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CORWIN I took care of many patients through the AIDS epidemic, another horrific story, but Ive never seen anything like this. The sheer numbers of patients. The fact that all of them were really quite ill. The number of patients that needed to be put immediately on a ventilator. The number of patients that came into the emergency room about ready to die. The same in our I.C.U.s.It really was, even for somebody like myself, who has taken care of many patients through the years, really startling. The physical and emotional toll this has taken on everybody who works in our system is just enormous. It almost feels like the AIDS epidemic compressed into a six-week period of time. Its something Ive never witnessed in 40 years of medicine.GELLES At the peak of this surge, what was the single biggest challenge that your hospital system encountered?CORWIN The biggest challenge we faced was being able to create enough I.C.U. beds to withstand the high tide. We had to create I.C.U.s out of operating rooms, I.C.U.s out of procedure suites, I.C.U.s out of conference areas. That meant construction. It meant creating negative pressure rooms. It meant piping in oxygen.Then we had to come up with a completely novel way of staffing the I.C.U.s to be able to deliver the excellent care that people expect. Then we werent sure whether we had enough ventilators, and thanks to the ingenuity of our respiratory therapists, we were able to create ventilators out of anesthesia machines. We were able to split ventilators to be able to ventilate two patients simultaneously.GELLES Where are we now, and what are your concerns as you look forward in the months ahead?CORWIN First, just as a citizen having lived through this, its really important for people in other parts of the country to really understand how horrific this can be if an outbreak happens. I worry about opening up too early and having a significant resurgence of this. In the absence of substantially increased
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