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Home / US / In Southern California’s Covid-19 surge, doctors and nurses “can’t afford more”

In Southern California’s Covid-19 surge, doctors and nurses “can’t afford more”



LOS ANGELES-For infectious disease expert Dr. Anita Sircar, there is no break, but a few days.

After public health officials warned that people should not gather with their families during the holidays within a few weeks, the surge in Covid-19 cases for most of December caused hospitals and intensive care in Southern California The room was overwhelmed.

However, millions of Americans are eager to reconnect with their loved ones and return to a sense of normalcy, but they ignore the warnings on Thanksgiving. As a result, coronavirus cases have surged and ICU capacity has decreased.

Sircar said in the phone call between the patient round and the doctor meeting at the Providence Little Company at Torrens Mary Medical Center: “It̵

7;s ruthless.”

State public health officials recently extended revised home orders in the most affected areas, including Southern California and the San Joaquin Valley, where ICU capacity has reached 0% for several weeks.

Hospitals have built temporary ICUs, sometimes transferring patients to gift shops or pediatric wards to take care of the sick and the dying. In Providence (Providence), a tent has been erected in the parking lot to accommodate overflowing patients. Several medical experts working on the flu pandemic said that now is here.

Sircar said: “We are on a rotating wheel.” “This is a non-stop revolving door.”

Dr. Anita Sircar wears protective gear at Providence Little Company at Mary Medical Center in Torrance, California.Image courtesy of Dr. Anita Sircar

Throughout Southern California, as the Covid-19 surge continues to hit the affected areas, hospitals and their employees are forced to make difficult decisions.

California has recorded more than 2.2 million coronavirus cases and 25,000 deaths. In Los Angeles County, which has 10 million residents, public health officials have recorded approximately 756,100 confirmed cases and more than 10,000 deaths.

Public health officials say that in Los Angeles County, people die of Covid-19 every 10 minutes. On Wednesday, more than 7,400 people were hospitalized due to Covid-19. The data was released a few hours after Governor Gavin Newsom revealed the discovery of a potentially more contagious coronavirus in Southern California.

Los Angeles County Director of Public Health, Barbara Ferrer, said in a statement: “Our medical staff are dissatisfied with Covid-19 patients, and the current surge in Covid-19 hospitalization is not sustainable. of.”

However, even if this increase causes mental and spiritual damage to frontline workers, medical professionals must step up their efforts.

For Lindsey Burrell, an ICU nurse who works at Providence Hospital in Sirvo, trying to balance family and work life sometimes means making her pain and anxiety more fulfilling after watching the patient die day after day.

Normally, Burrell would turn on the music in the car when he drove home, just to clean up his mind and prepare for the transition from nurse to wife and mother. Before she entered her house, she sat completely silent, trying to let go of everything she saw that day.

Three years ago, Burrell underwent open heart surgery and suffered a stroke shortly after the birth of her first child. Due to her comorbidities, Burrell insisted on a strict course of treatment, taking off his protective gear before entering the house, immediately throwing the clothes he was wearing into the washing machine, taking a hot bath, and gargle with Listrin as a supplement .

She said: “We suffer silently.” “Sometimes I don’t even know how to express it in words. You are not prepared at any level.”

Burrell knew that when she became an ICU nurse, she would see death and family grief over unexpected losses. But she never expected to see the “inhumane” nature of Covid-19.

Many of her most severely ill patients have undergone intubation, lying face down in the stomach, with one arm stretched up and the other arm stretched down to help clear the airway. Test tubes and intravenous drips are all over the body, and dialysis machines help filter the blood. When the patient’s heart stops beating, a team of doctors and nurses will wear protective gear before entering the room. Sometimes Burrell has to call relatives and ask them if they want to say goodbye to Zoom or FaceTime.

She said: “The patient was scared to death.” “They defended their lives. They knew they were going to die. This split us.”

Burrell failed to shake the recent death of a beloved grocery worker familiar to many in the beachside community where she works. The man had been weaned from the ventilator and appeared to be awake, making Burrell hope that he could survive. The day before Christmas, Burrell entered the room and held his hand. She begged him to continue fighting. He gave her a thumbs up.

She said: “I can see despair in his eyes.”

To cope with grief, Burrell relied on colleagues who understood what it was to fight for the lives of the people, and only learned of their deaths a few days later.

She said: “We can’t accept more.”

Dr. Anita Sircar wears protective gear at Providence Little Company at Mary Medical Center in Torrance, California.Image courtesy of Dr. Anita Sircar

At the beginning of the pandemic, Sircar made a difficult decision to move out of the house shared with her mother because she was worried that her mother would contract Covid-19 and would not be spared the destruction. Since then, Sircar has been living in a rental unit near the hospital, only one block from the Pacific Ocean. Since moving, she has never been to the beach.

She said: “I don’t participate in social activities outside of work.” “It’s basically an apartment, a hospital, an apartment, a hospital. After a while, you will forget that there is life outside here.”

Sircar usually works 12 hours per shift, with only four days off each month. Before the pandemic, she will have about 12 patients every day. It is now close to 27 years old and many people have died.

She said: “Since Thanksgiving, it hasn’t stopped.” “The virus hasn’t gotten out of control. People have gotten out of control.”

Sircar estimates that more than half of her current patient list attended the large Thanksgiving party. A 31-year-old woman told Sircar that she attended a dinner party with 30 people. Later, 17 people tested positive for Covid-19, and at least one was fighting for survival.

Sircar’s patient was discharged a few days later and said she regretted attending Thanksgiving dinner.

In the entire county near Boyle Heights in Los Angeles County, the emergency department of the Seventh-day Adventist White Memorial Hospital has been able to accommodate, but is still receiving patients. Dr. Juan C. Barrio, head of the hospital’s internal resident program, said that the resident was so overwhelmed that the attending physician had to be added to the patient list.

He said: “This is completely unprecedented.” “We have enough ventilators, but patients in the intensive care unit are getting worse and worse.”

Temporary ICUs continue to emerge throughout Adventist Health to accommodate the increase in patients, including the previous heart health department. Barrio described the scene as a “symbol of personal protective equipment and activities,” and some emergency room patients were being treated in the corridor.

On Tuesday, the Secretary of Health and Human Services Mark Ghaly said that some hospitals in Los Angeles are turning to “crisis care” and are preparing for a more dangerous surge in coronavirus, a trend that may come after Christmas and New Year’s Eve. Will get worse. Gary said that although the positive rate of Thanksgiving surges seems to be stabilizing, that is not the case in Southern California.

He said: “We have not heard of hospitals that have to make a decision between two patients who need a ventilator and only have one ventilator,” he added, adding that some hospitals have no unloading space. Ambulance or give the patient oxygen.

State officials notified hospitals this week that they should be prepared for the possibility of having to resort to “crisis care” guidelines, which will allow treatment to be prorated in the event of shortages of staff, medicines and supplies.

The Cedars-Sinai health system, arguably the most famous hospital in Los Angeles, issued a “crisis alert” on Wednesday, asking its patients not to gather on New Year’s Eve.

The hospital said: “We know these recommendations are challenging, but it is important to remember that the actions to be taken in the next few days can protect you, your family and loved ones, and those who are fighting for life in our hospital. “Said. “If we want to prevent public health emergencies that have already occurred from getting worse, compliance with regulations is essential.”


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