NM Governor fights for COVID-19 aid for tribal nations

New Mexico Gov. Michelle Lujan Grisham raised alarms with President Donald Trump Monday about “incredible spikes” in coronavirus cases in Navajo Nation, warning that the virus could “wipe out” some tribal nations, according to a recording of a call between Trump and the nation’s governors obtained by ABC News.

“I’m very worried, Mr. President,” Governor Lujan Grisham said, as she followed up on a request she made to the Department of Defense last Wednesday for a 248-bed U.S. Army combat support hospital in Albuquerque, New Mexico. Grisham told Trump she had not yet received a response.

“The rate of infection, at least on the New Mexico side — although we’ve got several Arizona residents in our hospitals — we’re seeing a much higher hospital rate, a much younger hospital rate, a much quicker go-right-to-the-vent rate for this population. And we’re seeing doubling in every day-and-a-half,” she said.

Wow, that’s something,” the president replied.

She added: “And it could wipe out those tribal nations.”

New Mexican tribal nations waited almost a week for an answer to Governor Lujan’s request for aid from the Feds. Trump got back to her this afternoon [Tuesday, 31st], saying, he’d approved a “field hospital” for the Navajo Nation and others in the state.

That was announced by the governor, Tuesday afternoon. No one, yet, has any info if this is supposed to be the Combat Support Hospital in Albuquerque…or something else.

Trump now deporting kids being treated for cancer!

❝ When you’ve already separated families, thrown children in cages, and held them in conditions that “could be compared to torture facilities,” it’s a bit of a challenge to come up with your next act. Evil takes creativity, and once you’ve forced migrant kids to go weeks without a shower or change of clothes and fed them expired food, it’s tough to continue nailing those Hitler comparisons. Somehow, though, the Trump administration always rises to the occasion…

❝ Severely ill immigrants, including children with cancer, cystic fibrosis, and other grave conditions, are facing deportation under a change in Trump administration policy that immigration advocates are calling cruel and inhumane.

… The program granted stays of deportation in two-year increments and didn’t promise immigrants a future in the United States, just access to care in a time of need, said Dr. Sarah L. Kimball…Boston Medical Center…

❝ …The outrages now come with such regularity that each tends to distract from the last. But it’s important to protest not just these changes, but also their overriding intent: to remove all vestiges of compassion from the immigration system and make life as miserable as possible for immigrant families. Can this administration sink any lower than threatening to deport kids with cancer?

Once again, I see no need whatsoever to separate the fools who continue to support this thug – and the scumbag, himself. We all see what his time in office contributes to diminishing human rights, human dignity. He doesn’t care. I see no reason to believe those who support this fake president and his policies are any different.

Flying Eye Hospital


Click to enlarge

The Flying Eye Hospital, currently parked on Moffett Field in Mountain View, is a mobile ophthalmological hospital, technological marvel, and surely one of the most extraordinary vehicles on the planet. It is a converted MD-10 wide-body airliner that flies all around the world — it just got back from Bangladesh — performing eye surgeries on needy patients in developing nations while also helping to train their doctors, nurses, and medical technicians.

…One of the most technically amazing things about the Flying Eye is that it is an entirely self-contained hospital: its systems, which run purely on jet-fuel-powered generators, include its own medical gases, its own clean room, its own water purifiers, its surgical equipment, etc., including extremely sensitive equipment (again, this is eye surgery we’re talking about) which has to be stowed such that can survive serious turbulence or bumpy landings on difficult runways without requiring major maintenance…

The Flying Eye is a largely volunteer organization (and part/most of the charity Orbis International.) They have 400 volunteer faculty, including many of the best of the ophthalmological world, many of whom come back every year to work on the Flying Eye for a week or two unpaid. The pilots are also volunteers…

I wonder if the pilots have to worry about being shot down by one of our Free World cowboys [as much as ISIS] when they’re somewhere out of direct sight of journalists?

Pittsburgh Medical Center now up to 5 transplant patients dead — with mold infections

A transplant patient who contracted a fungal infection during a recent stay at the University of Pittsburgh Medical Center has died, making him the fifth patient with such an infection to die at the health system’s facilities since 2014.

Dan Krieg, 56, died Saturday at UPMC Montefiore amid an ongoing federal investigation into mold cases at UPMC hospitals, the Pittsburgh Tribune-Review reported.

Krieg, of St. Marys, had a successful kidney transplant in July 2015, but returned to the hospital in March, his lawyer said…

The federal Centers for Disease Control and Prevention has said the four previous organ transplant patients who developed mold infections at UPMC likely got it from time spent in a “negative pressure” room normally reserved for those who already had infections.

Those specially ventilated rooms are designed for patients with infectious diseases so any air they might infect doesn’t get into corridors or rooms with other patients.

UPMC suspended its transplant program for six days in September after finding mold at two hospitals, resuming it after a review of procedures and treatments.

UPMC previously acknowledged the room where Krieg stayed had “negative-pressure” capabilities but said the system was not in use when he was housed there.

Krieg’s lawyer, Brendan Lupetin, said Krieg’s condition worsened while he was hospitalized, and he contracted pneumonia and a form of mold in his lungs…His nephew told the newspaper the mold infection required surgery to have a left lobe of his lungs removed.

UPMC agreed in May to pay $1.35 million in a settlement to the family of a woman who died during the earlier mold outbreak.

Tracy Fischer, 47, died in October 2014 after contracting a fungal infection at UPMC Presbyterian…Fischer was treated in the same room of the hospital’s cardiothoracic intensive care unit where two other heart transplant patients with fungal infections were treated before dying. Che DuVall, 70, died in February, and an unnamed patient died in June 2015.

So many questions about aseptic and antiseptic procedures in contemporary hospitals. Much starts with when the facility was built and how it was constructed. I’ve worked on renovations of hospital wards that were out-of-date when they were built. There are endless systematic problems now glaring in the light of modern techniques.

No justice yet for the victims of US air strike on hospital in Afghanistan


Carolyn Kaster/AP

Kathleen Thomas grimly recalls the day when a US warplane flew over in Afghanistan and bombed her intensive care unit.

A survivor of the attack – which killed 42 and wounded dozens of others in the northern city of Kunduz – Thomas recounted seeing patients trapped in their hospital beds and engulfed in flames.

“The strikes tore through the outpatients department, which had become a sleeping area for staff. Our colleagues didn’t die peacefully like in the movies,” Thomas said.

“They died painfully, slowly, some of them screaming out for help that never came, alone and terrified, knowing the extent of their own injuries and aware of their impending death. It was a scene of nightmarish horror that will be forever etched in my mind…”

The account is part of Thomas’ public testimony released recently by Doctors Without Borders (MSF). The international medical charity operated the hospital in Kunduz that was flattened by a US air strike last October.

Seven months since the deadly attack, survivors and family members of victims have struggled for an elusive justice that may never come. Even though the US government has disciplined more than a dozen personnel, it has still skirted an independent investigation into the air strike, described by MSF as a “war crime”.

…US actions have sowed fears among human rights activists and advocacy groups that the entrenched pattern of bombing hospitals by “mistake” – in the words of the US government – would leave health facilities in conflict zones even more vulnerable.

“We run the risk of getting used to these [unacceptable attacks] when actually our tolerance ratio should be zero,” Roman Oyarzun Marchesi, the permanent representative of Spain to the United Nations, said at a recent policy forum on attacks on healthcare facilities in armed conflict.

“Wars may be inevitable, but there are rules to follow,” Marchesi said. “Respecting international humanitarian law is not only a matter of life and death; it is humanity itself that’s at stake here.”

RTFA if you’re not already familiar with the details of this atrocity. The Pentagon “investigation” is a farce – as you would expect. The history of official government studies of their own war crimes is absurd to begin with.

An independent commission is needed. The power to bring the guilty to justice is a necessity. For once, the United States government must end the perpetual systematic coverups of “accidental” murder of civilians.

US military bombs Doctors Without Borders hospital in Afghanistan –


MSF/AFP

Seems like the old days doesn’t it? All we need is George W’s sad voice giving us the “oops” excuse. Oh well, President Obama learned how to do it pretty well. No doubt he remembers exactly the tone required.

A hospital run by Doctors Without Borders in Kunduz was badly damaged early Saturday after being hit by what appears to have been an American airstrike. At least 19 people were killed, including 12 hospital staff members, and dozens wounded.

The United States military, in a statement, confirmed an airstrike at 2:15 a.m., saying that it had been targeting individuals “who were threatening the force” and that “there may have been collateral damage to a nearby medical facility.”

The airstrike set off fires that were still burning hours later, and a nurse who managed to climb out of the debris described seeing colleagues so badly burned that they had died…

President Ashraf Ghani’s office released a statement Saturday evening saying that Gen. John F. Campbell, the commander of American forces in Afghanistan, had apologized for the strike. In a statement, however, Defense Secretary Ashton Carter said blah, blah, blah

Airstrikes resulting in civilian casualties have caused tensions verging on hostility between the Afghan government and the United States for years. The former president, Hamid Karzai, was often in the uncomfortable position of explaining to his countrymen why Afghanistan’s biggest ally was killing innocent Afghans…

Accounts differed as to whether there had been fighting around the hospital that might have precipitated the strike. Two hospital employees, an aide who was wounded in the bombing and a nurse who emerged unscathed, said that there had been no active fighting nearby and no Taliban fighters in the hospital.

But a Kunduz police spokesman, Sayed Sarwar Hussaini, insisted that Taliban fighters had entered the hospital and were using it as a firing position.

Doctors Without Borders, which released the casualty numbers, said 37 people were wounded of whom 19 were hospital staff and 18 were patients or their caregivers, which means mostly family members. The organization described the facility as “very badly damaged.”

In a statement, the aid group accused the American military of continuing the bombing for 30 minutes after receiving phone calls telling military contacts that the hospital was being bombed.

“All parties to the conflict including in Kabul and Washington, were clearly informed of the precise location [GPS Coordinates] of the MSF facilities — hospital, guesthouse, office,” the statement said.

Who do I believe? I’ll take Doctors Without Borders over the Pentagon any day of the week.

RTFA for a long, detailed account of the deaths and destruction.

How long does it take to poop 1.5 lbs of cocaine?


Yes, that is a slightly strained look

Five days. That’s how long 28-year-old Regis Walker spent in a hospital “passing” the drug pellets after she was arrested last week at Fort Lauderdale-Hollywood International Airport.

Walker, a U.S. citizen, arrived on a flight from Jamaica. U.S. Customs and Border Protection officials took her aside for a baggage search and interview. She was taken to Broward Health Medical Center in Fort Lauderdale after agreeing to be X-rayed. The X-ray revealed that Walker appeared to be carrying approximately 54 pellets filled with cocaine within her body.

Eeoough!

Thanks, Ursarodinia

Are doctors ready for body cams?


Google Glass makes it into the surveillance society

Maybe you remember the famous video by Simons and Chabris. Two groups of students, one in white shirts and the other in black shirts, are passing a basketball around. You are asked to watch the video and count the number of passes made by one of the teams. You proudly count 13 (the actual number is 18). But what you didn’t notice, during all of your counting, was that midway through the video, a gorilla walked straight through the middle of the scene. Indeed about half of individuals tested in the original study missed the gorilla.

A red trauma victim is brought into the ED trauma bay by EMS. The lead paramedic provides details about the crash scene, the patient’s health status, and gives a point-by-point report about the prehospital care. Too bad that only 36% of the key information was accurately remembered by the receiving ED group.

What’s happening here?

These two examples highlight how medical care can be perceived differently, and maybe even contradicted, by doctors and patients. We aren’t aware of something we have missed — like the gorilla. You only see things you are focusing attention on. Have you ever had a patient complain “the doctor didn’t even examine my stomach” when you have performed, and documented, several serial exams? How many times have you been asked by a patient “When am I going to see the doctor?” when you’ve already had several conversations and introduced yourself as THE DOCTOR. Or, are perplexed by a family display of great disbelief when informed that their loved one is sliding towards the end of life.

We think we perceive and remember more of the world than we actually do, and different people experience the same inputs differently. We don’t see, hear, and remember alike. Hearing is passive, but listening requires concentration and focus to understand the meaning of another’s words.

Jeremy Brown has identified lots of examples where a med-cam can provide an objective view of medical reality — a sort of enhanced photojournalism — where the picture tells the truth. But we need to be ready to have our own behaviors and communications on display. After all, what’s good for the patient should be good for the doctor, too.

Questions of what’s private and what isn’t used to be decided essentially by what’s public and what isn’t. Starting with the obvious – like body cams for coppers – I can see where record-keeping is going. Not only for accurate answers to recurrent questions in an ER; but, the lawyers on retainer for the hospital are going to want this kind of recorded observation to keep a handle on liability.

The feeling changes. Your relationship with your employer changes. Doctors especially feel they’re part of the management team – even in large-economy-size urban hospital complexes. That feeling will change under observation. As much as useful qualities like those described in this article may be – in our society it’s easy to worry about office politics, petty jealousy becoming equally important to some administrator you consider to be an ignorant ass.

Arizona coppers wake up pastor at 2 AM to see if he had Ebola


Shift change for Tucson Police Department

A Tucson Pastor, Michael Petzer, who returned from Zambia in early September, was awakened by two Tucson police officers pounding on his door at 2 AM. They wanted to know if he had Ebola.

It turns out that a woman from his congregation went to the hospital with self-described “possible Ebola symptoms” and she shared with doctors that her Pastor had been to Africa.

The hospital called the cops, and TPD sent out two officers to check it out.

The officers did a welfare check on Petzer after a request from UAMC, said Sgt. Chris Widmer, a Tucson Police Department spokesman. Officials with UAMC confirmed that was true, and said they followed protocol. The hospital did not contact the Pima County Health Department.

“The only way we could figure out if it was a real contact to be concerned about was to find out the travel history. That is why the police were sent out,” said Dr. Andreas Theodorou, chief medical officer at UA Medical Center. “The health department doesn’t have the capacity to do that.”…

“When a patient comes to the ER and has a fever and West African contact, it triggers the process, and we have to take it seriously,” he said.

Well, of course Zambia is not near the infected areas of Africa, and the good pastor was well beyond the 21 day period.

“I think this is hysteria, and a zero understanding of geography,” said Petzer, explaining that Zambia is in south-central Africa, about 2,500 miles away from the affected areas in West Africa…

“I traveled from a noninfected country to one (United States) where there are people in quarantine,” Petzer said. “I think this is an issue of public ignorance and not an issue of public health. People hear Africa, and everyone thinks ‘Ebola.’ Most Americans do not have a clue that Africa is a large continent and not a country. People have to stop the hysteria of it all.”

Please mail me a penny postcard when you bump into local officials, police or ignorant bumpkins who will admit they don’t know bupkis about geography, public health or civil liberties. Especially after they screw up like this.

Yes, that obviously includes hospital administrators.