CODA ER Doctor on dealing with coronavirus pandemic

Hello! Can you introduce yourself and tell us where you
work currently? Yes, hi. My name is IV Mirus. I’m a resident in
the Emergency Department at University of Rochester in the
middle of Rochester, New York. Now, we’re in the coronavirus
pandemic and you’re a doctor. You’re in the front lines. Have you seen people
with coronavirus come in? How do you make sure
you’re not infected? How do you treat these people? Yes. In my area, we have two
confirmed cases of coronavirus right now. We expect that
number to increase because we’ve been
starting tests to see and identify who has it
and who doesn’t. Right now it isn’t busy, but we are preparing for
a big wave of infections. How do you protect yourself? You’re in the ER and
many people come in. How do you make sure you don’t
get infected and stay healthy so that you can continue to work
instead of isolating yourself? What measures do you take? Right now, most hospitals in
the US are trying to implement policies to limit the spread
of the virus in hospitals. For example, a limited number of visitors
in the hospital are allowed. They’re trying to encourage
using telemedicine through video chat. If you feel concerned or have
symptoms you can use telehealth services or call your doctor to
see what you should do next. For us in the Emergency
Department, we have PPE, which is Personal
Protective Equipment. That includes goggles,
masks, and gowns. If we suspect that a person
might have coronavirus, we put that gear on. It doesn’t only
protect ourselves, but to protect other
patients we visit. You have to remember, we expect
many people to get coronavirus, but there are
still other patients who have other problems
that don’t go away. People still show up to the
Emergency Department sick, with a heart attack, stroke,
and other problems. They don’t go away. We still have to take care of
them and also protect them, too. I wonder – for that virus,
do you use that gear to treat someone, then do you have to
take it off and throw it away? Will you run out of
masks and gowns? Right. It’s really important that
we advise the public that you don’t need to buy masks. Save it for hospitals and
for health care providers. We’re trying to collect
those and save it so that we’re ready for
someone coming soon. Wow. In hospitals, what changes have you seen in
preparing for a pandemic and the possibility of a higher
number of people coming in? What kind of changes have
you seen in the hospital system? In your system, and maybe
the same system has been implemented in
other hospitals too? When the system
gets overwhelmed, we have to turn to
what is called a triage. That means for
who is the most sick, we need to take
care of them first. How do we know? We know coronavirus
causes viral pneumonia. We know that means people
who are really affected or are already older
and have a disease, or have lung problems or so on,
will have low oxygen and they will have
a hard time breathing. We can measure that by
monitoring their blood pressure and seeing their oxygen levels. How do we support them
through it? We give them oxygen or possibly
a machine to breathe for them. Like I just said, the problem is
if there are too many people who show up at the same time,
we’ll run out of equipment. We’ll run out of personnel, and we’ll run out of doctors
who can see them. We have to figure out a way
to find who is the most sick and help them heal, and then
move onto the next patient. That’s what we plan, and
what we’re trained to do. I read some news in Italy and
France that they are overwhelmed and because there isn’t
enough equipment, some doctors have
to decide who dies, like those who are 80 or older. Are you concerned that
the same thing could happen here in America? That’s a good question. What I’ve seen
and noticed is that I know many people are scared. They’re really worried. I also know about another group
who think it’s nothing, it might be the media
that’s overblown, and they think that
it isn’t a big deal. We can see what’s happening
in Italy and Iran. I think the virus is
like a storm. In Italy and Iran,
they’ve been really hit hard. But… Other countries like Japan
and Singapore are doing well. They aren’t affected that badly. We can measure
how many people are sick. We can see the charts. In Italy, there was a big curve,
and in China too. Right now, our numbers
are starting to rise. We can see that it’s matching
Italy and Iran’s numbers. That’s why we need to start
being careful now. What is the difference
between us and Italy? We have time. We have time to act now. So what does that mean? Isolation and staying home. If you’re sick, don’t spread it. Wash your hands and practice
other techniques to prevent the spread. Give us, in
the hospital department, more time to take care
of our patients. But, with that said,
I don’t want you to worry. Because from what
we can see in France, we notice now that they have
more young people in the ICU, but 95% of them survive. Yesterday in France, I think,
91 people – not yesterday, but lately – 91 people have died
but 71 of them were older than 75 years old. To the common person, this
disease will be like a cold. I’ve had a cold before. You’ve had a cold before. I’ve had pneumonia before,
and I did fine. Most of us will just experience
a cold, cough, fever. We will be alright. I don’t want you to worry, no,
but we need to act now. For those who are vulnerable. I wonder… What about newborns,
one to two year olds, toddlers, and children under five? Small children might not be
as healthy as older people. Are they at risk? Are we worried about them
or will they recover? What have you seen? Yesterday in England,
a newborn was found positive for coronavirus. But luckily, we also noticed
that children seem to not get serious pneumonia or colds. It can spread in children
and they can get it, but children are
very different to adults. We’ve seen some viruses
really impact children more than adults,
like for example, RSV. That causes children to get sick
and the virus spreads to children but adults don’t get
hit badly from RSV. Coronavirus seems to have
the opposite effect. Right. It’s the other way. It really impacts adults
and older people, but children seem
to do all right. We’re really lucky for that. I wonder, you as as doctor,
what’s your mindset? You know, in the past in January
and December, last year, you were getting by
as usual in the ER. Now, there’s a pandemic. How are you transitioning? Plus for other nurses
and health care workers… you all have to be there and
face it while we can stay home and you are in war right now. How do you stay positive
and keep going? I’m really proud of
the University of Rochester’s Emergency Department. I know their nurses…
really, it’s a team support. The nurse, doctor, head doctor,
staff, and janitor and cleaning teams are
all really important. We need everyone. We make sacrifices by
going to work and possibly bringing disease to
their family at home too. It’s a really serious sacrifice, but I’m really proud
of the group. I know our emergency department
and other emergency departments will be doing an amazing
act of heroism. I know, and we all know
what we signed up for. This is a really exciting time
in Emergency Medicine because we have an opportunity
to help so many people. We are ready. The storm is coming. I don’t know how severe
that storm is now, but we are preparing and
getting ready to fight back. Wow. Our thoughts are with you. Thank you for your
important work. Thank you. We need you
more than ever. Keep going. Stay strong. Stay healthy, too. Thank you so much for your time. Thank you. I appreciate it. Keep healthy. Captioned by

10 thoughts on “CODA ER Doctor on dealing with coronavirus pandemic

  1. Daily Moth/CONVO, Thank you soooo much for keeping up to date with news and explaining everything so clearly. Wishing everyone good health and peace!

  2. I am more reassured by this video than any other I've seen reporting on the virus. Thank you.

  3. Transcript:

  4. Thank for feedback from us and Deaf communities too. I like to see more from those. Stay strong keep strong stay healthy!

  5. Thank you very much for the good share.. I understand the bright… Keep positive and stay home

  6. Ty for the sharing. I really appreciate it very much. I never met IV Mirus, but I know his parents. They must be proud of his doing. Keep it up, IV Mirus!
    Y'all please be safe and stay healthy!

  7. what hospital does he work at strong memorial or what im wondering

  8. I do wish that he didn't have said: "now is a very exciting time for us to help you." This is as if the medical field is happy that the COVID-19 is around.

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