2. No, the one dose of remdesivir your loved one got didn’t cause them to be in the ICU. It was the 5 days being hypoxic at home.
3. No, I cannot change the DPOA in your loved one’s chart even if you hate your step-parent and think they are a horrible person. Your bio parent is an alert and decisional adult who is legally married to this person and WANTS them as their DPOA. This has been confirmed multiple times. I’m sorry your relationship sucks with the step-parent but my hands are tied. Get an attorney if you’re that concerned.
4. No, I’m not being rude telling you that I can’t do anything about the DPOA thing. Sorry.
5. No, I could not avoid intubating your loved one. They were persistently hypoxic at 84% in spite of all medical therapy. They were breathing >40 times a minute. To be frank, they looked like shit.
6. No, it’s not ok to record your phone calls with hospital staff without their expressed verbal consent.
7. This call is done.
It should be noted that this personal called >8 times in a 12 hour shift and kept the nurse or myself on the phone for at least 10-15 minutes each time. Totally unacceptable. Especially when one of those times the patient’s parent was DESATURATING to 78% and I couldn’t get this person off the phone. Literally just had to hang up to, you know, actually care for their loved one.
I 100% get that having a loved on in the ICU is super stressful. Especially if it’s a COVID patient. I get that the visitor restrictions are the pits. I get it. If I were in your shoes, I would be frustrated as well.
But…every time you call and keep a staff member on the phone, you’re limiting their ability to not only care for your loved one but to care for the other patients in the ICU.
There is a difference between being concerned/asking for a quick update and being disruptive.
I wanted to capture my feelings as a doctor in training who has been bludgeoned by the Covid-19 pandemic the last year and a half. But I’ve been too burned out to write about burnout.”
This article captures the emotions that have kept me from trying to write anything substantial about the pandemic, the massive systemic failures involved, and the social selfishness/ignorance it has revealed.
Translating the numbers. COVID. What do extra beds mean.
It’s another pet peeve I have with media and government bodies, whenever they go, we have X number of extra beds or we can flex up to this many beds.
It does not mean the beds come out of thin air. Or that COVID staff have magically appeared as “extra staffing” in addition to regular hospital beds.
It’s just not how it works. even if you have extra physical rooms and beds, training staff takes years.
It means regular hospital beds are being converted and staff are being transferred from whatever departments they were previously in to staff the COVID wards.
They could be surgeons, anaesthetists, physicians etc. trained to do other jobs, now being re-purposed or re-trained to temporarily staff ICU or COVID wards.
It means, less timely care and beds for other diseases that while not life threatening, are no less significant. No one casually goes to hospital for a cold for instance. Even those really sick with COVID needing hospital admission, are in terrible shape, it’s not like a bad case of the “man flu.”
I’ve seen entire public hospitals re-purposed to cater solely to COVID and it means other patients get re-diverted elsewhere where staff may not know long term patients with complex conditions or staff are not used to caring for some of them. This can lead to higher medical errors or worse long term outcomes than normal. For example, we have expert units in Cystic Fibrosis, organ transplants etc., not all hospitals or generalists are going to be as highly skilled in looking after them. Entire stroke wards have been dissolved or amalgamated with internal medicine units, so some staff can be re-purposed for COVID. There is no one size fits all in medicine, not all the time.
Healthcare agencies have already come out halted elective surgeries. This is needed during a crisis, but what are elective surgeries? Why is this term being thrown around? These aren’t superfluous necessarily, like a tummy tuck or hernia repair. Elective can refer to surgery to determine if someone has the early stages of cancer. We are going to see an influx of advanced cancers which means, higher mortality, more destructive therapies to control it versus the very early stage. And this isn’t solely limited to cancer, it’s also relevant to a host of other chronic diseases. We really take for granted the care we were providing previously. And we’re going backwards in the care we provide by years, possibly decades. I can’t imagine what this means for developing countries already under resourced and behind.
My other pet peeve is when politicians in particular and journalists, come out and go, we’ve known for 18 months or 2 years blah blah why were we not better prepared for the 3rd, 4th, 5th peak? It can take 10 years + to train a doctor. Med school can be 4-6 years depending on where you are in the world. Then you add residency etc. Nurses also need years to adequately train. We can’t just pull doctors out of a hat or from other countries - it’s a global pandemic.
Our healthcare systems were already operating at capacity before the pandemic. Why on earth would anyone think it would magically meet the challenge of the pandemic without repercussions? Where do you think the extra beds come from?
I wish the media would stop reporting extra beds as something we just pulled out of thin air when we didn’t. It’s providing a false sense of security and relief. Right now, we need to continue to encourage vaccinations and appropriate pandemic restriction measures, whatever they may be.
Urgent Care patient 1 (fever, headache, cough, exposed to Covid at home last week): “I know my body, and this isn’t Covid”
Test result: Positive
Urgent Care patient 2 (fever, headache, body aches, fatigue, home Covid test was positive this morning): “I just need a Covid test to say that I’m negative, so I can go back to work”
The COVID-19 pandemic has driven a new surge in violence against Asian communities across the world. Several high-profile instances of anti-Asian racist violence—spurred on by casually racist remarks at every level of government, business, and popular culture—have created a terrorizing climate for many. In San Francisco Chinatown for example, overt xenophobia, combined with the economic impact of shelter-in-place orders, has left immigrants, elders, limited English-speaking people, and poor folks feeling like targets. In San Francisco, where a staggeringly disproportionate 50% of the COVID-19 mortalities are from the Asian and Pacific Islander community, the pandemic has ushered in multiple violences. This has been further exacerbated by pre-existing crises: gentrification, displacement, homelessness, police terror, inequities in education, a drastic uptick in deportations, antagonism against trans and queer people, poverty, and exploitation.
We must recognize that the scapegoating of Asians as the harbingers of disease and the state violence against Black people (via systemic policing and state response to the pandemic) are two sides of the same coin. This system of oppression is what indicates whether we live or die. This moment makes it even clearer that we must radicalize our communities for cross-racial solidarity.
Asians and Anti-Blackness in the US
Asians in the US are not a monolith. Some of us are first-generation immigrants who came here to work under selective immigration policies that privileged our education and technical skills. Some of us are here through involuntary migrations—fleeing economic and military wars waged in our homelands by the US and other imperial powers. Some of our Asian families have been in the US for generations. Some of us were adopted from Asian countries by non-Asian families. Some of us are mixed-race and of Black and Asian descent. We cannot ignore the varied experiences and distinctions between how our people got to this land, our familial and community histories in the US, and the way in which mainstream American perceptions and portrayals impact us differently. What we do have in common is that we’re incentivized by capitalism and racism, particularly anti-Blackness, to hold up the dual evils of white supremacy and American imperialism.
In order to fight back, we need to be more informed. That means understanding how we’ve been asked to buy into this system and to uphold ideas, policies, and practices that ultimately go against our interests. That also means being active and vocal supporters of Black liberation, and taking responsibility to end our anti-Blackness. We must acknowledge that anti-Blackness is at the core of all racism and that non-Black Asians have benefited—conditionally—from a system of anti-Blackness politically, economically, and socially. See our statement on recent police killings of Black people for more on this. It also means understanding how the history of racial capitalism has impacted all our communities and continues to impact us.
A Shared History of White Supremacy and Imperialism
Today the current administration is seeding a second Cold War with China to protect its financial interests globally and in the Asian Pacific. Stateside, we see results of this expressed as public figures repeatedly call COVID-19 a “Chinese virus” or a “Kung Flu,” directly resulting in vigilante attacks on people of Chinese descent, or people perceived to be of Chinese descent. In the summer, we’re seeing an uptick in COVID-19 cases as states push for “re-opening,” in part so that the state doesn’t have to pay the brunt of unemployment benefits. This puts frontline workers (who are disproportionately from communities of color) at further risk—a decision not made off science but because of the drive for profit. In 2014-15, the Ebola outbreak also became a racialized pandemic, sparking widespread fear of African countries and a globalized anti-Blackness by Western countries.
We’ve seen this before: racist rhetoric, scapegoating, and, eventually, military tactics that target and intimidate communities of color to reinforce US capitalist priorities domestically and imperialism abroad. During World War II, fear of military threat by the Japanese government and fear of the economic influence of people of Japanese descent in the US led to the racist mass incarceration of Japanese Americans. Despite this despicable history, racist pundits have recently claimed the incarceration of Japanese Americans actually sets legal precedent for the targeting of other communities of color in the post 9-11 era. US government officials used Southwest Asian, North African, Muslim and South Asian communities as scapegoats during the “War on Terror” which put a huge target on their backs for vigilante violence, created massive surveillance and state-sanctioned harassment programs, and provided a cover for starting endless wars in the Gulf and West Asia for geopolitical dominance. During the rhetoric leading up to the various iterations of Trump’s travel bans we saw xenophobic language like “shithole countries” targeting both Muslim and African countries. We know that within the system of immigration surveillance and detention, Black immigrants are disproportionately targeted and deported.
We also know that the modern US police force was created in the antebellum period as patrols to hunt down people escaping slavery. Their present-day incarnation has been further solidified through continued targeting of Black communities as well as cracking down on unions and workers fighting for fairer wages and decent working conditions. Similarly, prisons are the contemporary progenies of slave plantations. These systems are undergirded by a dominant white supremacist narrative that insinuates Black people are inherently criminal and Black communities and families are irreparably broken. These narratives—built on more than 500 years of slavery, Indigenous genocide, and the theft of Native land—protect white owning-class privilege and power while resulting in death, disempowerment, and suffering, which disproportionately impact Black and Indigenous communities. These dominant systems, and the narratives that support them, have a firm grip on every aspect of contemporary US life. Understanding these critical connections is required political education for all—a more strategic resistance enables growth and strength across multiple communities of struggle. Without this, our communities are more vulnerable to counterproductive responses.
Moving Away from Counterproductive Responses
Unfortunately, in response to the rise in anti-Asian violence during COVID-19, we’ve seen vigilante groups form, bent on taking matters into their own hands. These responses reinforce the violent systems and narratives we want to dismantle. One such group that we’ve learned about in San Francisco Chinatown is composed of some ex-military. They have claimed they would perform citizens’ arrests, and have surveilled people they deem “suspicious,” and called the cops on them. Based on historic biases of the police and military, the folks targeted by this vigilante group have been Black, poor, unhoused, disabled, or a combination of the above. As we’ve seen for decades, police kill Black people at rates six times that of white people. This group has even co-opted language from the movement for Black lives in order to seem more sympathetic. Utilizing policing tactics like “patrols” and engaging in military-style surveillance and harassment of Black and poor people is an escalation and expansion of violence—not successful harm-prevention.
In this moment of the pandemic and uprisings, there is an opportunity to pivot to the future our communities want and need. Rather than attempting to solve the issues we’re facing by using tactics that replicate harm, we ask ourselves and each other: What new systems of support and care can we build and grow so that the world can be better? Asians cannot afford to hold on to the meager protections given to us by white supremacy; we can no longer be conscripted to fight the battles of white supremacy and American imperialism on its behalf while simultaneously being harmed by these systems. We need to recognize that our liberation is tied to our interdependence and solidarity.
Our Liberation is Intertwined
Hyejin Shim, queer Korean and prison abolitionist, poses an essential question: “What are the legacies we’ve inherited, which ones will we choose to protect?” In her piece questioning the limits of Asian American allyship, Hyejin reminds us that as Asian Americans, we have a rich, deep legacy of “Asian American prison abolitionists, anti-war activists, racial justice organizers, disability justice freedom fighters, queer/trans feminists & anti fascists, immigrant rights organizers, housing justice organizers, rape and domestic violence survivor advocates, labor organizers, artists and cultural workers, movement lawyers, and so many more, from both the past & present.” In all of these movements, Asian Americans have struggled alongside their Black siblings, with an understanding that our liberations are intertwined.
Again, Black and Asian solidarity in the face of systemic oppression is not new and we should continue to draw lessons from our vibrant shared history to inform our current and future work organizing for a more just society.
Early 1900s: Black US troops desert to join Pilipino independence fighters.
1969: Black, Asian, and Latinx students at San Francisco State University successfully lead a strike to create the first-ever Ethnic Studies program.
1970s: The Black Panther Party supports Pilipino residents of the International Hotel in their fight against eviction.
2006: After Hurricane Katrina, Black and Vietnamese communities in New Orleans protest the use of their community as a makeshift dump site.
2020: Black and Asian communities in New York lead a movement to Cancel Rent, focused on immigrant, undocumented, and homeless communities.
In addition to deepening our understanding of our shared histories, we should deepen our interpersonal relationships—our trust. We should continue to build out the mechanisms through which we tangibly support each other. As Stacey Park Milbern—a dearly beloved queer mixed race Korean comrade and disability justice movement leader who recently passed away—taught us: “We live and love interdependently. We know no person is an island, we need one another to live.”
This month, hundreds of thousands of people flooded the streets, decrying the police murders of George Floyd, Breonna Taylor, and so many more. The people are mobilizing to uplift calls from Black organizers to defund the police while imagining and implementing alternatives to policing that actually promote community health and wellbeing. It’s a beautiful sight to behold and we must not forget that this incredible and rapid mass mobilization is a direct result of the tireless and intentional work of organizers who move in between these flashpoint moments: people who do the unsung work of cultivating and deepening interpersonal relationships over decades, holding difficult and educational conversations, supporting members through personal challenges, and creating venues for community to celebrate victories and accomplishments.
Deep, intentional relationship building is central to laying the foundations that make change possible; at the same time, it is not just a means to an end. Trust and interdependence are ends in themselves. As Asians 4 Black Lives, we aim to live out the world we are fighting for, and our deep comradeship and friendship is core to how and why we show up. For example, we have taken up the practice of beginning each of our regular meetings with personal check-ins: Do you have any needs that our community can help you with? Do you have any resources or bandwidth you can offer to community? We are often wrestling with the complexity of what it means to be people of Asian diaspora living in the United States and in joint struggle with our Black, Indigenous, and other comrades of color. This extends our questioning into deeper political territory: What, if any, is our role as US-based Asians in addressing anti-Blackness in Asian communities abroad? What does it mean to be called #Asians4BlackLives when that phrase is being used as a rallying cry for so many who express their solidarity in ways we may not be aligned with? Our work raises important questions that help us sharpen our analysis and build stronger ties with each other and the communities we are accountable to.
Whatever the world throws at us, be it interpersonal violence, a novel coronavirus, climate change, or vigilante racism, we know that communities are most resilient when basic needs are met. As others have noted, wealthy, predominantly white communities have much lower rates of policing and longer life expectancies than lower income communities of color. This isn’t because rich people or white people are less predisposed to do harm, or because they are physically or biologically predetermined to be healthier, but rather that these communities are allocated more resources and support structures. These communities are given more chances to address violence without being criminalized, but this often empowers people with privilege to continue causing harm without facing consequences. Instead of this model, we strive for a world where everyone’s needs are met and new systems help us address real issues of health and harm without relying on the carceral state.
As COVID-19 shifts social relations in unprecedented ways and oppressive forces leverage the pandemic to stir up fear and anti-Asian racism for their own benefit, we must resist the temptation to put up walls and isolate ourselves. It’s essential that we be resilient and creative in the ways we stay close. Let us continue to deepen our trust and ground ourselves in our rich legacies of solidarity. Let us leverage our collectivizing strength as we fight for a world that centers humanity, dignity, and the space to thrive.
Civilised life, you know, is based on a huge number of illusions in which we all collaborate willingly. The trouble is we forget after a while that they are illusions and we are deeply shocked when reality is torn down around us.
It’s been almost a year since the pandemic started. Yet, there’s still no covid test that works like pregnancy or ovulation tests. A test kit like that should be developed so people can do it at home. Thus, people who are suspicious, wouldn’t get infected by waiting at hospitals.
“I’m not getting the vaccine because it’s my body, my choice”.
The phrase “my body, my choice” is a good argument when it comes to abortion rights and sexual consent. That is a choice that will only affect either solely your body (in abortion’s case) or you and your willing partner(s).
But vaccines are not the same thing.
Saying “my body, my choice” as an excuse not to get vaccinated fuels the false assumption that getting vaccinated is only to protect yourself. It’s the assumption that it’s okay to not get the vaccine because you think you’ll be okay not taking it.
The truth is, the vaccine is meant to protect both yourself AND the people around you. Maybe you’ll be fine without it. But what if you spread it to someone who won’t be?
As life slowly goes back to normal, you’re gonna come into contact with people. It’s inevitable. Without the vaccine you could contact and unknowingly spread it to another.
Maybe it is your body, your choice. But you’re also taking away someone else’s choice not to get sick.
Purposely not getting the vaccine is an act of selfishness.
(Anti vax and pro life people don’t fucking clown on this post )
