Thomas Ardiles, MD, University of Arizona College of Medicine — Phoenix clinical assistant professor of Internal Medicine and a pulmonologist, answers questions about people with compromised lungs. We do not understand much about this virus because it is relatively new, but the experience from other countries has shown that it is very contagious.
It can be spread even if an infected person is not symptomatic. Therefore, we recommend that if you have an underlying lung disease, take extra care with hand washing, constant surface disinfecting and avoid touching your face and eyes. And, of course, stay home as much as possible. Minimize contact with others, continue taking your medications to prevent exacerbations of chronic conditions and be very strict with hand washing and disinfecting.
Every work environment is different. We hope every business understands the gravity of the situation and adopts strategies to protect their employees. The best suggestion is to be vigilant and adapt to the circumstance and minimize exposure risks. In a pandemic we all play a role. We recommend you follow the community guidelines regarding when to seek medical care. Minor cases can be treated at home.
Recuperación EEUU "debería continuar" si brotes de coronavirus son limitados: Harker de la Fed
If you experience concerning symptoms — such as shortness of breath or high fever — you need to seek medical attention. This virus is very contagious, so avoid contact with others as much as possible. Washing hands frequently and avoid touching eyes, nose and mouth are essential. Keep them home. If you can, shop for them and make sure they understand the same general protections they need to implement: hand washing, not touching their eyes, nose and mouth, constant surface disinfecting, as well as seeking medical care if they get sick.
Petty, DO Pediatric Care. Back to top.Ardiles said. A big concern during the pandemic has been access to life-saving resources and the researchers want to see if this therapy can keep patients off ventilators. The idea is to stop the progression of the virus in people with moderate symptoms who need oxygen.
And the simple way to say it is the virus just does not like the iNO presence. The therapy is being tested across the country and was approved by the FDA. Doctors across the country have already treated more than 50 patients with coronavirus with the INOpulse system.
Ardiles says it has made improvements, but it's important to keep in mind that it is considered experimental. They are giving it to patients to see if it improves oxygen and to see if it changes the "clinical course," Dr. We hear about hydroxychloroquine, and nothing has panned out as a cure.
Ardiles says he is blessed to be involved in the research and it may be a few more weeks before a mass clinical trial begins. Delta live updates: Lake Charles reports 'disheartening' damage, undoing Laura recovery efforts; K without power across South. These are the world's most historic restaurants. Phoenix doctor using investigational treatment to help coronavirus patients breathe. KTVK See more videos. Click to expand. Replay Video.
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I'm already a fan, don't show this again.Here are their stories. In March, Houston Methodist became the first academic medical center in the country to give critically ill patient convalescent plasma therapy, and the Mexican American doctor was the principal investigator on the project. As she treated the terrifying surge of COVID patients, Rojas remembered what Dominican used to do when she was growing up—to look out for neighbors and "take care of each other.
It was like if you were in the Army," said the Dominican American nurse who first came to the U. Of Mexican and Guatemalan heritage, Escobar works at a hospital in the predominantly Latino neighborhood of Boyle Heights.
The hardest part is "being the last person" to talk and comfort the coronavirus patients who passed away. The Latina and first-generation Mexican American translates crucial coronavirus information to patients in the state's central valley, home to many Latinos. Helping care for critically ill patients was challenging at first because of the lack of information. Now, a large volume of medical literature published daily, which "means society has really invested in trying to find a way to take care of the disease.
That worries us," says the research doctor of Puerto Rican heritage. Follow NBC News. Houston physician researcher Dr.
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Eric Salazar was at the forefront of the first convalescent plasma treatment for coronavirus. Monica Escobar A nurse cares for her L. Thomas Ardiles Rallying Americans to unite against the coronavirus 'war' Dr. Yvette Calderon, chair of emergency medicine at Mount Sinai Beth Israel Hospital, was on the front lines of the nation's first massive coronavirus outbreak.
Rafael Paez Treating Tennessee's coronavirus front lines Dr.
Maria Alcaide is leading a coronavirus vaccine trial as she studies the spread and effects of the disease.
Maria Alcaide The infectious diseases specialist Dr. Olveen Carrasquillo, a chief of general medicine in Miami, is leading a vaccine trial using his experience in minority health.
Olveen Carrasquillo Pushing for more Latinos in research trials Dr.Hours of operation: To avoid disappointment please always check our open hours on the facebook page or WhatsApp me to confirm. While we are on enforced restricted hours we are only operating one shift and need to close one day per week.
Happy Monday everyone. Blue Dolphin will stay closed for May. First beach walk for Better late than never. Cafe Pescador will be doing an awesome lunch for clients who book in advance. Christmas lunch at Cafe Pescador - only available for guests who make their booking in advance. From 12h00 onwards on the 25th Dec.
We have a few mini dense fruit cakes for sale. Happy birthday Francois and congratulations for winning the last pool comp of the year.Android 10 xiaomi mi 9t
Well done Vera for coming second. Jump to. Sections of this page. Accessibility help. Email or phone Password Forgotten account? See more of Blue Dolphin Resort on Facebook.
Log In. Forgotten account? Not Now. Visitor Posts. Denese Meades De Agrella. Gliding so peacefully and gracefully through the water. The South Wind has arrived. Good morning. The morings are getting cooler but still absolutely beautiful. Awesome sunrise xx stay safe everyone. Please note we will be closed from tomorrow the 1st of April for a minimum of 30 days.
Stay safe everyone. Result of 48hrs of rain at Praia de Xai Xai. Please note Blue Dolphin will be closed to the public on Christmas day.Ossie Ardiles was in charge of Newcastle United for just 10 months and ChronicleLive caught up with the former Magpies' boss to look back on his time at the club. Ever the gentleman, Ossie Ardiles threw open the doors of his home to the North East press pack after losing his job at Newcastle United. A photograph in the Chronicle's archive captures the scene, and striking wallpaper, in the former Magpies' manager's sitting room back in February, The World Cup winner, wearing a v-neck jumper, is sitting in his red leather armchair as he looks directly at the camera in the corner of the room while a small army of photographers surround him.
Those present still remember how Ardiles' wife, Silvia, made them cups of tea just a few days after his final game in charge against Oxford United. There may have still been 16 fixtures left to play that season, but that defeat at the Manor Ground ultimately proved the final straw.
Newcastle were second from bottom and in real danger of dropping down into the Third Division for the first time in the club's history. I knew what was expected at Newcastle. I was very confident I could change it but changing it required support. I was looking all the time but when it came to the crunch, the answer was no.Instagramei -Dj Ardiles ft Mcel Team_gwaliorseragam.fun desse cash
We didn't have the money. Maybe not for that exact moment, but it was only a question of time. It had been a very different story just 10 months previously when Ardiles raised a black-and-white scarf aloft outside St James' Park after becoming the club's first foreign manager. Ardiles had previously led Swindon Town to promotion to the top-flight - the Football League later demoted the Robins because of financial irregularities - and his ball-playing philosophy and diamond formation had borne fruit in the second-tier.
Newcastle had taken note and within an hour of his first meeting with the club's hierarchy, at a hotel near Heathrow Airport, Ardiles knew that he was going to be the Magpies' new manager.
As much as that was a 'special feeling', the Argentine did not quite realise what he had let himself in for as a battle for control raged behind the scenes between Sir John Hall and the Magpie Group on one side and Gordon McKeag and the club's entrenched board on the other.
Simple as. It's a club that's incredibly difficult to say no to," Ardiles said. The biggest problem that we had was the fight for power going on between Sir John Hall and Gordon McKeag and that was a power struggle that marked my stay there.
The solution to that 'political problem' would see Sir John Hall eventually assume control of the club - just three months before Ardiles was sacked.
They failed in the last moment and lost the play-off against Sunderland, which made it even worse. Maybe they were thrown into the first team before their time, but they responded magnificently.
Eager to learn, and fiercely competitive, the academy graduates bought into Ardiles' philosophy - and were keen to repay his faith. While Ardiles took a little while to truly understand them, some of the youngsters also needed time to get their heads around his unique turn of phrase.
On one occasion, when Clark looked confused in the away dressing room after his manager lamented the state of the pitch at Barnsley, Ardiles quipped: "Do you not understand English, Clarky? Naturally, the players initially referred to Ardiles as 'gaffer' but he soon put a stop to that and asked them to call him Ossie. Behind your back, they will call you whatever they want! I talked to him and tried to find the answer to why he was late because something like that, a lack of discipline, is because of another reason, another problem.
We were joking all the time but when we had to work, we worked extremely hard. I wanted the pressure to be on me - not the players. Experienced professionals like John Burridge and Roy Aitken were moved on by Ardiles and, with so many youngsters thrown in, this side was crying out for a Brian Kilcline-like figure. Recent fallout over the long-running takeover saga at Newcastle United hasn't just been the talk of Tyneside - it was the talk of the footballing world.
By signing up to our twice daily newsletter, you'll get all the latest news on all things black-and-white - straight to your inbox.Ventilators can be lifesaving devices in the new coronavirus pandemic because they provide breathing assistance for someone who is seriously ill from pneumonia and is no longer able to inhale and exhale on their own. State health officials say they've identified about 1, ventilators in Arizona and are working to find more.
State officials are using the time to secure ventilators — crucial to treating the most critically ill patients, yet in short supply in other areas of the U. Christ said the state is looking at following U. Food and Drug Administration guidance on repurposing anesthesiology devices used in outpatient procedures to safely provide ventilation for COVID patients.
Connecting a patient to a ventilator is more invasive than giving someone oxygen. A ventilator requires a tube to be inserted into the windpipe in a process called intubation. The tube is what's attached to the mechanical ventilator, the machine that helps the patient breathe, which can also send oxygen concentrations at higher-than-normal pressure to help keep the patient alive. That Commonwealth Fund study listed New York state has having 23 ventilators perpeople, which is above the national average.
Yet New York Gov. Andrew Cuomo this week took to Twitter to say that ventilators are that state's, "greatest challenge" as it experiences surge of patients. Arizona's coronavirus situation is not as serious as New York's.
Recuperación EEUU "debería continuar" si brotes de coronavirus son limitados: Harker de la Fed
New York's cases as of Thursday had reached 30, including deathsand there have been multiple media reports of chaotic emergency rooms and hospitals crowded with patients ill from COVID, which is the disease caused by the new coronavirus. Cuomo on March 25 tweeted that the state has 11, ventilators but needs 30, The U.
Forty percent of Arizonans works out to about 2. Those infections could occur over the next six to 18 months, he said. It's possible a vaccine against the new coronavirus could exist in 18 months, or even sooner, he said this week during a teleconference about health care capacity and COVID hosted by the Commonwealth Fund. Based on early evidence found in a study of 1, laboratory-confirmed COVID cases out of Wuhan, China, ventilation was needed in about 2.
In northern Italy, health care workers have struggled with finding enough ventilators to treat a large influx of patients with COVID In one report, a priest with COVID gave up his ventilator for a younger patient, also infected with the virus.
The priest later died. Ardiles said he's never run into a situation where a ventilator was unavailable to a patient who needs one. We are looking at a way to connect multiple people to one ventilator. We're looking at makeshift with anesthesia machines," Ardiles said. Ardiles, who treats patients at Banner University Medical Center—Phoenix, said he's heard talk of ramped-up manufacturing to make more ventilators, but so far he has not seen any tangible results.
We may need a lot of ventilators in a couple of weeks.Thomas Ardiles likes to joke that when he arrived in Arizona from his native Peru on July 4,he was greeted with fireworks and celebrations everywhere.
But what Ardiles, a pulmonary and critical care physician at Banner-University Medical Center in Phoenix, is dealing with these days is no laughing matter. With more than 20 years of experience, Ardiles is one of the leading physicians helping to treat COVID patients, particularly those who are hospitalized because of the severity of their cases.
Even for someone with his expertise in respiratory issues, the coronavirus is like nothing he's ever seen before, Ardiles said. At least we understand the flu.Minecraft secret entrance underground base
We know the course it takes. We didn't know anything about this. Nobody was prepared for the magnitude of this," he said.Gates crimp chart
It's particularly difficult to have to isolate patients from their loved ones to avoid further spread. The relationship with the families has been real important," Ardiles said.Unexplained mysteries podcast reddit
Full coverage of the coronavirus outbreak. There are some cases he'll never forget, like that of a young man with the coronavirus. The patient's lungs were completely gone, and the heart was giving out. We talked with the family and said, 'We don't know if he's going to recover and have a normal life. Ardiles considers his ability to speak Spanish with the families — and, in some cases, the patients themselves — a big advantage.
Communities of color nationwide have been hit hard, and those in Arizona are no different. According to state health officials, in July alone, Latinos in Maricopa County comprised half of coronavirus cases. Maricopa County includes the state's largest city, Phoenix, where 42 percent of the population is Latino. Earlier in the summer, officials in Phoenix and other localities mandated masks, which Ardiles said is a very simple way to help stop the spread and bring the pandemic under control.
He said he doesn't understand those who refuse to wear masks or follow social distancing directives. If the country doesn't stay united, it wouldn't do very well," he said. And it's no different now to tell people to do their part to help stop the pandemic.
They don't think about others. It's like the golden rule, love your neighbor. Ardiles likes to unwind by spending time at home with his family, taking walks and listening to a variety of podcasts. At the hospital, he takes the extra precaution of showering and leaving his scrubs behind before heading home, and "as always" he is frequently washing his hands.
In addition to his hospital work, he is also a clinical assistant professor of internal medicine at that University of Arizona College of Medicine-Phoenix. Ardiles said he wouldn't be able to treat any of his patients without all the health care professionals who work with him. We can't do this without our nurses working hard, without all the people that help. Patricia Guadalupe is a freelance journalist based in Washington, D. Follow NBC News. Patricia Guadalupe.
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