticism from government officials and health experts, who have questioned the sudden drop in infectious and a lack of transparency.

On a global scale, China is not the only nation concerned about a second wave of infections, with officials in Europe and the U.S. planning for future outbreaks.

The director of the Centers for Disease Control and Prevention (CDC), Robert Redfield, told The Washington Post last month a second wave of COVID-19 in the U.S. may be even worse than the first as it could coincide with the start of the flu season.

Chinese officials deny playing down the dangers of COVID-19, although some experts have suggested the real number of cases could be four times the official figure. Globally, there have been over 4.6 million cases and more than 312,000 deaths linked to the coronavirus so far. The U.S. has recorded at least 1,467,884 infections.

Contrary to the stance of U.S. intelligence, Secretary of State Mike Pompeo claimed to have “significant” evidence the virus came from a Wuhan laboratory. He later walked back the comment, saying it may have come from “the vicinity of the lab.”

President Donald Trump previously alluded to a similar suggestion, appearing to link the pandemic to the region’s Institute of Virology. Last month, U.S. intelligence said in a joint statement it agreed the virus was “not man-made or genetically modified.”

Speaking to CNN, Dr. Nanshan said claims that the virus could be traced to a Chinese laboratory were unlikely, noting he believed the disease was linked to animals.

Dr. Anthony Fauci, a senior medical advisor to the U.S. government, recently agreed that the evidence suggested the virus had “evolved in nature and then jumped species.”

Zhong Nanshan
China’s top Severe Acute Respiratory Syndrome (SARS) expert Zhong Nanshan during his rounds in the infectious disease ward, at the Guangzhou Institute of Respiratory Diseases 10 June 2005, in Guangzhou, southern China’s Guangdong province.

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