20 March, 2020

“They Ignored the Warning Signs”: A New York City ER Doctor Explains What She’s Up Against


What are you seeing on the ground in the ER right now?
It’s changing every day. A point I want to emphasize, though, is that the federal government set us up for failure. They should have paid attention to what the forecasters were saying months ago, but they ignored the warning signs and stuck their heads in the sand. The underreporting and under-testing has made us fundamentally unable to combat this effectively. The New York [state] government has been remarkable; [Governor Andrew] Cuomo has been doing a great job. But the lack of federal oversight means that there will be pockets of success and pockets of failure. It makes it that much harder for us to combat this on a global level. On the ground, I’m seeing health care professionals do their best to catch up. New York has the highest number of infections of all the states in America, and we’re going to see that number increase exponentially.
The testing criteria is changing day to day, but we are not able to test enough people—just a fraction of the patients we see are getting tested. People who live with their 85-year-old grandmother and are displaying symptoms are not getting tested. People who have symptoms [and] need a positive test in order to keep getting paid by their employers while they’re not working are not getting tested. Right now, we are saving the tests for people who are in critical condition.
We’re all wearing as much PPE [personal protective equipment] as possible, including goggles that were given to us by the hospital. But we don’t know how long the supplies are going to last.