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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.

@callmebelly/TikTok

An excellent reminder to show kindness and patience.

Listening to a baby cry during a flight might be aggravating, but it’s nothing compared to the moans, groans, and eyerolls that the baby's parents must endure from other passengers when it happens. No matter what tips and tricks are used to try to soothe a little one’s temperament while 30,000 miles in the air, crying is almost inevitable. So, while having to ease their own child’s anxiety, moms and dads also must suffer being the pariah of the trip. What a nightmare.

Recently, one mom was apparently trying so hard to avoid upsetting her fellow flight members that she went above and beyond to essentially apologize ahead of time if her baby began to cry on its first flight. It was a gesture that, while thoughtful, had folks really feeling for how stressed that poor mom must be.

In a clip posted to his TikTok, one of the passengers—Elliot—explained that the mom handed out small care packages to those nearby.

“She’s already so busy and took the time to make these bags for everyone,” Elliot said, before panning the camera to reveal a Ziplock bag full of candy, along with a note that made him “want to cry.”

The note read: “It’s my first flight. I made a deal to be on my best behaviour—but I can’t make any guarantees. I might cry if I get scared or if my ears start to hurt. Here are some treats to make your flight enjoyable. Thank you for being patient with us. Have a great flight.”

Like Elliot, those who watched the video felt some ambivalence at the well intentioned act. Many felt remorse that she would feel the need to appease people in this way.

“This is so sweet but also … kind of breaks my heart that we live in a world in which parents feel the need to do that.”

“Because jerk people have shamed parents into believing that they need to apologize for their kids' absolutely normal behavior. What a gem of a mom.”

“You know that sweet mom worried about this trip so much.”

“That poor mom probably spent nights awake … nervous about that flight, thinking of ways to keep strangers happy.”

"That's a mom trying so hard."

Many rallied behind the mom, arguing that making others feel more comfortable with her child being on board was in no way her responsibility.

“No mom should be apologizing. Adults can control their emotions … babies not …. Hugging this mom from a distance.”

“Dear new parents: no you don’t have to do this. Your babies have the right to exist. We all know babies cry. We know you try your best.”

Luckily, there are just as many stories of fellow passengers being completely compassionate towards parents with small children—from simply choosing to throw on their headphones during a tantrum (instead of throwing one themselves) to going out of their way to comfort a baby (and taking the load of a parent in the process). These little acts of kindness make more of an impact than we probably realize. Perhaps if we incorporated more of this “it takes a village” mindset, flying could be a little bit more pleasant for everyone involved.

All GIFs and images via Exposure Labs.

Photographer James Balog and his crew were hanging out near a glacier when their camera captured something extraordinary. They were in Greenland, gathering footage from the time-lapse they'd positioned all around the Arctic Circle for the last several years.

They were also there to shoot scenes for a documentary. And while they were hoping to capture some cool moments on camera, no one expected a huge chunk of a glacier to snap clean off and slide into the ocean right in front of their eyes.


science, calving, glaciers

A glacier falls into the sea.

assets.rebelmouse.io

ocean swells, sea level, erosion, going green

Massive swells created by large chunks of glacier falling away.

assets.rebelmouse.io

It was the largest such event ever filmed.

For nearly an hour and 15 minutes, Balog and his crew stood by and watched as a piece of ice the size of lower Manhattan — but with ice-equivalent buildings that were two to three times taller than that — simply melted away.

geological catastrophe, earth, glacier melt

A representation demonstrating the massive size of ice that broke off into the sea.

assets.rebelmouse.io

As far as anyone knows, this was an unprecedented geological catastrophe and they caught the entire thing on tape. It won't be the last time something like this happens either.

But once upon a time, Balog was openly skeptical about that "global warming" thing.

Balog had a reputation since the early 1980s as a conservationist and environmental photographer. And for nearly 20 years, he'd scoffed at the climate change heralds shouting, "The sky is falling! The sky is falling!"

"I didn't think that humans were capable of changing the basic physics and chemistry of this entire, huge planet. It didn't seem probable, it didn't seem possible," he explained in the 2012 documentary film "Chasing Ice."

There was too much margin of error in the computer simulations, too many other pressing problems to address about our beautiful planet. As far as he was concerned, these melodramatic doomsayers were distracting from the real issues.

That was then.

Greenland, Antarctica, glacier calving

The glacier ice continues to erode away.

assets.rebelmouse.io

In fact, it wasn't until 2005 that Balog became a believer.

He was sent on a photo expedition of the Arctic by National Geographic, and that first northern trip was more than enough to see the damage for himself.

"It was about actual tangible physical evidence that was preserved in the ice cores of Greenland and Antarctica," he said in a 2012 interview with ThinkProgress. "That was really the smoking gun showing how far outside normal, natural variation the world has become. And that's when I started to really get the message that this was something consequential and serious and needed to be dealt with."

Some of that evidence may have been the fact that more Arctic landmass has melted away in the last 20 years than the previous 10,000 years.

Watch the video of the event of the glacier calving below:

This article originally appeared 10 years ago.

@amberandjoshofficial/TikTok, Photo credit: Canva

Other parents had no idea this was a "universal experience."

Parenting looks astronomically different than it did when we were kids, and we know one of the major culprits of that is technology. Back in the day, there was no such thing as a “tablet kid,” there wasn’t an app that tracked a kid’s every move, you couldn’t get answers to your burning parenting questions from endless online forms and parent groups. Twas a different time, indeed.

Of course, these modern day conveniences have all kinds of pros and cons attached to them, as one dad, Josh (@amberandjoshofficial) demonstrated in a now-viral video posted to his TikTok. In the video, we see him try—and fail—to use the age-old parenting saying that’s always bought them juuuuust a little more time from demanding kiddos, otherwise known as “just a minute.”

That is, until now. Turns out, in the age of Alexa, “just a minute” doesn’t cut it. Because kids can and will be using that robot against you, just like his own daughter did. Poor Josh was just trying to finish washing the dishes before getting the glass of milk she requested. But unfortunately for him, as soon as he replied with “just a minute,” she immediately asked Alexa to “set the timer.” Ruthless.

“Accountability has never been higher," Josh wrote in his caption. And other parents who watched the video couldn’t help but agree.

“I had no idea this was a universal experience 😂”

“No this is literally verbatim my life 😂😂😂”

"Oh so it’s not just our house. It’s relieving and also scary to know we’re not alone 😂”

“Haha this is so accurate. I’ve had the conversation with my kids that it’s a figure of speech – they still do it 😂”

“NOT MY ALEXA RESPONDING WHILE I WATCHED THIS VIDEO”

A few fellow parents chimed in with some lighthearted “tips,” such as explaining that “one minute is more of a vibe than a unit of time,” or swapping it for “one more moment” instead.

Another suggested that he “keep that same energy when they want more time on their game.”

And hey, maybe higher accountability isn’t totally a bad thing. It didn’t exactly instill trust when our parents stretched “just a minute” into eternity, especially when it turned into not actually doing what they said they would.

That's apparently not the only way Alexa has potentially helped parents, either. A study conducted by Kantar for Amazon found that 95% of parents agreed that having Alexa at home has helped reduce screen time, while another 90% felt Alexa helped their kids stay mentally active, learn new things, and become more independent. As with all technology, it can be easy to develop too much of a reliance on this gadget, but (when used responsibly) there are some definitive perks, it seems.

So there you have it, folks. Let’s just chalk it up to being more thing that’s a relic of a bygone era. But hey, change is the only constant, right?

By the way, Josh and his wife Amber have even more wholesome and fun family content where that came from on their TikTok. Check it out here.

Fowl Language by Brian Gordon

Brian Gordon is a cartoonist. He's also a dad, which means he's got plenty of inspiration for the parenting comics he creates for his website, Fowl Language (not all of which actually feature profanity). He covers many topics, but it's his hilarious parenting comics that are resonating with parents everywhere.

"My comics are largely autobiographical," Gordon tells me. "I've got two kids who are 4 and 7, and often, what I'm writing happened as recently as that very same day."

Gordon shared 15 of his oh-so-real comics with us. They're all funny 'cause they're true.

Let's get started with his favorite, "Welcome to Parenting," which Gordon says sums up his comics pretty well. "Parenting can be such tedious drudgery," he says, "but if it wasn't also so incredibly rewarding there wouldn't be nearly so many people on the planet."

Truth.

I hope you enjoy these as much as I did.

1.

parenting, comics, humor

“Welcome to parenting."

via Fowl Language

All comics are shared here with Gordon's express permission. These comics are all posted on his website, in addition to his Facebook page. You can also find a "bonus" comic that goes with each one by clicking the "bonus" link. Original. Bonus.

2.

food allergies, fussy, picky eaters

Eating is never fundamental.

via Fowl Language

Original. Bonus.

3.

sleep deprivation, children, isolation

Adjusting the coping mechanism.

via Fowl Language

Original. Bonus.

4.

ducks, birds, fowl

I used to be cool.

via Fowl Language

Original. Bonus.

5.

naps, popcorn, movies

Naps happen.

via Fowl Language

Original. Bonus.

6.

politics, advice, education

Rolling with the punches.

via Fowl Language

Original. Bonus.

7.

emotions, therapy, emotional maturity

Tears happen.

via Fowl Language

Original. Bonus.

8.

insomnia, sleep deprivation, kids

It’s time to get up.

via Fowl Language

Original. Bonus.

9.

psychology, toddlers, family

The benefits of experience.

via Fowl Language

Original. Bonus.

10.

babies, diapers, responsibility

Is it gas?

via Fowl Language

Original. Bonus.

11.

sociology, grief counseling, dads

Everyone gets therapy, yea.

via Fowl Language

Original. Bonus.

12.

moms, dress up, costumes

Everyone has a role to play.

via Fowl Language

Original. Bonus.

13.

doctor, medicine, pediatrics

What’s up doc?

via Fowl Language

Original. Bonus.

14.

sports, competition, aggression

Everyone gets a participation ribbon.

via Fowl Language

Original. Bonus.

15.

theatrics, advice, Dan Gordon

Perception shifts.

via Fowl Language

Original. Bonus.

I love Gordon's comics so much because they're just about the reality of parenting — and they capture it perfectly.

There's no parenting advice, no judgment, just some humor about the common day-to-day realities that we all share.

When I ask him about the worst parenting advice he's ever received, Gordon relays this anecdote:

"I remember being an absolute sleep-deprived wreck, sitting outside a sandwich shop, wolfing down my lunch quickly beside my 1-month-old son, who was briefly resting his lungs between screaming fits.

A rather nosy woman walked up to me and said, all smugly, 'You should enjoy this time while they're easy.' It was the exact worst thing anyone could have said to me in that moment and I just wanted to curl up on the sidewalk and cry."

Who hasn't been on the receiving end of totally unneeded and unwanted advice? That's why Gordon's comics are so welcome: They offer up a space for us to all laugh about the common experiences we parents share.

Here's to Gordon for helping us chuckle (through the tears).


This article originally appeared nine years ago.

www.youtube.com

Quantum immortality?

Might we never really pass on into nothingness? Has the world ended many times before? Are we in fact doomed to spend eternity unknowingly jumping from one dimension to the next? According to one TikTok theory, the answer is yes. And it's blowing millions of minds worldwide.

Joli Moli (@joli.artist) is quite used to spooking and perplexing viewers with conspiracy theories and alternative hot takes. In her video titled "Apocalypse...again," Joli introduced the concept of Hugh Everett's quantum immortality. Fans of the Marvel "multiverse," are quite familiar with this concept, where instead of experiencing death, "your consciousness just gets transferred to a parallel universe where you survived," the TikTokker explained.




Joli admits that this might burst the bubbles of those seeking the "sweet relief" of a widespread apocalypse. "If the quantum immortality theory is correct," she deduced, "you're just going to wake up in a parallel universe with no memory of the fact that you just survived an apocalyptic event."

According to Joli, the only sort of clue or hint you'd get that you might have woken up in a parallel world would be "new Mandela effects." You know, the strange phenomenon where all of a sudden there are two completely opposing memories of historical events? Yeah, quantum theory says that if you remember Curious George having a tail, you probably died in another universe.

Driving her point home, Joli added: "What I'm basically implying here is that in our reality, apocalypses happen every day … after the inevitable apocalypse occurs, you're going to wake up the next day in a new reality, and the next thing you know, you're going to find yourself on Reddit talking about 'since when did Pizza Hut have two Ts?!' Arguing with people who are native of this new reality, talking about 'it's always had two Ts'."

I for one would never want to live in a Pizza Hutt universe. Blech.

Still not sold on the theory? Joli has further arguments: "You don't believe me? Okay, it's been about 65 million years since the asteroids allegedly took out the dinosaurs. ... So you mean to tell me that in the last 65 million years, no other asteroids have come through the neighborhood, taken us out? You think we're just that lucky, huh? No other super volcanic events in 65 million years? We're just out there in space just dodging asteroids by luck, right? Earth doesn't have a steering wheel."

Hmmm. That's a good point.

Joli concluded with the upbeat sentiment that "Earth is probably always being taken out, and our consciousness just keeps getting transferred to another parallel universe, and another one, and another one. For all you know, the apocalypse maybe already happened last night…"

So far, in this reality anyway, the video has 4.9 million views. And—as to be expected—the video left many feeling uneasy.

One user commented, "Ok, I'm actually kind of freaking out right now coz I'm not the conspiracy typa guy, but you're like eerily making sense."

A few resorted to sarcasm as a defense mechanism (understandably), like this Twitterer: "Thanks I was overdue for another existential crisis."

The discourse got so intense, people were reporting physical side effects from the stress. One person wrote: "The thought of never being able to actually die is extremely depressing, and it's giving me a headache."

Another added, "Bruh, I'm just done with this anxiety. My body [is] emotionally [and] physically TIREDDD."

One commenter, who clearly had their priorities straight, wrote: "You're over here talking about extinction level events and I'm having to check on the two Ts in Pizza Hut."

It wasn't all gloom and doom though. According to indy100, some saw the potential of eternal life as a comfort against the loss of loved ones, while others finally got to make sense of their "world-ending" dreams.

If you have watched the original TikTok and are filled with burning questions, Joli posted a follow up Q&A video. A small disclaimer: You might be left with even more questions.

Though we may never really know what awaits us on the other side, it is interesting to think that we might live in a multiverse with infinite second chances. And whether or not this theory floats your metaphysical boat, it's fun to contemplate on one of life's biggest mysteries.


This article originally appeared four years ago.