Louisville Medicine Volume 67, Issue 11 | Page 33

DOCTORS' LOUNGE DOCTORS' LOUNGE SPEAK YOUR MIND If you would like to respond to an article in this issue, please submit an article or letter to the editor. Contributions may be sent to [email protected]. The GLMS Editorial Board reserves the right to choose what will be published. Please note that the views expressed in Doctors’ Lounge or any other article in this publication are not those of the Greater Louisville Medical Society or Louisville Medicine. THE DEAD ARE NOT A HOAX AUTHOR Mary Barry, MD F rom the beginning of this novel coronavirus (COVID-19) pandem- ic, the failure of this administration to protect Americans has grown and grown. It focused first on protecting stock prices. In late February, the President tweeted, “The coronavirus is very much under control in the USA. CDC & World Health have been working hard and very smart. Stock Market starting to look very good to me!” While in India, the President told reporters, “I think that whole situation will start working out. We’re very close to a vaccine.” The CDC responded that a COVID-19 vaccine is not likely to appear before mid-2021. Three days later, the President appeared at a rally in South Caro- lina and claimed, “The Democrats are politicizing the coronavirus. They tried the impeachment hoax, and this is their new hoax.” I doubt that the loved ones of Americans dead from COVID-19 would agree. There are thousands of people in mourning in too many countries already, and millions more who are afraid of dying from this disease. The CDC’s ability to respond to this viral onslaught had already been attacked by the current administration. In March 2018, key officials for the CDC’s rapid response team were fired and were not replaced. Also in 2018, the CDC lost 80% of its funding for global health security teams, experts who worked in countries that pandemics come from, including China. Additionally, the Complex Crises Fund, a $30 million emergency fund that could be direct- ed immediately to deploy disease experts, was discontinued. The President called for $15 billion more in cuts to previously-approved health funding. As I write this in early March, Italy has just moved to the sec- ond-most cases in the world, with nearly 7,400 ill and 366 dead. By the time you read this, those numbers will be much higher. We frontline doctors—primary care, urgent care, emergency room doctors—are afraid to miss this diagnosis and are angry at the cumbersome process of testing for it. South Korea had drive-thru testing for over a week before we even got the ability to test in our own state. We cannot test people without the permission of the health department. We have to call the Infectious Disease team before that, even. As of early March, we have no tests on-site; they must be transported to us, or the patient sent via EMS to the health department. We understand that our production of an accurate test was hampered in the extreme by understaffing and underfunding at the CDC, with contaminated tests and failures of early tests frustrat- ing everyone who needed an answer, now. Seattle, with the many deaths in Washington state, developed its own test in a matter of weeks and is using it. As I write this, New York Gov. Cuomo is still waiting for permission from the CDC to allow seven private labs in the state to begin testing; the New York state cases totaled 106 today. Imagine the real number of cases if we could swab everybody, as for the flu! If a test is costly, forget it. People will simply refuse and the opportunity to prevent the spread of infection will be lost. We see people daily with COVID-19 symptoms: achy/feel bad/ sniffly/ feverish/coughing. Who just has a cold? Who is just a normal Louisvillian who wheezes when they get sick? Who might have a military daughter who came home on leave from the Philippines? Who might have a UPS spouse who flies the Atlantic routes? Who might have a son who is a long-distance truck driver, one who crosses the country twice a week? (Imagine trying contact tracing (continued on page 32) APRIL 2020 31