WEBVTT - One Year 0:00:03.320 --> 0:00:08.600 Welcome to Prognosis. I'm Laura Carlson. It's been one year 0:00:09.080 --> 0:00:14.080 since coronavirus was declared a global pandemic, and in that 0:00:14.120 --> 0:00:21.440 time our lives have changed dramatically. The virus has imposed disease, death, 0:00:21.840 --> 0:00:25.720 and loss on the US and the world. It forced 0:00:25.840 --> 0:00:31.640 sweeping changes to daily life almost overnight. For this special 0:00:31.680 --> 0:00:36.240 episode of Prognosis, Bloomberg reporters Emma Court and Nick Corrello 0:00:36.680 --> 0:00:40.160 spoke with people across the US about what this last 0:00:40.240 --> 0:00:43.240 year has been like for them and how things could 0:00:43.320 --> 0:01:01.560 change moving forward. Here's Emma. A year ago, my day 0:01:01.600 --> 0:01:04.880 would start with a train ride alongside thousands of fellow 0:01:04.920 --> 0:01:12.080 commuters into Manhattan. Once I got to work, I might 0:01:12.120 --> 0:01:15.639 get pulled into a meeting or two, or have lunch 0:01:15.760 --> 0:01:19.360 with a source. I would grab coffee with a colleague, 0:01:19.760 --> 0:01:23.960 and after work get dinner with friends. In other words, 0:01:24.440 --> 0:01:29.320 it was all pretty normal. Because I write about healthcare. 0:01:29.920 --> 0:01:33.399 The novel Coronavirus had been on my radar and in 0:01:33.560 --> 0:01:38.800 my reporting for weeks. At that point, still, the infectious 0:01:38.840 --> 0:01:43.679 disease seemed far away, at a remove from daily life. 0:01:44.560 --> 0:01:49.240 That changed suddenly one Thursday morning. The train cars were 0:01:49.280 --> 0:01:54.920 emptier than ever before hours later, city and state politicians 0:01:55.000 --> 0:01:59.840 declared a state of emergency and put restrictions on gatherings. 0:02:01.200 --> 0:02:06.840 New York City bround to a halt. Now my commute 0:02:07.040 --> 0:02:11.680 is from one room of my apartment to another. Zoom 0:02:11.720 --> 0:02:16.520 calls have replaced meeting rooms, and after work plans involved 0:02:16.600 --> 0:02:20.680 watching my house plants to grow. The piece of work 0:02:20.840 --> 0:02:27.960 and life has slowed, even stalled. Everyone has experienced something 0:02:28.080 --> 0:02:31.880 like this over the last year, a dramatic shift in 0:02:31.919 --> 0:02:35.800 the way we work, live, and spend time with our families. 0:02:36.800 --> 0:02:39.960 We've been collecting stories for the past few months about 0:02:40.040 --> 0:02:42.680 this change, and we want to share them with you 0:02:42.919 --> 0:02:52.760 as the pandemic enters. It's one year anniversary. I'm Suzanne 0:02:52.760 --> 0:02:56.680 Evans Wagner. My name is Betsy Sneller. Wagner and Sneller 0:02:56.880 --> 0:03:02.320 are both professors of linguistics at Michigan State University. So 0:03:02.360 --> 0:03:05.160 the Machiane Diaries project came about as a way to 0:03:05.880 --> 0:03:08.880 test what the effects of the pandemic will be on 0:03:09.360 --> 0:03:12.880 language for speakers in Michigan. So getting these to audio 0:03:12.919 --> 0:03:15.080 diaries where people just tell us about their day or 0:03:15.080 --> 0:03:20.120 their week is really rich data. You know, the mundane 0:03:20.120 --> 0:03:22.840 ways that life has been changing is really valuable for 0:03:23.000 --> 0:03:25.960 us when we're going to go analyze how their language 0:03:25.960 --> 0:03:30.120 has been changing. At the beginning of the pandemic, nobody 0:03:30.200 --> 0:03:32.600 knew what to call it. We didn't even know what 0:03:32.680 --> 0:03:37.119 to call it. Participants themselves were calling it anything from 0:03:37.200 --> 0:03:42.920 the current situation to Miss Rhona, to Rhona to coronavirus, 0:03:43.000 --> 0:03:47.200 to COVID nineteen to the pandemic um. And one thing 0:03:47.200 --> 0:03:50.640 that we found in our diary entries is that as 0:03:51.680 --> 0:03:55.960 time went on, the whole community kind of settled in on, Okay, 0:03:56.000 --> 0:03:58.440 we're just going to call it the pandemic. That's the 0:03:58.560 --> 0:04:01.560 term that we're gonna land on. So one thing to 0:04:01.600 --> 0:04:06.200 know is that lexical items words to describe things. Lexical 0:04:06.240 --> 0:04:10.160 items change a lot, especially when there's a new thing 0:04:10.480 --> 0:04:12.720 that occurs, and we saw this at the beginning of 0:04:12.720 --> 0:04:16.040 the pandemic, particularly that there was kind of this explosion 0:04:16.080 --> 0:04:20.800 of new terms, maskal um, quarantine, e, all of these 0:04:20.800 --> 0:04:24.040 different terms related to like, oh, we're doing like zoom 0:04:24.120 --> 0:04:34.120 happy hour, things like that Baker's hotline. This is Amanda, 0:04:34.240 --> 0:04:37.400 how can I help you? My name is Amanda Schlaram 0:04:37.400 --> 0:04:41.279 and I'm a I'm a shift lead on the Baker's 0:04:41.320 --> 0:04:45.360 hotline as well as the customer support side too. What 0:04:45.400 --> 0:04:48.000 I basically do is, um, I answer a lot of questions, 0:04:48.040 --> 0:04:50.880 some of the some of the bigger questions that come 0:04:50.880 --> 0:04:53.680 in about orders when I'm doing Baker's hotline things. I 0:04:53.720 --> 0:04:58.919 definitely take calls for baking fiascos and and such and 0:04:58.960 --> 0:05:01.920 how I try to help trouble shoot that. Usually this 0:05:01.960 --> 0:05:05.000 time of year spring, like going into spring late winter, 0:05:05.600 --> 0:05:08.600 we kind of slow down. We still get a fair 0:05:08.640 --> 0:05:11.479 amount of calls, but it's not as crazy as like 0:05:11.560 --> 0:05:15.520 holiday where everyone's baking for the holidays, and like we 0:05:15.600 --> 0:05:19.479 came in and it was our phones were just just wild. 0:05:19.680 --> 0:05:23.159 Like it was, you know, twenty calls holding and everyone 0:05:23.279 --> 0:05:26.479 is asking what kind of flower they can use? You know, 0:05:26.520 --> 0:05:29.400 they're making sour dough. How do they do that? Um? 0:05:29.440 --> 0:05:31.480 What can they feed their sour dough because they don't 0:05:31.520 --> 0:05:35.520 have the kind of flower we're suggesting it. Definitely, it 0:05:35.600 --> 0:05:38.880 was almost an overnight change, Like it was so fast. 0:05:39.160 --> 0:05:42.520 Anxieties were definitely running pretty high. People would say, you know, 0:05:42.560 --> 0:05:44.039 I can't find bread, so I'm now going to have 0:05:44.080 --> 0:05:45.599 to make all of my bread, and so then they'd 0:05:45.640 --> 0:05:47.600 want you to walk them through how to do that, 0:05:47.720 --> 0:05:50.600 like how exactly to make a loaf of bread and 0:05:50.680 --> 0:05:54.240 so um. I do think there is definitely a lot 0:05:54.240 --> 0:05:59.320 of panic going on and then just overreaction too small 0:06:00.040 --> 0:06:03.960 baking problems that we would definitely talk them down and 0:06:04.000 --> 0:06:06.760 be like, like, you got this, you can do this. 0:06:06.960 --> 0:06:08.479 It's not going to be it's not going to be 0:06:08.480 --> 0:06:10.640 the end of the world. We feel like a lot 0:06:10.640 --> 0:06:13.120 of our calls are a lot longer now because people 0:06:13.120 --> 0:06:15.520 are either lonely or they're tired of talking to the 0:06:15.520 --> 0:06:18.200 people in their house or whatever, because they they just 0:06:18.200 --> 0:06:21.040 started talking to us about everything. So it's it's definitely 0:06:21.160 --> 0:06:23.400 kind of learning how people deal with fuel of things 0:06:23.400 --> 0:06:38.720 has been interesting for me definitely. My name is Mike Builder. 0:06:38.800 --> 0:06:42.120 I'm the CEO of jack Box Games UM. Jack Box 0:06:42.160 --> 0:06:46.920 Games is a independent developer and publisher. We make party 0:06:46.960 --> 0:06:50.120 games that you play on your television, but then you 0:06:50.200 --> 0:06:53.159 use your mobile phone to uh to join them and play. 0:06:53.200 --> 0:06:56.880 And they saw a really huge spike in gameplay and 0:06:56.960 --> 0:07:00.320 interest and trafficked our website um purchase of the game games. 0:07:01.160 --> 0:07:04.440 People usually play Jackbox games when they were together in 0:07:04.480 --> 0:07:07.920 the same room with a game up on a TV screen, 0:07:08.720 --> 0:07:12.120 but that also changed during the pandemic. So people realized 0:07:12.320 --> 0:07:16.280 pretty quickly under the pandemic that that you could launched 0:07:16.280 --> 0:07:18.600 the game on your computer, have a zoom call, and 0:07:18.640 --> 0:07:21.680 just share the screen of the game and still have 0:07:21.720 --> 0:07:24.920 a really fun party environment, a social interaction with a 0:07:24.960 --> 0:07:26.760 ton of people over VidCon, as if you were sitting 0:07:26.760 --> 0:07:29.200 in the same room together playing a party. When we 0:07:29.200 --> 0:07:32.440 were seeing this kind of interest in tracking happening in 0:07:32.560 --> 0:07:35.280 March and April last year, I mean that was a 0:07:35.360 --> 0:07:38.080 huge eye opener to us, like something unique is happening here. 0:07:38.200 --> 0:07:42.480 And you know, prior to quarantine, and and you know, 0:07:42.520 --> 0:07:45.640 people staying at home, UM, people would play our games 0:07:45.680 --> 0:07:48.760 over VidCon. I think entertainment as a whole has has 0:07:48.920 --> 0:07:52.680 you know, aside from maybe the box office, home entertainment 0:07:52.840 --> 0:07:57.080 U has definitely seen quite a boost out of this 0:07:57.200 --> 0:08:00.440 home quarantine. UM. People are looking for escaped as them. 0:08:00.440 --> 0:08:02.240 They want to watch TV, they want to play video games, 0:08:02.280 --> 0:08:03.720 they want to be entertained, they want to be taken 0:08:03.720 --> 0:08:08.200 out of their their quarantine moment um. And so my industry, beat, 0:08:08.240 --> 0:08:18.360 the video game industry has benefited from that. Here's Betsy 0:08:18.480 --> 0:08:22.640 Sneller from the Michigan Diaries project again at the beginning 0:08:22.640 --> 0:08:26.040 of the pandemic, it was kind of new and uh, 0:08:26.160 --> 0:08:27.600 you know, people would say, oh, I saw this new 0:08:27.680 --> 0:08:31.480 sign the neighborhood park is closed, or this new thing happened, 0:08:31.960 --> 0:08:34.960 and there was a lot to talk about. Kind of 0:08:34.960 --> 0:08:42.679 starting in August September, um, people were feeling sad. So 0:08:42.720 --> 0:08:44.839 we have a lot of diary entries. I actually have 0:08:44.880 --> 0:08:47.640 people saying this is really boring. You guys are going 0:08:47.679 --> 0:08:50.320 to be really bored, and then in the background there's 0:08:50.360 --> 0:08:59.520 these big other things happening in the world. August, people 0:08:59.600 --> 0:09:04.000 were also thinking about back to school season and wondering 0:09:04.240 --> 0:09:07.520 whether kids would be able to go back. In person, 0:09:09.040 --> 0:09:10.679 I feel like people are going to be sick of 0:09:10.880 --> 0:09:14.080 go they not know that they're sick. Okay, and the 0:09:14.120 --> 0:09:17.320 mask sometimes I can't really heal with the mass, but 0:09:17.559 --> 0:09:20.080 I can't I can't really hear from mask that well. 0:09:21.040 --> 0:09:22.920 So what kind of things that do you think that 0:09:22.960 --> 0:09:24.920 you could do to be safe if we have to 0:09:24.960 --> 0:09:29.520 go back to school on the ball? Social distance? Social distance? 0:09:29.520 --> 0:09:33.360 Do you think that might be hard at school? Yeah? Yeah. 0:09:33.600 --> 0:09:35.480 I've also been trying to think of like stuff that 0:09:35.640 --> 0:09:38.600 make my zoom meeting battle and stuff, because when you're 0:09:38.600 --> 0:09:41.480 at school, it's kind of boring. So I so some 0:09:41.520 --> 0:09:43.319 of the things that I'm going to do is that 0:09:43.360 --> 0:09:46.600 I'm gonna use slime and I got some signs for 0:09:46.640 --> 0:09:48.920 my birthday, so I'm definitely going to be playing with 0:09:48.960 --> 0:09:52.680 that obviously, not like make a huge mess, but like 0:09:53.160 --> 0:09:55.600 away from the computer. But I'm going to just kind 0:09:55.600 --> 0:09:58.080 of be playing with a party or something just because 0:09:58.120 --> 0:09:59.880 that's a fun thing or like I I've just been 0:10:00.400 --> 0:10:02.440 that way. I don't get really, boy, do you mean 0:10:02.559 --> 0:10:10.600 because it's kind of boring. My name is Dr Jesse Gold. 0:10:10.679 --> 0:10:14.640 I'm a psychiatrist and I see healthcare professionals and college students, 0:10:15.040 --> 0:10:17.840 and I work in St. Louis, Missouri at Washington University 0:10:17.880 --> 0:10:20.960 in St. Louis, where I'm an assistant professor and director 0:10:21.000 --> 0:10:26.280 of Wellness Engagement and Outreach. I think people are definitely 0:10:27.320 --> 0:10:31.400 sicker than maybe they were before UM. At the beginning 0:10:31.400 --> 0:10:34.280 of the pandemic. I think we had a lull where 0:10:34.920 --> 0:10:40.080 people were sort of adjusting to the new normal, kind 0:10:40.080 --> 0:10:42.400 of in this fight or flight mode where they were 0:10:42.440 --> 0:10:45.199 just kind of I think you would just say, like 0:10:45.720 --> 0:10:47.760 making sure they had food, making sure they had water, 0:10:47.920 --> 0:10:50.240 making sure everything was safe and they didn't even really 0:10:50.240 --> 0:10:52.679 think about their mental health. And even at the beginning 0:10:52.679 --> 0:10:54.600 we were sort of like, I guess we don't have 0:10:54.640 --> 0:10:57.480 that many patients were okay, And then it took off 0:10:57.520 --> 0:11:02.719 pretty quickly, and especially in healthcare workers, where what they're 0:11:02.760 --> 0:11:06.880 doing day to day has been so different and not 0:11:07.040 --> 0:11:10.800 at all what they're used to. You know, health care 0:11:10.840 --> 0:11:13.920 workers in general, when they sign on to do what 0:11:13.960 --> 0:11:16.240 they do, I didn't really think that they could get 0:11:16.240 --> 0:11:19.720 sick themselves or bring home the illness to family members, 0:11:19.760 --> 0:11:24.040 and so that's a big change. They maybe would see 0:11:24.040 --> 0:11:27.400 one person die a shift, if any, and have seen 0:11:27.480 --> 0:11:32.520 just people dying and dying and dying. So I had 0:11:32.640 --> 0:11:39.000 a patient that is really struggling tell me that it has. 0:11:39.280 --> 0:11:42.520 She had called twenty places to try to get a 0:11:42.559 --> 0:11:48.240 therapist and nobody had openings. And I could like feel 0:11:48.520 --> 0:11:52.880 my body physically sink when she said that, and I 0:11:52.920 --> 0:11:56.120 was really just taken aback by that. And I know 0:11:56.320 --> 0:12:00.120 very much that it's also not the therapist's fault, and 0:12:00.200 --> 0:12:04.240 that I've been talking to therapists a lot and they're 0:12:04.280 --> 0:12:10.200 really struggling. They they also have been taking extra sessions, 0:12:10.760 --> 0:12:15.120 working on weekends, taking their old clients back doing all 0:12:15.160 --> 0:12:18.520 of this extra stuff that you know, it's like flipping 0:12:18.520 --> 0:12:21.760 over backwards to do as much as they can to 0:12:22.040 --> 0:12:25.680 accommodate more and more people to fill in the broken 0:12:25.720 --> 0:12:28.760 gaps of the system. But the system still can't fit 0:12:28.880 --> 0:12:32.160 all of these people, and they're still calling twenty people. Right. 0:12:32.320 --> 0:12:36.120 I've would have told you before COVID that I probably 0:12:36.200 --> 0:12:39.520 had ten patients or something that I would go to 0:12:39.520 --> 0:12:43.960 sleep and worry about of my like hundred and fifty 0:12:44.120 --> 0:12:47.480 or so. You know, it's not the case anymore. It's 0:12:47.600 --> 0:12:51.920 much closer to like over half of them. I would say, 0:12:52.240 --> 0:12:59.120 I think, you know, part of that is that you're 0:12:59.160 --> 0:13:04.960 not seeing movement on them improving, and whether that's you know, 0:13:05.000 --> 0:13:07.080 the men's not working and so you want to change it, 0:13:07.200 --> 0:13:12.360 or whether that's you can't medicate away a pandemic and 0:13:12.400 --> 0:13:16.360 you can't medicate away grief, and you can't medicate away 0:13:16.440 --> 0:13:21.280 job loss and schooling from home and work from home 0:13:21.679 --> 0:13:36.000 and all of this stuff compounding. Here's another Michigan Diaries 0:13:36.040 --> 0:13:43.480 recording about that. I'm just struggling in general with COVID 0:13:43.600 --> 0:13:47.000 right now because there are a lot of things I 0:13:47.040 --> 0:13:50.840 haven't processed, Like it's just everything has been so heavy, 0:13:50.960 --> 0:13:53.959 like it's it's first of all, really hard for me 0:13:54.880 --> 0:13:59.280 to be UM so isolated from people, Like I never 0:13:59.320 --> 0:14:02.920 thought of myth as a social person, but during COVID 0:14:02.920 --> 0:14:08.400 I've realized I still need that contact with people and um, 0:14:08.520 --> 0:14:11.840 you know, just seeing my friends in person. So that's 0:14:11.880 --> 0:14:15.200 been a real struggle for me. UM And so I 0:14:15.200 --> 0:14:18.760 guess I just really haven't been processing things well, like 0:14:18.920 --> 0:14:21.840 just not working through my emotions with that are thinking 0:14:21.880 --> 0:14:36.680 about it a lot. Plenty of people also weren't working 0:14:36.720 --> 0:14:41.880 from home this last year, including at pharmaceutical companies where 0:14:41.920 --> 0:14:47.080 employees were busier than ever. Here's Stefan von Sell, the 0:14:47.160 --> 0:14:53.240 chief executive officer of Maderna. So we were made aware 0:14:53.280 --> 0:14:59.360 of the virus between Christmas and New Year of UH. 0:14:59.560 --> 0:15:02.920 We got the sequence from the Chinese government in January, 0:15:02.960 --> 0:15:06.440 the tenth put online. By the thirteen of January, we 0:15:06.560 --> 0:15:11.160 had the vaccine design lockdown on the computer. It was 0:15:11.240 --> 0:15:15.200 all in Silico. We never touched the physical virus. Forty 0:15:15.240 --> 0:15:18.240 two days after the team ship to v N I 0:15:18.440 --> 0:15:21.880 h the vaccine and on March I think the thirteen 0:15:22.640 --> 0:15:26.800 we started over sixteen. We started dozing UH. In the 0:15:26.880 --> 0:15:31.640 first phase one at the NA h Uh. July July 0:15:33.000 --> 0:15:37.200 we started the phase three and December eighteen the vaccine 0:15:37.200 --> 0:15:40.640 was authorized by the FD. So in eleven months we 0:15:40.840 --> 0:15:45.600 went from nothing, not even knowing the sequence of this virus, 0:15:45.640 --> 0:15:49.320 to getting an authorized vaccine. How could you develop a 0:15:49.400 --> 0:15:52.400 vaccine so fast? I think it's the question, and I 0:15:52.400 --> 0:15:55.120 think there's a few things. Because we're in the pandemic, 0:15:56.400 --> 0:15:58.880 there were a lot of cases. You need people to 0:15:58.960 --> 0:16:01.560 get sick, and fortunate me to compare to people who 0:16:01.600 --> 0:16:05.520 got placebo. When we inject the money in people's arm, 0:16:05.600 --> 0:16:09.480 we never give them a drug. We give them an instruction, 0:16:09.520 --> 0:16:13.440 set a piece of code, a piece of software for 0:16:13.560 --> 0:16:17.560 your body to read that instruction and to make, in 0:16:17.600 --> 0:16:22.360 this case, the spect protein of a coronavirus. And when 0:16:22.360 --> 0:16:25.640 you're gonna make a spect protein yourself in your body, well, 0:16:25.680 --> 0:16:28.160 your immune system is going to see that protein, which 0:16:28.240 --> 0:16:31.600 is not natural, it's not a human protein in your body, 0:16:31.720 --> 0:16:33.600 and so humane system is going to be upset and 0:16:33.600 --> 0:16:37.680 it's gonna make antibodies so that if later you get 0:16:37.680 --> 0:16:41.000 a natural infection of the sascovi too virus, you will 0:16:41.040 --> 0:16:44.440 already have antibody in your body that will bind to 0:16:44.560 --> 0:16:47.880 the virus, neutralize it and so it will prevent it 0:16:47.880 --> 0:16:52.040 from getting inside yourselves to self replicate and make you sick. 0:16:52.760 --> 0:16:56.520 So was a historic here in terms of getting a 0:16:56.640 --> 0:17:00.840 money as a first approved product. A few people were 0:17:00.840 --> 0:17:04.520 even aware of what the money is even in the 0:17:04.560 --> 0:17:07.920 farmer industry. And I think the world in the next 0:17:07.960 --> 0:17:11.160 you know Moss waters and els, He's going to start 0:17:11.200 --> 0:17:14.320 mine well to see the benefit that that people are 0:17:14.320 --> 0:17:26.040 going to get from many many amany drugs coming to them. 0:17:26.080 --> 0:17:29.240 My name is Nita Kadeer. I am a pulmonary critical 0:17:29.320 --> 0:17:31.520 care physician at U c l A. I'm the co 0:17:31.640 --> 0:17:34.600 director of the medical I See you and I was 0:17:34.680 --> 0:17:38.240 the co director for the critical care COVID efforts at 0:17:38.320 --> 0:17:42.520 U c l A Health busin last year. So I 0:17:42.600 --> 0:17:45.560 take care of patients when they are critically ill and 0:17:45.880 --> 0:17:48.840 a native intensive care. I also see them in my 0:17:49.040 --> 0:17:53.000 follow up clinic um patients who have um them being 0:17:53.040 --> 0:17:55.720 patients who have survived critical illness and are coming back 0:17:55.760 --> 0:18:05.159 from follow up. The mainstay of treating ARID s and 0:18:05.240 --> 0:18:09.119 treating COVID is still good supportive care. Don't get me wrong. 0:18:09.200 --> 0:18:12.280 Sometimes we are running to the bedside with a crash cart. 0:18:12.320 --> 0:18:15.280 Absolutely we're doing that, but yes, a lot of it 0:18:15.320 --> 0:18:19.720 is preventing complications. So I think supportive care doesn't think 0:18:19.720 --> 0:18:22.040 that it's due because they people hear it and they 0:18:22.080 --> 0:18:25.840 think it means like chicken soup and naps, you know. 0:18:26.440 --> 0:18:31.119 But a supportive care and the IIC you essentially amounts 0:18:31.160 --> 0:18:36.600 to supporting the body, often withinvasive measures UM and giving 0:18:36.640 --> 0:18:40.440 time for healing and avoiding complications while you are supporting 0:18:40.480 --> 0:18:44.119 the body with these invasive measures and UM. It's that 0:18:44.359 --> 0:18:47.320 still I think sounds much more simple than it is, 0:18:47.400 --> 0:18:55.800 but it is actually quite a bit of work. I 0:18:55.840 --> 0:19:00.080 don't think survival is talked about enough UM, and I 0:19:00.080 --> 0:19:02.359 I do think there's far too much talk about death. 0:19:02.359 --> 0:19:05.280 And this is not to discount death and the over 0:19:05.359 --> 0:19:09.600 half a million deaths that our country has experienced over 0:19:09.640 --> 0:19:13.720 the past year UM. But there are many more people 0:19:13.720 --> 0:19:16.640 who will survive than who will die, and we need 0:19:16.680 --> 0:19:20.680 to know how to take care of those patients. UM. 0:19:20.720 --> 0:19:24.000 We need to know what to expect. So UM, when 0:19:24.040 --> 0:19:28.720 people UM survive in I c U hospitalization, whether it's 0:19:28.760 --> 0:19:32.760 from COVID or from any other critical illness UM, there 0:19:32.880 --> 0:19:35.640 the road to recovery can be long. It is not 0:19:35.720 --> 0:19:39.200 always for everybody, but it frequently is long you don't 0:19:39.640 --> 0:19:41.879 you don't leave the i CU the way you went in. 0:19:42.320 --> 0:19:46.120 UM that that is certainly fair to say so. UM. 0:19:46.200 --> 0:19:49.520 Sometimes patients go from the ice U to the medical 0:19:49.720 --> 0:19:54.560 ward to home, but more frequently UM in the setting 0:19:54.760 --> 0:19:59.000 of needing, you know, needing to be on invasive mechanical ventilation, 0:19:59.080 --> 0:20:03.080 needing to be on event later there are psychologic issues 0:20:03.119 --> 0:20:07.320 that they can experience, so anxiety depression PTSD or not 0:20:07.440 --> 0:20:11.440 uncommon in the post i c U population. UM. There 0:20:11.480 --> 0:20:14.760 there's also a lot of a lot of muscular weakness 0:20:14.800 --> 0:20:17.480 from inactivity, which is one of the big reasons patients 0:20:17.520 --> 0:20:21.560 need to go to rehabilitation afterwards. My goal initially in 0:20:21.560 --> 0:20:26.359 the pandemic was just like really trying to lift everyone's spirits, 0:20:26.440 --> 0:20:30.040 like just go in. It's like I would joke that 0:20:30.040 --> 0:20:32.199 I would go into the ice U with the energy 0:20:32.480 --> 0:20:35.680 of hypeman at a hip hop show, like just try 0:20:35.720 --> 0:20:38.720 to get people like repped up, like we're gonna do this. 0:20:38.800 --> 0:20:42.040 We're gonna get people through this, and it's gonna suck, 0:20:42.160 --> 0:20:44.840 but but we're gonna get we're gonna save some lives 0:20:45.200 --> 0:20:48.000 and we're gonna be okay. And that level of energy 0:20:48.040 --> 0:20:51.720 and enthusiasm. It's just really difficult to sustain over months 0:20:51.720 --> 0:20:54.639 and months and months, and while we were all working 0:20:54.720 --> 0:20:58.199 so hard and have seen some difficult things. So in 0:20:58.800 --> 0:21:02.479 the fall things sort of started dying down and we 0:21:02.520 --> 0:21:06.760 thought the worst was over, and then December and January 0:21:06.840 --> 0:21:10.159 happened and it was I mean, whatever little surge we 0:21:10.240 --> 0:21:14.760 had in UM in the spring summer, it was nothing 0:21:14.840 --> 0:21:19.240 compared to December and January. In December and January we 0:21:19.320 --> 0:21:22.639 had to pull in multiple backup teams for quite a 0:21:22.760 --> 0:21:27.040 long period of time. We had COVID patients in many 0:21:27.200 --> 0:21:30.760 I see U s UM. We were using non I 0:21:30.920 --> 0:21:34.920 c U spaces and converted those two I see you spaces. 0:21:35.440 --> 0:21:38.080 That was That was pretty rough, because a lot of 0:21:38.119 --> 0:21:40.640 fatigue had said it at that point, and it just 0:21:40.840 --> 0:21:44.080 had gotten a whole lot worse. Things have gotten better 0:21:44.119 --> 0:21:47.680 over the last few weeks, though, I will say considerably better. 0:21:48.840 --> 0:21:51.960 I certainly did not anticipate that would be dealing with 0:21:52.040 --> 0:21:54.720 this a year later. I absolutely did not. I remember 0:21:55.640 --> 0:21:58.879 one of my friends said that back in the spring. 0:21:59.119 --> 0:22:01.040 She said, I don't think that's gonna be over until 0:22:01.080 --> 0:22:03.280 we have a vaccine, And I was like, no, that 0:22:03.280 --> 0:22:05.600 that just that can't be true. It's gonna be a 0:22:05.640 --> 0:22:07.600 few months of it's going to be horrible and then 0:22:07.640 --> 0:22:11.639 it's going to get gradually better. And I mean, and 0:22:11.760 --> 0:22:15.640 she was absolutely right, because here we are a year later, um, 0:22:15.680 --> 0:22:18.560 and still dealing with it all um, and at least 0:22:18.560 --> 0:22:21.000 we have a vaccine now. But that was the first 0:22:21.040 --> 0:22:25.119 major glimmer of hope for me. This is finally a 0:22:25.200 --> 0:22:59.919 real signal that there's an end in sight. That was 0:23:00.040 --> 0:23:04.200 Emma Court, with additional reporting by Nick Carrello. For more 0:23:04.240 --> 0:23:09.439 coverage of the Pandemics anniversary, visit bloomberg dot com slash Coronavirus. 0:23:10.440 --> 0:23:14.840 The Prognosis podcast is produced by Tophor foreheads Magnus Henrickson 0:23:15.040 --> 0:23:19.159 and me Laura Carlson. Our editors are Rick Shine and 0:23:19.200 --> 0:23:23.840 Francesco Levi. Additional help for this episode came from Stephen Merrilman. 0:23:24.800 --> 0:23:29.520 Francesco Levi is Bloomberg's head of Podcasts. Thanks for listening, 0:24:08.720 --> 0:24:08.760 l