1
00:00:03,320 --> 00:00:08,600
Speaker 1: Welcome to Prognosis. I'm Laura Carlson. It's been one year

2
00:00:09,080 --> 00:00:14,080
Speaker 1: since coronavirus was declared a global pandemic, and in that

3
00:00:14,120 --> 00:00:21,440
Speaker 1: time our lives have changed dramatically. The virus has imposed disease, death,

4
00:00:21,840 --> 00:00:25,720
Speaker 1: and loss on the US and the world. It forced

5
00:00:25,840 --> 00:00:31,640
Speaker 1: sweeping changes to daily life almost overnight. For this special

6
00:00:31,680 --> 00:00:36,240
Speaker 1: episode of Prognosis, Bloomberg reporters Emma Court and Nick Corrello

7
00:00:36,680 --> 00:00:40,160
Speaker 1: spoke with people across the US about what this last

8
00:00:40,240 --> 00:00:43,240
Speaker 1: year has been like for them and how things could

9
00:00:43,320 --> 00:01:01,560
Speaker 1: change moving forward. Here's Emma. A year ago, my day

10
00:01:01,600 --> 00:01:04,880
Speaker 1: would start with a train ride alongside thousands of fellow

11
00:01:04,920 --> 00:01:12,080
Speaker 1: commuters into Manhattan. Once I got to work, I might

12
00:01:12,120 --> 00:01:15,639
Speaker 1: get pulled into a meeting or two, or have lunch

13
00:01:15,760 --> 00:01:19,360
Speaker 1: with a source. I would grab coffee with a colleague,

14
00:01:19,760 --> 00:01:23,960
Speaker 1: and after work get dinner with friends. In other words,

15
00:01:24,440 --> 00:01:29,320
Speaker 1: it was all pretty normal. Because I write about healthcare.

16
00:01:29,920 --> 00:01:33,399
Speaker 1: The novel Coronavirus had been on my radar and in

17
00:01:33,560 --> 00:01:38,800
Speaker 1: my reporting for weeks. At that point, still, the infectious

18
00:01:38,840 --> 00:01:43,679
Speaker 1: disease seemed far away, at a remove from daily life.

19
00:01:44,560 --> 00:01:49,240
Speaker 1: That changed suddenly one Thursday morning. The train cars were

20
00:01:49,280 --> 00:01:54,920
Speaker 1: emptier than ever before hours later, city and state politicians

21
00:01:55,000 --> 00:01:59,840
Speaker 1: declared a state of emergency and put restrictions on gatherings.

22
00:02:01,200 --> 00:02:06,840
Speaker 1: New York City bround to a halt. Now my commute

23
00:02:07,040 --> 00:02:11,680
Speaker 1: is from one room of my apartment to another. Zoom

24
00:02:11,720 --> 00:02:16,520
Speaker 1: calls have replaced meeting rooms, and after work plans involved

25
00:02:16,600 --> 00:02:20,680
Speaker 1: watching my house plants to grow. The piece of work

26
00:02:20,840 --> 00:02:27,960
Speaker 1: and life has slowed, even stalled. Everyone has experienced something

27
00:02:28,080 --> 00:02:31,880
Speaker 1: like this over the last year, a dramatic shift in

28
00:02:31,919 --> 00:02:35,800
Speaker 1: the way we work, live, and spend time with our families.

29
00:02:36,800 --> 00:02:39,960
Speaker 1: We've been collecting stories for the past few months about

30
00:02:40,040 --> 00:02:42,680
Speaker 1: this change, and we want to share them with you

31
00:02:42,919 --> 00:02:52,760
Speaker 1: as the pandemic enters. It's one year anniversary. I'm Suzanne

32
00:02:52,760 --> 00:02:56,680
Speaker 1: Evans Wagner. My name is Betsy Sneller. Wagner and Sneller

33
00:02:56,880 --> 00:03:02,320
Speaker 1: are both professors of linguistics at Michigan State University. So

34
00:03:02,360 --> 00:03:05,160
Speaker 1: the Machiane Diaries project came about as a way to

35
00:03:05,880 --> 00:03:08,880
Speaker 1: test what the effects of the pandemic will be on

36
00:03:09,360 --> 00:03:12,880
Speaker 1: language for speakers in Michigan. So getting these to audio

37
00:03:12,919 --> 00:03:15,080
Speaker 1: diaries where people just tell us about their day or

38
00:03:15,080 --> 00:03:20,120
Speaker 1: their week is really rich data. You know, the mundane

39
00:03:20,120 --> 00:03:22,840
Speaker 1: ways that life has been changing is really valuable for

40
00:03:23,000 --> 00:03:25,960
Speaker 1: us when we're going to go analyze how their language

41
00:03:25,960 --> 00:03:30,120
Speaker 1: has been changing. At the beginning of the pandemic, nobody

42
00:03:30,200 --> 00:03:32,600
Speaker 1: knew what to call it. We didn't even know what

43
00:03:32,680 --> 00:03:37,119
Speaker 1: to call it. Participants themselves were calling it anything from

44
00:03:37,200 --> 00:03:42,920
Speaker 1: the current situation to Miss Rhona, to Rhona to coronavirus,

45
00:03:43,000 --> 00:03:47,200
Speaker 1: to COVID nineteen to the pandemic um. And one thing

46
00:03:47,200 --> 00:03:50,640
Speaker 1: that we found in our diary entries is that as

47
00:03:51,680 --> 00:03:55,960
Speaker 1: time went on, the whole community kind of settled in on, Okay,

48
00:03:56,000 --> 00:03:58,440
Speaker 1: we're just going to call it the pandemic. That's the

49
00:03:58,560 --> 00:04:01,560
Speaker 1: term that we're gonna land on. So one thing to

50
00:04:01,600 --> 00:04:06,200
Speaker 1: know is that lexical items words to describe things. Lexical

51
00:04:06,240 --> 00:04:10,160
Speaker 1: items change a lot, especially when there's a new thing

52
00:04:10,480 --> 00:04:12,720
Speaker 1: that occurs, and we saw this at the beginning of

53
00:04:12,720 --> 00:04:16,040
Speaker 1: the pandemic, particularly that there was kind of this explosion

54
00:04:16,080 --> 00:04:20,800
Speaker 1: of new terms, maskal um, quarantine, e, all of these

55
00:04:20,800 --> 00:04:24,040
Speaker 1: different terms related to like, oh, we're doing like zoom

56
00:04:24,120 --> 00:04:34,120
Speaker 1: happy hour, things like that Baker's hotline. This is Amanda,

57
00:04:34,240 --> 00:04:37,400
Speaker 1: how can I help you? My name is Amanda Schlaram

58
00:04:37,400 --> 00:04:41,279
Speaker 1: and I'm a I'm a shift lead on the Baker's

59
00:04:41,320 --> 00:04:45,360
Speaker 1: hotline as well as the customer support side too. What

60
00:04:45,400 --> 00:04:48,000
Speaker 1: I basically do is, um, I answer a lot of questions,

61
00:04:48,040 --> 00:04:50,880
Speaker 1: some of the some of the bigger questions that come

62
00:04:50,880 --> 00:04:53,680
Speaker 1: in about orders when I'm doing Baker's hotline things. I

63
00:04:53,720 --> 00:04:58,919
Speaker 1: definitely take calls for baking fiascos and and such and

64
00:04:58,960 --> 00:05:01,920
Speaker 1: how I try to help trouble shoot that. Usually this

65
00:05:01,960 --> 00:05:05,000
Speaker 1: time of year spring, like going into spring late winter,

66
00:05:05,600 --> 00:05:08,600
Speaker 1: we kind of slow down. We still get a fair

67
00:05:08,640 --> 00:05:11,479
Speaker 1: amount of calls, but it's not as crazy as like

68
00:05:11,560 --> 00:05:15,520
Speaker 1: holiday where everyone's baking for the holidays, and like we

69
00:05:15,600 --> 00:05:19,479
Speaker 1: came in and it was our phones were just just wild.

70
00:05:19,680 --> 00:05:23,159
Speaker 1: Like it was, you know, twenty calls holding and everyone

71
00:05:23,279 --> 00:05:26,479
Speaker 1: is asking what kind of flower they can use? You know,

72
00:05:26,520 --> 00:05:29,400
Speaker 1: they're making sour dough. How do they do that? Um?

73
00:05:29,440 --> 00:05:31,480
Speaker 1: What can they feed their sour dough because they don't

74
00:05:31,520 --> 00:05:35,520
Speaker 1: have the kind of flower we're suggesting it. Definitely, it

75
00:05:35,600 --> 00:05:38,880
Speaker 1: was almost an overnight change, Like it was so fast.

76
00:05:39,160 --> 00:05:42,520
Speaker 1: Anxieties were definitely running pretty high. People would say, you know,

77
00:05:42,560 --> 00:05:44,039
Speaker 1: I can't find bread, so I'm now going to have

78
00:05:44,080 --> 00:05:45,599
Speaker 1: to make all of my bread, and so then they'd

79
00:05:45,640 --> 00:05:47,600
Speaker 1: want you to walk them through how to do that,

80
00:05:47,720 --> 00:05:50,600
Speaker 1: like how exactly to make a loaf of bread and

81
00:05:50,680 --> 00:05:54,240
Speaker 1: so um. I do think there is definitely a lot

82
00:05:54,240 --> 00:05:59,320
Speaker 1: of panic going on and then just overreaction too small

83
00:06:00,040 --> 00:06:03,960
Speaker 1: baking problems that we would definitely talk them down and

84
00:06:04,000 --> 00:06:06,760
Speaker 1: be like, like, you got this, you can do this.

85
00:06:06,960 --> 00:06:08,479
Speaker 1: It's not going to be it's not going to be

86
00:06:08,480 --> 00:06:10,640
Speaker 1: the end of the world. We feel like a lot

87
00:06:10,640 --> 00:06:13,120
Speaker 1: of our calls are a lot longer now because people

88
00:06:13,120 --> 00:06:15,520
Speaker 1: are either lonely or they're tired of talking to the

89
00:06:15,520 --> 00:06:18,200
Speaker 1: people in their house or whatever, because they they just

90
00:06:18,200 --> 00:06:21,040
Speaker 1: started talking to us about everything. So it's it's definitely

91
00:06:21,160 --> 00:06:23,400
Speaker 1: kind of learning how people deal with fuel of things

92
00:06:23,400 --> 00:06:38,720
Speaker 1: has been interesting for me definitely. My name is Mike Builder.

93
00:06:38,800 --> 00:06:42,120
Speaker 1: I'm the CEO of jack Box Games UM. Jack Box

94
00:06:42,160 --> 00:06:46,920
Speaker 1: Games is a independent developer and publisher. We make party

95
00:06:46,960 --> 00:06:50,120
Speaker 1: games that you play on your television, but then you

96
00:06:50,200 --> 00:06:53,159
Speaker 1: use your mobile phone to uh to join them and play.

97
00:06:53,200 --> 00:06:56,880
Speaker 1: And they saw a really huge spike in gameplay and

98
00:06:56,960 --> 00:07:00,320
Speaker 1: interest and trafficked our website um purchase of the game games.

99
00:07:01,160 --> 00:07:04,440
Speaker 1: People usually play Jackbox games when they were together in

100
00:07:04,480 --> 00:07:07,920
Speaker 1: the same room with a game up on a TV screen,

101
00:07:08,720 --> 00:07:12,120
Speaker 1: but that also changed during the pandemic. So people realized

102
00:07:12,320 --> 00:07:16,280
Speaker 1: pretty quickly under the pandemic that that you could launched

103
00:07:16,280 --> 00:07:18,600
Speaker 1: the game on your computer, have a zoom call, and

104
00:07:18,640 --> 00:07:21,680
Speaker 1: just share the screen of the game and still have

105
00:07:21,720 --> 00:07:24,920
Speaker 1: a really fun party environment, a social interaction with a

106
00:07:24,960 --> 00:07:26,760
Speaker 1: ton of people over VidCon, as if you were sitting

107
00:07:26,760 --> 00:07:29,200
Speaker 1: in the same room together playing a party. When we

108
00:07:29,200 --> 00:07:32,440
Speaker 1: were seeing this kind of interest in tracking happening in

109
00:07:32,560 --> 00:07:35,280
Speaker 1: March and April last year, I mean that was a

110
00:07:35,360 --> 00:07:38,080
Speaker 1: huge eye opener to us, like something unique is happening here.

111
00:07:38,200 --> 00:07:42,480
Speaker 1: And you know, prior to quarantine, and and you know,

112
00:07:42,520 --> 00:07:45,640
Speaker 1: people staying at home, UM, people would play our games

113
00:07:45,680 --> 00:07:48,760
Speaker 1: over VidCon. I think entertainment as a whole has has

114
00:07:48,920 --> 00:07:52,680
Speaker 1: you know, aside from maybe the box office, home entertainment

115
00:07:52,840 --> 00:07:57,080
Speaker 1: U has definitely seen quite a boost out of this

116
00:07:57,200 --> 00:08:00,440
Speaker 1: home quarantine. UM. People are looking for escaped as them.

117
00:08:00,440 --> 00:08:02,240
Speaker 1: They want to watch TV, they want to play video games,

118
00:08:02,280 --> 00:08:03,720
Speaker 1: they want to be entertained, they want to be taken

119
00:08:03,720 --> 00:08:08,200
Speaker 1: out of their their quarantine moment um. And so my industry, beat,

120
00:08:08,240 --> 00:08:18,360
Speaker 1: the video game industry has benefited from that. Here's Betsy

121
00:08:18,480 --> 00:08:22,640
Speaker 1: Sneller from the Michigan Diaries project again at the beginning

122
00:08:22,640 --> 00:08:26,040
Speaker 1: of the pandemic, it was kind of new and uh,

123
00:08:26,160 --> 00:08:27,600
Speaker 1: you know, people would say, oh, I saw this new

124
00:08:27,680 --> 00:08:31,480
Speaker 1: sign the neighborhood park is closed, or this new thing happened,

125
00:08:31,960 --> 00:08:34,960
Speaker 1: and there was a lot to talk about. Kind of

126
00:08:34,960 --> 00:08:42,679
Speaker 1: starting in August September, um, people were feeling sad. So

127
00:08:42,720 --> 00:08:44,839
Speaker 1: we have a lot of diary entries. I actually have

128
00:08:44,880 --> 00:08:47,640
Speaker 1: people saying this is really boring. You guys are going

129
00:08:47,679 --> 00:08:50,320
Speaker 1: to be really bored, and then in the background there's

130
00:08:50,360 --> 00:08:59,520
Speaker 1: these big other things happening in the world. August, people

131
00:08:59,600 --> 00:09:04,000
Speaker 1: were also thinking about back to school season and wondering

132
00:09:04,240 --> 00:09:07,520
Speaker 1: whether kids would be able to go back. In person,

133
00:09:09,040 --> 00:09:10,679
Speaker 1: I feel like people are going to be sick of

134
00:09:10,880 --> 00:09:14,080
Speaker 1: go they not know that they're sick. Okay, and the

135
00:09:14,120 --> 00:09:17,320
Speaker 1: mask sometimes I can't really heal with the mass, but

136
00:09:17,559 --> 00:09:20,080
Speaker 1: I can't I can't really hear from mask that well.

137
00:09:21,040 --> 00:09:22,920
Speaker 1: So what kind of things that do you think that

138
00:09:22,960 --> 00:09:24,920
Speaker 1: you could do to be safe if we have to

139
00:09:24,960 --> 00:09:29,520
Speaker 1: go back to school on the ball? Social distance? Social distance?

140
00:09:29,520 --> 00:09:33,360
Speaker 1: Do you think that might be hard at school? Yeah? Yeah.

141
00:09:33,600 --> 00:09:35,480
Speaker 1: I've also been trying to think of like stuff that

142
00:09:35,640 --> 00:09:38,600
Speaker 1: make my zoom meeting battle and stuff, because when you're

143
00:09:38,600 --> 00:09:41,480
Speaker 1: at school, it's kind of boring. So I so some

144
00:09:41,520 --> 00:09:43,319
Speaker 1: of the things that I'm going to do is that

145
00:09:43,360 --> 00:09:46,600
Speaker 1: I'm gonna use slime and I got some signs for

146
00:09:46,640 --> 00:09:48,920
Speaker 1: my birthday, so I'm definitely going to be playing with

147
00:09:48,960 --> 00:09:52,680
Speaker 1: that obviously, not like make a huge mess, but like

148
00:09:53,160 --> 00:09:55,600
Speaker 1: away from the computer. But I'm going to just kind

149
00:09:55,600 --> 00:09:58,080
Speaker 1: of be playing with a party or something just because

150
00:09:58,120 --> 00:09:59,880
Speaker 1: that's a fun thing or like I I've just been

151
00:10:00,400 --> 00:10:02,440
Speaker 1: that way. I don't get really, boy, do you mean

152
00:10:02,559 --> 00:10:10,600
Speaker 1: because it's kind of boring. My name is Dr Jesse Gold.

153
00:10:10,679 --> 00:10:14,640
Speaker 1: I'm a psychiatrist and I see healthcare professionals and college students,

154
00:10:15,040 --> 00:10:17,840
Speaker 1: and I work in St. Louis, Missouri at Washington University

155
00:10:17,880 --> 00:10:20,960
Speaker 1: in St. Louis, where I'm an assistant professor and director

156
00:10:21,000 --> 00:10:26,280
Speaker 1: of Wellness Engagement and Outreach. I think people are definitely

157
00:10:27,320 --> 00:10:31,400
Speaker 1: sicker than maybe they were before UM. At the beginning

158
00:10:31,400 --> 00:10:34,280
Speaker 1: of the pandemic. I think we had a lull where

159
00:10:34,920 --> 00:10:40,080
Speaker 1: people were sort of adjusting to the new normal, kind

160
00:10:40,080 --> 00:10:42,400
Speaker 1: of in this fight or flight mode where they were

161
00:10:42,440 --> 00:10:45,199
Speaker 1: just kind of I think you would just say, like

162
00:10:45,720 --> 00:10:47,760
Speaker 1: making sure they had food, making sure they had water,

163
00:10:47,920 --> 00:10:50,240
Speaker 1: making sure everything was safe and they didn't even really

164
00:10:50,240 --> 00:10:52,679
Speaker 1: think about their mental health. And even at the beginning

165
00:10:52,679 --> 00:10:54,600
Speaker 1: we were sort of like, I guess we don't have

166
00:10:54,640 --> 00:10:57,480
Speaker 1: that many patients were okay, And then it took off

167
00:10:57,520 --> 00:11:02,719
Speaker 1: pretty quickly, and especially in healthcare workers, where what they're

168
00:11:02,760 --> 00:11:06,880
Speaker 1: doing day to day has been so different and not

169
00:11:07,040 --> 00:11:10,800
Speaker 1: at all what they're used to. You know, health care

170
00:11:10,840 --> 00:11:13,920
Speaker 1: workers in general, when they sign on to do what

171
00:11:13,960 --> 00:11:16,240
Speaker 1: they do, I didn't really think that they could get

172
00:11:16,240 --> 00:11:19,720
Speaker 1: sick themselves or bring home the illness to family members,

173
00:11:19,760 --> 00:11:24,040
Speaker 1: and so that's a big change. They maybe would see

174
00:11:24,040 --> 00:11:27,400
Speaker 1: one person die a shift, if any, and have seen

175
00:11:27,480 --> 00:11:32,520
Speaker 1: just people dying and dying and dying. So I had

176
00:11:32,640 --> 00:11:39,000
Speaker 1: a patient that is really struggling tell me that it has.

177
00:11:39,280 --> 00:11:42,520
Speaker 1: She had called twenty places to try to get a

178
00:11:42,559 --> 00:11:48,240
Speaker 1: therapist and nobody had openings. And I could like feel

179
00:11:48,520 --> 00:11:52,880
Speaker 1: my body physically sink when she said that, and I

180
00:11:52,920 --> 00:11:56,120
Speaker 1: was really just taken aback by that. And I know

181
00:11:56,320 --> 00:12:00,120
Speaker 1: very much that it's also not the therapist's fault, and

182
00:12:00,200 --> 00:12:04,240
Speaker 1: that I've been talking to therapists a lot and they're

183
00:12:04,280 --> 00:12:10,200
Speaker 1: really struggling. They they also have been taking extra sessions,

184
00:12:10,760 --> 00:12:15,120
Speaker 1: working on weekends, taking their old clients back doing all

185
00:12:15,160 --> 00:12:18,520
Speaker 1: of this extra stuff that you know, it's like flipping

186
00:12:18,520 --> 00:12:21,760
Speaker 1: over backwards to do as much as they can to

187
00:12:22,040 --> 00:12:25,680
Speaker 1: accommodate more and more people to fill in the broken

188
00:12:25,720 --> 00:12:28,760
Speaker 1: gaps of the system. But the system still can't fit

189
00:12:28,880 --> 00:12:32,160
Speaker 1: all of these people, and they're still calling twenty people. Right.

190
00:12:32,320 --> 00:12:36,120
Speaker 1: I've would have told you before COVID that I probably

191
00:12:36,200 --> 00:12:39,520
Speaker 1: had ten patients or something that I would go to

192
00:12:39,520 --> 00:12:43,960
Speaker 1: sleep and worry about of my like hundred and fifty

193
00:12:44,120 --> 00:12:47,480
Speaker 1: or so. You know, it's not the case anymore. It's

194
00:12:47,600 --> 00:12:51,920
Speaker 1: much closer to like over half of them. I would say,

195
00:12:52,240 --> 00:12:59,120
Speaker 1: I think, you know, part of that is that you're

196
00:12:59,160 --> 00:13:04,960
Speaker 1: not seeing movement on them improving, and whether that's you know,

197
00:13:05,000 --> 00:13:07,080
Speaker 1: the men's not working and so you want to change it,

198
00:13:07,200 --> 00:13:12,360
Speaker 1: or whether that's you can't medicate away a pandemic and

199
00:13:12,400 --> 00:13:16,360
Speaker 1: you can't medicate away grief, and you can't medicate away

200
00:13:16,440 --> 00:13:21,280
Speaker 1: job loss and schooling from home and work from home

201
00:13:21,679 --> 00:13:36,000
Speaker 1: and all of this stuff compounding. Here's another Michigan Diaries

202
00:13:36,040 --> 00:13:43,480
Speaker 1: recording about that. I'm just struggling in general with COVID

203
00:13:43,600 --> 00:13:47,000
Speaker 1: right now because there are a lot of things I

204
00:13:47,040 --> 00:13:50,840
Speaker 1: haven't processed, Like it's just everything has been so heavy,

205
00:13:50,960 --> 00:13:53,959
Speaker 1: like it's it's first of all, really hard for me

206
00:13:54,880 --> 00:13:59,280
Speaker 1: to be UM so isolated from people, Like I never

207
00:13:59,320 --> 00:14:02,920
Speaker 1: thought of myth as a social person, but during COVID

208
00:14:02,920 --> 00:14:08,400
Speaker 1: I've realized I still need that contact with people and um,

209
00:14:08,520 --> 00:14:11,840
Speaker 1: you know, just seeing my friends in person. So that's

210
00:14:11,880 --> 00:14:15,200
Speaker 1: been a real struggle for me. UM And so I

211
00:14:15,200 --> 00:14:18,760
Speaker 1: guess I just really haven't been processing things well, like

212
00:14:18,920 --> 00:14:21,840
Speaker 1: just not working through my emotions with that are thinking

213
00:14:21,880 --> 00:14:36,680
Speaker 1: about it a lot. Plenty of people also weren't working

214
00:14:36,720 --> 00:14:41,880
Speaker 1: from home this last year, including at pharmaceutical companies where

215
00:14:41,920 --> 00:14:47,080
Speaker 1: employees were busier than ever. Here's Stefan von Sell, the

216
00:14:47,160 --> 00:14:53,240
Speaker 1: chief executive officer of Maderna. So we were made aware

217
00:14:53,280 --> 00:14:59,360
Speaker 1: of the virus between Christmas and New Year of UH.

218
00:14:59,560 --> 00:15:02,920
Speaker 1: We got the sequence from the Chinese government in January,

219
00:15:02,960 --> 00:15:06,440
Speaker 1: the tenth put online. By the thirteen of January, we

220
00:15:06,560 --> 00:15:11,160
Speaker 1: had the vaccine design lockdown on the computer. It was

221
00:15:11,240 --> 00:15:15,200
Speaker 1: all in Silico. We never touched the physical virus. Forty

222
00:15:15,240 --> 00:15:18,240
Speaker 1: two days after the team ship to v N I

223
00:15:18,440 --> 00:15:21,880
Speaker 1: h the vaccine and on March I think the thirteen

224
00:15:22,640 --> 00:15:26,800
Speaker 1: we started over sixteen. We started dozing UH. In the

225
00:15:26,880 --> 00:15:31,640
Speaker 1: first phase one at the NA h Uh. July July

226
00:15:33,000 --> 00:15:37,200
Speaker 1: we started the phase three and December eighteen the vaccine

227
00:15:37,200 --> 00:15:40,640
Speaker 1: was authorized by the FD. So in eleven months we

228
00:15:40,840 --> 00:15:45,600
Speaker 1: went from nothing, not even knowing the sequence of this virus,

229
00:15:45,640 --> 00:15:49,320
Speaker 1: to getting an authorized vaccine. How could you develop a

230
00:15:49,400 --> 00:15:52,400
Speaker 1: vaccine so fast? I think it's the question, and I

231
00:15:52,400 --> 00:15:55,120
Speaker 1: think there's a few things. Because we're in the pandemic,

232
00:15:56,400 --> 00:15:58,880
Speaker 1: there were a lot of cases. You need people to

233
00:15:58,960 --> 00:16:01,560
Speaker 1: get sick, and fortunate me to compare to people who

234
00:16:01,600 --> 00:16:05,520
Speaker 1: got placebo. When we inject the money in people's arm,

235
00:16:05,600 --> 00:16:09,480
Speaker 1: we never give them a drug. We give them an instruction,

236
00:16:09,520 --> 00:16:13,440
Speaker 1: set a piece of code, a piece of software for

237
00:16:13,560 --> 00:16:17,560
Speaker 1: your body to read that instruction and to make, in

238
00:16:17,600 --> 00:16:22,360
Speaker 1: this case, the spect protein of a coronavirus. And when

239
00:16:22,360 --> 00:16:25,640
Speaker 1: you're gonna make a spect protein yourself in your body, well,

240
00:16:25,680 --> 00:16:28,160
Speaker 1: your immune system is going to see that protein, which

241
00:16:28,240 --> 00:16:31,600
Speaker 1: is not natural, it's not a human protein in your body,

242
00:16:31,720 --> 00:16:33,600
Speaker 1: and so humane system is going to be upset and

243
00:16:33,600 --> 00:16:37,680
Speaker 1: it's gonna make antibodies so that if later you get

244
00:16:37,680 --> 00:16:41,000
Speaker 1: a natural infection of the sascovi too virus, you will

245
00:16:41,040 --> 00:16:44,440
Speaker 1: already have antibody in your body that will bind to

246
00:16:44,560 --> 00:16:47,880
Speaker 1: the virus, neutralize it and so it will prevent it

247
00:16:47,880 --> 00:16:52,040
Speaker 1: from getting inside yourselves to self replicate and make you sick.

248
00:16:52,760 --> 00:16:56,520
Speaker 1: So was a historic here in terms of getting a

249
00:16:56,640 --> 00:17:00,840
Speaker 1: money as a first approved product. A few people were

250
00:17:00,840 --> 00:17:04,520
Speaker 1: even aware of what the money is even in the

251
00:17:04,560 --> 00:17:07,920
Speaker 1: farmer industry. And I think the world in the next

252
00:17:07,960 --> 00:17:11,160
Speaker 1: you know Moss waters and els, He's going to start

253
00:17:11,200 --> 00:17:14,320
Speaker 1: mine well to see the benefit that that people are

254
00:17:14,320 --> 00:17:26,040
Speaker 1: going to get from many many amany drugs coming to them.

255
00:17:26,080 --> 00:17:29,240
Speaker 1: My name is Nita Kadeer. I am a pulmonary critical

256
00:17:29,320 --> 00:17:31,520
Speaker 1: care physician at U c l A. I'm the co

257
00:17:31,640 --> 00:17:34,600
Speaker 1: director of the medical I See you and I was

258
00:17:34,680 --> 00:17:38,240
Speaker 1: the co director for the critical care COVID efforts at

259
00:17:38,320 --> 00:17:42,520
Speaker 1: U c l A Health busin last year. So I

260
00:17:42,600 --> 00:17:45,560
Speaker 1: take care of patients when they are critically ill and

261
00:17:45,880 --> 00:17:48,840
Speaker 1: a native intensive care. I also see them in my

262
00:17:49,040 --> 00:17:53,000
Speaker 1: follow up clinic um patients who have um them being

263
00:17:53,040 --> 00:17:55,720
Speaker 1: patients who have survived critical illness and are coming back

264
00:17:55,760 --> 00:18:05,159
Speaker 1: from follow up. The mainstay of treating ARID s and

265
00:18:05,240 --> 00:18:09,119
Speaker 1: treating COVID is still good supportive care. Don't get me wrong.

266
00:18:09,200 --> 00:18:12,280
Speaker 1: Sometimes we are running to the bedside with a crash cart.

267
00:18:12,320 --> 00:18:15,280
Speaker 1: Absolutely we're doing that, but yes, a lot of it

268
00:18:15,320 --> 00:18:19,720
Speaker 1: is preventing complications. So I think supportive care doesn't think

269
00:18:19,720 --> 00:18:22,040
Speaker 1: that it's due because they people hear it and they

270
00:18:22,080 --> 00:18:25,840
Speaker 1: think it means like chicken soup and naps, you know.

271
00:18:26,440 --> 00:18:31,119
Speaker 1: But a supportive care and the IIC you essentially amounts

272
00:18:31,160 --> 00:18:36,600
Speaker 1: to supporting the body, often withinvasive measures UM and giving

273
00:18:36,640 --> 00:18:40,440
Speaker 1: time for healing and avoiding complications while you are supporting

274
00:18:40,480 --> 00:18:44,119
Speaker 1: the body with these invasive measures and UM. It's that

275
00:18:44,359 --> 00:18:47,320
Speaker 1: still I think sounds much more simple than it is,

276
00:18:47,400 --> 00:18:55,800
Speaker 1: but it is actually quite a bit of work. I

277
00:18:55,840 --> 00:19:00,080
Speaker 1: don't think survival is talked about enough UM, and I

278
00:19:00,080 --> 00:19:02,359
Speaker 1: I do think there's far too much talk about death.

279
00:19:02,359 --> 00:19:05,280
Speaker 1: And this is not to discount death and the over

280
00:19:05,359 --> 00:19:09,600
Speaker 1: half a million deaths that our country has experienced over

281
00:19:09,640 --> 00:19:13,720
Speaker 1: the past year UM. But there are many more people

282
00:19:13,720 --> 00:19:16,640
Speaker 1: who will survive than who will die, and we need

283
00:19:16,680 --> 00:19:20,680
Speaker 1: to know how to take care of those patients. UM.

284
00:19:20,720 --> 00:19:24,000
Speaker 1: We need to know what to expect. So UM, when

285
00:19:24,040 --> 00:19:28,720
Speaker 1: people UM survive in I c U hospitalization, whether it's

286
00:19:28,760 --> 00:19:32,760
Speaker 1: from COVID or from any other critical illness UM, there

287
00:19:32,880 --> 00:19:35,640
Speaker 1: the road to recovery can be long. It is not

288
00:19:35,720 --> 00:19:39,200
Speaker 1: always for everybody, but it frequently is long you don't

289
00:19:39,640 --> 00:19:41,879
Speaker 1: you don't leave the i CU the way you went in.

290
00:19:42,320 --> 00:19:46,120
Speaker 1: UM that that is certainly fair to say so. UM.

291
00:19:46,200 --> 00:19:49,520
Speaker 1: Sometimes patients go from the ice U to the medical

292
00:19:49,720 --> 00:19:54,560
Speaker 1: ward to home, but more frequently UM in the setting

293
00:19:54,760 --> 00:19:59,000
Speaker 1: of needing, you know, needing to be on invasive mechanical ventilation,

294
00:19:59,080 --> 00:20:03,080
Speaker 1: needing to be on event later there are psychologic issues

295
00:20:03,119 --> 00:20:07,320
Speaker 1: that they can experience, so anxiety depression PTSD or not

296
00:20:07,440 --> 00:20:11,440
Speaker 1: uncommon in the post i c U population. UM. There

297
00:20:11,480 --> 00:20:14,760
Speaker 1: there's also a lot of a lot of muscular weakness

298
00:20:14,800 --> 00:20:17,480
Speaker 1: from inactivity, which is one of the big reasons patients

299
00:20:17,520 --> 00:20:21,560
Speaker 1: need to go to rehabilitation afterwards. My goal initially in

300
00:20:21,560 --> 00:20:26,359
Speaker 1: the pandemic was just like really trying to lift everyone's spirits,

301
00:20:26,440 --> 00:20:30,040
Speaker 1: like just go in. It's like I would joke that

302
00:20:30,040 --> 00:20:32,199
Speaker 1: I would go into the ice U with the energy

303
00:20:32,480 --> 00:20:35,680
Speaker 1: of hypeman at a hip hop show, like just try

304
00:20:35,720 --> 00:20:38,720
Speaker 1: to get people like repped up, like we're gonna do this.

305
00:20:38,800 --> 00:20:42,040
Speaker 1: We're gonna get people through this, and it's gonna suck,

306
00:20:42,160 --> 00:20:44,840
Speaker 1: but but we're gonna get we're gonna save some lives

307
00:20:45,200 --> 00:20:48,000
Speaker 1: and we're gonna be okay. And that level of energy

308
00:20:48,040 --> 00:20:51,720
Speaker 1: and enthusiasm. It's just really difficult to sustain over months

309
00:20:51,720 --> 00:20:54,639
Speaker 1: and months and months, and while we were all working

310
00:20:54,720 --> 00:20:58,199
Speaker 1: so hard and have seen some difficult things. So in

311
00:20:58,800 --> 00:21:02,479
Speaker 1: the fall things sort of started dying down and we

312
00:21:02,520 --> 00:21:06,760
Speaker 1: thought the worst was over, and then December and January

313
00:21:06,840 --> 00:21:10,159
Speaker 1: happened and it was I mean, whatever little surge we

314
00:21:10,240 --> 00:21:14,760
Speaker 1: had in UM in the spring summer, it was nothing

315
00:21:14,840 --> 00:21:19,240
Speaker 1: compared to December and January. In December and January we

316
00:21:19,320 --> 00:21:22,639
Speaker 1: had to pull in multiple backup teams for quite a

317
00:21:22,760 --> 00:21:27,040
Speaker 1: long period of time. We had COVID patients in many

318
00:21:27,200 --> 00:21:30,760
Speaker 1: I see U s UM. We were using non I

319
00:21:30,920 --> 00:21:34,920
Speaker 1: c U spaces and converted those two I see you spaces.

320
00:21:35,440 --> 00:21:38,080
Speaker 1: That was That was pretty rough, because a lot of

321
00:21:38,119 --> 00:21:40,640
Speaker 1: fatigue had said it at that point, and it just

322
00:21:40,840 --> 00:21:44,080
Speaker 1: had gotten a whole lot worse. Things have gotten better

323
00:21:44,119 --> 00:21:47,680
Speaker 1: over the last few weeks, though, I will say considerably better.

324
00:21:48,840 --> 00:21:51,960
Speaker 1: I certainly did not anticipate that would be dealing with

325
00:21:52,040 --> 00:21:54,720
Speaker 1: this a year later. I absolutely did not. I remember

326
00:21:55,640 --> 00:21:58,879
Speaker 1: one of my friends said that back in the spring.

327
00:21:59,119 --> 00:22:01,040
Speaker 1: She said, I don't think that's gonna be over until

328
00:22:01,080 --> 00:22:03,280
Speaker 1: we have a vaccine, And I was like, no, that

329
00:22:03,280 --> 00:22:05,600
Speaker 1: that just that can't be true. It's gonna be a

330
00:22:05,640 --> 00:22:07,600
Speaker 1: few months of it's going to be horrible and then

331
00:22:07,640 --> 00:22:11,639
Speaker 1: it's going to get gradually better. And I mean, and

332
00:22:11,760 --> 00:22:15,640
Speaker 1: she was absolutely right, because here we are a year later, um,

333
00:22:15,680 --> 00:22:18,560
Speaker 1: and still dealing with it all um, and at least

334
00:22:18,560 --> 00:22:21,000
Speaker 1: we have a vaccine now. But that was the first

335
00:22:21,040 --> 00:22:25,119
Speaker 1: major glimmer of hope for me. This is finally a

336
00:22:25,200 --> 00:22:59,919
Speaker 1: real signal that there's an end in sight. That was

337
00:23:00,040 --> 00:23:04,200
Speaker 1: Emma Court, with additional reporting by Nick Carrello. For more

338
00:23:04,240 --> 00:23:09,439
Speaker 1: coverage of the Pandemics anniversary, visit bloomberg dot com slash Coronavirus.

339
00:23:10,440 --> 00:23:14,840
Speaker 1: The Prognosis podcast is produced by Tophor foreheads Magnus Henrickson

340
00:23:15,040 --> 00:23:19,159
Speaker 1: and me Laura Carlson. Our editors are Rick Shine and

341
00:23:19,200 --> 00:23:23,840
Speaker 1: Francesco Levi. Additional help for this episode came from Stephen Merrilman.

342
00:23:24,800 --> 00:23:29,520
Speaker 1: Francesco Levi is Bloomberg's head of Podcasts. Thanks for listening,

343
00:24:08,720 --> 00:24:08,760
Speaker 1: l