CV Central - 4/1/2020 - "Neurological invasion, silencing of physicians, and an attitudinal shift"
Episode 43 starts with a troubling case of a woman from Detroit who suffered acute hemorrhagic necrotizing encephalopathy - or a bleeding brain - apparently related to Covid and the cytokine storm problem. We look at a study from Los Angeles that showed only 5% of the suspected influenza patients had Covid, meaning both coronavirus spread is in the community there but also still likely has many more people to reach foreshadowing a longer interval. That's bad news for doctors being silenced and fired for talking about a lack of PPE leading to situations like Boston and Spain where mass staff infection is becoming common. In NY, the situation is seeing mass graves being predug by prisoners. All this is happening as we see people under extreme psychological and economic stress and with a leadership vacuum in taking the fight to the virus promising instability and wilder days ahead.
Covid-19 associated Acute Hemorrhagic Necrotizing Encephalopathy: CT and MRI Features: https://pubs.rsna.org/doi/10.1148/radiol.2020201187
SARS-CoV-2/Influenza Study from LA: https://jamanetwork.com/journals/jama/fullarticle/2764137
Hospitals seek to silence doctors under threat of dismissal throughout US: https://www.bloomberg.com/news/articles/2020-03-31/hospitals-tell-doctors-they-ll-be-fired-if-they-talk-to-press
Boston seeing major infection in hospital staff: https://www.npr.org/sections/coronavirus-live-updates/2020/03/30/824170756/four-boston-hospitals-report-significant-numbers-of-employees-have-the-coronavir
Spain also suffering major struggles to keep medical staff in the fight: https://www.aljazeera.com/news/2020/03/spain-tightens-restrictions-week-lockdown-begins-200330191539568.html
US emergency medical supply dwindling: https://news.trust.org/item/20200401004741-7rc0u
Rikers Island prisoners digging future tombs on NYC island for pandemic victims: https://theintercept.com/2020/03/31/rikers-island-coronavirus-mass-graves/
Red Cross warns of impending civil unrest in West: https://www.usnews.com/news/world/articles/2020-03-27/pandemic-could-spark-unrest-among-wests-urban-poor-red-cross-aid-agency
The losers of the stimulus package: https://www.cnbc.com/2020/03/30/heres-who-wont-qualify-for-beefed-up-coronavirus-unemployment-relief.html
Consumers worldwide shift habits into survival mode: https://www.scmp.com/economy/china-economy/article/3077901/coronavirus-china-us-consumer-behaviour-radically-altered
Bay Area stay at home order extended to May 3: https://patch.com/california/martinez/bay-area-coronavirus-stay-home-order-extended-what-know
Challenges in West Australia: https://www.abc.net.au/news/2020-04-01/coronavirus-wa-cases-fall-as-wa-begins-to-flatten-the-curve/12107326
Cascading effects of food supply issues: http://endoftheamericandream.com/archives/supplies-are-starting-to-get-really-tight-nationwide-as-food-distribution-systems-break-down
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