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An ER doctor in New York's COVID-19 hotbed shares what life is like in his hospital right now

An ER doctor in New York's COVID-19 hotbed shares what life is like in his hospital right now

We've known it was coming, that it was only a matter of time before the coronavirus crisis wave hit American hospitals. But as the vast majority of us are holed up at home, we don't have any way of knowing what that wave looks like on the front line unless someone tells us.

Yesterday, the Director of Global Health in Emergency Medicine at New York-Presbyterian/Columbia University Medical Center, Dr. Craig Spencer, offered us a glimpse of what healthcare workers are currently facing in New York.


Dr. Spencer is no stranger to infectious disease outbreaks. He himself contracted Ebola while helping treat people in West Africa and survived it. He's seen and experienced a lot, and he has already explained why extreme social distancing is so important right now, but his first-hand account of what doctors and nurses are experiencing is a sobering reminder of why we can't let up.

He wrote:

"Many of you asked what it was like in the ER right now. I want to share a bit with you. Please RT:

A Day in the Life of an ER Doc - A Brief Dispatch from the #COVID19 Frontline:

Wake up at 6:30am. Priority is making a big pot of coffee for the whole day, because the place by the hospital is closed. The Starbucks too. It's all closed.

On the walk, it feels like Sunday. No one is out. Might be the freezing rain. Or it's early. Regardless, that's good.

Walk in for your 8am shift: Immediately struck by how the calm of the early morning city streets is immediately transformed. The bright fluorescent lights of the ER reflect off everyone's protective goggles. There is a cacophony of coughing. You stop. Mask up. Walk in.

You take signout from the previous team, but nearly every patient is the same, young & old:

Cough, shortness of breath, fever.

They are really worried about one patient. Very short of breath, on the maximum amount of oxygen we can give, but still breathing fast.

You immediately assess this patient. It's clear what this is, and what needs to happen. You have a long and honest discussion with the patient and family over the phone. It's best to put her on life support now, before things get much worse. You're getting set up for that, but...

You're notified of another really sick patient coming in. You rush over. They're also extremely sick, vomiting. They need to be put on life support as well. You bring them back. Two patients, in rooms right next to each other, both getting a breathing tube. It's not even 10am yet

For the rest of your shift, nearly every hour, you get paged:

Stat notification: Very sick patient, short of breath, fever. Oxygen 88%.

Stat notification: Low blood pressure, short of breath, low oxygen.

Stat notification: Low oxygen, can't breath. Fever.

All day...

Sometime in the afternoon you recognize you haven't drank any water. You're afraid to take off the mask. It's the only thing that protects you. Surely you can last a little longer - in West Africa during Ebola, you spent hours in a hot suit without water. One more patient...

By late afternoon, you need to eat. Restaurant across the street is closed. Right, everything is closed. But thankfully the hospital cafeteria is open. You grab something, wash your hands (twice), cautiously take off your mask, & eat as fast as you can. Go back. Mask up. Walk in.

Nearly everyone you see today is the same. We assume everyone is #COVIDー19. We wear gowns, goggles, and masks at every encounter. All day. It's the only way to be safe. Where did all the heart attacks and appendicitis patients go? It's all COVID.

When your shift ends, you sign out to the oncoming team. It's all #COVIDー19. Over the past week, we've all learned the signs - low oxygen, lymphopenia, elevated D-dimer.

You share concerns of friends throughout the city without PPE. Hospitals running out of ventilators.

Before you leave, you wipe EVERYTHING down. Your phone. Your badge. Your wallet. Your coffee mug. All of it. Drown it in bleach. Everything in a bag. Take no chances.

Sure you got it all??? Wipe it down again. Can't be too careful.

You walk out and take off your mask. You feel naked and exposed. It's still raining, but you want to walk home. Feels safer than the subway or bus, plus you need to decompress.

The streets are empty. This feels nothing like what is happening inside. Maybe people don't know???

You get home. You strip in the hallway (it's ok, your neighbors know what you do). Everything in a bag. Your wife tries to keep your toddler away, but she hasn't seen you in days, so it's really hard. Run to the shower. Rinse it all away. Never happier. Time for family.

You reflect on the fact that it's really hard to understand how bad this is - and how bad it's going to be - if all you see are empty streets.

Hospitals are nearing capacity. We are running out of ventilators. Ambulance sirens don't stop.

Everyone we see today was infected a week ago, or more. The numbers will undoubtedly skyrocket overnight, as they have every night the past few days. More will come to the ER. More will be stat notifications. More will be put on a ventilator.

We were too late to stop this virus. Full stop. But we can slow it's spread. The virus can't infect those it never meets. Stay inside. Social distancing is the only thing that will save us now. I don't care as much about the economic impact as I do about our ability to save lives.

You might hear people saying it isn't real. It is.

You might hear people saying it isn't bad. It is.

You might hear people saying it can't take you down. It can.

I survived Ebola. I fear #COVIDー19.

Do your part. Stay home. Stay safe.

And every day I'll come to work for you."

Thank you, Dr. Spencer, and all of the doctors, nurses, and other medical personnel who are giving their all and putting their lives on the line to save others. You are true American heroes.

Planet

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True

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via Pixabay

One of the most wonderful things about having a dog is how attached they become to their owners. I work from home and my Jack Russel terrier, Scout, lies next to me on his bed for most of the day. The only time he leaves my office is for a sip of water or to go outside and sun his belly on the porch.

That's why whenever I leave the house and can't take Scout with me, I wonder, "Does he miss me? Is he sad that he's alone?" Studies show that our dogs miss us the moment we leave the house and that feeling slowly intensifies until we are gone for about four hours and they have a "plateau of melancholy." That's why the longer you're away, the more excited your dog is when you return home.

The moment I pull up in my car Scout begins to howl like a wolf trying to contact someone who's miles away. It's like, "Dude, I'm 30 feet away. Give me a second to grab the groceries out of the trunk."

Researchers from the Universities of Pisa and Perugia, Italy have found that if you give your dog some affection before you leave the house they'll have less anxiety while you're away.

They conducted experiments with 10 dogs between the ages of one and 11 without attachment issues. The group was composed of seven mixed-breed dogs, one Labrador retriever, one Hovawart, and one Chihuahua.

Participants in the study walked their leashed dogs into a fenced area where they were greeted by a researcher who took their dog's heart rate. In the first test, after the owners walked their dogs into the area, they talked with a researcher for one minute then left without giving the dog any special attention.

In the second test, the dog owners petted the dog during their interaction with the researcher.

In both tests, the owners left the fenced area and hid far enough away so that the dog couldn't smell them.

After the owners left, the dogs looked for them for about three minutes on average. After the owners returned, the researchers measured the dogs' levels of the stress hormone cortisol as well as their heart rates.

The researchers found that whether the dogs were petted or not, their cortisol levels were unchanged. But their heart rate showed a marked decrease if the owners petted them before leaving. Researchers later watched videos of the dogs and found that the ones that were petted showed " behaviors indicative of calmness for a longer period while waiting for the owner's return."

Next time I'm ready to leave the house and Scout follows me to the front door after saying, "Sorry bud, you can't go with me on this trip," I'll kneel down and give him a little extra love and attention.

Maybe that way he won't howl like the house is on fire when I pull up in my car after a trip to the grocery store.

This article originally appeared four years ago.

Health

25-year-old U.S. mom is shocked after receiving an astronomical bill from baby's NICU stay

For starters, the hospital charged it cost $4,337 every time they moved the baby's room.

A woman looks at a massive medical bill.

Twenty-five-year-old Janice Hernandez, who goes by @JaniceHeartss on TikTok, has her hands and heart full after her baby, born in late October, was diagnosed with Prader-Willi syndrome (PWS). PWS is a rare genetic condition that leads to physical, mental, and behavioral problems. A key feature of Prader-Willi syndrome is a sense of always being hungry. It also results in poor muscle tone, distinct facial features, and a poor sucking reflex. It can also lead to behavioral problems down the line.

To make things worse for Hernandez, after her baby spent 7 weeks in the NICU, she received a bill in the mail, and it’s the cost of two to three houses in some parts of the United States. “I just got the bill for my daughter's NICU stay,” she said in a video with over 3.5 million views. "Do you guys wanna know how much it is? Do you wanna converse or have a conversation about the price? $738,360 freaking dollars. Almost a million dollars.”

That’s right, $738,360 freaking dollars.

@janiceheartss

Anyone actually pay their medical debt ooooorrrrrrrrr??? #nicumama #nicubaby #nicuwarrior

Hernandez then looked at the itemized bill and found she was charged astronomical amounts for everyday items and services. “For example, I noticed on the bill that there is a little tiny tube of Aquafor that they gave me that I actually still have $25. $25 for a tiny tube of Aquaphor that I thought the nurse was just giving me to be cute and give it for free. No, ma'am, they made sure to charge every single little thing,” Hernandez continued.

In a follow-up video, she shared that it cost $4,337 every time the staff switched her baby’s room. “Imagine if I didn't have insurance," she said according to Daily Mail, I'd have to pay all of this. 'Here in America, just to breathe costs money, and so, of course, when you step foot into a hospital, they start charging you automatically.”

How much money do Americans owe in medical debt?

Hernandez’s piece struck a chord with many Americans who have also received huge medical bills. A 2021 study found that Americans owe at least $220 billion in medical debt. Approximately 14 million people (6% of adults) owe at least $1,000, and 3 million (1% of adults) owe more than $10,000.

"Damn, how long was she in for? Our daughter was in the NICU for three weeks, and ours was $147k," Kristina asked in the comments. "My son died in the NICU after 4.5 months, and our bill was $6 million," Kaori added. "They charged me $2500 a night for the nursery that my baby never even went to. They also didn’t have a nursery," another user wrote.

Many people who live in developed countries where healthcare is free found the three-quarters-of-a-million-dollar bill astonishing. "In Saudi Arabia, all medical bills are covered by the government," one user wrote. "As a Canadian, I genuinely can not understand this," another added. "Genuine question from someone not located in the US: How on Earth do people pay these massive costs? What happens if you need medical care but have no insurance? Do you just not get treated?" Lola K asked.

media1.giphy.com

In another follow-up video, Hernandez shared that she got an update from her insurance company, and her daughter’s stay may not be fully covered. Insurance said it would pay $442,2918.75 of the $739,416.00 bill, leaving her owing $302,741.51. But she hopes that insurance will eventually kick in more. “They don't know if they're gonna be able to cover it yet,” Hernandez said. “It literally says pending or not payable. Charges that are either not covered or need more review by us.”

@janiceheartss

Replying to @Roman BIGGGG update! Guess it’s time for more waiting 🚶‍♀️🚶‍♀️#hospitalbill #insurance #nicu #hospital

Peter Dinklage on "Game of Thrones?

When it comes to actors doing accents across the pond, some Americans are known for their great British accents, such as Natalie Portman ("The Other Boleyn Girl"), Robert Downey, Jr. ("Sherlock Homes"), and Meryl Streep ("The Iron Lady").

Some have taken a lot of heat for their cartoonish or just plain weird-sounding British accents, Dick Van Dyke ("Mary Poppins"), Kevin Costner ("Robin Hood: Prince of Thieves") and Keanu Reeves ("Bram Stoker's Dracula").

Some actors, such as Tom Hardy (“The Drop”) and Hugh Laurie (“House”), have American accents so good that people have no idea they are British.

Benedict Townsend, a London-based comedian and host of the “Scroll Deep” podcast, says there is one word that American actors playing characters with a British accent never get right. And no, it’s not the word “Schedule,” which British people pronounce the entire first 3 letters, and Americans boil down to 2. And it’s not “aluminum,” which British and American people seem to pronounce every stinking letter differently.

@benedicttown

The one word American actors aways get wrong when doing an English accent

What word do American actors always get wrong when they do British accents?

“There is one word that is a dead giveaway that an English character in a movie or a TV show is being played by an American. One word that always trips them up. And once you notice it, you can't stop noticing it,” Townsend says. “You would see this lot in ‘Game of Thrones’ and the word that would always trip them up was ‘daughter.’”

Townsend adds that when British people say “daughter,” they pronounce it like the word “door” or “door-tah.” Meanwhile, Americans, even when they are putting on a British accent, say it like “dah-ter.”

“So top tip if you are an actor trying to do an English accent, daughter like a door. Like you're opening a door,” Townsend says.



What word do British actors always get wrong when doing American accents?

Some American commenters returned the favor by sharing the word that British actors never get right when using American accents: “Anything.”

"I can always tell a Brit playing an American by the word anything. An American would say en-ee-thing. Brits say it ena-thing,” Dreaming_of_Gaea wrote. "The dead giveaway for English people playing Americans: ‘Anything.’ Brits always say ‘EH-nuh-thin,’” marliemagill added.

"I can always tell an actor is English playing an American when they say ‘anything.’ English people always say it like ‘enny-thin,’” mkmason wrote.



What is the cot-caught merger?

One commenter noted that the problem goes back to the cot-caught merger, when Americans in the western US and Canadians began to merge different sounds into one. People on the East Coast and in Britain pronounce them as different sounds.

“Depending on where you live, you might be thinking one of two things right now: Of course, ‘cot’ and ‘caught’ sound exactly the same! or There’s no way that ‘cot’ and ‘caught’ sound the same!” Laura McGrath writes at DoYouReadMe. “As a result, although the different spellings remain, the vowel sounds in the words cot/caught, nod/gnawed, stock/stalk are identical for some English speakers and not for others.”

American actors owe Townsend a debt of gratitude for pointing out the one thing that even the best can’t seem to get right. He should also give the commenters a tip of the cap for sharing the big word that British people have trouble with when doing an American accent. Now, if we could just get through to Ewan McGregor and tell him that even though he is fantastic in so many films, his American accent still needs a lot of work.

This article originally appeared last year.

Unsplash

Conflict between parents and grandparents is hard to avoid. A lot of the time, it comes down to generational differences. When our parents were raising us, there weren't smartphones and there was no Disney+ or Netflix (well, at least not the streaming version). In general, kids had more freedom and less supervision in the 80s and 90s. Parenting styles like gentle parenting or conscious parenting weren't things people thought about as frequently. Again, there was no Instagram shoving it in your face over and over! In some cases, research and data gathered over time have shown us a better way, even though previous generations of parents were doing the best with the information they had.

So it's natural for grandparents to have, um, opinions about how their grandchildren are being raised at times. According to the AARP, most disagreements center on how children are disciplined, what they eat, and how much screen time they get. The sad thing is that when these conflicts become too common, or escalate too far, grandparents can start to miss out on time with their grandkids. There's got to be a way to avoid or mediate these conflicts before they get to that point.

One grandma just laid out her three simple rules for new grandparents who want better relationships with their kids and grandkids.

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Maria, who goes by MomMom Maria online, took to Instagram to offer the blunt advice for new or expecting grandmas — though they can definitely apply to any grandparent.

Rule number one. You are not the parent.

"That is crucial. You're not this child's parent," Maria says in a selfie-style video filmed in her car. "You're privileged to be a grandmother. You're not the mother."

It sounds obvious, but Maria's absolutely right about this one. The parents get to make the decisions on how their kids are raised, how they are disciplined, what they eat, what they can and can't watch on TV, and more. As a grandparent you're not the decision-maker and you're not the one who's ultimately responsible. You can have your own thoughts and opinions, but you don't really get a say. Harsh but true!

Rule number two: Respect the parents' boundaries.

"And guess what? You don't have to understand them," says Maria. "'I don't understand why she doesn't want us to kiss the baby!' You don't have to understand, respect their boundaries."

Conflict doesn't have to come from disagreements about parenting. Some parents butt heads with grandparents over their kids being spoiled and showered with gifts (and other junk that parents then have to find a place for in crowded houses). It can be tough for grandparents to understand or agree with a boundary like "Please don't buy them anything without asking me first," but Maria argues that grandparents must respect boundaries even if they don't understand or agree with them.

Number three, a corollary to rule number two: It's not about you.

"You're not a victim," Maria says. “You're not a pushover. You're just being respectful of their role as parents and realizing that your role is a grandmother. I love it."

Just because you're keeping critical thoughts and opinions and disagreements on how the children are being parented to yourself doesn't mean you're being weak. That's just being respectful of the parents' boundaries and decisions. It's a good thing that you're working to ensure a positive relationship with your children and grandchildren! That's an investment that will reap more and more dividends as the kids get older.

Maria's tips united people from across the aisle — both parents and grandparents agreed the guidelines could make for better relationships.

Maria's video struck a cord with a huge audience of over 300,000 viewers on Instagram. Most were fully on board with the 'new rules.'

"Grandmother to a 7-month-old and two-week-old. Absolutely agree. And I remember how it was when I was a young mother and my MIL made unsolicited comments," one fellow grandma chimed in.

"And remember things have changed since you were a mom: swaddling, no blankets, back sleeping, etc. Just nod and say ok!" offered another user.

Another user mentioned that she'd had a similar conversation with their therapist, who said: "grandparents are used to being *the* parents in the room. They often times don’t know how to or otherwise refuse to fall into a secondary role.” ... "And that hit hard," the user added. "I think a lot of these grandparents are not understanding that they don’t get to parent our kids. They need to step back and let us parent. It’s time for them to relax and step into that secondary role."

Giphy

But not everyone agreed with Maria's advice. Some grandparents, in particular, resented the fact that they should feel privileged just to be involved in a child's life at all, or they lamented not feeling connected to the family when their wisdom and experience wasn't being valued.

"I had one child. He grew up , got married, and is now a dad. I have one grandson," one person commented. "They live on the other side of the country. I keep my mouth shut about EVERYTHING. I text to get permission to call or be lucky enough to FT. I don’t send my grandson ANYTHING , not even so much as a cookie, unless I get their permission first. I struggle to have any conversation with him or his wife because I am not a part of their life. I keep my mouth shut, offer no opinions on anything . It is very hard to be so disconnected from them and it hurts but there is nothing I can do about."

Another commenter was upset by feeling like they knew better, but not being able to voice it:

"This is so hard to do as a GP. I want all organic. . Parents do not care. I want no sugar. They give lots of sugar . I want no screen time . Parents do lots of screen time . I want no cell phone scrolling. Parents scrolll constantly in front of baby. I’m trying so hard to not say anything."

Parents aren't "always right" when it comes to these conflicts, for the record. Ideally, there would be open and honest communication, and a relationship where grandparents' experience and wisdom was valued and taken into consideration, while also allowing space and boundaries for the parents to make the final decisions. Of course, communication is hard. It takes a lot of work and it requires multiple different parties to manage their emotions and egos. Learning to communicate about boundaries, rules, and differences in philosophy takes time — but Maria's three rules are a pretty good starting point for new grandparents who want to get off on the right foot.

Pets

The biggest fan of Kendrick Lamar's halftime show is a cockatoo, and he is rocking out

Even if you couldn't care less about this Lamar & Drake beef, this is so fun to watch.

NFL/Youtube, @banditthecockatoo/TikTok

Bandit is a Lamar fan through and through.

While there were certainly many folks at home bopping along to Kendrick Lamar’s epic halftime show, no one did it quite like an internet famous white cockatoo named Bandit—who seriously needs to be hired as one of Lamar’s back-up dancers post haste.

In the video below, we get to see the entire journey Bandit takes while listening to the performance— curiosity, intrigue, trying to find the beat, feather-raised excitement as he attempts his own dance moves, followed by full on hand banging, the works!

One thing is abundantly clear. In this infamous feud between Lamar and Drake, Bandit is definitely “Team Lamar.” Watch:

Of course, this spurred a lot of fun comments from viewers, especially folks referencing said feud.

“Even animals are feeling this diss track,” one person wrote, while another said “He’s feeling the power of KDot!” referencing one of Lamar’s earlier stage names.

Another commented, “I was waiting for him to yell MUSSSSSSTARRRRD!” which Lamar himself yelled in the song "TV Off" as a nod to Mustard, his co-producer, which also became a rather famous internet meme.

While Bandit had no actuarial awareness of the diss lyrics Lamar was spitting out, he, like many avians in the parrot family, was responding to the rhythm and beat of the music. Much about how and why these birds react to music remains a bit of a mystery, but they do seem to have their individual preferences. While Bandit clearly enjoys hip hop and rap, another might prefer classical music. One funny thing to note however—it’s been said that on the whole, parrots aren’t electronica fans. So no raves for them.

Of course, cockatoos and parrots can have eclectic tastes too! As we can see below, Bandit also has a soft spot for Billy Idol.

This charming bird has been a TikTok star for years now, entering his 300K followers with dance moves, food antics, and his own beef with “mean ol’ dad,” who has the audacity to touch his stuff. But Upworthy has encountered other cheeky cockatoos before, including one that maniacally chased its family around the house and a feathered anarchist who made headlines after uprooting anti-bird spikes.

All of these stories make sense, considering the cockatoos general penchant for attention seeking, which can lead to erratic and destructive behavior when ignored. But, as we can see, they are also incredibly intelligent, playful, and loyal to boot, making them excellent pets…as well as entertaining content creators, apparently. So bird parents, keep those video comin’.