https://www.sohu.com/a/382140843_115479?spm=smpc.home.top-news3.2.15848947799728NBfadn
https://www.sohu.com/a/382140843_115479?spm=smpc.home.top-news3.2.15848947799728NBfadn
纽约医院不堪重负：老人在病房地板上去世，医生口罩用一周
2020-03-22 15:12
【文/观察者网 张晨静】纽约州确诊病例数破万，已然成为美国新冠病毒疫情的“重灾区”。具体到市，全美人口最多的城市——纽约市，成了这次疫情的“震中”。迅速激增的病例数，使得纽约市医院不堪重负。
3月20日，《华尔街日报》采访了20名在纽约市工作的医务人员。他们当中有来自纽约最大公立医院的医生，称因防护物资短缺，他们在长达一周的时间里，都使用相同的口罩；还有一家急诊室的医生，称他们不得不重复使用防护服；另外还有医生说，一些大型医院的重症监护室（ICU）已处于“超负荷”状态；至少一家城市医院，面临呼吸机设备供应不足等问题，不得不向姊妹医院寻求帮助。
《华尔街日报》报道截图
一名老人在病房的地板上去世
“我们正在遭受打击”，纽约最大的医疗系统——诺斯威尔健康中心旗下、长岛犹太医疗中心的医生曼加拉·纳拉西姆（Mangala Narasimhan）表示，“我在ICU工作了15年，如今所发生的一切是我见过最糟糕的事”。
纳拉西姆表示，医院的ICU病房已人满为患，进入“超负荷”状态。如今她在ICU病房所看到的病人数量，是流感高峰期的三倍，其中60岁以下的病人占了相当大比例。
“过去10天，我看到的患严重呼吸系统疾病的病例，比我之前那些年见过的还要多”，纳拉西姆说。
诺斯威尔健康中心的发言人特里·利纳姆（Terry Lynam）表示，近日医院已将约2500名计划出院和取消手术的病人送回家，可在这之后，19日长岛犹太医疗中心约90%的床位又都满了。
利纳姆表示，医院一半的重症监护病人都是确诊新冠肺炎患者，当下他们还在增加重症监护的床位。
本周早些时候，纽约州官员表示，疫情预计在45天内达到顶峰，届时该州或需要多达11万张病床和3.7万张重症监护病床。然而目前纽约州只有5.3万张床位、3000张重症病床，这其中还有许多床位被其他疾病患者占用着。
布鲁克林的迈蒙尼德斯医疗中心一名医生表示，医院已经没有用来隔离确诊患者的空间了，正在将病情较轻的患者转移到其他地方。
“急需床位”，19日，一份发给纽约皇后区长老会医院的备忘录上这样写着，“我需要你们积极组织患者的出院计划”。
在该院工作的医生萨奎布·拉希姆（Saquib Rahim）表示，
过去一周，潜在的、确诊的病例数激增，医院里大家手忙脚乱。一名出现新冠肺炎症状的老年患者，在病房的地板上去世。“我们从未见过这样的事情”，“祈祷我们能够阻止疫情发展”。
美国一医护人员转移新冠肺炎确诊病人 图自新华社
重复使用口罩和防护服
除了床位不足外，医院的防护物资也严重短缺。19日，纽约州护士协会在一封致州长科莫的信中写道，令人痛苦的是，他们4.2万名前线成员都没有保护自己免受病毒感染的防护装备。
《华尔街日报》拿到了这封信的副本，称该机构在信中警告说，倘若有员工因此被感染，“医院将停止运作”。
纽约大学朗格尼医学中心旗下的提许医院（Tisch Hospital）的一名医生表示，他们正在重复使用口罩和防护服，
不用的时候就会用写着自己名字的纸袋装着，将其挂在墙上。
一名曼哈顿的护士哭着说，她对美疾控中心发布最新的防疫指南感到担忧，其建议医护人员在没有口罩的情况下，可以将头巾或围巾作为替代口罩的“最后手段”。
“现在是非常时期”，纽约大学朗格尼医学中心首席流行病学家迈克尔·菲利普斯（Michael Phillips）表示，医院要求员工遵循美疾控中心的指导，重复使用口罩，以缓解供应不足的局面。
纽约市最大的公立医院——贝尔维尤医院的一名医生表示，近几日仅是在贝尔维尤的一个科室里，就出现四名医生确诊的情况，还有几名医生在等待检测结果。另有多家医院的医生表示，他们担心医护人员也感染上病毒，尤其在没有足够的检测试剂的情况下。
贝尔维尤医院的另一名医生表示，他们每天要进行多达12次与新冠肺炎有关的插管，这一数字是正常情况下的五倍。倘若按目前趋势继续下去，“这完全是不可持续的”。一名医护人员则表示，当下工程师们正研究改造医院的空间，将88个区域改造成ICU病房。
运营着贝尔维尤医院等公立医院的纽约市健康与医院公司，其CEO米切尔·卡茨（Mitchell Katz）表示，他们正把包括呼吸机和防护装备等物资运送到有需要的医院。
报道指出，这次疫情中，令许多医疗工作者吃惊的是：患重病的青壮年要比他们预期的多得多。根据纽约市健康与心理卫生局20日公布的数据，该市所有确诊病例中，有56%的患者在50岁以下。
在皇后区的长岛犹太医疗中心，截至19日，有几名40岁以下的确诊患者在重症监护室接受呼吸机治疗，当中还有一些是20多岁的年轻人。
医护人员表示，病人们从轻度不适演变成呼吸困难，需要呼吸机帮助，这种迅速转变实在令人震惊，“过去一周的情况变得非常糟糕，我们都很紧张”。
20日，特朗普总统已宣布纽约州为疫情“重灾区”，将动用联邦资金进行协助。21日，州长科莫表示，纽约州确诊人数破万的原因在于，该州使用超过加州等近2倍的测试量。截至21日上午，纽约市确诊数已飙升至6211例。
New York hospital overwhelmed: old man dies on ward floor, doctor wears mask for one week
2020-03-22 15:12
[Text / Observer Network Zhang Chenjing] New York State has tens of thousands of confirmed cases, and has become the "heavy disaster area" for the new crown virus epidemic in the United States. Specific to the city, New York City, the most populous city in the United States, became the epicenter of the epidemic. The rapidly increasing number of cases has overwhelmed New York City hospitals.
On March 20, the Wall Street Journal interviewed 20 medical staff working in New York City. Among them were doctors from the largest public hospital in New York who said they had used the same masks for up to a week because of a shortage of protective supplies; there was also a doctor in the emergency room who said they had to reuse protective clothing; and Some doctors also said that the intensive care units (ICUs) of some large hospitals were already "overloaded"; at least one city hospital had to seek help from sister hospitals due to insufficient supplies of ventilator equipment.
Screenshot of Wall Street Journal report
An old man dies on the floor of a ward
"We are suffering," said Mangala Narasimhan, a doctor at Long Island Jewish Medical Center, part of Northwell Health Center, New York's largest medical system. "I have been in ICU for 15 years "What is happening today is the worst thing I have ever seen."
Nalassim said the hospital's ICU ward was overcrowded and was in an "overload" state. Today, she sees three times as many patients in the ICU ward as at the peak of the flu, with a significant proportion of patients under the age of 60.
"In the past 10 days, I have seen more cases of severe respiratory disease than I have seen in those years," Nalassim said.
Terry Lynam, a spokesman for the Northwell Health Center, said that the hospital has recently sent home about 2,500 patients who are planning to leave and cancel surgery. However, on the 19th, the Long Island Jewish Medical Center About 90% of the beds are full again.
Linham said that half of the hospital's intensive care patients were diagnosed with new coronary pneumonia, and they are now adding intensive care beds.
Earlier this week, New York State officials said the outbreak is expected to peak in 45 days, when the state may need up to 110,000 beds and 37,000 intensive care beds. However, there are currently only 53,000 beds and 3,000 critically ill beds in New York State, many of which are occupied by patients with other diseases.
A doctor at the Maimonides Medical Center in Brooklyn said the hospital no longer has room to isolate confirmed patients and is moving patients with less severe illness elsewhere.
"Beds are urgently needed," as stated in a memorandum sent to the Queens Presbyterian Hospital in New York on the 19th, "I need you to actively organize a patient's discharge plan."
Saquib Rahim, a doctor working at the hospital, said the number of potentially confirmed cases had surged in the past week and everyone in the hospital was busy. An elderly patient with symptoms of new coronary pneumonia died on the floor of a ward. "We have never seen anything like this", "Pray that we can stop the epidemic".
U.S. medical staff transfers new patients diagnosed with new crown pneumonia Picture from Xinhua News Agency
Reuse of masks and protective clothing
In addition to insufficient beds, there is also a serious shortage of protective supplies in hospitals. On the 19th, the New York State Nurses Association wrote in a letter to Governor Cuomo that it was painful that none of their 42,000 frontline members had protective equipment to protect them from the virus.
The Wall Street Journal received a copy of the letter, saying the agency warned in the letter that "if the staff were infected," the hospital would stop operating. "
A doctor at Tisch Hospital at New York University's Langone Medical Center said that they are reusing masks and protective clothing, using paper bags with their names when not in use, and hanging them on the wall. on.
A Manhattan nurse cried and said she was concerned about the latest CDC guidelines issued by the US Centers for Disease Control and Prevention, which advised medical staff to use a headscarf or scarf as a "last resort" instead of a mask.
"It's an extraordinary time," said Michael Phillips, chief epidemiologist at New York University's Langone Medical Center. The hospital requires employees to follow the guidance of the US Centers for Disease Control and Prevention and reuse masks to alleviate the shortage. .
A doctor at Bellevue Hospital, the largest public hospital in New York City, said that in recent days, only four doctors had confirmed the diagnosis in a department in Bellevue, and several doctors were waiting for test results. . Doctors at several other hospitals have said they are concerned that health care workers are also infected with the virus, especially if there are not enough test reagents.
Another doctor at Bellevue Hospital said they had up to 12 new coronary pneumonia-related intubations per day, five times the normal number. If this continues, "this is completely unsustainable." A medical staff member said that engineers are currently studying the transformation of the hospital space, transforming 88 areas into ICU wards.
Mitchell Katz, CEO of New York City Health and Hospitals, which operates public hospitals such as Bellevue Hospital, said they are shipping supplies including ventilator and protective equipment to hospitals in need.
The report pointed out that in the outbreak, many medical workers were surprised that there were far more young adults with severe illness than they expected. According to data released by the New York City Department of Health and Mental Health on the 20th, 56% of all confirmed cases in the city are under the age of 50.
At the Long Island Jewish Medical Center in Queens, as of 19th, several confirmed patients under the age of 40 were receiving ventilator treatment in the intensive care unit, and some of them were young people in their 20s.
Medical staff said that the rapid change from mild discomfort to breathing difficulties and the need for a ventilator was shocking. "The situation in the past week has become very bad, and we are all nervous."
On the 20th, President Trump has declared New York State as a "hit area" for the epidemic and will use federal funds to assist. On the 21st, Governor Cuomo said that the reason why the number of confirmed diagnoses in New York State exceeded 10,000 is that the state uses nearly twice as many tests as California. As of the morning of the 21st, the number of confirmed diagnoses in New York City has soared to 6,211.
