Pestilence Update

What Happens When All the Doctors in the US Get Sick? “We’re on the Italian track,” of mass infection among healthcare providers, one expert said.

Foreshadow Now, ‘Season of the End Times’:

Blog note. Jesus indicated that ‘fearful sights’ (various natural disasters) would occur leading up to the time known as the Tribulation and Great Tribulation (a combined seven year period of great destruction on earth). Although these types of things have occurred in the past for centuries and thousands of years, they could be identified as the ‘season of the times’ due to the ferociousness of these events. They would be occurring in greater intensity, severity, frequency, size, duration, scope … just like the pains that a woman experiences in labor the farther along she is in the labor process. We are in the ‘season of the times’ that comes just before the seven (7) year Tribulation/Great Tribulation period

… And great earthquakes shall be in diverse places, and famines, and pestilences; and fearful sights and great signs shall there be from heaven. (Luke 21:11).
… And there shall be signs in the sun, and in the moon, and in the stars; and upon the earth distress of nations, with perplexity; the sea and the waves roaring; (Luke 21:25)
… Men’s hearts failing them for fear, and for looking after those things which are coming on the earth: for the powers of heaven shall be shaken; (Luke 21:26)
… This know also, that in the last days perilous times shall come. (2 Timothy 3:1)

Jesus is giving a series of prophecies about what to look for as the age of grace comes to a close. These verses are several of many such prophecies from throughout the Bible. 2017 was the worst year in recorded history for the intensity, frequency, severity, duration and occurrence of a large number of severe natural disasters worldwide. Earthquakes, volcanoes, hurricanes, typhoons, cyclones, torrential flooding, unprecedented wildfires in unusual places, devastating droughts, excessive/scorching heat setting records everywhere, record snowfalls in Europe and Russia. Snow in the Arabia. This list can go on. Most studied Eschatologists believe these ‘fearful sights’ and massive natural disasters are all part of the ‘CONVERGENCE’ of signs that this Biblical and prophetic age is closing. Most people who study prophecy are familiar with the routine reference(s) made that these things will be like a woman having labor.

What Happens When All the Doctors in the US Get Sick? “We’re on the Italian track,” of mass infection among healthcare providers, one expert said.

Updated Mar. 23, 2020 3:27PM ET / Published Mar. 23, 2020 2:06PM ET Olivia Messer.

Thousands of doctors and nurses in Italy have contracted the 2019 novel coronavirus, and American health workers have said they’re terrified of getting the illness, especially in the face of startling and systemic equipment shortages

Some emergency room doctors in the U.S. have already tested positive for the virus, and other medical providers have personally prepared for the possibility of infection—creating wills, isolating off parts of their houses from the rest of their families, recording bedtime stories for their children on their phones. But what happens to an already-cascading national health crisis when, even if equipment shortages are resolved, medical personnel are falling out of rotation?

Without concerted action to protect healthcare workers, experts said, America could be facing a shortage when its citizens need them the most.

Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University and an expert on U.S. readiness for pandemics, said there were three main ways to staff hospitals if a large number of providers get sick.

The first scenario is already playing out in New York City, where retired health officials—doctors, nurses, administrators, dietitians, and more—were recently asked to join the Big Apple’s medical reserves. More than 1,000 retired healthcare professionals and private practice physicians answered the call in just one day last week.

“Many of us in the business are worried about this, about the back-up plan for if they’re ill or have to stay home or—God forbid—don’t survive,” said Redlener. “The only problem with bringing in retired people is that they’re older, and many will have preexisting conditions.”

Then there’s the federal National Disaster Medical System, which exists to supplement health and medical systems during times of crisis. The system has sent reserve doctors from all over the country to respond to emergencies, including the aftermath of natural disasters like Hurricane Sandy. The pool of doctors and nurses from the system can be requested by federal, state, local, tribal, or territorial authorities. 

But those resources are finite, and travel is no simple matter in the face of a creeping trend toward nationwide lockdown.

“If we’re dealing with a single major disaster someplace, then we have enough for that, but if we have clusters all over the country pop up, it becomes a problem because there’s so much demand across the board,” Redlener said. “For every health professional we call up, we take them away from their regular jobs, which are also critical.” 

A physician might not, for example, be able to take off to help treat the outbreaks in Washington state or New York if their own hospital is having trouble with staffing because of the spread of infection there.

A third option Redlener cited would invoke the use of international medical graduates who have been educated, trained, and employed as physicians or nurses in other countries, some of whom already live in the U.S. and are waiting to be placed in an American gig.

“If you’re moving to the U.S. and want to practice medicine here, you usually have to take a residency all over again in the U.S., and it’s very difficult to secure places in those programs,” he explained. “For those people, it’s time to think about waiving the requirements to repeat a full-blown residency.”

Of course, none of this would feel as precarious if it weren’t for the dire shortage of personal protective equipment, including masks, for medical professionals, which federal officials have promised to shore up.

Many hospitals have lowered standards of care, delayed elective surgeries, and begun utilizing telemedicine in unprecedented volumes to accommodate the potential surge of critically ill patients, as Slate reported

For better or for worse, the options in the U.S. mirror what’s been done in Italy to handle the dramatic caseload of more roughly 60,000 patients. As of last week, more than 2,629 health care workers in Italy had reportedly contracted COVID-19. Throughout the country, medical students and nurses have graduated early to work in the field, technicians and medical assistants in training were fast-tracked to the front lines, the country’s health ministry has asked retired doctors to return to work, and health workers have put in double shifts with few breaks.

Health providers also succumbed to the coronavirus in China—including a whistleblower in Wuhan who tried to call attention to the deadly disease. But safety measures largely implemented in Hubei province to protect healthcare workers were meticulous, according to William Haseltine, president of the global health think tank ACCESS Health International, who recently chaired the U.S.-China Health Summit in Wuhan, where the virus is believed to have originated.

“All of their healthcare workers were outfitted with high-quality hazmat outfits—not makeshift,” said Haseltine. “If you were in what’s called ‘controlled quarantine’ in a hotel room, the person who delivered your food was in a hazmat outfit. The people who came in to clean your room were in full hazmat outfits and cleaned your room with Lysol every day.” 

Meanwhile, in the U.S., in addition to nationwide supply shortages for protective gear, precautions and preparations vary from state to state.

“We have contingency plans, a command center, cross-site privileges for staffing, so we can move bodies around if needs arise and staff gets sick,” said Rob Davidson, an emergency physician at Spectrum Health Gerber Memorial in Fremont, Michigan. Davidson also serves as executive director of the Committee to Protect Medicare, a self-described public advocacy and grassroots lobbying group that works “to persuade elected officials to support health care for all Americans.” 

“We’re preparing for this, but don’t know when it’s going to hit and how bad,” he told The Daily Beast on Friday. As of Monday morning, the total number of cases in Michigan had more than doubled, surpassing 1,000. At least nine people had died.

Davidson said he knew of at least one physician at risk of severe infection who transferred his practice to telemedicine, and Davidson said that his family decided he should isolate himself in the basement of their home if he comes into contact with a positive patient that requires intubation or other intense exposure.

“Our dedication is to doing the right thing for our patient, and what if we can’t do good enough medicine, or end up choosing who lives and who dies just because there were too many patients?” asked Davidson. “The nightmare scenarios that you hear playing out in Italy, that’s where none of us want to be.”

He was far from alone in wondering how the system might respond.

“The entire hospitalist team at my hospital is terrified,” said an internal medicine doctor in Ohio who asked to remain anonymous over fear of retaliation from her employer. “Our worst fear is contracting the virus and spreading it to our spouses and children.We are worried about our patients, of course, but none of us want our personal decision of becoming a doctor—and serving on the front lines—to adversely affect the ones we love.”

She said that older doctors in her practice—primarily those with grown children and no loans—have mentioned that they’ve considered quitting.

“Fear of harming your family will lead to those thoughts in even the most virtuous physician,” she said. 

A pharmacy executive who works at a rehabilitation hospital in Austin, Texas—and who also requested anonymity over fear of professional retaliation—described a similar calculus.

“My wife is a surgical physician’s assistant, and I work with elderly people, on average in their seventies, who are mostly recovering from strokes and hip surgeries,” he said, adding that his 71-year-old mother lives in his home and helps care for his one-year-old baby with a congenital condition who is vulnerable to severe infections—and his kindergarten-aged daughter. 

After reading what he called “horror stories” about “not enough gowns, not enough masks,” the pharmacist said he and his wife began discussing contingency plans for the possibility that they could end up in the intensive care unit after contracting the disease. 

“Worst case scenario, my kids lose both parents,” the pharmacist said, adding that he was processing his fear the way many other Americans were: “wine and denial.”

Dr. Bernard Ashby, a vascular cardiologist based in Miami Beach, Florida, told The Daily Beast that high numbers of sick—or dead—medical providers is “a plausible scenario given that we’re not protecting them.”

“That would spell out disaster for our patients and our healthcare system,” Ashby said, adding that, like most doctors, he’s more worried about becoming a vector than about getting sick himself. “I have a newborn child and a mother with chronic illness. I’m very concerned about spreading it to my family, so I’m currently self-isolating from them. It’s tough.”

“There’s been a failure of leadership at multiple levels, and because of that, the healthcare system will get overwhelmed, and a lot of people will suffer unnecessarily,” said Ashby. “We will suffer unnecessary casualties as a result of a lack of proactive measures to mitigate this pandemic.”

Ashby said that hospitals all over the country should be screening the temperature of providers as they come into work and testing hospital staff more readily, which has not yet been possible because of the nationwide shortage of diagnostic kits.

But based on the federal response to the crisis and the lack of supplies in the U.S., said Haseltine, “We’re on the Italian track.”

Losing doctors and nurses to the coronavirus “is going to be devastating,” he continued, noting that the overwhelming fear “is already psychologically extremely damaging to our healthcare workers.”

And as a country, he said, “It puts us in even higher jeopardy.” 

(Night Watchman Note: What will happen when millions of Christians suddenly ‘disappear’ in the ‘twinkling of an eye”??? Those who may be first-responders, doctors, nurses, support staff, policemen, firefighters, homeless volunteers, those in the red cross or other emergency aid and relief organizations, in the national guard or military, pharmacies, grocery stores, etc. You get the picture.)

Jesus Christ’s Offer of Salvation:

The ABCs of Salvation through Jesus Christ (the Lamb)

A. Admit/Acknowledge/Accept that you are sinner. Ask God’s forgiveness and repent of your sins.

. . . “For all have sinned, and come short of the glory of God.” (Romans 3:23).

. . . “As it is written, There is none righteous, no, not one.” (Romans 3:10).

. . . “If we say that we have no sin, we deceive ourselves, and the truth is not in us.” (1 John 1:8).

B. Believe Jesus is Lord. Believe that Jesus Christ is who He claimed to be; that He was both fully God and fully man and that we are saved through His death, burial, and resurrection. Put your trust in Him as your only hope of salvation. Become a son or daughter of God by receiving Christ.

. . . “That whosoever believeth in him should not perish, but have eternal life. For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. For God sent not his son into the world to condemn the world; but that the world through him might be saved. (John 3:15-17). For whosoever shall call upon the name of the Lord shall be saved.” (Romans 10:13).

C. Call upon His name, Confess with your heart and with your lips that Jesus is your Lord and Savior.

. . . “That if thou shalt confess with thy mouth the Lord Jesus, and shalt believe in thine heart that God hath raised him from the dead, thou shalt be saved. For with the heart man believeth unto righteousness; and with the mouth confession is made unto salvation.” (Romans 10:9-10).

. . . “If we say that we have no sin, we deceive ourselves, and the truth is not in us. If we confess our sins, he is faithful and just to forgive us our sins, and to cleanse us from all unrighteousness. If we say that we have not sinned, we make him a liar, and his word is not in us.” (John 1:8-10).

. . . “And he is the propitiation for our sins: and not for ours only, but also for the sins of the whole world. (John 2:2).

. . . “In this was manifested the love of god toward us, because that God sent his only begotten Son into the world, that we might live through him. And we have seen and do testify that the Father sent the Son to be the Saviour of the world. Whosoever shall confess that Jesus is the Son of God, God dwelleth in him, and he in God.” (1 John 4:9, 14-15).

. . . “But God commendeth his love toward us, in that, while we were yet sinners, Christ died for us. Much more then, being now justified by his blood, we shall be saved from wrath through him. For if, when we were enemies, we were reconciled to God by the death of his Son, much more, being reconciled, we shall be saved by his life.” (Romans 5:8-10).

. . . “For the wages of sin is death; but the gift of God is eternal life through Jesus Christ our Lord.” (Romans 6:23).

. . . “Jesus saith unto them, I am the way, the truth, and the life, no man cometh unto the Father, but by me.” (John 14:6).

. . . “For I am not ashamed of the gospel of Christ: for it is the power of God unto salvation to everyone that believeth.” (Romans 1:16).

. . . “Neither is there salvation in any other: for there is none other name under heaven given among men, whereby we must be saved.” (Acts: 4:12).

. . . “Who will have all men to be saved, and to come unto the knowledge of the truth for there is one God, and one mediator between God and men, the man Christ Jesus.” (1 Timothy 2:4-6).

. . . “For God did not appoint us to suffer wrath but to receive salvation through our Lord Jesus Christ.” (1 Thessalonians 5:9).

. . . “But as many as received him, to them gave the power to become the sons of God, even to them that believe on his name.” (John 1:12).

True Church / Bride of Christ Spared from God’s Wrath:

 Romans 5:8-10. “But God commendeth his love toward us, in that, while we were yet sinners, Christ died for us. Much more then, being now justified by his blood, we shall be saved from wrath through him. For if, when we were enemies, we were reconciled to God by the death of his Son, much more, being reconciled, we shall be saved by his life.”

Romans 12:19Dearly beloved, avenge not yourselves, but rather give place unto wrath: for it is written, Vengeance is mine; I will repay, saith the Lord.

1 Thessalonians 1:10. And to wait for his Son from heaven, whom he raised from the dead, even Jesus, which delivered us from the wrath to come.

1 Thessalonians 5:9. For God hath not appointed us to wrath, but to obtain salvation by our Lord Jesus Christ,

Romans 8:35. Who shall separate us from the love of Christ? shall tribulation, or distress, or persecution, or famine, or nakedness, or peril, or sword?

Jeremiah 30:7. Alas! for that day is great, so that none is like it: it is even the time of Jacob’s trouble, but he shall be saved out of it.

Revelation 3:10 Because thou hast kept the word of my patience, I also will keep thee from the hour of temptation, which shall come upon all the world, to try them that dwell upon the earth.

Categories: Pestilence Update

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