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‘We’re supposed to be a first-world country’—ER doc exposes what’s happening at a NY hospital

The war with COVID-19 has arrived on our soil, and those on the front lines are being sent into battle without enough armor or armaments.

We’ve spent weeks watching hard-hit nations struggle under overwhelming conditions—countries like Italy, which has more hospital beds and more doctors per capita than the U.S.—having to make heartbreaking decisions about which patients will get ventilators and which patients will die.


The picture of what happens when healthcare systems—even developed, well-managed systems—get hit with more critically ill patients than they have room or equipment for, is stark. And that reality has just begun to play out in the U.S.. Not enough personal protective equipment (PPE) to keep healthcare workers from contracting the virus they’re surrounded by in the hospital. Not enough ventilators to meet the swelling demand.

Heroic doctors and nurses on the front line are beginning to give us all a glimpse of what this battle looks like. ER doctor Colleen Smith in Elmhurst, Queens, shared with the New York Times what is happening inside her hospital, where 13 patients died of COVID-19 in one day. The hospital has had to place a refrigerated truck outside to hold the deceased bodies. She says their ER patient load has more than doubled in recent days, and those numbers are likely to increase.

“Leaders in various offices, from the president to the head of Health and Hospitals ,saying things like, ‘We’re going to be fine. Everything’s fine.’ And from our perspective, everything is not fine,” Dr. Smith told the Times. “I don’t have the support that I need, and even just the materials that I need, physically, to take care of my patients.”

Another doctor called what’s happening in the hospital “apocalyptic.” Hearing Dr. Smith detail the overwhelming anxiety and daunting reality at the very beginning of the expected surge in cases should make us all realize the seriousness of what we’re facing and understand why flattening the curve is so important.

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Teen creates a website for his friends to deliver groceries to seniors. And business is booming.

The elderly have the most to worry about during the COVID-19 pandemic. If infected by the virus they have the highest mortality rate. So, obviously, they have a big reason to stay home and practice social distancing during the crisis.

Teenagers have a much lower risk of dying from the COVID-19, and in California, high school isn’t in session for weeks, if not months.

So Daniel Goldberg, a junior student-athlete at San Marcos High in Santa Barbara put two and two together and got his friends together to help the elderly.


Daniel created Zoomers to Boomers, a website where seniors in the Santa Barbara area can fill out a list online and have their groceries delivered the next day by one of his high school friends.

The site’s name is a generational play on words, the delivery people are all Gen Z (those born between 1997 and 2012) and the recipients are mostly Baby Boomers (those born between 1946 and 1964).

via Zoomers to Boomers

“The first week off school I was just spending time with siblings, and I was trying to follow all the regulations of isolate at home, don’t go out and spread anything around,” Daniel told Santa Barbara’s Noozhawk.

“I felt I wasn’t helping when there was help that was needed,” he added.

Daniel was inspired to create the website because of his father, an ER doctor at Santa Barbara Cottage Hospital.

“I saw my dad (Dr. Brian Goldberg) going into work at the ER every day and he was putting himself out on the front line,” Daniel said. “I was just sitting at home twiddling my thumbs. I was like: ‘There has to be something I can do to try help out in the community.’ I started thinking and brainstorming on how I can help.”

By Tuesday, Daniel had put together a staff of 13 high school kids to do the zooming. Many of them are fellow athletes at his school. The Zoomers must adhere to strict standards of sanitation and wear an N95 mask and gloves.

“All these people are people I’m comfortable asking, ‘Do you want to help?'” he said. “They’re friends from school and water polo, people I know.”

The great thing for seniors is that Zoomers to Boomers is free. The Zoomers don’t accept any payment for their orders and tips are donated to those in need in Santa Barbara county.

The project has been so successful it’s already spread to Denver, Colorado.

The site is simple to use. Customers click an “order here” tab to create a grocery list. Then drivers visit a local grocery store and fulfill the order. After the items have been purchased, the delivery person calls or texts the customer and tells them how much it cost and when it will be delivered.

Customers can pay through cash, check, or Venmo.

“They answer all the information we need and we send a driver out and we’ll have (the grocery) order to them by the next morning,” Daniel said. “For the non-tech savvy, they can send me an email. I can call a couple of people and make the delivery.”

Business is taking off quickly. On Tuesday, Daniel’s team fulfilled 50 orders, so he’s looking to hire more Zoomers.

“I’m going to try to grow the team a little more,” he said.

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Canadian doctor’s brilliant ‘evil genius’ hack transforms 1 ventilator into 9

One of the biggest obstacles to fighting COVID-19 in just about every country is the lack of ventilators. Patients with severe cases suffer from inflammation and a build-up of fluid in the lungs. This makes breathing and oxygenating the blood nearly impossible without a ventilator.

As COVID-19 cases rise in Canada, the medical community fears the country’s largest province, Ontario, could run out of ventilators very soon.

“What our modeling is showing is that if we cannot keep these interventions in place … we’re going to run out of capacity really, really quickly — likely in the next two weeks,” Beate Sander, a scientist who has been modeling the pandemic’s impact on Ontario’s health-care system, told the CBC.


The province is working to come up with more but it still may not be enough.

“We’ve procured 300 more ventilators to add to the 210 we currently have in surplus,” Ontario health minister, Christine Elliott’s spokesperson, told the CBC. “We continue to work on procuring additional ventilators.”

If hospitals run short on ventilation equipment, they may be forced to make the dreadful decision between who dies and who is saved.

To get the most out of the ventilators at his hospital, Dr. Alain Gauthier, an anesthetist at the Perth and Smiths Falls District Hospital in Ontario, rigged one of the ventilators so it could serve up to nine people.

The hack was shared online by a fellow physician, who called him an “evil genius.”

According to the CBC, the rigged ventilator will only work with patients that have similar lung capacities. Multiple hoses are attached to the machine so it is running several times its normal power.

“At one point we may not have other options,” Gauthier told CBC News. “‘The option could be well, we let people die or we give that a chance.”

via Alan Drummond

Gauthier came up with the idea after seeing a 2006 video on YouTube. He says the idea has been tried once before, after the mass shooting in Las Vegas in 2017.

The hack was so impressive it even caught the attention of Elon Musk who tweeted, “Interesting thread.”

Engineers in Italy earned similar attention this week for hacking scuba gear and turning it into a ventilator mask. Italy is the country second hardest-hit by the virus and is having its own troubles with equipment shortages.

In just three hours, Cristian Fracassi and Alessandro Romaioli, engineers at Isinnova, created a prototype for a 3-D printed valve that successfully converts the scuba gear into a ventilator mask.

The mask tested successfully in an Italian hospital so the engineers have made the 3-D valve plans available to everyone for free.

The coronavirus has been a terrible scourge on humanity, but there will be some positives that come from the pandemic. Tragic events like this one push people to improvise and innovate new solutions that may help humanity in the future.

via Reddit

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Co-parenting in the coronavirus pandemic: A family law scholar’s advice

As millions of people around the world practice social distancing and self-quarantine, they are separating themselves from everyone but their immediate family members. However, for divorced or separated parents who share custody of their children, the definition of “immediate family” isn’t obvious.

Already, family lawyers around the country are being inundated with calls from anxious parents worried about returning children to co-parents who are not willing to practice social distancing. They are contemplating keeping their child away from the other parent, in violation of a shared-custody agreement – but wonder how courts will react.


I have been a family law professor for almost 13 years. I have written numerous articles about custody and visitation. Until recently, I never even contemplated how these traditional family law concepts might change in response to a pandemic. Few custody and child-support court orders will have provisions covering how to share parenting in a pandemic – although they may become common in the future.

This is uncharted legal territory. The federal government, many states and even municipal governments around the country have declared states of emergency.

With many family courts closed, divorced or separated parents will have to make up arrangements as they go along. My strong advice is that parents should not try and equate the COVID-19 pandemic with other types of emergencies that may be covered in their custody agreements.

Instead, they should seek to work together – however difficult that may be – to provide for the best interests of their children, and to preserve a sense of fairness and equity, both emotionally and legally, however custody is shared.

Finding common ground

As workplaces shut down or convert employees to working from home, many parents may find opportunities to adjust schedules so the child can be cared for by one parent or the other, rather than bring in the care of sitters, nannies or members of the extended family.

Public health experts say it’s best to limit social circles to reduce the spread of the coronavirus.

Parents should try to be a team in this situation, even if it is difficult. This is not the time to keep a minute accounting of how many overnights the other parent has had or to argue that the current school closures should be treated like summer vacation. Avoid gamesmanship.

Talk through concerns and be open to new arrangements. Reassure the other parent that any current reduction in their parenting time will be made up – eventually – and that in the meantime, they will have increased phone calls, video chats and other forms of non-physical contact.

I do recommend keeping records, including contacting the other parent in writing (by text or email), explaining what your concerns are about the current custody plan, and proposing a reasonable solution. It will be very helpful to encourage the other parent’s thoughts and suggestions on the proposal. Any coronavirus custody arrangement should accommodate the concerns and interests of both parents.

It is stressful for everyone – parents and children alike – to live through this pandemic. Children don’t need the added worry of parental fights. They badly need more stability and reassurance – especially about their contact and connection with those who love them the most.

Judges look out for the kids

It may not be easy to come to agreement. Every relationship – and ex-relationship – is different. Some couples may be used to sorting things out in court. That is less possible now than during normal times.

Most family courts are closed for everything but emergency matters, which almost certainly do not include custody disputes. Of course, after the crisis passes, the courts will reopen.

At that time, I have little doubt that judges will be pleased with parents who have worked together to identify their children’s best interests, and taken steps to protect their health and safety. And I expect judges will be furious at parents who put their own interests before their children’s, and refused to cooperate with a willing and reasonable parent.


images.theconversation.com

Disobeying a court order is a big unknown

If agreement is really impossible, the path gets much more precarious. Shared-custody agreements and orders were crafted when the present crisis was unimaginable, but violating them is risky – even if the reason sounds solid. Judges may reduce visitation and custody for parents who interfere with their ex-partner’s custodial rights.

Parents who fear for their children’s health may be willing to take their chances and hope that when this is all over, the family court will agree that their decision was reasonable. It is a big gamble – and regardless of the outcome is likely to involve significant legal expense and time fighting in court.


images.theconversation.com

Seeking help to settle disputes

There are alternatives to conflict and animosity, and waiting for courts to reopen and sort things out.

Many family court mediators remain available to help couples work out pandemic related custody issues. Although the specific circumstances of the coronavirus pandemic are unprecedented, parental disputes about children’s health and safety are common. Mediators are well versed in these issues and can help families reach reasonable agreements.

Mediated agreements – even attempts at agreements – provide a contemporary and largely objective record of the parents’ thoughts, circumstances and concerns. That record may help judges sort out who was being reasonable and accommodating in seeking custody changes, and who was not.

In the effort to stem the spread of the coronavirus, Americans are repeatedly reminded that the decisions they make today will have direct consequences on our individual and collective well-being in the future. This warning is not specifically directed at divorced or separated parents, but it is just as applicable.

The custody choices parents make in the next few weeks affect not only the immediate health and welfare of their children and families, but may also affect their future custody arrangements. Courts rarely look kindly on parents who put their needs before their children’s. In the aftermath of a pandemic, it safe to assume this will be even more true.

The circumstances surrounding many custody disputes have changed drastically in the past week, but as always, the safest bet is cooperation.

Marcia Zug is Professor of Family Law, University of South Carolina

This article originally appeared on The Conversation. You can read it here.

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Youth activist rallies for gender equality in Rwanda

This story was originally shared on #EqualEverywhere — a campaign to champion the changemakers working to make equality for girls and women a reality. You can find the original story here.

Irene Irere, a youth activist living in Musanze city in northern Rwanda, is committed to eliminating gender-based violence and preventing pregnancy among young girls. She participates in a youth club connected to Huguka Dutore, a youth workforce initiative operating in her country. Irene understands from her own life the importance of having links to jobs and self-employment, entrepreneurship training and coaching, and access to financing, family planning, and reproductive health services.

What does #EqualEverywhere mean to you?

For me, #EqualEverywhere means women and men can be treated equally at home, in their communities, in schools, and at work. Many people perceive this statement differently based on their culture, interests, and faith. To me, #EqualEverywhere means to treat women and men equally and respect their natural differences.

Why do you advocate for equal rights for girls and women?

I started advocating for equal rights for girls and women after seeing the harm gender-based violence was inflicting in my community. As an African living in Rwanda, it is common to say that men are more powerful than, or superior to women. Certain people assume women cannot contribute to community development. Because of this, women continue to face different forms of violence, including marital abuse. The main issue is young girls below 18 years impregnated by older men, something I strongly advocate against. Awareness of this touched me deeply and led me to push for policies to ensure such men are seriously punished. However, some families cover up for men who impregnated young children and claim it is taboo to prosecute them through the courts.


What motivates you to do this work?

I am highly motivated by the progress my advocacy is making in my home community. In fact, before I started, the pregnancy rate among young girls was high. Then, over the past year, 200 fewer were reported. This progress motivates me to continue my work.

What are the main challenges you experience in your work to advance gender equality?

As I push ahead, I face daily challenges. First, I am a girl, which means that some people in my community, even leaders, might consider my voice to be irrelevant. For example, someone might discount the ideas I express during a meeting by stating that I am merely conveying a woman’s perspective. Also, we still [experience] gender violence in daily life. For example, I might need a service and be asked for sex before getting what I requested.

What progress are you seeing as a result of your work?

More positively, Rwanda is closing the inequality gap between men and women by steadily appointing more women to leadership positions. This has made a great impact, because, among other things, women and men are having an equal chance to attend any school. Also, gender-based violence has declined and the number of women taking jobs that in the past were only filled by men has risen. In fact, before this wave of progress, the number of girls able to attend universities, especially those wanting to pursue science, was very small, but now their numbers are increasing.

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Italian engineers’ brilliant 3-D printed hack turns scuba gear into ventilator masks

One of the biggest issues in treating those affected by COVID-19 is a lack of medical equipment. Italy, the country second hardest-hit by the pandemic, has faced shortages in equipment and hospital beds.

This puts doctors in the terrible position of having to decide who gets treatment and who does not.

One of the most important tools in the fight against COVID-19 are ventilators.


“A ventilator is a fairly fancy piece of technological equipment which is designed to breathe for somebody who is unable to breathe effectively on their own,” David Hill, a pulmonologist who sits on the board of the American Lung Association, said according to PBS.

In severe cases of COVID-19, a patient’s lungs become inflamed and filled with fluid which makes it difficult for them to breathe and oxygenate their blood.

A ventilator could mean the difference between life and death.

Due to the shortage of ventilator masks in northern Italy, a doctor reached out to Cristian Fracassi and Alessandro Romaioli, engineers at Isinnova, a 3-D printing company, with the idea of making masks out of scuba equipment.

In just three hours, the engineers created a prototype for a 3-D printed valve that successfully converts the scuba gear into a ventilator mask.

“We had never made valves before, but we wanted to help,” they said according to The Independent.

The engineers then reached out to French sporting goods retailer Decathlon to see if they could use the Subea Easybreath snorkeling mask for the project. The company was “immediately willing to cooperate.”

The first fully-working prototype was tested at the Chiari Hospital and proven to be effective. After the successful test, the engineers printed 100 more valves.

The engineers quickly patented the valve, but then made the 3-D printing files free so anyone with a printer can produce them during the crisis. “We clarify that our initiative is totally non-profit, we will not obtain any royalties on the idea of the link, nor on the sales of Decathlon masks,” the engineers said.

The valves cost about a dollar to make according to The Independent.

via Cristian Fracassi / YouTube

While the engineers are proud of their success in creating the ventilator masks, they stress they are just a stop-gap solution.

“We are reiterating that the idea is designed for healthcare facilities and wants to help in realization of an emergency mask in the case of a full-blown difficult situation, where is not possible to in find official healthcare supplies,” the engineers said.

Neither the mask nor the link are certified and their use is subject to a situation of mandatory need,” they continued. “Usage by the patient is subjected to the acceptance of use of an uncertified biomedical device, by providing a signed declaration.”

The engineers at Isinnova are a fantastic example of the powerful ways that out-of-the-box thinking combined with partnerships between healthcare and outside industries can help us get through the pandemic.

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50-something-year-old dad impresses the masses with an adorable dad-daughter dance battle

As the U.S. slogs through the second week of widespread social distancing, many of us are feeling the impact of cabin fever and near-constant family togetherness. For many families, the past 10 days have felt like a combo of “Yay, more quality family time!” and “OMG, more social distance in this house, please.”


We’re also all looking for bright lights of joy in the midst of all the pandemic uneasiness and uncertainty and the Starkey family in Denver, Colorado has provided some of that joy this week.

Chris Starkey posted a video to Facebook on Monday of himself and his daughter Brooklyn doing a dance-off to Flo Rida’s “Low”—and it’s unexpectedly awesome. Starkey wrote, “My daughter challenged me to a dance off and said I don’t have it anymore. See that closet in the back she is still crying in it!!!” So much silly shade thrown around in this family, it’s delightful.

When you see their fun banter and Starkey’s middle-aged-man moves, you’ll see why the video has been shared more than 280,000 times in two days. Starkey wrote in a comment that the reaction has brought tears to his eyes and encourages everyone to “Give back to your community” right now. He also says another video will be coming on Monday.

Excellent. We need this kind of levity right now more than ever.

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How well is your community social distancing? This website grades states and counties.

Are people in your community being vigilant about the social distance measures we’re being asked to practice?

If you just peer out your windows or walk around your neighborhood, it’s hard to get an accurate gauge. Perhaps that close group of people you see is a family who lives together getting some fresh air, or maybe they’re friends rebelliously gathering in public. The two guys you saw smoking off the same joint and then shaking hands with a random person on the street (true story) could be indicators of widespread ignorance, or they may just be a few fluke fools.

Unfortunately, it will be weeks before we can determine by infection numbers how well our social distancing measures have worked. But in the meantime, we have data that can give us an idea of how well people are following the directives to stay home and away from other people as much as possible.

Unacast is a company that uses smartphone GPS and mapping tools to track human activity for various data usage. (The founders originally wanted to find out where people went to concerts so they could create a better user experience for their music-streaming service in Norway.) And thanks to the ubiquity of cell phones with GPS and no one reading the fine print on where that information goes, they’ve created a tool to track whether or not people are socially distancing the way they should be.

To simplify the data, they’ve created an interactive map that’s updated daily called the Covid-19 Social Distancing Scoreboard. According to how people’s movement changes, they give each state and county a letter grade to let people know how social distance measures are being followed.

The county-specific information is helpful, especially in large states. My state gets a nice solid B, for example, but my county gets a big old F. Lovely.

Unacast.com

One thing that keeps coming up in the fight against the coronavirus pandemic is the need for data. Who has the virus? Where are they located? How long have they been contagious? Who have they been in contact with?

Without data, we are flying blind. And though social distancing is just one piece of the puzzle, having a data-driven picture of where people are practicing it and where people aren’t can help us know where we need to get the word out and perhaps even where to look for potential hot spots in the near future.

Click here to access the interactive map and see how social distancing is going in your community.

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Alton Brown explains the science of why handwashing works better than hand sanitizer

Under normal circumstances, hand-washing would make a boring topic for a video, but in the age of pandemic hyper-hygiene simple soap and water scrubbing has taken on a whole new pertinence. Add in a taste of Alton Brown’s entertaining way of educating, and suddenly a video about something we’ve all (hopefully) done every single day of our lives becomes downright fun and informative family programming.


The “No Cleaver!” reference in the title apparently alludes to a previous version of this video, which involved a cleaver and some sort of grizzly ending. No idea. But this version is excellent, highly informative, and yet simple enough for anyone to understand. I’m not sure that I’ve ever learned these details about how basic soap and water work to destroy and remove viruses from your hands, despite spending four decades of my life soaping up and rinsing off, so even if you know you’re supposed to wash your hands, this video helps drive home exactly why and how it works.

He also shows a helpful 30-second hand-washing demonstration. Show the kids. Tell them it’ll turn them into a life-saving superhero. (Which might actually be true right now.)

Enjoy:


AB’s Hand Washing Demo: No Cleaver!

www.youtube.com

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Someone wrote a coronavirus parody of the Bare Naked Ladies’ hit ‘One Week’ and it’s perfect

Well-written parodies are gold, but they can be hard to come by. Everyone and their at-risk-for-coronavirus grandma thinks they’re a great parody writer, but only a chosen few can pull it off successfully.


Enter Twitter user @daniAWESOME. She wrote a near-perfect coronavirus parody of Bare Naked Ladies’ “One Week,” and posted it on Twitter. (Of note: She doesn’t have a huge Twitter following, but she IS being followed by President Barack Obama—for real—so well done, sister. ALLL the high fives.)

She generously invited whoever felt inclined to put the lyrics to music, and someone named Pepper Coyote took her up on it. Ah, the beauty of social media. Twitter can be a cesspool, but then incredible gems like this come out of it.

Here are the full lyrics so you can sing it on your own, followed by the video rendition. (A few of the verses have been changed a bit in the recorded version, but it’s great.)

It’s Been

One week since we quarantined
Said we’d all stay inside
And eat our groceries

Five days since you FaceTimed me

Saying
Be symptom free or don’t come and see me

Three days since the living room
Became my office
and work moved onto all Zoom

Yesterday you’d abandoned me
But it’ll still be two months till we get to be free

Wash your hands in the kitchen sink
Don’t wanna be the link
That gives Corona to your fellow man

I don’t have snacks but I wish
I had stocked up on tuna fish
I cleared my pantry
Well before the worst had yet began

Don’t run your errands during peak times
Use Amazon Prime
As long as postal service comes through

Good thing we still have Netflix
Barnett’s a dipshit
Love may be Blind but it is dumb too

Gonna be a flake and skip spring break
Because Miami’s an outbreak
Full of sick college kids whose conduct could be safer

Gotta stop the shows
Cause if they go
Then the Pandemic’s gonna grow
Cause they are dangerous
By order of the mayor

I cannot help it if I got Corona from my dad
Trying hard not to cough and I feel bad

I’m just trying to avoid my own funeral
Can’t even go out to eat
Or I’ll get ill

I called my senator for universal sick leave
I have a growing need to keep paying my bills

It’s been
One week since COVID 19
Threw our plans in the air and killed our parties

Five days since emergency
We flatten the curve or be Italy

Three days since we all cocooned
We realized we can’t beat this and no one’s immune

Yesterday, someone coughed on me
And now it’s eighteen months till we can all be free

Over in China, when some got stricken
They all got locked in and COVID stopped tickin’

Walking the dog with a mask on
When everyone’s gone
And if I see somebody I run

At grocery stores I’m feeling panic
At home I’m manic
At doctor’s offices I’m terrified

Like Idris Elba I’m feeling ill
Kay I don’t feel ill
That’s hypochondria all magnified

Gonna shut down all the fitness clubs
And shutter all the social hubs
And tell deBlasio stay home to work your hamstrings

Gotta make a joke but its too soon
Cases balloon between the Boomers and the sick
Until we get some vaccines

How can I stop watching news because it makes me sad
Need to know but all signs pointing to bad

We help our fellow man, and friends, that is beautiful
Drop off some food like a queen
For good will

We need the science and we need the people to believe
We need the tests before more people get hurt

It’s Been

One week since the distancing
Dropped our lives to the side for our wellbeing

Five days since the testing grew and yet
Still not as much as all the other nations do

Three days since the briefing room
He said he’s not the one to blame, and what can we do?

Yesterday, you just texted me
Cause it’ll still be two weeks till we break quarantine

It’ll still be two months till we break quarantine

It’ll still be two years till we break quarantine

Close the stadium, sports are on deep freeze

Well done @daniAWESOME and @peppercoyote. Thanks for keeping us all entertained while we hole up in our homes.


One Week of COVID 19 – Barenaked Ladies parody – Lyrics by @daniAWESOME

youtu.be