1 00:00:02,680 --> 00:00:07,480 Speaker 1: Welcome to Prognosis. I'm Laura Carlson. It's day fifty four 2 00:00:07,720 --> 00:00:12,000 Speaker 1: since coronavirus was declared a global pandemic. Our main story. 3 00:00:12,520 --> 00:00:16,279 Speaker 1: Healthcare professionals are hailed as heroes for treating patients on 4 00:00:16,360 --> 00:00:20,680 Speaker 1: the front lines of a global crisis, but they're facing 5 00:00:20,680 --> 00:00:24,439 Speaker 1: a crisis of their own. The outbreak is straining their 6 00:00:24,440 --> 00:00:31,640 Speaker 1: mental health with tragic consequences. But first, here's what happened today. 7 00:00:35,240 --> 00:00:39,200 Speaker 1: Federal health regulators said they would tighten oversight of antibody 8 00:00:39,240 --> 00:00:42,680 Speaker 1: tests that can tell whether patients have been infected with 9 00:00:42,760 --> 00:00:47,279 Speaker 1: the new coronavirus. The Food and Drug Administration said today 10 00:00:47,360 --> 00:00:49,600 Speaker 1: that the makers of the test would have to apply 11 00:00:49,680 --> 00:00:53,680 Speaker 1: for authorization within ten days of putting products on the market. 12 00:00:54,600 --> 00:00:58,000 Speaker 1: Since mid March, the FDA had been allowing them to 13 00:00:58,000 --> 00:01:02,080 Speaker 1: sell the tests without any government sign off. The f 14 00:01:02,200 --> 00:01:05,640 Speaker 1: d A had originally relaxed its rules to give drug 15 00:01:05,680 --> 00:01:09,720 Speaker 1: makers flexibility to get the tests to market faster, but 16 00:01:09,840 --> 00:01:15,120 Speaker 1: some manufacturers allegedly made false or inappropriate claims, and the 17 00:01:15,200 --> 00:01:19,959 Speaker 1: accuracy of some tests was questioned. The FDA has given 18 00:01:20,000 --> 00:01:24,440 Speaker 1: emergency authorizations to twelve antibody tests and said that two 19 00:01:24,560 --> 00:01:29,399 Speaker 1: hundred are currently in the review process. Meanwhile, the COVID 20 00:01:29,480 --> 00:01:33,679 Speaker 1: nineteen treatment, remdesvie, is moving quickly through the drug pipeline. 21 00:01:34,120 --> 00:01:38,600 Speaker 1: The anti viral drug was approved for emergency youth last Friday, 22 00:01:38,720 --> 00:01:41,959 Speaker 1: and Gill Lead Sciences, the maker of the drug, says 23 00:01:42,080 --> 00:01:44,520 Speaker 1: it plans to get it to patients as soon as 24 00:01:44,640 --> 00:01:49,760 Speaker 1: this week. Early results from an ongoing study show remdesvie 25 00:01:50,120 --> 00:01:56,280 Speaker 1: reduced the time it took hospitalized COVID nineteen patients to recover. However, 26 00:01:56,720 --> 00:02:00,240 Speaker 1: the journal The Lancet published results of the same week 27 00:02:00,480 --> 00:02:04,520 Speaker 1: from a small Chinese study that showed less promising results. 28 00:02:05,920 --> 00:02:08,960 Speaker 1: Even though the tests and treatments the FDA is fast 29 00:02:09,000 --> 00:02:13,360 Speaker 1: tracking have yet to even begin containing COVID nineteen, many 30 00:02:13,440 --> 00:02:18,800 Speaker 1: places have already begun restarting business. That's true of companies too. 31 00:02:19,200 --> 00:02:23,880 Speaker 1: Carnival Cruise Lines plans to sail ships again on August one. 32 00:02:24,280 --> 00:02:27,240 Speaker 1: It's the first major cruise operator in the Americas to 33 00:02:27,320 --> 00:02:32,480 Speaker 1: talk about reopening coronavirus outbreaks spread widely on several cruise 34 00:02:32,480 --> 00:02:36,240 Speaker 1: ships earlier this year. The first cruises will set sail 35 00:02:36,280 --> 00:02:41,600 Speaker 1: from Galveston, Texas, Miami, and Port Canaveral, Florida. Other cruises 36 00:02:41,680 --> 00:02:46,040 Speaker 1: have been canceled through August thirty one or longer. It's 37 00:02:46,160 --> 00:02:49,600 Speaker 1: unclear who will sail or how safe it would be 38 00:02:49,680 --> 00:02:52,720 Speaker 1: to cruise with the virus still likely to be at large. 39 00:02:53,200 --> 00:02:56,720 Speaker 1: When the industry shutdown had been March, outbreaks at sea 40 00:02:56,760 --> 00:03:00,919 Speaker 1: had reached havoc. The confined spaces are a perfect vehicle 41 00:03:01,000 --> 00:03:04,480 Speaker 1: for the virus to spread, and passengers were trapped aboard, 42 00:03:05,200 --> 00:03:18,080 Speaker 1: some of whom died and now our main story in hospitals, 43 00:03:18,080 --> 00:03:20,920 Speaker 1: healthcare workers are under threat from more than just the 44 00:03:20,960 --> 00:03:26,880 Speaker 1: coronavirus itself. The mental health effects of the work are grave. Recently, 45 00:03:27,160 --> 00:03:29,639 Speaker 1: the head of emergency medicine at a New York area 46 00:03:29,720 --> 00:03:34,880 Speaker 1: hospital died by suicide. Doctors and nurses fighting COVID nineteen 47 00:03:35,040 --> 00:03:39,000 Speaker 1: are watching patients die at rates rarely seen in civilian medicine, 48 00:03:39,920 --> 00:03:42,760 Speaker 1: and they're delivering the news to family members who aren't 49 00:03:42,800 --> 00:03:46,240 Speaker 1: allowed inside the hospital for fear of spreading the disease. 50 00:03:47,240 --> 00:03:50,200 Speaker 1: Hospitals are trying to treat the minds and hearts of 51 00:03:50,200 --> 00:03:55,680 Speaker 1: the healers, offering counseling, crisis hotlines and therapy dogs. I 52 00:03:55,760 --> 00:03:58,360 Speaker 1: talked to Bloomberg's and a court about the scars. The 53 00:03:58,400 --> 00:04:01,880 Speaker 1: pandemic is leaving on hospital workers and what the health 54 00:04:01,880 --> 00:04:09,000 Speaker 1: care system can do about it. These people are going 55 00:04:09,040 --> 00:04:11,400 Speaker 1: to work every day, you know. First of all, they're 56 00:04:11,400 --> 00:04:13,960 Speaker 1: actually leaving to go to work, unlike a lot of 57 00:04:14,000 --> 00:04:16,600 Speaker 1: people who are lucky enough to stay home. UM. And 58 00:04:16,640 --> 00:04:19,920 Speaker 1: then they're really in sort of the center, the epicenter 59 00:04:20,000 --> 00:04:23,720 Speaker 1: of this of this pandemic right there, seeing a tremendous 60 00:04:23,720 --> 00:04:27,800 Speaker 1: amount of human pain and grief. And they're also bearing 61 00:04:27,839 --> 00:04:30,039 Speaker 1: the burden not just of treating a disease that we 62 00:04:30,120 --> 00:04:33,919 Speaker 1: do not really understand, but they're also bearing the burden 63 00:04:34,279 --> 00:04:37,159 Speaker 1: of knowing that they're kind of the soul, you know, 64 00:04:37,320 --> 00:04:40,680 Speaker 1: representative of the patient. In this environment, people can't come 65 00:04:40,720 --> 00:04:43,320 Speaker 1: in and see their family members because of how infectious 66 00:04:43,320 --> 00:04:48,440 Speaker 1: this diseases are. Hospitals or other organizations, or even perhaps 67 00:04:48,680 --> 00:04:53,800 Speaker 1: some healthcare workers themselves, are they spearheading efforts to provide say, 68 00:04:53,839 --> 00:04:57,400 Speaker 1: more formal resources to two doctors or their other health 69 00:04:57,440 --> 00:05:03,000 Speaker 1: care colleagues to say, um, cope with this kind of stress. 70 00:05:03,040 --> 00:05:06,120 Speaker 1: So we spoke with a couple of different institutions that 71 00:05:06,160 --> 00:05:09,840 Speaker 1: we're trying to offer better support to their providers. One 72 00:05:09,880 --> 00:05:12,680 Speaker 1: of them was Mount Sinai here in New York, setting 73 00:05:12,720 --> 00:05:15,679 Speaker 1: up a center to to screen and treat and study 74 00:05:16,080 --> 00:05:20,360 Speaker 1: their healthcare workers, you know, difficult experiences through this UM. 75 00:05:20,400 --> 00:05:24,280 Speaker 1: I spoke with Julie Beavers, who's a trauma and crisis 76 00:05:24,360 --> 00:05:28,120 Speaker 1: chaplain who flew out here to New York from California 77 00:05:28,240 --> 00:05:31,279 Speaker 1: to be a support and a resource and health counsel 78 00:05:31,400 --> 00:05:33,920 Speaker 1: healthcare providers here on the front lines in New York. 79 00:05:34,000 --> 00:05:38,640 Speaker 1: People are traumatized and also the healthcare workers are traumatized. 80 00:05:38,920 --> 00:05:42,159 Speaker 1: This is not normal. This is not their normal. You know, 81 00:05:42,560 --> 00:05:46,080 Speaker 1: put on your scribs and go to work. UM. When 82 00:05:46,120 --> 00:05:48,840 Speaker 1: they go to work, they have more people to care 83 00:05:48,920 --> 00:05:53,520 Speaker 1: for than might be humanly possible, right, and it's in 84 00:05:53,640 --> 00:05:58,240 Speaker 1: situations that will not make sense to the training that 85 00:05:58,320 --> 00:06:02,120 Speaker 1: they've had. Yes, they are experts and caring for people, 86 00:06:02,200 --> 00:06:04,280 Speaker 1: and they know how to run ventilators, and they know 87 00:06:04,360 --> 00:06:07,680 Speaker 1: how to you know, administer medications, and they know how 88 00:06:07,720 --> 00:06:12,080 Speaker 1: to listen to people. These are ends. These nurses aren't 89 00:06:12,120 --> 00:06:17,880 Speaker 1: necessarily trained to deliver death notifications, right. There's an art 90 00:06:17,920 --> 00:06:22,080 Speaker 1: to that, and they're not trained for that, right. They're 91 00:06:22,080 --> 00:06:27,120 Speaker 1: not used to UM dealing with you know, very critical 92 00:06:27,160 --> 00:06:30,680 Speaker 1: patients and hearing the patient's phone ring. You know, these 93 00:06:30,680 --> 00:06:32,760 Speaker 1: patients might have been just on the phone with their 94 00:06:32,760 --> 00:06:36,640 Speaker 1: family members three hours ago and able to talk, and 95 00:06:36,680 --> 00:06:39,000 Speaker 1: now they're on a ventilator and they may lose their 96 00:06:39,040 --> 00:06:41,360 Speaker 1: life by the end of the day. And the nurses 97 00:06:41,400 --> 00:06:45,560 Speaker 1: are answering some of these phone calls and um, you 98 00:06:45,600 --> 00:06:53,680 Speaker 1: know that's not part of their training, right, an important 99 00:06:53,680 --> 00:06:57,120 Speaker 1: thing to think about in an availability of all these resources. 100 00:06:57,120 --> 00:07:00,680 Speaker 1: Healthcare workers have so much going on at work right now. 101 00:07:00,720 --> 00:07:03,360 Speaker 1: They're working incredibly long shifts. They don't have a lot 102 00:07:03,400 --> 00:07:06,839 Speaker 1: of free time, and they're sad and they're scared, and 103 00:07:06,880 --> 00:07:08,800 Speaker 1: they go home and all they have time to do 104 00:07:08,920 --> 00:07:11,800 Speaker 1: is really eat and sleep. Right, And now we're saying 105 00:07:11,800 --> 00:07:13,680 Speaker 1: in your free time you need to you know, talk 106 00:07:13,720 --> 00:07:15,760 Speaker 1: to counselor about this. Now that that's something that I 107 00:07:15,760 --> 00:07:18,400 Speaker 1: think would be challenging for anyone. But I also spoke 108 00:07:18,480 --> 00:07:21,120 Speaker 1: with a lot of experts who said, you know, there's 109 00:07:21,120 --> 00:07:23,360 Speaker 1: an additional kind of culture here in the in the 110 00:07:23,400 --> 00:07:26,920 Speaker 1: medical field, and especially I think among physicians, of you know, 111 00:07:27,000 --> 00:07:29,440 Speaker 1: we are the helpers, right, We don't need to help, 112 00:07:29,760 --> 00:07:32,120 Speaker 1: we help other people. For a lot of them, it 113 00:07:32,160 --> 00:07:34,600 Speaker 1: can be easy to say, you know, I'm fine, I'm 114 00:07:34,600 --> 00:07:36,600 Speaker 1: doing fine. You know, I have my friends, I have 115 00:07:36,640 --> 00:07:39,360 Speaker 1: my family. I talked to other doctors about this. I'm fine, 116 00:07:39,840 --> 00:07:42,239 Speaker 1: but you know, there's a real concern that if healthcare 117 00:07:42,280 --> 00:07:45,960 Speaker 1: providers don't take advantage of these resources or don't seek 118 00:07:46,000 --> 00:07:48,720 Speaker 1: support in some way, that there will be kind of 119 00:07:48,760 --> 00:07:52,400 Speaker 1: long lasting scars. It's almost inevitable. I think if you 120 00:07:52,440 --> 00:07:54,960 Speaker 1: think about this, the scale of this pandemic and the 121 00:07:55,000 --> 00:07:57,880 Speaker 1: scale of human suffering that healthcare providers are seeing on 122 00:07:57,920 --> 00:08:01,040 Speaker 1: the job every day. I was thing we might dig 123 00:08:01,120 --> 00:08:04,320 Speaker 1: into Julie Beaver's story a little bit more um because, 124 00:08:04,360 --> 00:08:07,320 Speaker 1: as you mentioned, she had recently arrived in New York. 125 00:08:07,480 --> 00:08:10,520 Speaker 1: She's working as a chaplain, and I was hoping you might, 126 00:08:11,000 --> 00:08:13,280 Speaker 1: you know, give us a bit of a like a 127 00:08:13,280 --> 00:08:16,400 Speaker 1: pain as a picture essentially of how she has been 128 00:08:16,840 --> 00:08:19,560 Speaker 1: um engaging with healthcare workers and you know, some of 129 00:08:19,560 --> 00:08:23,040 Speaker 1: the things that she's seen in her her daily experience 130 00:08:23,080 --> 00:08:26,000 Speaker 1: working as a chaplain with doctors or other workers either 131 00:08:26,040 --> 00:08:30,560 Speaker 1: experiencing burnout or just this kind of incredible pressures. Julie 132 00:08:30,560 --> 00:08:34,320 Speaker 1: Beaver's normally lives, you know, out in California and Sacramento, 133 00:08:34,440 --> 00:08:37,720 Speaker 1: and she flew um here to New York to volunteer 134 00:08:37,960 --> 00:08:41,320 Speaker 1: kind of to help frontline healthcare workers with exactly some 135 00:08:41,360 --> 00:08:43,839 Speaker 1: of the things we've been talking about here, right, with 136 00:08:43,880 --> 00:08:46,679 Speaker 1: the sort of trauma and the difficulty of this job. 137 00:08:47,320 --> 00:08:50,400 Speaker 1: And you know, something that is really interesting about her 138 00:08:50,400 --> 00:08:53,040 Speaker 1: experience is she's living in one of these hotels that 139 00:08:53,160 --> 00:08:56,119 Speaker 1: there's a lot of healthcare workers living in these hotels 140 00:08:56,400 --> 00:08:59,040 Speaker 1: kind of being busted over to the hospitals that they're 141 00:08:59,080 --> 00:09:01,760 Speaker 1: working at, you know, each day. And so she really 142 00:09:01,800 --> 00:09:05,760 Speaker 1: structures her day around when the health care providers are, 143 00:09:06,000 --> 00:09:08,319 Speaker 1: you know, leaving for the day for the day shift 144 00:09:08,360 --> 00:09:12,240 Speaker 1: and coming back from an evening shift, just sort of saying, hey, 145 00:09:12,280 --> 00:09:14,800 Speaker 1: I'm here for you. I'm here for you. You can 146 00:09:14,800 --> 00:09:17,760 Speaker 1: talk to me. Here's my card. I want to set 147 00:09:17,760 --> 00:09:20,800 Speaker 1: them up for success going forward. Um. You know, it's 148 00:09:20,920 --> 00:09:23,560 Speaker 1: very common for them to have nightmares. It's very common 149 00:09:23,640 --> 00:09:26,160 Speaker 1: for them to you know, go back to their room 150 00:09:26,360 --> 00:09:32,440 Speaker 1: and spend the day rehashing their shift instead of sleeping. Right. Um. 151 00:09:32,480 --> 00:09:36,920 Speaker 1: The thing that makes this so much like war is 152 00:09:36,960 --> 00:09:40,200 Speaker 1: that this isn't a one time trauma for them. You know, 153 00:09:40,280 --> 00:09:45,520 Speaker 1: It's not like somebody that has experienced finding a loved one, 154 00:09:45,760 --> 00:09:47,920 Speaker 1: you know, that has died by suicide in their home 155 00:09:48,080 --> 00:09:50,320 Speaker 1: or something like that where it's a one time, very 156 00:09:50,360 --> 00:09:57,240 Speaker 1: traumatic event. These healthcare workers are experiencing traumatic events throughout 157 00:09:57,280 --> 00:10:00,680 Speaker 1: their twelve hour shift, and and they come back and 158 00:10:00,720 --> 00:10:03,400 Speaker 1: they try to get some sleep, and then they gear 159 00:10:03,520 --> 00:10:08,400 Speaker 1: up and go again and again and again and again. 160 00:10:20,120 --> 00:10:24,200 Speaker 1: That was Bloomberg's and the Court, and that's our show today. 161 00:10:24,760 --> 00:10:27,480 Speaker 1: For coverage of the outbreak from one and twenty bureaus 162 00:10:27,520 --> 00:10:33,000 Speaker 1: around the world, visit bloomberg dot com slash Coronavirus and 163 00:10:33,120 --> 00:10:35,400 Speaker 1: if you like the show, please leave us a review 164 00:10:35,679 --> 00:10:39,880 Speaker 1: and a rating on Apple Podcasts or Spotify. It's the 165 00:10:39,920 --> 00:10:43,000 Speaker 1: best way to help more listeners find our global reporting. 166 00:10:44,280 --> 00:10:47,680 Speaker 1: The Prognosis Daily edition is hosted by Me Laura Carlson. 167 00:10:48,280 --> 00:10:51,839 Speaker 1: The show was produced by Me top foreheads, Jordan Gospore 168 00:10:52,200 --> 00:10:57,280 Speaker 1: and Magnus Hendrickson. Today's main story was reported by Emma Court. 169 00:10:57,840 --> 00:11:02,080 Speaker 1: Original music by Leo Sidran. Our editors are Francesco Leavi 170 00:11:02,320 --> 00:11:07,120 Speaker 1: and Rick Shawine. Francesca Levi is Bloomberg's head of Podcasts. 171 00:11:07,880 --> 00:11:08,720 Speaker 1: Thanks for listening.