【義大利醫療崩潰】Silvia Stringhini是一個瑞士的社會和生物流行病學專家,研究社會不平等的生物學後果。生活在世界各地。
他張貼了一篇位於義大利貝爾加莫的醫生Daniele Macchini自述英文翻譯,透過當地醫生第一手的目擊資料,讓我們可以了解醫療崩潰的災難現場是什麼樣的情況。
https://twitter.com/silviast9/status/1236933818654896129
I may be repeating myself, but I want to fight this sense of security that I see outside of the epicenters, as if nothing was going to happen "here". The media in Europe are reassuring, politicians are reassuring, while there's little to be reassured of. #COVID19
我可能是在自言自語,但是我想要對抗我身處風暴中心之外看到的這種安全感,就好像「這裏」什麼都沒有發生一樣。歐洲的媒體在安撫人心,政客們在安撫人心,儘管沒有什麼可以讓人安心的。#COVID19
This is the English translation of a post of another ICU physician in Bergamo, Dr. Daniele Macchini. Read until the end. After much thought about whether and what to write about what is happening to us, I felt that silence was not responsible.
這是貝爾加莫的另一位ICU醫生Daniele Macchini的文章英文翻譯。讀到最後在深思是否該寫些什麼以及該寫些什麼發生在我們身上之後,我覺得沉默是不負責任的。
I will therefore try to convey to people far from our reality what we are living in Bergamo in these days of Covid-19 pandemic. I understand the need not to create panic, but when the message of the dangerousness of what is happening does not reach people I shudder.
因此,我將設法向遠離我們面臨的現實的人們傳達我們在這些Covid-19大流行的日子裏在貝爾加莫所生活的情況。我明白不需要製造恐慌,但當事情的危險性沒有傳達給人們時,我會不寒而慄。
I myself watched with some amazement the reorganization of the entire hospital in the past week, when our current enemy was still in the shadows: the wards slowly "emptied", elective activitieswere interrupted, intensive care were freed up to create as many beds as possible.
過去一週,當我們當前的敵人還在暗處的時候,我自己有些驚愕地看到了整個醫院的重組:病房慢慢地“清空”,可選擇性的活動被中斷,重症監護被解放出來,以創造儘可能多的床位。
All this rapid transformation brought an atmosphere of silence and surreal emptiness to the corridors of the hospital that we did not yet understand, waiting for a war that was yet to begin and that many (including me) were not so sure would ever come with such ferocity.
所有這些迅速的轉變給醫院的走廊帶來了一種我們還不瞭解的寂靜和超現實的空虛氣氛,等待着一場即將開始的戰爭,而許多人(包括我在內)都不確定戰爭是否會如此兇猛地到來。
I still remember my night call a week ago when I was waiting for the results of a swab. When I think about it, my anxiety over one possible case seems almost ridiculous and unjustified, now that I've seen what's happening. Well, the situation now is dramatic to say the least.
我還記得一週前我在等棉籤化驗結果時的夜間電話。當我想到這件事的時候,我對一件可能發生的病例的焦慮幾乎是荒謬和不合理的,但現在我已經看清發生了什麼事。至少可以這麼說,現在的形勢是急轉直下的。
The war has literally exploded and battles are uninterrupted day and night. But now that need for beds has arrived in all its drama. One after the other the departments that had been emptied fill up at an impressive pace.
戰爭確實爆發了,戰鬥不分晝夜地進行着。但現在,對床位的需求出現了戲劇性的變化。一個接一個被清空的科室以驚人的速度被填滿。
The boards with the names of the patients, of different colours depending on the operating unit, are now all red and instead of surgery you see the diagnosis, which is always the damned same: bilateral interstitial pneumonia.
寫着病人名字的板子,不同顏色的板子取決於作業單位,現在都是紅色的,你看到的診斷結果,總是該死的一樣:雙側間質性肺炎。
Now, explain to me which flu virus causes such a rapid drama. [post continues comparing covid19 to flu, link below]. And while there are still people who boast of not being afraid by ignoring directions, protesting because their normal routine is"temporarily" put in crisis,
現在,給我解釋一下是哪種流感病毒導致了這樣一場突如其來的大戲。[後繼續比較covid19與流感,鏈接如下]。儘管仍有一些人不顧指示,吹噓自己不害怕,但他們會抗議,因爲他們的正常生活“暫時”陷入危機,
the epidemiological disaster is taking place. And there are no more surgeons, urologists, orthopedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us.
流行病學災難正在發生。這裡無所謂外科醫生,泌尿科醫生,骨科醫生,我們只是突然成爲一個團隊的一部分來面對這場席捲我們的海嘯的醫生。
Cases are multiplying, we arrive at a rate of 15-20 admissions per day all for the same reason. The results of the swabs now come one after the other: positive, positive, positive. Suddenly the E.R. is collapsing.
病例在成倍增長,我們每天有15-20人因同樣的原因入院。抽檢的結果一個接一個地出現:陽性、陽性、陽性。突然間,急診室崩潰了。
Reasons for the access always the same: fever and breathing difficulties, fever and cough, respiratory failure. Radiology reports always the same: bilateral interstitial pneumonia, bilateral interstitial pneumonia, bilateral interstitial pneumonia. All to be hospitalized.
使用急診的原因總是一樣的:發燒和呼吸困難,發燒和咳嗽,呼吸衰竭。放射學報告總是相同的:雙側間質性肺炎,雙側間質性肺炎,雙側間質性肺炎。所有人都要住院。
Someone already to be intubated and go to intensive care. For others it's too late... Every ventilator becomes like gold: those in operating theatres that have now suspended their non-urgent activity become intensive care places that did not exist before.
已經有人需要插管,需要去重症監護。而對其他人來說,一切都太遲了……每一個呼吸器都變成了黃金:那些在手術室裏的,現在已經暫停了他們的非緊急活動,變成了以前不存在的重症監護場所。
The staff is exhausted. I saw the tiredness on faces that didn't know what it was despite the already exhausting workloads they had. I saw a solidarity of all of us, who never failed to go to our internist colleagues to ask "what can I do for you now?"
團隊成員都筋疲力盡了。我看到了臉上的疲倦,儘管他們的工作已經很累了,但他們卻不知道在與什麼作戰。我看到我們所有人都團結在一起,每個人都會去問內科同事“我現在能爲你做些什麼?”
Doctors who move beds and transfer patients, who administer therapies instead of nurses. Nurses with tears in their eyes because we can't save everyone, and the vital parameters of several patients at the same time reveal an already marked destiny.
移動病床和轉移病人的醫生,他們代替護士進行治療。護士眼中含着淚水,因爲我們無法拯救每一個人,幾個病人的生命參數同時透露出一個早已註定的命運。
There are no more shifts, no more hours. Social life is suspended for us. We no longer see our families for fear of infecting them. Some of us have already become infected despite the protocols.
沒有更多的輪班,沒有更多的時間。我們的社交生活暫停了。因爲害怕感染,我們再也見不到家人了。我們中的一些人已經被感染了。
Some of our colleagues who are infected also have infected relatives and some of their relatives are already struggling between life and death. So be patient, you can't go to the theatre, museums or the gym. Try to have pity on the myriad of old people you could exterminate.
我們的一些被感染的同事也有被感染的親戚,他們的一些親戚已經在生死之間掙扎。所以要有耐心,你不能去劇院、博物館或健身房。試着憐憫那些因為你的不僅慎而可能消滅的無數老人吧。
We just try to make ourselves useful. You should do the same: we influence the life and death of a few dozen people. You with yours, many more. Please share this message. We must spread the word to prevent what is happening here from happening all over Italy."
我們只是想讓自己變得有用。你也應該這麼做:我們影響了幾十個人的生死。你和你們,還有更多人。請分享這條信息。我們必須傳播這個消息,防止這裏發生的事情在整個義大利發生
I finish by saying that I really don't understand this war on panic. The only reason I see is mask shortages, but there's no mask on sale anymore. We don't have a lot of studies, but is it panic really worse than neglect and carelessness during an epidemic of this sort?
最後我想說的是,我真的不理解這場恐慌戰爭。我看到的唯一原因是口罩不足,但現在已經沒有口罩出售了。我們沒有太多的研究,但在這種流行病中,恐慌真的比忽視和粗心更糟糕嗎?
https://t.co/zDC7de6wtI?amp=1 全文(義大利語)
原文:
https://www.ptt.cc/bbs/Gossiping/M.1583764796.A.DE6.html
prevent tsunami 在 唐鳳粉絲團 Facebook 的最佳貼文
New Renaissance can reform global nations peacefully and digitally
Your esteemed institution will dominate think tank industry with my 4 plans that surely will attract more donation and create New Renaissance to reform China, North Korea and global nations peacefully and create $30 trillion dollars new revenue annual. 4 plans and the new management science will speed global development with prosperity, peace and health for new civilization.
I would like to introduce new management science and technology before the 4 plans that everyone will have equal opportunity to contribute in community and play a role in decision making with direct democracy in order to regulate perceived disequilibrium in human civilization. New management science of direct democracy will not put cat and fish together that is the only way we can keep financial discipline and transparency. Direct democracy is not campaign in every 4 years. It is new life in ICT century. The new management system can sell itself due to the benefit is huge that will create New Renaissance for peace, health and prosperity.
We are so blessed and so lucky to live in ICT era that systematically reform is a matter of finger tips. Human thought and information can transfer so fast and so massive that can perform direct democracy easily with ICT platform. It can start with housing and facility management industry that global residents in housing communities can perform direct democracy to form a global trend of new politics and new management science. We can create equal opportunity in different agendas with ICT platform that will liberate global productivity and lift efficiency to create new revenue $30 trillion dollars in New Renaissance.
Most communities, cities and nations will enjoy the new infrastructure of cloud conference in ICT platform for new management system that can stop human ordeals in politics, finance, education, ecology and economy. New generation will live in prosperity, peace and health with new management science. China reformed in 1980’s with global synergy platform to lift economy tremendously. New Renaissance with new management science will reform global nations in economy, education, politics, ecology and other different agendas that we can cross barrier of time and space to explore new worlds. If we adopt the new management system of direct democracy, we shall live peacefully in New Renaissance that people will not snipe at police any more.
Your institution can lead global think tanks, communities, governments, and enterprises in New Renaissance. It not only will reform management system but also will increase 40% productivity globally that equal to lift $30 trillion dollars revenue annual plus to save resources wasted in mismanagement. Direct democracy is green management for global sustainable development.
ICT sponsors will donate $30 million dollars to the institution annual that can promote New Renaissance and create $3 trillion dollars revenue annual for ICT industry. ICT can fabricate new platform of cloud conference for direct democracy that can apply in housing and facility management industry globally before it can lift to city level, national level and UN level eventually.
A housing community is a small nation. Nation will change when communities change. Residents in housing communities will enjoy surfing new management system to solve unrest and create pleasant environment. New Renaissance will start in housing communities and lift to higher levels accordingly. It will be a project that sells itself and build 200 ICT platforms globally. Each platform will be at the size of Facebook.
Since we can trade stocks directly in NASDAQ, why can’t we use civil power directly in cloud government and cloud conference? Initially we can operate both cloud conference and reality conference synchronously like Dow Jones operating both cloud trading and floor trading. NASDAQ has never operated floor trading since establishment. Literally politics is like the stock exchange. We can trade without brokers in stock exchange as well as in politics.
Everyone has access to information that information can spread massively and quickly without limit of time and space. Global development is the task of how to apply with synergy ICT platform for human activities especially for the public affairs that can lift efficiency, productivity and revenue with new management system to achieve prosperity, peace and health globally.
I am glad to learn we pursue the same goal and we might choose the same approach when we find polluted air in China and India can spread to Japan, America and Europe at the speed of hundreds miles per hour along jet stream in 6 miles height. Particles in polluted air can damage human health as well as catalyze extreme weather globally. We can benefit or hurt consequently with all events happening on the Earth.
What if African will pollute air and water seriously like China and India have done? How soon the Earth will become uninhabitable? Our knowledge and experience convince us the global is a holistic life body. Development should prevent from damaging the holistic life body. We had to protect the holistic life body by all means with new ethics and new code of conduct for sustainable development. The best way to achieve the goal is to operate new management system on ICT platform globally that all people can contribute and play a role in decision making. Everyone can watch, report and maintain the health of the holistic life body in every corner of the Earth without limit of time and space.
New management system and ICT platforms rely on consistent electric power supply. We need to develop green energy as electric power industry is major factor of pollution and global warming. Most energy in nuclear power plant has been applied to heat up sea water and vaporize into the sky that can rise up temperature seriously. Green energy and green management undoubtedly are strong pillars to support sustainable development for the holistic life body.
With continuous high growth rate, Africa has become new engine to pull global economy. Walmart is landing in Lagos. Major manufacturing facilities moved to Africa like Japan Panasonic. Chinese companies have operated in Nigeria since 1980’s. I met chiefs of CCECC in 1982 when they started water bore hole contracts in Lagos and looked for railroads contracts.
Plan 1 is to construct river flow power plants combining irrigation canals in Nigeria with water flushing out of existing hydro generators to rotate river mills for additional 30,000 MW that equals to 20 nuclear power plants. It can irrigate farms for 30 million tons rice annual to improve food shortage and inconsistent power supply not mentioning to create huge employment. Plan 1 is a project of one stone for many birds.
A river generator can be installed in every 7 meters along irrigation canal with minimum water flow at 5 tons per second. 1 KM canal with slight slope at 0.3% can install 140 units of river flow generators at 15 KVA through 150 KVA each depending on water flow. 1 KM canal can equip 2 MW through 20 MW that 1,000 KM canal can install 2,000 MW through 20,000 MW.
In 1920’s Japanese engineer Yoichi Hatta built Wusanto Reservoir in Taiwan with irrigation canal 7,400 Km for rice farm of 145,000 hectares that could reap 3 times annual. Land, water and good weather are available in Nigeria that can develop farms of millions hectares with irrigation canals and river power plants. One hectare farm will produce rice 18 tons for 3 reaps annual.
Plan 1 can change Nigeria and Africa and benefit the global ecologically. USA and China compete in Nigeria and Africa very hard. China promoted railroads construction with loan at $6 billion dollars. IMF offered direct loan to governors at $3.2 billion dollars. I heard GE tried to involve in the railroads construction. Japan plans to invest $30 billion dollars in Africa. Employment, sufficient food and consistent power supply can support Nigeria to lead Africa nations to join the New Renaissance for global peace and sustainable development.
Dangote is an aggressive entrepreneur who might join us for Plan 1. He ranks 25 richest people and is nephew of my friend, Alh. Abdul Dantata. When I was in Nigeria, Abdul gave me his driver Alh. Uba who used to buy ice bars for young Aliko Dangote. Dongote cement can benefit since Plan 1 will need huge cement for river power plants and irrigation canal.
Dangote will donate generously if we can initiate Plan 1 with him and Nigeria president Buhari who is lack of convincing economy policy that a hot pot of food on fire becomes popular target of thieves. Buhari can use Nigerian agric bond to attract investors and complete Plan 1 if he can apply leverage properly. Global donors will support green energy industry in Nigeria if Buhari can show his determination. Good plan, advanced management and talent people will create hope and confidence for a nation and the world.
Plan 1 will attract $1 billion dollars donation and create annual revenue $10 trillion dollars in Africa. The core value of Plan 1 is by all means to prevent Africa from pollution and global warming like China and India. Eventually Plan 1 will attract investors to build river flow power plants with 700,000 MW globally that equal to 400 nuclear power plants. Irrigation canal will boom agric and housing communities synchronously that can develop new cities to attract investors and migrants for new economy in Nigeria and Africa.
European nations will collaborate to construct river power plants with irrigation canal for agric in Africa and in the Middle East to improve economy, ecology and peace. It can reduce refugees flooding into Europe like fleeces. Hopefully it will stop casualty drowned in the Mediterranean Sea.
Big waves attract great surfers. Great surfers can't attract big waves. Good leader can see the trend and keep right direction for delicate surf. I can see 4 trends are going to surge into big waves where we can approach for delicate surfs. New Renaissance will surge with ICT that can promote new platforms for communities, governments and public companies globally. The institution will rank as the 1st think tank in the world if leaders can find new trends of big waves and lead all teams to surf delicately.
Plan 2 is to reform China peacefully with 2 tactics that will turn China into a positive power for regional peace as well as free market for global enterprises. China market is still inaccessible to Facebook, media industry and many other sectors who are looking for tickets to China. They might join us if they learn our plan can benefit them hugely. Apple and Google have been tumbling in China from time to time. Donors from ICT industry and different sectors will donate $3 billion dollars for Plan 2 that will create $10 trillion dollars revenue annual.
Plan 2-1 is to reform China peacefully with platform of cloud conference in housing community management with direct democracy. It will support liberal leadership to emerge in China and open gate wider for global enterprises duly. How can we reform China into democracy when there is only one communist party? No matter one party or no party, residents in housing communities can use cloud conference to perform direct democracy that will create internal climate for liberal leadership.
Plan 2-2 is to mobilize people in global nations to carry out judiciary project in local courts and subvert the apex policy of China i.e. to occupy Taiwan. China has been lying that Taiwan is part of China and there is only one China. Most nations have tolerated Chinese lies for some benefit but lies can’t last forever when global people feel it is enough. Lie can’t never become the truth.
There are extreme groups against China in most nations. They can have suits in courts to win the verdict that Taiwan is not part of China and there are two China in the world. There is nothing wrong to have two China since there are two Congo and two Korea in UN. Nigeria is the only nation considers two China and accept Taiwan to register in the name of the Republic of China in Nigeria. The verdict surely will discredit leadership in Beijing and bring stronger impact than the South China Sea Arbitration has done. It will split leadership in Beijing and support emergence of liberal leadership.
Justice of speech is as important as freedom of speech. It is new trend in ICT century that human can solve global conflicts with judiciary power and public opinions instead of wars. Verdict of Plan 2-2 will become huge external power to shake dictatorship in Beijing that can collaborate with internal pressure from direct democracy in housing communities of Plan 2-1. Plan 2 will catalyze emergence of liberal leadership and lead China to join New Renaissance.
Plan 2 will reform China and North Korea with direct democracy and judiciary power peacefully that will attract $3 billion donation and create $10 trillion dollars revenue annual. Taiwan people can donate $1 billion dollars referring to Taiwan people donated $252 million dollars in 2011 for Japan tsunami.
prevent tsunami 在 玳瑚師父 Master Dai Hu Facebook 的最佳解答
【玳瑚師父玄學論】《「羊」言欢笑》
Staying Positive in the Year of the Goat (English version below)
早有醫學證明,開朗及常歡笑的人,除健康以外,做任何事也較順利些。那麼從玄學的角度而言,人體內的肝,是操控我們歡喜的主要器官。據吾所知,這羊年大家不妨,多飲些花茶,一來可護肝,二來可除去多年鼻子敏感問題,三來亦可排毒,增加歡喜指數,等等。
對於家中有年邁長輩的讀者與粉絲們,請妳你們多多留意她他們的「舉動」,若發現她他們有什麼「異常」,馬上帶她他們去求醫。至於家有「壞小孩」的家長們,這羊年的「密碼」,或多或少都能夠讓妳你們的子女,不會「惡化」。世界各地的「國情、民情」,在這羊年裡,較穩定。但自然界的災害,如海嘯、地震、煙霧,等等,依然會有。
若妳你問吾如何避免,吾實言相告,很難避免。總得有原因吧!原因是肯定有的。那就是共業。這共業的最初起因,乃眾生之錯誤的起心動念而招來。因此,要叫天災地禍不來,唯有人類共同心連心,努力不懈地學習「心平氣和」,天災地禍之共業,自然而然消聲匿跡。
在人類還不能心連心的當兒,而妳你又「周身癢」,非得出國旅遊不可,玳瑚師父祇好勸妳你,勿到東南亞諸國,及歐洲國家如;英國、法國等等旅遊才好。要不然,到時真的「周身癢」,那可別怪事先沒「關照」。哈!哈!哈!停筆之前,特別叮嚀所有屬牛、羊、龍及狗的粉絲讀者們,出國千萬別食羊肉湯,也別買有關羊的手工藝品、衣物等等,切記!
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It has long been medically proven that besides the obvious health benefits, a cheerful person, full of smiles at all times, tends to tread smoother in life. From the perspective of Chinese Metaphysics, the liver in our body is the organ which dictates our "happiness" index. According to my knowledge, in this Year of the Goat, it would be beneficial for everyone to consume more floral tea. Firstly, this will help protect the liver, and secondly, it helps alleviate any issue of sensitive nose. Last but not least, it can definitely help in our body detoxification and up our "happiness" index, etc.
For my beloved readers with elderly family members at home, please be more mindful of their health conditions. Should you discover anything amiss, please immediately seek medical attention. For those of you with difficult children at home, the Year of the Goat brings a 'secret code' that would, in some ways, give you some relief in this area and prevent them turning from bad to worse. As for a macro view of the situation worldwide in this Year of the Goat, there would be some stability for most countries in their national and people conditions. However, there will still be natural calamities like tsunami, earthquakes, haze pollution, etc.
If you ask me how to avoid the above scenario, I will honestly tell you that it is almost inevitable. Shouldn't there be a reason for this? Yes, of course, and the reason is that of collective karma. The rise of this negative collective karma can be attributed to the impure and wrong intentions of the sentient beings. Thus, to prevent such calamities from happening, the sole solution has to be a collective and diligent effort from human beings to strive towards maintaining our inner peace. In this way, the karmic occurrence of catastrophes will naturally vanish without a trace.
While the human race is not yet at this stage of evolution, and you have the urge to travel overseas, Master Dai Hu advises you to avoid countries in the South East Asia as well as countries in Europe, for example, United Kingdom, France, etc. Please do not say that I did not 'take care' of you should anything untoward happen during your travels. Ha ha ha! Before I end this article, a special reminder to my beloved readers with the following Chinese zodiac signs: Ox, Goat, Dragon and Dog, avoid consumption of mutton soup and purchase of any items (handicrafts, clothings, etc) related to goat. Please remember my advice!
prevent tsunami 在 Protecting Tokyo from Storm Surges and Tsunamis - YouTube 的推薦與評價
"“In the typhoon season, the threat to the Port of Tokyo from one kind of major natural disaster increases.”“That is… storm surges.”" ... <看更多>