Be compassionate, be responsible, for the common good

For the sake of the common good, please do your portion to help alleviate this serious situation that eventually will definitely affect all of us!

@The New York Times
Health workers call it quits

The U.S. is experiencing a crisis of burned-out health care workers. For nearly two years, overwhelmed nurses, doctors and hospital staff have raced to save the lives of hundreds of thousands of people from a fast-moving and often mystifying virus.

The months of trauma, stress and personal risk have led to a remarkably high number of resignations — around one in five health care workers have quit since the pandemic began.

For insight into this exodus, I turned to my colleague Andrew Jacobs, who covers global health. I spoke to him as he was driving to Pascagoula Hospital, on the Mississippi Gulf Coast, to report on the staff as they battled their fifth surge of the pandemic.

How did we get to this moment of mass burnout?

Many health care workers were already feeling underpaid and undervalued before the pandemic. Then came Covid, which was a real threat to their lives. Thousands died in the first few months, and the country really failed to protect them in terms of P.P.E. You may remember the iconic image of nurses wearing garbage bags as a stand-in for a proper surgical gown.

Then there were the political battles over science, masking and vaccines — fanned by the right — followed by hostility from patients, and the families of patients, who they’re trying to help. Then you have wave upon wave of Covid patients. These surges have been physically and emotionally exhausting, and they have pushed many hospital nurses to take less stressful jobs at schools, insurance companies or at doctor’s offices. Others have left the field for good.

What’s the situation like now?

The crisis is really at its worst point since the beginning of the pandemic.

And at this point, the vast majority of people being hospitalized with Covid have made a choice not to be vaccinated, because of what many medical personnel say is misinformation rooted in partisan politics. So nurses I’ve spoken to are disappointed and angry that they’re having to deal with the repercussions of this mass manipulation that ignores basic science.

And during all of this, they’ve been experiencing repeated bouts of moral injury that have a pernicious impact on their psyche.

What do you mean?

Moral injury is a wound to your sense of what’s right and wrong. With nurses, it’s because they can’t provide the care that they were trained to provide. They see patients suffering and, in some cases, needlessly dying because a nurse who is supposed to have a maximum of, let’s say, four patients instead has 10, because there’s no one else to staff the ward. When you’re stretched so thin, you can’t properly do your job — and that helps fuel the angst and burnout.

Can’t we just hire more nurses?

There has been an uptick in applications for nursing schools since the pandemic began. That said, nursing schools can’t increase enrollment because there’s a shortage of nursing instructors.

Another big problem is that older nurses who are near retirement age are also deciding to retire early. We need these veterans to help the newcomers learn about this very complex and demanding job.

What do the next few weeks look like?

Even if Omicron infections are as mild as we believe they are, the sheer infectiousness of the variant is churning a tidal wave of people who will be seeking care at hospitals.

The other piece of this is workers out sick. At Pascagoula Hospital, which is a small community hospital, there are 85 employees out sick with the virus right now, which has forced administrators to close two floors with 33 beds — about half of their regular beds.

Hospitals across the country are dealing with these waves of illness among their employees. Even though they are seldom sick enough to be hospitalized, they’re out of commission, and they’re leaving their colleagues to deal with this tsunami. So there’s a fear that the next few weeks could be really bad for health care workers and their patients.

Your health care stories
We asked our readers in health care whether they had struggled with quitting, what made them leave or why they were staying. Do you want to weigh in? You can share your story in the comments section here.

“I left my job as an emergency medicine doctor after serving two waves. I gave everything I had. We ran out of medications. We ran out of staff. Our 12-bed I.C.U. unit had more than 60 ventilated patients. I cried with the families over the phone, of course, because they were barred from their loved ones. Then, the country made the vaccine political. I couldn’t take on the emotional burden again, knowing there was a vaccine that could prevent another inevitable surge. I served my community, my state and my country. I couldn’t emotionally take on more senseless deaths. I left the hospital with PTSD and entered a jobless market.” — Kayla Guidry, emergency medicine doctor, Brooklyn, N.Y.

“I haven’t left yet, but I cut my hours back significantly. I hit a breaking point where I couldn’t stop crying on my days off. I dreaded work and still do.” — Whitney Hopes, registered nurse, Utah

“As a group, after two years of this pandemic, we are all suffering from PTSD. I have colleagues who gave their lives to this pandemic, others so scarred from disease that they may never work again. Very little thanks coming our way. Sometimes even scorn. It’s stressful to discover that the person in cardiac arrest that we just spent 45 minutes intubating and doing chest compressions on died of complications of Covid and rewarded my team with a massive exposure to the virus for all of their efforts to save him. He never bothered to get vaccinated. We are all pretty much fed up with this.” — Louis Cooper, attending physician, emergency medicine, New York, N.Y.

“I am a palliative care doctor and we serve the ‘end of the train’ with Covid as well as many other diseases. Although it is stressful and draining, and may ultimately take its toll on many of us, it is also critical. We need to remain devoted and compassionate to the care of patients near the end of their lives no matter what choices they have made or what got them there. We also need to support the teams of people who are taking care of these patients to reduce the degree of burnout they are experiencing.” — James Bell, M.D., Cedar Rapids, Iowa

“I had to leave my job due to developing long Covid. I realized that not only was my body a problem, but my brain processing was as well. I feared I would make a serious mistake that could impact patient outcomes. It was a terrifying experience that finally allowed me to listen to my physician’s advice to take long-term leave.” — Nicole, medical technician, Hendersonville, N.C.

“I was a nurse during the beginning of the AIDS epidemic, so I wasn’t a stranger to fearing for your life because of your job. But in both instances when I saw what my patients were going through, I couldn’t desert them. Just yesterday one of my patients reached up from his bed for my hand and I realized that he was supporting me, wanting to thank and encourage me. How can you leave when you get that almost every day?” — Lawana Kelly, registered nurse, Kansas City, Mo.

Ephesians 6:12 (a special image)

For our struggle is not against flesh and blood, but against the rulers, against the authorities, against the powers of this dark world and against the spiritual forces of evil in the heavenly realms. Ephesians 6:12

I want to comment on this image, it is the Rosette Nebula from a different perspective or color theme. Here are three more Rosette that you may often see, and it is a beautiful name. But as always indicated, great temptation and trial sometimes come in a very sweet beginning but ends with harshness and pain. But I don’t want you to have a wrong impression about this Nebula since it is an ongoing changing picture since the light travels millions of miles to reach us, what we see now is way different from what it actually is, it is an “old” image.

Inside Rosette

Wild imagination about COVID

I appreciate we have the ability to do wild imaginations, while Greens’ brothers wanted to build a “flying machine” that could take people fly like a bird, Ford wanted to build a machine moving on wheels instead of horses (the word county means the distance a horse can run without stop), Elon Musk dreams about moving to another planet as a meaning to save Earth. Throughout history, those with wild imaginations dream, initiate, failures and make new stuff that have benefited human mind.

So, please allow me, to have a wild imagination, not on technology, but on humankind.

Science has not 100% figured out what caused SARS-COV-2, many speculations and scientific progress are under the way, but no confirmation about the source due to many reasons.

Let me think in a different perspective: when we arrive at the gate of heaven, the doorkeeper asked:”what did you do during COVID? Wasn’t it a golden time that He created an opportunity for mankind globally working together to fight off the virus? Instead, unprecedented, the science community, the religious groups, the governments had made even deeper disagreement and gap between each other? Instead of working together, what did you do, my followers, to cause more disruptions than peace? More damages than healing? More doubts than belief? Leaders of governments & faith groups, are you doing your portion to better it or worsen it?” 🧐🤔

It deserves everyone to ponder? Are we, individually, make the world a tiny little bit better and peaceful place, for our children, our children’s children, or causes more chaos, disruptions, hate, and distrust?

“Thus, by their fruit you will recognize them. Not everyone who says to me, ‘Lord, Lord,’ will enter the kingdom of heaven, but only the one who does the will of my Father who is in heaven. Many will say to me on that day, ‘Lord, Lord, did we not prophesy in your name and in your name drive out demons and in your name perform many miracles?’ Then I will tell them plainly, ‘I never knew you. Away from me, you evildoers!’” Matthew 7:20-23

Why are these verses particularly speaking to those who claim to be followers/leaders of Christ and perform many miracles? One reason is because what they say and do would have much more impact on the general people. This is why I strongly suggest leaders, please say anything with caution and affirmation. Because:

“Likewise, the tongue is a small part of the body, but it makes great boasts. Consider what a great forest is set on fire by a small spark. The tongue also is a fire, a world of evil among the parts of the body. It corrupts the whole body, sets the whole course of one’s life on fire, and is itself set on fire by hell. All kinds of animals, birds, reptiles and sea creatures are being tamed and have been tamed by mankind, but no human being can tame the tongue. It is a restless evil, full of deadly poison. With the tongue we praise our Lord and Father, and with it we curse human beings, who have been made in God’s likeness. Out of the same mouth come praise and cursing. My brothers and sisters, this should not be. Can both fresh water and salt water flow from the same spring? My brothers and sisters, can a fig tree bear olives, or a grapevine bear figs? Neither can a salt spring produce fresh water. Who is wise and understanding among you? Let them show it by their good life, by deeds done in the humility that comes from wisdom (你们中间谁是有智慧、有见识的呢?他就当在智慧的温柔上显出他的善行来。) But if you harbor bitter envy and selfish ambition in your hearts, do not boast about it or deny the truth. Such “wisdom” does not come down from heaven but is earthly, unspiritual, demonic. For where you have envy and selfish ambition, there you find disorder and every evil practice. But the wisdom that comes from heaven is first of all pure; then peace-loving, considerate, submissive, full of mercy and good fruit, impartial and sincere (惟独从上头来的智慧,先是清洁,后是和平,温良柔顺,满有怜悯,多结善果,没有偏见,没有假冒。) Peacemakers who sow in peace reap a harvest of righteousness. “James 3:5-18