Michigan ER Nurse: ‘It’s Going to Be Just like Italy’

In this photograph taken from behind a window, doctors work on Covid-19 patients in the intensive care unit of San Matteo Hospital, in Pavia, northern Italy, Thursday, March 26, 2020. The San Matteo hospital is where Patient 1, a 38-year-old Unilever worker named Mattia, was kept since he tested positive …

By Hannah Bleau – 27 Mar 2020

A Michigan emergency room nurse on the front lines of the coronavirus pandemic issued a dire warning and chilling update on the reality of the virus and the strain it is having on hospitals, begging people to stay home and warning that “it’s getting to the point now that it’s going to be just like Italy.”

Mary MacDonald, who works for the Ascension Health System, posted a viral update on Instagram this week, detailing her experience after working at the Southfield location to assist with an influx of patients.

“I’ll have to admit, in being totally transparent, if you had asked me ten-plus days ago if I thought this was going to get as bad as it was, I would have told you no,” she said in the video:

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“I mean, you heard the rumors. You saw the trends. But until you see if first hand, you just have no idea what it’s like — what’s it’s going to be like. And it’s truly frightening,” she continued, explaining that they are now seeing double — even triple — the number of patients coming in, many of whom are not getting tested.

Coming into the hospital, she said, does not serve to benefit a person unless he or she is experiencing “respiratory distress,” and even then, the hospitals are quickly running low on vital supplies to treat those patients — from ventilators to Tylenol.

“It’s getting to the point now that it’s going to be just like Italy. We intubated, from 10:00 p.m. last night to this morning, we intubated two of my patients within a half hour. And upwards of ten patients were put on ventilators. My patient took the last ventilator available in the hospital,” she said, further detailing the chilling new reality.

“Resources are very slim. We have no medications to keep these patients even ventilated, let alone ventilators,” she said. “Medications like fentanyl or propofol that would keep a patient sedated while they’re intubated we’re out of. … We’re out of Tylenol.”

“And that’s not even going back to the fact that we don’t have any ventilators to put these patients on, so we’re going to start making life or death decisions in regards to people’s care,” she said.

“So you’re going to come in and you’re going to get tagged whether you deem necessary to even get intubated, or are you being sent home to die,” she added:

Normally, if a patient was to pass away, it would be because we tried everything that we could, we did everything that we could, we had all the resources and all the people that we needed to help save this patient’s life, and it was just their time. And now, we aren’t giving the patient the time to choose whether it’s their time or not. We’re choosing for them.

“I never wanted to go into a career where I wasn’t able to save everyone,” the nurse said.

“This is truly scary, and nobody is taking it seriously,” she continued, noting the pictures on social media of spring breakers partying on beaches and others not practicing proper social distancing.

Hospitals are also running out of gloves, and medical professionals are forced to reuse masks “because we are completely out of resources,” MacDonald continued.

“There are no masks. There are no gowns. They’re running low on gloves because everyone has panicked and stockpiled this so that medical staff doesn’t have it,” she said, showing the camera the brown paper bag she uses to transport her mask to and from work.

“We cannot stay safe, and we cannot care for all of these people that are coming in because no one is taking this seriously. And I am being super transparent. I was one of those people that wasn’t taking it seriously,” she said.

“But I’m here to tell you that you need to. We are literally making life and death decisions for people,” MacDonald added, begging people to heed her advice and stay home.

“Stay home with your loved ones. Don’t go out. Don’t go to the grocery store. Don’t go through the drive-thrus. Don’t do anything that could put you at risk to have to see me at the end of the tunnel,” she said. “I’m telling you it’s not worth it. And I don’t know what I can do to save people anymore, and that is something I’ve never wanted to say in my entire career.”

Her warning comes as Michigan emerges as one of the United States’ latest coronavirus hotspots, with nearly 3,000 confirmed cases and 60 related deaths, including a Detroit mother of four.

Michigan Gov. Gretchen Whitmer (D) has issued stringent stay-at-home orders, which prohibit “all public and private gatherings of any number of people occurring among persons outside a single household.”

 

Leaked Draft Letter Reveals Michigan Hospital’s Policy to Ration Ventilators for Coronavirus Patients

People are tested for coronavirus at the Arab Community Center for Economic and Social Services (ACCESS) center in Dearborn, Michigan on March 26, 2020. - The US was quickly becoming a new epicenter of the global coronavirus pandemic Thursday as new infections soared and unemployment claims skyrocketed to a historic …

By Rebecca Mansour – 27 Mar 2020

A draft letter by one of southeast Michigan’s major hospital systems was leaked online Thursday revealing the hospital’s policy to prioritize care for “patients who have the best chance of getting better” in the event of a shortage due to the coronavirus pandemic.

The letter was drafted by officials at the Henry Ford Health System and is addressed to “our patients, families and community.” It outlines the criteria for which patients will be eligible for care if the hospital reaches capacity and is forced to ration limited resources. “Patients who have the best chance of getting better are our first priority. Patients will be evaluated for the best plan of care and dying patients will be provided comfort care.”

The letter explains the policy in the event of a shortage of ICU beds and ventilators: “If you (or a family member) becomes ill and your medical doctor believes that you need extra care in an Intensive Care Unit (ICU) or Mechanical Ventilation (breathing machine) you will be assessed for eligibility based only on your specific condition.”

Some of the conditions that may make a person ineligible are listed as “severe heart, lung, kidney or liver failure; Terminal cancers; Severe trauma or burns.”

A statement issued Thursday night by Dr. Adnan Munkarah, executive vice president and chief clinical officer of Henry Ford Health System, confirmed the authenticity of the draft letter, but stressed that it reflects a “worst case scenario.”

“With a pandemic of this nature, health systems must be prepared for a worst case scenario,” Munkarah said. “Gathering the collective wisdom from across our industry, we carefully crafted our policy to provide critical guidance to healthcare workers for making difficult patient care decisions during an unprecedented emergency.”

He added, “These guidelines are deeply patient focused, intended to be honoring to patients and families. We shared our policy with our colleagues across Michigan to help others develop similar, compassionate approaches. It is our hope we never have to apply them and we will always do everything we can to care for our patients, utilizing every resource we have to make that happen.”

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The draft letter was leaked online Thursday when Nicholas Bagley, a University of Michigan law professor, tweeted out an image of the letter on what appeared to be official hospital letterhead.

The full contents of the letter was printed by the Detroit Free Press (emphasis in original):

To our patients, families and community:

Please know that we care deeply about you and your family’s health and are doing our best to protect and serve you and our community. We currently have a public health emergency that is making our supply of some medical resources hard to find. Because of shortages, we will need to be careful with resources. Patients who have the best chance of getting better are our first priority. Patients will be evaluated for the best plan of care and dying patients will be provided comfort care.

What this means for you and your family:

1. Alert staff during triage of any current medical conditions or if you have a Do Not Resuscitate (DNR)/Do Not Attempt Resuscitation (DNAR) or other important medical information.

2. If you (or a family member) becomes ill and your medical doctor believes that you need extra care in an Intensive Care Unit (ICU) or Mechanical Ventilation (breathing machine) you will be assessed for eligibility based only on your specific condition.

3. Some patients will be extremely sick and very unlikely to survive their illness even with critical treatment. Treating these patients would take away resources for patients who might survive.

4. Patients who are not eligible for ICU or ventilator care will receive treatment for pain control and comfort measures. Some conditions that are likely to may [sic] make you not eligible include:

  • severe heart, lung, kidney or liver failure
  • Terminal cancers
  • Severe trauma or burns

5. Patients who have ventilator or ICU care withdrawn will receive pain control and comfort measures.

6. Patients who are treated with a ventilator or ICU care may have these treatments stopped if they do not improve over time. If they do not improve this means that the patient has a poor chance of surviving the illness — even if the care was continued. This decision will be based on medical condition and likelihood of getting better. It will not be based on other reasons such as race, gender, health insurance status, ability to pay for care, sexual orientation, employment status or immigration status. All patients are evaluated for survival using the same measures.

7. If the treatment team has determined that you or your family members does not meet criteria to receive critical care or that ICU treatments will be stopped, talk to your doctor. Your doctor can ask for a review by a team of medical experts (a Clinical Review Committee evaluation.)

Michigan has become an emerging hot spot for the coronavirus pandemic in the United States. The state’s top health official, Dr. Joneigh Khaldun, said hospitals in southeast Michigan are “at or near capacity.”

The Henry Ford Health System is one of the major hospital providers in the Metro Detroit area, along with the William Beaumont Health System. Both providers have said they were caring for more than 1,000 COVID-19 patients at their 13 hospitals. Due to the sudden surge, operating rooms were being converted into intensive care units, and clinics had been turned into rooms for patients needing other medical care.

On Wednesday, Beaumont Health said its hospitals were swamped with 650 patients who had tested positive for the COVID-19 virus and more than 200 with tests pending. It said it would transfer more people to its hospital in Wayne County and get help from other health care providers.

“The number of patients coming to our emergency rooms continues to grow rapidly,” Beaumont CEO John Fox said.

Fox told the Detroit Free Press on Wednesday that the pandemic is proving to be healthcare providers’ “worst nightmare,” noting that Beaumont is admitting 100 new coronavirus patients per day, at that time.

“What we all need to remember is that we got our first patient two weeks ago. So this is coming on hard and fast. This is definitely a biological tsunami,” he said.

“In my lifetime, we’ve never had a pandemic like this,” Fox said.

“Across our system, we are facing limitations and nearing capacity with our staffing, personal protective equipment, and mechanical ventilators,” said Beaumont’s chief operating officer Carolyn Wilson.

“The numbers are changing and increasing even in two-hour intervals,” said Bob Riney, the chief operating officer at Henry Ford, whose flagship hospital is in the city of Detroit.

Dr. Betty Chu, the chief clinical officer and chief quality officer at Henry Ford, predicted an “upcoming surge.” Chu noted that the hospital was already reallocating resources because the Henry Ford hospitals in West Bloomfield and Detroit have reached capacity due to COVID-19 patients.

“Today our capacity is quite full at those two hospitals — West Bloomfield and Henry Ford Hospital in Detroit,” Chu said Wednesday. “We fortunately have the luxury right now of having additional capacity at some of our other campuses.”

On Wednesday, Mary Macdonald, an Oakland County ER nurse, posted a viral video on Instagram detailing the harrowing conditions at southeast Michigan hospitals where medical staff are combating shortages of essential supplies and equipment to care for this surge of coronavirus patients.

“It’s getting to the point now that it’s going to be just like Italy,” Macdonald said. “From 10:00 PM last night to this morning, we intubated two of my patients within a half-hour. And upwards of 10 patients were put on ventilators. My patient took the last ventilator available in the hospital,” she said.

“Normally, if a patient was to pass away, it would be because we tried everything that we could, we did everything that we could, we had all the resources and all the people that we needed to help save this patient’s life, and it was just their time. And now we aren’t giving the patient the time to choose whether it’s their time or not. We’re choosing for them,” she said.

Macdonald also noted that the hospital is short of even basic supplies.

“Resources are very slim. We have no medications to keep these patients even ventilated, let alone ventilators,” she said, adding that they are out of medications like propofol to keep people sedated when they are intubated. She said they are even running out of Tylenol.

“There are no masks. There are no gowns. They’re running low on gloves because everyone has panicked and stockpiled this, so that medical staff doesn’t have it,” she said and then showed the disposable N95 mask she was required to stow in a brown paper bag after every workday to be reused for the rest of the year.

Macdonald urged her fellow Michiganders to take the social distancing instructions seriously in order to protect themselves and their neighbors from spreading the virus, otherwise the overwhelmed hospital system won’t be able to care for all the sick.

“We don’t have any ventilators to put these patients on,” Macdonald stressed. “So, we’re going to start making life or death decisions in regards to people’s care. So you’re going to come in and you’re going to get tagged whether you [are] deem[ed] necessary to even get intubated or are you being sent home to die. This is truly scary, and nobody is taking it seriously.”

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Khaldun, the chief medical office for Michigan’s Department of Health and Human Services, said the state is “probably a few weeks out” from hitting a peak in coronavirus cases. Michigan reported nearly 2,900 cases by Thursday and 60 deaths, both an increase of Wednesday’s statewide numbers.

Wayne County, home to Detroit, accounted for nearly half of the cases. Dr. Deborah Birx, the White House coronavirus response coordinator, called Wayne a “hot spot” nationally and said she was concerned the county was “having a more rapid increase.”

Southeast Michigan, like New York City, is a hub for international travel. As the capital of the world’s auto industry, Metro Detroit has daily direct flights to and from major cities in Europe and Asia.

Although the virus is hitting the entire metro area hard, the city of Detroit is uniquely vulnerable to the pandemic. Despite its dramatic economic rebound in recent years after its municipal bankruptcy in 2013, the city is still one of the poorest in the nation, with a poverty rate three times higher than the national average, and the city’s population suffers in greater numbers from underlining conditions like diabetes and heart disease.

“Part of what we’re seeing in Detroit is that there’s such a high number of individuals who have those underlying conditions, who have diabetes and the heart disease, who may have obesity,” Khaldun explained.

On Tuesday, Marlowe Stoudamire, 43, one of the young entrepreneurs involved in rebuilding the city, died from complications from COVID-19. According to health officials at Henry Ford Health System, Stoudamire had “no known underlying health conditions or recent travel.”

The city of Detroit’s police force has also been hit especially hard by the coronavirus pandemic, as 331 Detroit officers and 70 civilian police employees have been quarantined since the outbreak, and two members of the force have died this week due to COVID-19.

The Associated Press contributed to this report.

Funny???

By Mark Dice – 3/27/2020

Deep down, everyone knows this simple truth: Hollywood and the MSM are completely outdated and unnecessary.

Hey MSM, you got coronavirus as another opportunity to roast Trump… but do the polls agree?

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President Trump’s handling of the Covid-19 pandemic has been slammed by the mainstream media, with certain networks opting not to air his daily press briefings due to “misinformation.” But polls say the public disagrees.

The Washington Post has been fiercely critical of Trump since long before his election. Yet as the paper described his administration as barrelling “toward calamity” this week, a Washington Post-ABC News poll recorded Trump’s highest ever approval rating, with 48 percent of respondents giving the president the thumbs-up, compared to 46 percent disapproving.

That’s the first time Trump has scored positively on the Post’s poll, but when it comes to his handling of the ongoing pandemic which has killed more than 1,300 Americans thus far, the president’s results are even better. Fifty-one percent approve of his stewardship, while 45 percent don’t.

The results are played out across the board. Polls from Fox News, the Economist, Reuters, Gallup, Emerson and Axios all show positive results for Trump. Gallup’s poll found that 60 percent of Americans support Trump’s response to the crisis, while only 38 percent disapprove. Trump’s handling of the crisis has translated into a record high job approval rating in an average of national polls.

Yet the media tells a different story. President Trump’s daily press briefings are – to quote one NPR station in Seattle – so full of “false or misleading information” that the station will no longer air them.

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Staff at CNN and MSNBC have reportedly pleaded with network bosses to drop coverage of the briefings, and the New York Times ran a column on Thursday wondering aloud “should networks cover them?” Individual news personalities have excoriated the president for allegedly spreading baloney. MSNBC’s Rachel Maddow said on her show this week that if Trump “keeps lying…it’s going to cost lives.”

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But the public isn’t listening. The same Gallup poll whose respondents rated Trump at 60 percent found that out of all the institutions responding to the pandemic, Americans rated the news media the worst, with only 44 percent of Americans expressing any trust in it. Even Congress, a perennially unpopular institution in these kinds of surveys, scored higher than the media.

Trump’s bump in popularity can possibly be explained by the “wartime president” effect. In times of great crisis, the electorate tends to put partisan politics aside and rally around their leader. At least that’s how the theory goes. No US president has ever lost a re-election bid during wartime, and Trump has certainly attempted to portray the Covid-19 pandemic as a warlike situation. Describing the virus as an “invisible enemy,” Trump told reporters last week that “I view it as a, in a sense, a wartime president.” Whether Trump manages to keep the public on side as the death toll climbs, however, depends on his actions in the coming weeks.

The public’s falling trust in the media is a slightly more difficult trend to explain. The public’s confidence in journalism has been falling for the better part of a decade, yet the current crisis seems to have exacerbated the downward trend. For one thing, the general public could be tired of the media crying wolf too many times. Rachel Maddow, for instance, raised concern about Trump’s “misinformation,” yet cable news viewers will remember Maddow’s own spreading of bogus ‘Russiagate’ conspiracies during the first three years of Trump’s presidency.

Likewise, the public expects reporters to hold their leaders to account. Given the gravity of the coronavirus situation, the media could be grilling Trump on any number of issues, from his plan to reopen the American economy in a matter of weeks, to the breakdown of the $2 trillion stimulus bill he may sign shortly, to his reluctance to actually enforce the Defense Production Act to manufacture vital medical equipment.

Yet when reporters choose to scold Trump for “racism instead, the general public learns nothing new.

Trump’s gripes with the media are long-standing. However, the ongoing coronavirus pandemic seems to be winning more and more Americans over to his side.

TEXAS ORDERS 14-DAY QUARANTINE FOR NY-NJ-CT & NEW ORLEANS TRAVELERS

Texas Orders 14-Day Quarantine For NY-NJ-CT & New Orleans Travelers

The Big Apple is Coronavirus epicenter of the US, with cases flaring up in New Orleans as well

By Kit Daniels – March 27, 2020

Texas is now requiring air travelers from Coronavirus hotspots to quarantine for 14 days.

Gov. Greg Abbott has ordered travelers from New York, New Jersey and Connecticut – the tri-state area around New York City – and from New Orleans to isolate themselves for no less than 14 days and may only have direct contact with health care providers.

Abbott’s executive order came in response to White House recommending anyone who just visited the New York City area to self-quarantine as the Big Apple is Coronavirus epicenter of the US.

“Every person who enters the State of Texas as the final destination through an airport, from a point of origin or point of last departure in New York, New Jersey, Connecticut, or the City of New Orleans, or in any other state or city as may be proclaimed hereafter, shall be subject to mandatory self-quarantine for a period of 14 days from the time of entry into Texas or the duration of the person’s presence in Texas, whichever is shorter,” Abbott declared.
“This order to self-quarantine shall not apply to people traveling in connection with military service, emergency response, health response, or critical-infrastructure functions, as may be determined by the Texas Division of Emergency Management.”

“Each person covered under this order to self-quarantine shall be responsible for all associated costs, including
transportation, lodging, food, and medical care.”

Affected travelers are to notify the Texas Dept. of Public Safety of their quarantine location upon disembarking from their flight, the executive order added.

A order will likely to reduce air travel severely from these areas.

Leftist Journo Takes Pleasure In US Becoming Worst Hit Coronavirus Nation: ‘Who’s The S***hole Country Now?’

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“If you needed anymore evidence these people hate America.”

By Steve Watson

A leftist columnist seemingly took pleasure in the fact that the US has become the country with the most confirmed cases of coronavirus by mocking President Trump and proclaiming “Who’s the shithole country now?”

Julia Ioffe, who writes for GQ, tweeted out the inane comment along with a link to a New York Times story on the development.

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Of course, Ioffe provided no salient facts or useful information, such as President Trump’s assertion that the spike in confirmed cases is down to more robust testing being rolled out.

Nor did Ioffe indicate that in comparison with other hard hit countries, the mortality rate in the US stands at 1.5%, which equates to much fewer deaths per confirmed cases than Italy (10%), Spain (8%), Iran (7.6%) and France (6%).

No, Ioffe simply wanted to vent her pent up Trump derangement syndrome.

Americans are not amused:

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Italian Mayor Threatens to Send “Police With Flamethrowers” to Break Up Graduation Parties

Some continue to ignore social distancing rules.

By Paul Joseph Watson – 26 March, 2020

An Italian mayor has threatened to send police armed with flamethrowers to break up graduation parties as some people continue to ignore social distancing rules despite a nationwide lockdown.

“I’m getting news that some [people] would like to throw graduation parties,” said Vincenzo De Luca, mayor of the Italian town of Campania. “We will send police. With flamethrowers.”

Meanwhile, Massimiliano Presciutti, the mayor of Reggio Calabria, accused some Italians of behaving as if they were in the dystopian sci-fi movie I Am Legend by walking their dogs too much.

“Where the f*** are you all going? You and your dogs… which must have an inflamed prostate?” asked Presciutti.

The mayor said he had personally confronted one such individual.

“I stopped him and said, ‘Look, this isn’t a movie. You are not Will Smith in I Am Legend. Go home.”

Antonio Tutolo, the mayor of Lucera, also slammed people for arranging for mobile hairdressers to visit their homes.

“Getting in mobile hairdressers? What the f*** is that for? Who the f*** is supposed to even see you with your hair all done in a casket? Do you understand the casket will be closed?” he said.

At least 40,000 people were fined for being outside without good reason during the first week of the lockdown in Italy, with some facing 21 years in prison.

“Even gatherings like funerals have also been banned,” reports Zero Hedge. “At least 50 people in Sicily are facing serious criminal charges after breaking the quarantine order after having a funeral for a loved one.”

Meanwhile, across Europe, one particular demographic appears to be paying no attention to lockdown laws whatsoever – migrants.

Wicked, Immoral Woman: Pelosi Tried to Ram Illegal Ballot Harvesting into Coronavirus Stimulus Bill

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By Jim Hoft – March 26, 2020

For Speaker Pelosi, it was never about helping people. It was only about power.

Speaker Nancy Pelosi tried to ram illegal voter harvesting into the $2 trillion coronavirus stimulus bill.

The illegal ballot harvesting provision was removed from the final package but only because Pelosi got caught.
What an evil, wicked woman.

Democrats know cheating by voter harvesting works.
The Democrat Party flipped 7 of 14 Republican House seats in California in 2018 thanks only to voter harvesting tactics.

Ballot harvesting is illegal in most states. In Texas, New York and Pennsylvania they arrest people for ballot harvesting.
Pelosi wants to make to stuff this into the coronavirus stimulus plan.

The Daily Caller wrote about ballot harvesting in 2018.

Passed as a barely noticed change in the state’s vote by mail procedures in 2016 and signed by then-Governor Jerry Brown, California’s AB 1921 allows voters to give any third party — not just a relative or someone living in the same household, as was previously the law — to collect and turn in anyone else’s completed ballot.

Called “ballot harvesting,” critics say the practice is ripe for fraud. Consider “Lulu,” who was recorded trying to “harvest” what she thought was a Democratic voter’s ballot in Rep. Knight’s district.

 

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