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PLEASE don't party or mix

Few talk about the NHS workers who have to cope with the infections caused by people partying or mixing. Here is an account of what it is like" It’s 5pm in a busy London hospital and a patient who came in a few days ago has deteriorated rapidly. The woman in her 60s has coronavirus. In a few days, she has gone from coping well to her oxygen levels dropping dramatically.This is a moment that replays in the mind of Ian (not his real name), a junior doctor who works in an infectious diseases unit in the capital. It stands out for a number of reasons: Ian had barely eaten that day, surviving an unrelenting shift on coffee, and his unit – which usually has 30 patients a day when things are busy – was full with 55 patients. The woman’s deterioration was unexpected and she was someone who would normally be fit and healthy, with years of life ahead of her.“I was stretched that day, working flat out … and I got a call from nurses saying the patient was unresponsive and needed 100% oxygen via a face mask, which is bad news usually,” Ian says.Another doctor got there first and it appeared the patient had had a stroke. “We needed to try to call her husband and children to tell them what had happened and communicate it,” he says, adding that these are people who never expected to get “that” call and in normal times it would not be happening. This was an otherwise perfectly healthy person.It’s been the hardest nine months of his career, he says, without any hesitancy in his voice. In the last few weeks in particular there has been a “palpable” sense of coronavirus cases rising.“It happened really quickly with new patients coming in. We had three or four … and then all of a sudden a few weeks ago the numbers started increasing at a rapid rate. The week before Christmas the number of new people was increasing by 30% per day.”Speaking over the phone on his day off, Ian says he fears he is reaching burnout, describing his long 12-hour shift, which starts at about 9am and ends after 9pm. The day is made up of ward rounds and meetings, assessing who needs tests and scans, or who might need to be referred to intensive care.He says he has become less able to cope with “unexpected things happening”.NHS boss praises staff 'in the eye of the storm' as Covid cases surgeRead more“You start feeling like you become less empathetic and treat patients more as numbers than humans. You react to stresses in the rest of your life in a more adverse way and you often start to become hard to be around. Essentially, you don’t have the emotional reserve,” he adds, noting that it takes its toll on personal relationships.At a recent evening meeting, an emergency buzzer went off to signal a patient was having a cardiac arrest. The man died. After that day, Ian came home and burst into tears due to the “enormous pressure and stress” he was feeling."

Iris Hill ● 2127d14 Comments ● 2125d

TGT- CHR  20 min observation

Just my observation of 20 mins on the corner Firstly 7 cars and one pickup had to take quick decisive action turning right out of TGT and not entering the cycle lane. One car naturally took a wide turn at pace and took quick action to turn back in. Unfortunately, nothing serious happened as the motorbike that was originally behind ended beside the car and nearly take out. The conclusion is this. Only a matter of time before something happens and I don't give it long. The turn is naturally wide but the start of the cycle lane is set to far forward for correction Secondly, is the cycle lane going east to the west outside Barclays bank. They have the wands in place to mark the cycle lane from the lights pretty much up to the corner of Annandale avenue. This gives cyclists who ignore the red outside Barclays to carry on thinking they are safe because of the wands giving the impression the cycle lane continues. Unfortunately, one car coming down Annandale avenue at a legal pace because the road was clear so at a pace and crossing into TGT on a green missed a cyclist who had not stopped on the red going east to west. The conclusion is while the cyclist or cyclists must stop on red and i say that because many did not stop on red but majority did just in case one gets all touchy the continuation of the wands gives cyclists who don't stop a false sense of safety and traffic coming out of Annandale avenue are waiting for them. The wands past the lights up to Annandale avenue need to be removed. Thirdly I noticed the green man outside snappy snaps going south to north and visa versa are not counting down and the time to cross seems to have gone down slightly. Some pedestrian seems to be caught out more than before The total conclusion is TGT, CHR and Annandale avenue will have accidents in time, it is just a case of when

Julian Pavey ● 2136d112 Comments ● 2127d