PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.”
PART 2. January 29, 2020. CORONAVIRUS. “If it’s not contained shortly, I think we are looking at a pandemic..”….. “With isolated cases of the dangerous new coronavirus cropping up in a number of states, public health officials say it is only a matter of time before the virus appears in New York City.”
PART3. February 3, 2020. “The Wuhan coronavirus spreading from China is now likely to become a pandemic that circles the globe…”..Trump appeared to downplay concerns about the flu-like virus …We’re gonna see what happens, but we did shut it down..” (D)
PART 4. February 9, 2020. Coronavirus. “A study published Friday in JAMA found that 41% of the first 138 patients diagnosed at one hospital in Wuhan, China, were presumed to be infected in that hospital.….
PART 5. February 12, 2020. CORONAVIRUS. “In short, shoe-leather public health and basic medical care—not miracle drugs—are generally what stop outbreaks of emerging infections..”
POST 6. February 18, 2020. Coronovirus. “Amid assurances that the (ocean liner) Westerdam was disease free, hundreds of people disembarked in Cambodia…” “ One was later found to be infected”…. “Over 1,000… passengers were in…transit home”…. “This could be a turning point””
PART 7. February 20, 2020. CORONAVIRUS. With SARS preparedness underway in NJ LibertyHealth/ Jersey City Medical Center, where I was President, proposed that our 100 bed community hospital with all single-bedded rooms, be immediately transformed into an EMERGENCY SARS ISOLATION Hospital.
PART 8. February 24, 2020. CORONAVIRUS. “…every country’s top priority should be to protect its health care workers. This is partly to ensure that hospitals themselves do not become sites where the coronavirus is spread more than it is contained.”
PART 9. February 27, 2020. CORONAVIRUS. Responding to a question about the likelihood of a U.S. outbreak, President Trump said, “I don’t think it’s inevitable…”It probably will. It possibly will,” he continued. “It could be at a very small level, or it could be at a larger level.”
Part 10. March 1, 2020. CORONAVIRUS. Stop Surprise Medical Bills for Coronavirus care. (&) Lessons Learned (or not) In California and Washington State from community acquired cases.
PART 11. March 5, 2020. CORONAVIRUS. “Gov. Andrew Cuomo… would require employers to pay workers and protect their jobs if they are quarantined because of the coronavirus.”
Part 12. March 10, 2020. CORONAVIRUS. “Tom Bossert, Donald Trump’s former homeland security advisor…(said) that due to the coronavirus outbreak, “We are 10 days from the hospitals getting creamed.”
Part 13.. March 14, 2020. CORONAVIRUS. “If I’m buying real estate in New York, I’ll listen to the President….If I’m asking about infectious diseases, I’m going to listen to Tony Fauci,”
PART 14. March 17, 2020. CORONAVIRUS. “ “Most physicians have never seen this level of angst and anxiety in their careers”…. One said “I am sort of a pariah in my family.”
PART 15. March 22, 2020. CORONAVIRUS. “…Crimson Contagion” and imagining an influenza pandemic, was simulated by the Trump administration….in a series of exercises that ran from last January to August.
PART 16. March 27, 2020. CORONAVIRUS. I am not a clinician or a medical ethicist but articles on Coronavirus patient triage started me Googling………to learn about FUTILE TREATMENT
PART 17. April 2, 2020. CORONAVIRUS. Florida allows churches to continue holding services. Gun stores deemed “essential.” “New York’s private and public hospitals unite to manage patient load and share resources.
PART 18. April 9, 2020. CORONAVIRUS. “The federal government’s emergency stockpile of personal protective equipment (PPE) is depleted, and states will not be receiving any more shipments, administration staff told a House panel.
PART 19. April 13, 2020 CORONOAVIRUS. “…overlooked in the United States’ halting mobilization against the novel coronavirus: the personal aides, hospice attendants, nurses and occupational or physical therapists who deliver medical or support services to patients in their homes.”
POST 22. April 29, 2020. CORONAVIRUS. ..the “ACS released a list of 10 issues that should be addressed before a healthcare organization resumes elective surgeries[JM1] ….”
POST 23. May 3, 2020. CORONAVIRUS. … what Dr. Fauci really wants,…”is just to go to a baseball game. That will have to wait. The level of testing for the virus is not adequate enough to allow for such mass gatherings.’ (K)
POST 24. May 7, 2020. CORONAVIRUS. Former New Jersey governor Chris Christie said: “there are going to be deaths no matter what”… but that people needed to get back to work.
POST 25. May 10, 2020, CORONAVIRUS. “It is scary to go to work,” said Kevin Hassett, a top economic adviser to the president. “I think that I’d be a lot safer if I was sitting at home than I would be going to the West Wing.”
POST 26. May 14, 2020. CORONAVIRUS, “Deep cleaning is not a scientific concept”….”there is no universal protocol for a “deep clean” to eradicate the coronavirus”
POST 27. May 19, 2020. CORONAVIRUS. “Hospital…executives…are taking pay cuts…to help offset the financial fallout from COVID-19.” As “front line” layoffs and furloughs accelerate…
POST 28. May 23, 2020. CORONAVIRUS. ““You’ve got to be kidding me,”..”How could the CDC make that mistake? This is a mess.” CDC conflates viral and antibody tests numbers.
PART 29. May 22, 2020. CORONAVIRUS. “The economy did not close down. It closed down for people who, frankly, had the luxury of staying home,” (Governor Cuomo). But not so for frontline workers!
POST 30. June 3,202. CORONAVIRUS. “The wave of mass protests across the United States will almost certainly set off new chains of infection for the novel coronavirus, experts say….
Post 32. June 16, 2020. CORONAVIRUS. Could the Trump administration be pursuing herd immunity by “inaction”? “ If Fauci didn’t exist, we’d have to invent him.”
POST 34. June 26, 2020. CORONAVIRUS. CDC Director Redfield… “the number of coronavirus infections…could be 10 times higher than the confirmed case count — a total of more than 20 million.” As Florida, Texas and Arizona become eipicenters!
POST 35. June 29, 2020. CORONAVIRUS. Pence: “We slowed the spread. We flattened the curve. We saved lives..” While Dr. Fauci “warned that outbreaks in the South and West could engulf the country…”
POST 36. July 2, 2020. CORONAVIRUS. “There’s just a handful of interventions proven to curb the spread of the coronavirus. One of them is contact tracing, and “it’s not going well,” (Dr. Anthony Fauci)..
POST 37. June 8, 2020. CORONAVIRUS. When “crews arrive at a hospital with a patient suspected of having COVID-19, the hospital may have a physical bed open for them, but not enough nurses or doctors to staff it.”
POST 38. July 15, 2020. CORONAVIRUS. Some Lessons Learned, or not. AdventHealth CEO Terry Shaw: I wouldn’t hesitate to go to Disney as a healthcare CEO — based on the fact that they’re working extremely hard to keep people safe,” (M)
POST 39. July, 23,2020. CORONAVIRUS. A Tale of Two Cities. Seattle becomes New York (rolls back reopening) while New York becomes Seattle (moves to partial phase 4 reopening)
POST 40. July 27, 2020. CORONAVIRUS.” One canon of medical practice is that you order a test only if you can act on the result. And with a turnaround time of a week or two, you cannot. What we have now is often not testing — it’s testing theater.”
POST 41. August 2, 2020. CORONAVIRUS. “Whenever a vaccine for the coronavirus becomes available, one thing is virtually certain: There won’t be enough to go around. That means there will be rationing.”
POST 44. September 1, 2020. CORONAVIRUS. “The CDC…modified its coronavirus testing guidelines…to exclude people who do not have symptoms of Covid-19.” (While Dr. Fauci was undergoing surgery.) A White House official said: “Everybody is going to catch this thing eventually..”
POST 45. September 9, 2020. CORONAVIRUS. Trump on Fauci. ‘You inherit a lot of people, and you have some you love, some you don’t. I like him. I don’t agree with him that often but I like him.’
POST 46. September 17, 2020. CORONAVIRUS. “Bill Gates used to think of the US Food and Drug Administration as the world’s premier public-health authority. Not anymore. And he doesn’t trust the Centers for Disease Control and Protection either….”
POST 47. September 24, 2020. CORONAVIRUS. “Perry N. Halkitis, dean of the School of Public Health at Rutgers University…called New York City’s 35 percent rate for eliciting contacts “very bad.” “For each person, you should be in touch with 75 percent of their contacts within a day,” he said”
POST 48. October 1, 2020. “…you can actually control the outbreak if you do the nonpharmaceutical interventions (social distancing and masks). In the United States we haven’t done them. We haven’t adhered to them; we’ve played with them.” (A)
POST 49. October 4, 2020. CORONAVIRUS. RAPID RESPONSE. “The possibility that the president and his White House entourage were traveling superspreaders is a nightmare scenario for officials in Minnesota, Ohio, New Jersey and Pennsylvania…”
POST 50. October 6, 2020. CORONAVIRUS. Monday October 5th will go down as one of the most fraught chapters in the history of American public Health (and national security).
POST 51. October 12, 2020. Rather than a hodge-podge of Emergency Use Authorizations, off-label “experimentation”, right-to-try arguments, and “politicized” compassionate use approvals maybe we need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs).
POST 52. October 18, 2020. ZIKA/ EBOLA/ CANDIDA AURIS/ SEVERE FLU/ Tracking. “… if there was a severe flu pandemic, more than 33 million people could be killed across the world in 250 days… Boy, do we not have our act together.” —”- Bill Gates. July 1, 2018
POST 54. October 22, 2020. CORONAVIRUS. POST 54A. New Jersey’s Coronavirus response, led by Governor Murphy and Commissioner of Health Persichilli started with accelerated A+ traditional, evidence-based Public Health practices, developed over years of experience with seasonal flu, swine flu, Zika, and Ebola.
POST 55. October 26, 2020. CORONAVIRUS. The Testing Conundrum: “ It’s thus very possible to be antigen negative but P.C.R. positive, while still harboring the virus in the body..”
POST 57. November 3, 2020. CORONAVIRUS. Dr. Deborah Birx: the US is entering its “most deadly phase” yet, one that requires “much more aggressive action,”
POST 58. November 4, 2020. CORONAVIRUS. “…the president has largely shuttered the White House Coronavirus Task Force and doubled down on anti-science language…”
POST 59. November 5, 2020. Coronavirus. “The United States on Wednesday recorded over 100,000 new coronavirus cases in a single day for the first time since the pandemic began..
POST 61. November 7, 2020. CORONAVIRUS. “Joe Biden’s top priority entering the White House is fighting both the immediate coronavirus crisis and its complex long-term aftermath…” “Here are the key ways he plans to get US coronavirus cases under control.”
POST 62. November 8, 2020. CORONAVIRUS. “The United States reported its 10 millionth coronavirus case on Sunday, with the latest million added in just 10 days,…”
POST 63. November 9, 2020. CORONAVIRUS. “New York City-based Mount Sinai Health System has opened a center to help patients recovering from COVID-19 and to study the long-term impact of the disease….”
POST 64. November 10, 2020. CORONAVIRUS. “It works! Scientists have greeted with cautious optimism a press release declaring positive interim results from a coronavirus vaccine phase III trial — the first to report on the final round of human testing.”
POST 65. November 11, 2020. CORONAVIRUS, “The Centers for Disease Control and Prevention took a stronger stance in favor of masks on Tuesday, emphasizing that they protect the people wearing them, rather than just those around them…
POST 66. November.12, 2020. CORONAVIRUS.”… as the country enters what may be the most intense stage of the pandemic yet, the Trump administration remains largely disengaged.”… “President-elect Biden has formed a special transition team dedicated to coordinating the coronavirus response across the government…”
POST 67. November 13, 2020. CORONAVIRUS. “When all other options are exhausted, the CDC website says, workers who are suspected or confirmed to have COVID-19 (and “who are well enough to work”) can care for patients who are not severely immunocompromised — first for those who are also confirmed to have COVID-19, then those with suspected cases.”
POST 68. November 14, 2020. CORONAVIRUS. The CDC “now is hewing more closely to scientific evidence, often contradicting the positions of the Trump administration.”..” “A passenger aboard the first cruise ship to set sail in the Caribbean since the start of the pandemic has tested positive for coronavirus..”
POST 69. November 15, 2020. CORONAVIRUS. “Colorado Gov. Jared Polis will issue a new executive order outlining steps hospitals will need to take to ready themselves for a surge in COVID-19 hospitalizations and directing the hospitals to finalize plans for converting beds into ICU beds, adding staffing and scaling back on or eliminating elective procedures….
POST 70. November 16, 2020. CORONAVIRUS. “White House coronavirus task force member Dr. Atlas criticized Michigan’s new Covid-19 restrictions..urging people to “rise up” against the new public health measures.
POST 71. November 17, 2020. CORONAVIRUS. ”Hospitals overrun as U.S. reports 1 million new coronavirus cases in a week.” “But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.”
POST 72. November 18, 2020. CORONAVIRUS. “The Health and Human Services Department will not work with President-elect Joe Biden’s (PANDEMIC) team until the General Services Administration makes a determination that he won the election,….”
POST 73. November 19, 2020. CORONAVIRUS. “…officials at the CDC…urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households…” When will I trust a vaccine? to the last question I always answer: When I see Tony Fauci take one….”
POST 74. November 20, 2020. CORONAVIRUS. Pfizer…submitted to the FDA for emergency use authorization for their coronavirus vaccine candidate. —FDA issued an EUA for the drug baricitinib, in combination with remdesivir, as WHO says remdesivir doesn’t do much of anything.
“This is the first coronavirus vaccine to seek regulatory clearance in the United States…
The vaccine, known as BNT162b2, could potentially be available for use in high-risk populations in the United States by the middle to end of December, Pfizer and BioNTech said in a statement earlier Friday. The vaccine requires two doses a few weeks apart, and protection is achieved 28 days after the first shot.
The submission to the FDA is based on results from the Phase 3 clinical trial of Pfizer’s vaccine, which began in the United States on July 27 and enrolled more than 43,000 volunteers.
The final analysis from the trial found the coronavirus vaccine was 95% effective in preventing infections, even in older adults, and caused no serious safety concerns, Pfizer and BioNTech said this week. The submission also includes safety data on about 100 children ages 12 to 15.
About 42% of global participants and 30% of US participants in the Phase 3 study have racially and ethnically diverse backgrounds, the companies said in a news release, and 41% of global and 45% of US participants are ages 56 to 85…
Emergency use authorization, or EUA, from the FDA is not the same as full approval. An EUA allows products to be used under particular circumstances before all the evidence is available for approval. For an EUA, the agency says it will determine whether a product’s “known and potential benefits outweigh its known and potential risks.”
Pfizer’s application for EUA is “encouraging,” but the Infectious Diseases Society of America stressed in a statement on Friday that a transparent review of Pfizer’s data is still needed.
“While encouraging data from the Pfizer/BioNTech COVID-19 vaccine trial indicate the welcome possibility of a critical new tool against the pandemic, a comprehensive, transparent review of data, including evidence that the vaccine has been studied in diverse populations, remains essential to ensure its safety, effectiveness and acceptance,” Dr. Barbara Alexander, president of IDSA, said in the statement.
“If emergency use authorization is granted, clinical trials and data collection must continue. Measures that include wearing masks, frequent handwashing, maintaining physical distance and restricting the size of gatherings will remain crucial,” the statement said in part. “Finally, new federal funding must be provided for widespread, fair and equitable vaccine distribution in addition to campaigns to build vaccine confidence.”” (A)
“The process of issuing an EUA involves five steps:
Determination of an emergency;
Declaration of an emergency;
Review of the request for EUA by the FDA;
Issuance of the EUA or denial of the request; and
Termination of the EUA.
The determination of an emergency can be made by HHS, Department of Homeland Security, or Department of Defense. The emergency can be a military, domestic, or public health emergency that affects, or has a significant potential to affect, national security. Agents involved include chemical, biological, radiological, or nuclear agents. Both the determination and the declaration of the emergency must state the nature of the threat involved.
Once a determination of an emergency has been made and an emergency has been declared, the FDA reviews the EUA request and, if feasible and appropriate given the circumstances of the emergency, consults with the National Institutes of Health and the CDC. If the request is found to meet statutory criteria, the FDA Commissioner issues an EUA. The termination of an EUA is linked to the declaration—once the declaration expires, so does the EUA. A single declaration can support multiple EUAs as necessary.” (B)
“Today, the U.S. Food and Drug Administration issued an emergency use authorization (EUA) for the drug baricitinib, in combination with remdesivir, for the treatment of suspected or laboratory confirmed COVID-19 in hospitalized adults and pediatric patients two years of age or older requiring supplemental oxygen, invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO).
In a clinical trial of hospitalized patients with COVID-19, baricitinib, in combination with remdesivir, was shown to reduce time to recovery within 29 days after initiating treatment compared to patients who received a placebo with remdesivir. The safety and effectiveness of this investigational therapy for use in the treatment of COVID-19 continues to be evaluated. Baricitinib is not authorized or approved as a stand-alone treatment for COVID-19.
“Today’s action demonstrates the FDA’s steadfast efforts to make potential COVID-19 treatments available in a timely manner, where appropriate, while continuing to support research to further evaluate whether they are safe and effective,” said FDA Commissioner Stephen M. Hahn, M.D. “As part of our Coronavirus Treatment Acceleration Program, the FDA continues to use every possible avenue to facilitate new treatments for patients as quickly as possible to combat COVID-19.” (C)
“After a clinical trial in April showed that remdesivir sped up the recovery of people with severe cases of the disease, the U.S. snapped up millions of vials of the drug from its manufacturer Gilead Sciences. Over the summer, European regulators rapidly signed off on the product, leading to nations around the world signing purchase agreements for the drug. And last month, the U.S. Food and Drug administration also signed off.
Now the WHO says remdesivir doesn’t do much of anything to improve the health of people hospitalized with COVID-19.
The recommendations are based on the WHO’s Solidarity Trial, which is examining several coronavirus treatments including remdesivir on more than 11,000 patients in 30 countries.
The WHO panel says the data from the trial shows that remdesivir has “no meaningful effect on mortality or on other important outcomes for patients.”
Remdesivir gained even more prominence in October when it was given to President Donald Trump as part of his treatment after he contracted the virus.” (D)
“Faced with a seemingly unstoppable surge in coronavirus infections, officials at the Centers for Disease Control and Prevention on Thursday urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households — a message sharply at odds with a White House eager to downplay the threat.
The plea, delivered at the first C.D.C. news briefing in months, arrived as many Americans were packing their bags for one of the most heavily traveled weeks of the year. It is the first time that the agency has warned people away from traditional holiday celebrations…
The C.D.C.’s warning runs counter to messages from administration officials, who have denounced concerns that Thanksgiving celebrations will speed the virus’s spread.
“A lot of the guidelines you’re seeing are Orwellian,” Kayleigh McEnany, the White House press secretary, said on “Fox & Friends,” singling out a requirement in Oregon that gatherings not exceed more than six people.
Members of the White House coronavirus task force did not even mention Thanksgiving at a news conference on Thursday, even as they warned of the hazards associated with indoor gatherings and urged “vigilance” in the face of rampant infections.
Earlier in the week, Dr. Scott Atlas, a scientific adviser to President Trump, mocked the idea that older relatives would be put at risk over the holiday weekend, although there is ample medical evidence that seniors are much more likely to become ill if they are exposed to the virus and to die if they become sick.
“This kind of isolation is one of the unspoken tragedies of the elderly, who are now being told, ‘Don’t see your family at Thanksgiving,’” Dr. Atlas said. “For many people, this is their final Thanksgiving, believe it or not.”” (A)
“As a health journalist, a physician and a former foreign correspondent who lived through SARS in Beijing, I often get questions from friends, colleagues and people I don’t even know about how to live during our current pandemic. Do I think it’s safe to plan a real wedding next June? Would I send my kids to school, with appropriate precautions? When will I trust a vaccine?
to the last question I always answer: When I see Tony Fauci take one….
The past tumultuous months have been filled with information gaps (we’re still learning about the novel coronavirus), misinformation (often from the president) and a host of “experts” — public health folks, mathematical modelers, cardiologists and emergency room doctors like me — offering opinions on TV. But all this time, the person I’ve most wanted to hear from is Dr. Fauci. He’s a straight shooter, with no conflicts of interest — political or financial — or, at 79, career ambition. He has no interests, other than yours and mine.” (B)
PART 1. January 21, 2020. CORONAVIRUS. “The Centers for Disease Control and Prevention on Tuesday confirmed the first U.S. case of a deadly new coronavirus that has killed six people in China.”
PART 2. January 29, 2020. CORONAVIRUS. “If it’s not contained shortly, I think we are looking at a pandemic..”….. “With isolated cases of the dangerous new coronavirus cropping up in a number of states, public health officials say it is only a matter of time before the virus appears in New York City.”
PART3. February 3, 2020. “The Wuhan coronavirus spreading from China is now likely to become a pandemic that circles the globe…”..Trump appeared to downplay concerns about the flu-like virus …We’re gonna see what happens, but we did shut it down..” (D)
PART 4. February 9, 2020. Coronavirus. “A study published Friday in JAMA found that 41% of the first 138 patients diagnosed at one hospital in Wuhan, China, were presumed to be infected in that hospital.….
PART 5. February 12, 2020. CORONAVIRUS. “In short, shoe-leather public health and basic medical care—not miracle drugs—are generally what stop outbreaks of emerging infections..”
POST 6. February 18, 2020. Coronovirus. “Amid assurances that the (ocean liner) Westerdam was disease free, hundreds of people disembarked in Cambodia…” “ One was later found to be infected”…. “Over 1,000… passengers were in…transit home”…. “This could be a turning point””
PART 7. February 20, 2020. CORONAVIRUS. With SARS preparedness underway in NJ LibertyHealth/ Jersey City Medical Center, where I was President, proposed that our 100 bed community hospital with all single-bedded rooms, be immediately transformed into an EMERGENCY SARS ISOLATION Hospital.
PART 8. February 24, 2020. CORONAVIRUS. “…every country’s top priority should be to protect its health care workers. This is partly to ensure that hospitals themselves do not become sites where the coronavirus is spread more than it is contained.”
PART 9. February 27, 2020. CORONAVIRUS. Responding to a question about the likelihood of a U.S. outbreak, President Trump said, “I don’t think it’s inevitable…”It probably will. It possibly will,” he continued. “It could be at a very small level, or it could be at a larger level.”
Part 10. March 1, 2020. CORONAVIRUS. Stop Surprise Medical Bills for Coronavirus care. (&) Lessons Learned (or not) In California and Washington State from community acquired cases.
PART 11. March 5, 2020. CORONAVIRUS. “Gov. Andrew Cuomo… would require employers to pay workers and protect their jobs if they are quarantined because of the coronavirus.”
Part 12. March 10, 2020. CORONAVIRUS. “Tom Bossert, Donald Trump’s former homeland security advisor…(said) that due to the coronavirus outbreak, “We are 10 days from the hospitals getting creamed.”
Part 13.. March 14, 2020. CORONAVIRUS. “If I’m buying real estate in New York, I’ll listen to the President….If I’m asking about infectious diseases, I’m going to listen to Tony Fauci,”
PART 14. March 17, 2020. CORONAVIRUS. “ “Most physicians have never seen this level of angst and anxiety in their careers”…. One said “I am sort of a pariah in my family.”
PART 15. March 22, 2020. CORONAVIRUS. “…Crimson Contagion” and imagining an influenza pandemic, was simulated by the Trump administration….in a series of exercises that ran from last January to August.
PART 16. March 27, 2020. CORONAVIRUS. I am not a clinician or a medical ethicist but articles on Coronavirus patient triage started me Googling………to learn about FUTILE TREATMENT
PART 17. April 2, 2020. CORONAVIRUS. Florida allows churches to continue holding services. Gun stores deemed “essential.” “New York’s private and public hospitals unite to manage patient load and share resources.
PART 18. April 9, 2020. CORONAVIRUS. “The federal government’s emergency stockpile of personal protective equipment (PPE) is depleted, and states will not be receiving any more shipments, administration staff told a House panel.
PART 19. April 13, 2020 CORONOAVIRUS. “…overlooked in the United States’ halting mobilization against the novel coronavirus: the personal aides, hospice attendants, nurses and occupational or physical therapists who deliver medical or support services to patients in their homes.”
POST 22. April 29, 2020. CORONAVIRUS. ..the “ACS released a list of 10 issues that should be addressed before a healthcare organization resumes elective surgeries[JM1] ….”
POST 23. May 3, 2020. CORONAVIRUS. … what Dr. Fauci really wants,…”is just to go to a baseball game. That will have to wait. The level of testing for the virus is not adequate enough to allow for such mass gatherings.’ (K)
POST 24. May 7, 2020. CORONAVIRUS. Former New Jersey governor Chris Christie said: “there are going to be deaths no matter what”… but that people needed to get back to work.
POST 25. May 10, 2020, CORONAVIRUS. “It is scary to go to work,” said Kevin Hassett, a top economic adviser to the president. “I think that I’d be a lot safer if I was sitting at home than I would be going to the West Wing.”
POST 26. May 14, 2020. CORONAVIRUS, “Deep cleaning is not a scientific concept”….”there is no universal protocol for a “deep clean” to eradicate the coronavirus”
POST 27. May 19, 2020. CORONAVIRUS. “Hospital…executives…are taking pay cuts…to help offset the financial fallout from COVID-19.” As “front line” layoffs and furloughs accelerate…
POST 28. May 23, 2020. CORONAVIRUS. ““You’ve got to be kidding me,”..”How could the CDC make that mistake? This is a mess.” CDC conflates viral and antibody tests numbers.
PART 29. May 22, 2020. CORONAVIRUS. “The economy did not close down. It closed down for people who, frankly, had the luxury of staying home,” (Governor Cuomo). But not so for frontline workers!
POST 30. June 3,202. CORONAVIRUS. “The wave of mass protests across the United States will almost certainly set off new chains of infection for the novel coronavirus, experts say….
Post 32. June 16, 2020. CORONAVIRUS. Could the Trump administration be pursuing herd immunity by “inaction”? “ If Fauci didn’t exist, we’d have to invent him.”
POST 34. June 26, 2020. CORONAVIRUS. CDC Director Redfield… “the number of coronavirus infections…could be 10 times higher than the confirmed case count — a total of more than 20 million.” As Florida, Texas and Arizona become eipicenters!
POST 35. June 29, 2020. CORONAVIRUS. Pence: “We slowed the spread. We flattened the curve. We saved lives..” While Dr. Fauci “warned that outbreaks in the South and West could engulf the country…”
POST 36. July 2, 2020. CORONAVIRUS. “There’s just a handful of interventions proven to curb the spread of the coronavirus. One of them is contact tracing, and “it’s not going well,” (Dr. Anthony Fauci)..
POST 37. June 8, 2020. CORONAVIRUS. When “crews arrive at a hospital with a patient suspected of having COVID-19, the hospital may have a physical bed open for them, but not enough nurses or doctors to staff it.”
POST 38. July 15, 2020. CORONAVIRUS. Some Lessons Learned, or not. AdventHealth CEO Terry Shaw: I wouldn’t hesitate to go to Disney as a healthcare CEO — based on the fact that they’re working extremely hard to keep people safe,” (M)
POST 39. July, 23,2020. CORONAVIRUS. A Tale of Two Cities. Seattle becomes New York (rolls back reopening) while New York becomes Seattle (moves to partial phase 4 reopening)
POST 40. July 27, 2020. CORONAVIRUS.” One canon of medical practice is that you order a test only if you can act on the result. And with a turnaround time of a week or two, you cannot. What we have now is often not testing — it’s testing theater.”
POST 41. August 2, 2020. CORONAVIRUS. “Whenever a vaccine for the coronavirus becomes available, one thing is virtually certain: There won’t be enough to go around. That means there will be rationing.”
POST 44. September 1, 2020. CORONAVIRUS. “The CDC…modified its coronavirus testing guidelines…to exclude people who do not have symptoms of Covid-19.” (While Dr. Fauci was undergoing surgery.) A White House official said: “Everybody is going to catch this thing eventually..”
POST 45. September 9, 2020. CORONAVIRUS. Trump on Fauci. ‘You inherit a lot of people, and you have some you love, some you don’t. I like him. I don’t agree with him that often but I like him.’
POST 46. September 17, 2020. CORONAVIRUS. “Bill Gates used to think of the US Food and Drug Administration as the world’s premier public-health authority. Not anymore. And he doesn’t trust the Centers for Disease Control and Protection either….”
POST 47. September 24, 2020. CORONAVIRUS. “Perry N. Halkitis, dean of the School of Public Health at Rutgers University…called New York City’s 35 percent rate for eliciting contacts “very bad.” “For each person, you should be in touch with 75 percent of their contacts within a day,” he said”
POST 48. October 1, 2020. “…you can actually control the outbreak if you do the nonpharmaceutical interventions (social distancing and masks). In the United States we haven’t done them. We haven’t adhered to them; we’ve played with them.” (A)
POST 49. October 4, 2020. CORONAVIRUS. RAPID RESPONSE. “The possibility that the president and his White House entourage were traveling superspreaders is a nightmare scenario for officials in Minnesota, Ohio, New Jersey and Pennsylvania…”
POST 50. October 6, 2020. CORONAVIRUS. Monday October 5th will go down as one of the most fraught chapters in the history of American public Health (and national security).
POST 51. October 12, 2020. Rather than a hodge-podge of Emergency Use Authorizations, off-label “experimentation”, right-to-try arguments, and “politicized” compassionate use approvals maybe we need to designate REGIONAL EMERGING VIRUSES REFERRAL CENTERS (REVRCs).
POST 52. October 18, 2020. ZIKA/ EBOLA/ CANDIDA AURIS/ SEVERE FLU/ Tracking. “… if there was a severe flu pandemic, more than 33 million people could be killed across the world in 250 days… Boy, do we not have our act together.” —”- Bill Gates. July 1, 2018
POST 54. October 22, 2020. CORONAVIRUS. POST 54A. New Jersey’s Coronavirus response, led by Governor Murphy and Commissioner of Health Persichilli started with accelerated A+ traditional, evidence-based Public Health practices, developed over years of experience with seasonal flu, swine flu, Zika, and Ebola.
POST 55. October 26, 2020. CORONAVIRUS. The Testing Conundrum: “ It’s thus very possible to be antigen negative but P.C.R. positive, while still harboring the virus in the body..”
POST 57. November 3, 2020. CORONAVIRUS. Dr. Deborah Birx: the US is entering its “most deadly phase” yet, one that requires “much more aggressive action,”
POST 58. November 4, 2020. CORONAVIRUS. “…the president has largely shuttered the White House Coronavirus Task Force and doubled down on anti-science language…”
POST 59. November 5, 2020. Coronavirus. “The United States on Wednesday recorded over 100,000 new coronavirus cases in a single day for the first time since the pandemic began..
POST 61. November 7, 2020. CORONAVIRUS. “Joe Biden’s top priority entering the White House is fighting both the immediate coronavirus crisis and its complex long-term aftermath…” “Here are the key ways he plans to get US coronavirus cases under control.”
POST 62. November 8, 2020. CORONAVIRUS. “The United States reported its 10 millionth coronavirus case on Sunday, with the latest million added in just 10 days,…”
POST 63. November 9, 2020. CORONAVIRUS. “New York City-based Mount Sinai Health System has opened a center to help patients recovering from COVID-19 and to study the long-term impact of the disease….”
POST 64. November 10, 2020. CORONAVIRUS. “It works! Scientists have greeted with cautious optimism a press release declaring positive interim results from a coronavirus vaccine phase III trial — the first to report on the final round of human testing.”
POST 65. November 11, 2020. CORONAVIRUS, “The Centers for Disease Control and Prevention took a stronger stance in favor of masks on Tuesday, emphasizing that they protect the people wearing them, rather than just those around them…
POST 66. November.12, 2020. CORONAVIRUS.”… as the country enters what may be the most intense stage of the pandemic yet, the Trump administration remains largely disengaged.”… “President-elect Biden has formed a special transition team dedicated to coordinating the coronavirus response across the government…”
POST 67. November 13, 2020. CORONAVIRUS. “When all other options are exhausted, the CDC website says, workers who are suspected or confirmed to have COVID-19 (and “who are well enough to work”) can care for patients who are not severely immunocompromised — first for those who are also confirmed to have COVID-19, then those with suspected cases.”
POST 68. November 14, 2020. CORONAVIRUS. The CDC “now is hewing more closely to scientific evidence, often contradicting the positions of the Trump administration.”..” “A passenger aboard the first cruise ship to set sail in the Caribbean since the start of the pandemic has tested positive for coronavirus..”
POST 69. November 15, 2020. CORONAVIRUS. “Colorado Gov. Jared Polis will issue a new executive order outlining steps hospitals will need to take to ready themselves for a surge in COVID-19 hospitalizations and directing the hospitals to finalize plans for converting beds into ICU beds, adding staffing and scaling back on or eliminating elective procedures….
POST 70. November 16, 2020. CORONAVIRUS. “White House coronavirus task force member Dr. Atlas criticized Michigan’s new Covid-19 restrictions..urging people to “rise up” against the new public health measures.
POST 71. November 17, 2020. CORONAVIRUS. ”Hospitals overrun as U.S. reports 1 million new coronavirus cases in a week.” “But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.”
POST 72. November 18, 2020. CORONAVIRUS. “The Health and Human Services Department will not work with President-elect Joe Biden’s (PANDEMIC) team until the General Services Administration makes a determination that he won the election,….”
POST 73. November 19, 2020. CORONAVIRUS. “…officials at the CDC…urged Americans to avoid travel for Thanksgiving and to celebrate only with members of their immediate households…” When will I trust a vaccine? to the last question I always answer: When I see Tony Fauci take one….”
…, Secretary Alex Azar said Wednesday, even as public health experts stress that a smooth transition is a critical part of the government’s response to the worsening coronavirus pandemic.”
“We’ve made it very clear that when GSA makes a determination, we will ensure complete, cooperative professional transitions and planning,” Azar said at a briefing. “We follow the guidance. We’re about getting vaccines and therapeutics invented and get the clinical trial data and saving lives here. That’s where our focus is as we go forward with our efforts.”
Azar was referring to a process known as “ascertainment,” a routine recognition by the GSA in the face of a clear presidential victory that would allow the official transition to begin. But although major news networks called the election for Biden nearly two weeks ago, President Donald Trump’s campaign has launched long-shot legal challenges in several states, even though they have little chance of overturning the results.” (A)
“Doctors on the White House Coronavirus Task Force stressed to Vice President Mike Pence on Tuesday that the coronavirus pandemic situation is dire and only getting worse, two senior administration officials familiar with the meeting told CBS News. The doctors fear the U.S. could see an average of 1,500 deaths a day next week, and up to 2,000 a day by Christmas without any changes to mitigation measures.
The doctors on the task force are also concerned the predicted spikes will completely overrun hospitals and force the U.S. back to the hectic early phase of the pandemic. To prevent this from happening, the doctors are recommending that bars close and restaurants stop offering indoor dining. However, they believe schools can stay open because data shows the transmission rates are low.
The health officials on the task force are urging either Pence or President Trump to stress to the public from the briefing room podium the importance of taking mitigation measures to slow the spread of the virus. They feel such action would add weight to the message that everyone must take the ongoing pandemic seriously and make it clear the virus is out of control. As of publication, Pence is not scheduled to speak at a coronavirus briefing.” (B)
“As a deadly new wave of COVID-19 infections surges in 46 states, President Donald Trump hasn’t attended a coronavirus task force meeting in months. The President has been largely silent about the renewed strain on hospitals. He hasn’t added his voice to pressure more state governors to require masks and distancing — moves his own public health officials say can save thousands of lives as the country enters a potentially deadly winter before a vaccine will be widely distributed. Vice President Mike Pence led a White House call with state governors on Nov. 17 about the coronavirus response. Trump didn’t attend.
For someone who is still the country’s President for another two months, and falsely insists he won the election, Trump is showing little interest in continuing to fulfill the duties of his office. “He’s never liked the subject, and he’s sitting there knowing that he lost the election because of it,” says a former White House official in close touch with Trump’s inner circle. “To the extent that he thinks he lost, he lost because of COVID.”” (C)
“President Donald Trump’s refusal to coordinate with President-elect Joe Biden on the critical Covid-19 vaccine is bringing a staggering possibility into clearer view: that an outgoing US commander in chief is actively working to sabotage his successor.
Trump’s denial of his election defeat, his lies about nonexistent mass coordinated voter fraud and his strangling of the rituals of transferring power between administrations are not just democracy-damaging aberrations.
Given the current national emergency, they threaten to cause practical fallout that could damage Biden’s incoming White House not just in a political sense. There are increasing concerns that Trump’s obstruction will slow and complicate the delivery of the vaccine that brings the tantalizing prospect of a return to normal life amid stunning news from trials showing doses are effective in stopping more than 90% of coronavirus infections.
The distribution operation will be a massively complex and historic public vaccination effort targeting hundreds of millions of Americans — many millions of whom have resisted following basic safety protocols like wearing masks because Trump has encouraged them not to. The inoculation campaign will require a high level of public trust and will involve sharp ethical debates among officials about who should get the vaccine first. The entire program could be damaged if it is politicized. But unless something changes, the Biden team may face the task of tackling those issues afresh, in a frantic catch-up operation.” (D)
“Recent COVID-19 vaccine developments are undoubtedly good news for Americans and the world. But to President Trump, they’re “nothing but a heap of frustration,” The Daily Beast reports.
For the past few months, Trump had reportedly been dreaming up ways he could promote a COVID-19 vaccine once it was released. He “envisioned large, public, mask-free events,” and “rallies to celebrate the successes of Operation Warp Speed,” two individuals with direct knowledge of his private comments tell The Daily Beast…
But with President-elect Joe Biden’s win, Trump’s boastful hopes have gone down the drain. As vaccine developments quickly poured in after Trump’s loss, he has “grown preemptively annoyed that Biden will try to ‘steal’ credit from him for life-saving vaccine developments.” (E)
to read POSTS 1-71 in chronological order, highlight and click on
POST 71. November 17, 2020. CORONAVIRUS. ”Hospitals overrun as U.S. reports 1 million new coronavirus cases in a week.” “But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.”
to read POSTS 1-71 in chronological order, highlight and click on
“The United States has surpassed 11 million coronavirus cases — that’s 1 million new infections in just one week and 2 million since the beginning of the month. Hospitals are reaching a breaking point as they treat nearly 70,000 COVID-19 patients.
In Utah, records continue being shattered, and cases are skyrocketing. A quarter of new test results are now positive. As intensive care units fill up, health care workers are feeling the strain.
“We’re tired. Mentally, physically, emotionally exhausted,” said nurse Nate Smithson, who works at Intermountain Medical Center — Utah’s largest hospital. For some patients there, the cold COVID-19 reality still isn’t real.
“They deny it. Their family members deny it,” said Smithson.
Janine Roberts is also a nurse at the same hospital. She told CBS News, “We have these patients who literally are on life support. We’re working super hard to get them better, finally helping them to wake up, and then the first thing they’re trying to communicate is that it’s all a hoax.” (A)
“The average Utahn hospitalized with COVID-19 is 54 years old.
Here’s maybe another surprise: Only about half (51.6%) of hospitalized Utahns have one or more confirmed preexisting conditions.
In other words, it’s not all “high-risk” people. Our hospitals are teeming with previously healthy, average people, who were going about their lives one day and ended up in the hospital the next.
I bring this up for obvious reasons: Our hospitals and intensive care units are in the news. The state says that “when 85% capacity is reached, Utah will be functionally out of staffed ICU beds, indicating an overwhelmed hospital system.” As of Friday, 87.4% of our ICU beds at our referral center hospitals are occupied. You don’t have to be a master logician to draw the right conclusion — our hospitals are overwhelmed.” (B)
“As the number of COVID-19 cases and hospitalizations continue to climb in Ohio, Cleveland-area hospital leaders are concerned about the growing number of health care workers who are out sick with the coronavirus.
According to hospital officials, about 800 Cleveland Clinic employees, 200 at University Hospitals, and 60 MetroHealth staffers are out, making it more difficult to care for the rising number of hospitalized COVID-19 patients in Cuyahoga County.
“If we have many of our staff out because of exposure, while there’s a large influx of COVID patients, we will not be able to provide the best care to everyone who needs it,” said MetroHealth CEO and President Dr. Akram Boutros.
The health care workers are either diagnosed with COVID-19, in the required 10-day waiting period since symptom onset or are recovering and awaiting symptom clearance to return to work, health officials said.
Contact tracing shows the employees are not contracting the virus at work, but out in the community, Boutros said at a Monday news conference.
“They have contact with family members, they go to church, they go to gatherings… that’s where they get it from,” he said, “a child, a cousin, somebody they went to a restaurant with, somebody they went to the gym with.”
The area hospitals are anticipating a “greater influx” of COVID-19 patients in the next few weeks, officials said. Currently, there are about 400 patients hospitalized across Cleveland Clinic’s Northeast Ohio locations, said CEO Dr. Tom Mihaljevic.
There are about 200 patients hospitalized with COVID-19 at University Hospitals (UH), and the health system is averaging 25 to 30 new COVID-19 patients per day, said UH president Dr. Cliff Megerian.
If trends do not improve, the hospitals could be nearing capacity by the end of the year, Megerian said.
“If we average the increase over the last month, we could see ourselves, by Christmastime, getting up to 800 patients, a four-fold increase, so obviously we’re hoping that does not happen,” he said.” (C)
“State officials on Monday continued to sound the alarm about rising COVID-19 hospital admissions this month, saying health care workers are being stretched to their limits while hospitals brace for a continued influx of patients.
Illinois had 5,581 people hospitalized for the coronavirus as of Sunday night — a nearly two-thirds increase over the 3,371 reported Nov. 1. The state also has surged past its spring peak set April 28, when 5,037 people were in the hospital for COVID-19.
Gov. J.B. Pritzker said hospitals in the state could encounter difficulty if they seek “reinforcement” health care workers, because Illinois will be competing for workers with surrounding states that are seeing severe coronavirus surges of their own.
“This is a moment when the entire nation is seeing record highs in hospitalizations, more than at any prior time in this pandemic. That fact is more than a frightening backdrop, because it means that there are no health care workers to call in as reinforcements from other states,” Pritzker said at a coronavirus briefing in Chicago on Monday. “It means that out-of-state nurses and nurses’ assistants who signed up to support Illinois in the spring are busy in their own states.”
Hospitals are returning to spring strategies, including limiting elective surgeries and adding more beds. On Monday, one of the state’s largest hospital systems, Advocate Aurora Health, said it plans to delay half of its inpatient elective surgeries as the number of COVID-19 patients across Illinois skyrockets.” (D)
Massachusetts. “The Baker-Polito Administration today announced that the first field hospital will be stood up at the DCU Center in Worcester as the Commonwealth prepares additional capacity for COVID-19 patients. This site will be built by the National Guard and is the first field hospital to re-open in the state since June…
The plan to re-establish the field hospital in Worcester was activated this week. The site is expected to be available for patients in the first week of December if needed and additional locations will be added in other regions if necessary. No further changes or restrictions to regular hospital services in Massachusetts are being implemented at this time.
“Since Day One of our response to this crisis, we have worked to ensure that our hospitals and health care providers have the resources they need to meet the acute care health needs of our residents,” said EOHHS Secretary Marylou Sudders, the COVID-19 Command Center Director. “We are in a much better position to respond to what will be a difficult next few months, and the early re-opening of this field hospital is based on the data we see is the right action to take at this time.”
State officials have closely monitored several metrics and note that hospitalizations since Labor Day have increased from 178 to 661. While the hospital system manages the current demand for COVID and non-COVID care, the DCU site will provide approximately 240 additional beds to care for lower-acuity COVID-19 patients, helping preserve hospital system capacity for higher-risk patients diagnosed with COVID-19 or other serious health conditions.
The Massachusetts Emergency Management Agency (MEMA) will coordinate the logistics of the DCU Center field hospital, in close collaboration with the Command Center, City of Worcester, and UMass Memorial Health Care, which will again lead all clinical, day-to-day, operations.
“The Commonwealth’s forward planning and ability to stand up this Alternate Care Site with our partners is a direct result of lessons learned and our experience during the first wave of the pandemic,” said MEMA Director Samantha Phillips. “We hope that we won’t need all of these overflow beds, but if we do, they’ll be ready.”
The DCU Center was the first of five field hospitals constructed by the Commonwealth during the response to the springtime surge of COVID-19 cases. From early April until late May, when it was de-mobilized, the DCU site served 161 patients. In total, the DCU and the Boston Hope field hospitals cared for more than 570 hospital patients during the first pandemic surge.
“This is the right thing to do and at the right time. The field hospital was an enormous asset for Central Massachusetts hospitals during the spring surge. I believe it can serve an even greater purpose today because we have learned so much more about the virus and caring for COVID-19 patients since then. Our team is ready to deploy and to assist the state’s hospitals,” said Eric W. Dickson, MD, President and CEO of UMass Memorial Health Care.
Alternate Care Sites are designed as clinical spaces for lower acuity patients. These sites provide a relief valve for hospitals, allowing them to manage or reconfigure their facilities to care for more seriously ill patients. Each site is built to safely accommodate the beds, equipment, and medical supplies needed to appropriately care for COVID-19 patients.” (E)
“But in Florida, where the number of coronavirus infections remains the third-highest in the nation, bars and schools remain open and restaurants continue to operate at full capacity.
Soon, health officials warned, that means hospitals will be at full capacity, too.
“Make no mistake, we are at war and our enemy knows exactly how to kill us,” said Dr. Jay Wolfson, senior associate dean of the University of South Florida’s Morsani College of Medicine. “It thrives on our complacency, it thrives on those of us who are medically at risk and it thrives on people who continue to spend time in groups. And unless people take responsibility, it will win.”
Florida’s Department of Health reported more than 10,100 infections in a single day Sunday – the highest daily caseload since the height of the summer surge in mid-July. Since March 1, 889,864 people in Florida have tested positive for the virus, roughly one in every 23 Floridians.
A new concern is the positivity rate among children tested for the virus — 31 percent, according to recent data from the state Department Health, far above the national average of 11 percent.
The only states with higher caseloads are Texas, with 1.027 million infections, and California, with 1.029 million. The numbers align with the three states’ status as the most populous in the U.S. — California No. 1, Texas No. 2 and Florida No. 3.
A number of states have begun reinstating COVID-19 restrictions ahead of a holiday season that’s expected to make a dire situation worse. Among them are California, Pennsylvania, New Jersey, New Mexico, Illinois, Michigan and Washington.
Still, Republican U.S. Sen. Rick Scott, appearing Tuesday on the Fox Business Network, delivered assurances that Florida would remain “open for business.”
Gov. Ron DeSantis has remained largely silent on whether the state is headed toward new coronavirus restrictions. The last ones were lifted Sept. 25 when Republican DeSantis issued an executive order prohibiting any local ordinances that restrict commerce and require that Florida remain fully open. The order also barred local governments from enforcing mask mandates or social distancing rules.
If anything can change that, Wolfson said — as it has in hard-hit states such as South Dakota, with the nation’s highest positivity rate — it will be the situation in Florida’s medical centers.
“The only thing that will cause, I think, political decisions in certain states to move toward at least partial lockdowns and mask mandates is the hospitals begin to get so full that they can no longer take in new patients,” he said. “And our ICU beds are already very, very full.”..
Epidemiologists and biostatisticians have paid close attention to the virus’ hold on Florida because of the high volume of travel in, out and across the state, Wolfson said.
About 1.5 million out-of-state visitors came to Florida over Memorial Day weekend, Wolfson said, and Florida’s unusually warm winter has continued to draw crowds to the beaches.
That could be why this latest national surge no longer seems so confined to specific states or regions as the summer’s surge was. This time, the nation is facing the wave together.
After eight months of observation, researchers have made a grim prediction for Florida, Wolfson said: By the second week of January, the Tampa Bay region will be reporting upwards of 15,000 coronavirus cases every day. That compares with 1,373 reported in the region Sunday.” (F)
“Many other doctors are also calling it quits. Thousands of medical practices have closed during the pandemic, according to a July survey of 3,500 doctors by the Physicians Foundation, a nonprofit group. About 8 percent of the doctors reported closing their offices in recent months, which the foundation estimated could equal some 16,000 practices. Another 4 percent said they planned to shutter within the next year.
Other doctors and nurses are retiring early or leaving their jobs. Some worry about their own health because of age or a medical condition that puts them at high risk. Others stopped practicing during the worst of the outbreaks and don’t have the energy to start again. Some simply need a break from the toll that the pandemic has taken among their ranks and their patients.
Another analysis, from the Larry A. Green Center with the Primary Care Collaborative, a nonprofit group, found similar patterns. Nearly a fifth of primary care clinicians surveyed in September say someone in their practice plans to retire early or has already retired because of Covid-19, and 15 percent say someone has left or plans to leave the practice.
The clinicians also painted a grim picture of their lives, as the pandemic enters a newly robust phase with record case counts in the United States. About half already said their mental exhaustion was at an all-time high. Many worried about keeping their doors open: about 7 percent said they were not sure they could remain open past December without financial help.” (G)
