you're celebrating easter, happy east ther weekend, the rachel maddow show starts right now. good evening, rachel. >> good evening, chris, thanks, my friend. thanks for that. and thanks to you at home for joining us this hour. happy friday indeed. i would like you to meet dan rency, i think you are going to like him, i am quite sure you are going to want to know more about him. dan is a nurse, he lives in kansas, except for right now, he lives in new york city because he came to new york city from kansas to help. >> hi, it's me, i'm back home, after another night of wild exciting coronavirus fun on the night shift in new york. when i was in nursing school, i was talking to some friends, and

we were going around the group discussing why we all signed up to be a nurse, and honestly, when i signed up for nursing school, i had these visions of myself working for a cosmetic dermatologist, or something, you know, i would go to work and the real housewives would come in, and they would get a little facial filler and a lot of gossip, and we would have fun, and if you told me that just, not too many years after i graduated that i would be living in a hotel in new york, while i was putting bodies in body bags, because this mysterious virus was mowing down everyone's grandparents, how do you process that? and i didn't have to come, but

at the same time i kind of did. if i don't come, who will, you know? but it does not make it any easier. oh, and we got to call families, we got to call a family today, because, you know, families aren't allowed in the room, they're not allowed in the building, and of course, you know, people know that it's coming, that phone call, but it doesn't make it any easier. stay home, everybody, please. you know, one of my jobs here at this hospital is i'm the guy who ties the toe tags on people, and gets them ready to be sent to the morgue. and they have me do this because

i'm the biggest one on the floor and i can lift them easily in bed. so i've been looking at a lot of faces, and i keep seeing my parents, and if you could please, i'm 1500 miles away from home, if you, i can't do anything about it here, so i'm just going to ask you guys a favor, if any of you see my parents out and about, just tell them, tell them to go home, you know, we do not go into the store, my father retired ten years ago, and has watched tv every day since then, and now if the government has told him that he needs to stay home, suddenly the man has hotties, he's got to leave and go at home and

shouting the tv, oh, this is bull-[ bleep ], but we're busting our asses here, doing cpr on intubated patients, and my father's driving around town, so please, if you see him out, just tell him to go home, they do not need to be out. they can wait this out. this will be over. >> this will be over. on the last word, here after my show lawrence o'donnell has been featuring for a few nights now the 7:00 p.m. clap, the citywide cheers that new yorkers are getting for health care, giving for health care workers every night, and sometimes those displays of gratitude come with

a huge loud exclamation point when new york fighters joined outside the hospitals and they not only clapped they put the sirens on from the fire trucks to really make it impossible to miss, even for the health workers inside the hospitals. but most nights, it is just night after night, new yorkers cheering and clapping, and part of the reason i wanted you to see these dispatches from dan renzi, who you may remember, you may recognize him, from mtv's the real world back in the '90s, you might remember him from then, but part of the reason i wanted you to see these dispatches from him as n-his new life as a nurse coming from kansas to work in new york state, i think we should see from the perspective of a health worker, in his case, from the perspective of a nurse, who wanted his nursing career to be a glamorous real housewives type drama, but instead came to new york to work the night shifts in brooklyn and the bronx to help, i feel like we should all see,

not just what the cheering episodes for the health workers look like, to all of us, i feel like we should all see what those feel like to somebody who those cheers are for. >> one of the hardest-hit hospitals in one of the hardest-hit places on earth right now has been saint barnabus hospital in the bronx where i would like you to meet somebody else, here is ernie patty, an emergency room physician at saint barnabus. >> the battle continues. the end of another shift. we still have a large number of people intubated down here.

i believe there's 13 intubated. and about five or six on cpap. a lot of people are still requiring high concentrations of oxygen. it doesn't seem like it's slowing down. although we have had a little, i don't want to use the q word, but a little lull right now, which is good, because we're able to catch up and get some patients upstairs to the icu. let's hope we reached that plateau at some point soon, where we flatten the curve. i'm hopeful. >> when he says we've got five or six patients on c-pap, what that means is that saint barnabus in the bronx is one of the places that has basically mcgyvered a response to the huge number of patients who simultaneously need mechanical systems to breathe. as coronavirus attacks the

lungs. what the doctor is describing is most of the patients they've got are on traditional ventilators but they've also started repurposing c-pap machines, machines for people with sleep apnea, a make-do clinical solution for critically ill coronavirus patients so we will be speaking with dr. patty in just a moment, about that hope that you just saw him talking about there, about what he and his colleagues are going through, this many weeks into it, at a capacity-filled hospital. but part of the reason i wanted you to get a chance to meet him tonight is because of this next tape that i'm, next piece of tape that i'm going to show you that we got from dr. patty today at saint barnabus. because with more than 18,000 americans now dead from this, with 2,056 americans i don't dying just in the past day, which means just in the past day one american died from coronavirus every 42 seconds,

with that many americans dead, it is one thing to clap for health care workers and nurses and doctors, and we should, and it is one thing to hear them explain the kind of work they're doing and how hard they're working and what exactly it is that they're doing but it is only if we put a camera that one of their hands that we can actually see from their perspective what it is really like when they're doing this work and we should see it particularly from these hospitals that have been pushed to capacity, because what they have got is what every other hospital in the country should see, as all of the cities and states that aren't this far up the curve yet, start to approach those kind of apexes. so i will do something that kind of breaks the cable news production rules a little bit. but i just want you to watch this. it's not super long. it's about 40 seconds long. the reason this breaks the cable news production rules is because this piece of tape i'm going to show you is something where there is no dialogue.

and there is nobody narrating it. i'm not going to narrate it. i'm going to shut up. but this is worth seeing. this is st. barnabus in the bronx. what it is like to be in this clinical environment with multiple patients being mechanically kept alive. this is what it was like for the nearly 2,000 americans, for the 2,000 americans who fought this thing in the hospital until they died today. this is what it is like now, tonight, for tens of thousands of americans, who are fighting for their lives in hospitals right now as we speak. this is rare to see, unless you give the doctor the camera, and let them show you from their own perspective, that this is just a glimpse from one hospital, of the working environment for the health care workers, who are trying to save americans, who are trying to cling to life, with coronavirus. like i said, this is only 40 seconds. i will shut up. just watch. turn your sound on but just watch.

>> if you know somebody who says screw these stay-at-home orders, somebody says it's all just a big overreaction, sit them down, turn the sound on, show them that. the emergency room doctor who shot that, we're going to be speaking with him in just a minute, we're super grateful that he shot that video for us,

we're grateful for him and all his colleagues. >> these are the best doctors on the planet. >> which is right. >> st. barnabus. the best doctors on the planet. >> thank you. >> st. barnabus. dr. patsy. all of our doctors here. the best. >> that's st. barnabus, st. barnabus lost one of is doctors in the last couple of days, a trauma surgeon, dr. verrier, born and raised in haiti, the father of three children, he worked in the trauma center of st. barnabus, a health care worker like all health care workers are trying to keep coronavirus patients alive and he became infected and died today at the age of 59. front line health worker know that their lives are at stake while they are doing this work, and yet, remarkably, this far into it, with all of the support that we as a country are trying to give them, it's not

enough. we are still seeing hospital staff have to literally protest to try to get themselves protective equipment, to try to get enough staff, relief staff, on board to share the burden in hospitals that have crippling numbers of cases this. for example was today. this is brooklyn today. >> we need more nurses at the hospital. the nurses are working short. the nurses are working stressed. the nurses are working hard. i want my nurses to know that we love them, we respect them, the res ter therapist, the physical therapists, the doctors, they're all working hard for the patients, for this community at this time. at the end of the day, the nurses have tears in their eyes and the taste of death in their mouth. these nurses need relief. they need help. we're asking the governor, the president, whoever can help us, to send us some staff as soon as possible. we are doing the best we can with what we have. and we want everybody to know we

will continue to do the best we can with what we have, but we need help, and we need relief, as soon as possible. >> we also have staff bringing cleaning supplies from our homes, to clean our computers, to clean our stretchers, to clean the vital sign machines that the patients are using and this is a big problem. we're a hospital, that we're trying to control infection control, how is it that we're bringing our own cleaning supplies to supply for the hospital? and that is one of my big concerns. >> nurses at one brooklyn hospital they say, they are saying they are bringing in their own cleaning supplies from home to try to do infection control as they are seeing coronavirus patients. i will also tell you if you look, can we drop the lower third, can we drop that breaking news banner, i don't know if we can with the remote control room, can you see what that nurse is wearing, can you see the dates written on her gown? we believe that is in terms of that gown being reused.

because of the extent to which they have to reuse all of their gear, including their gowns. so they are labeled with sharpie to let you know what days they've been used. and this is not, this is not only happening in new york. we're starting to see signs of real crisis, for example, in michigan hospitals. nurses in michigan hospitals have staged sit-ins and protests in the last few days, to try to draw attention, not just to the need for protective equipment, but to how understaffed they are for the volume of seriously ill and dying patients that they are seeing all at once. and the headlines in the michigan papers are stark. running out of body bags. people dieing in the hallway. coronavirus has michigan hospital workers at a breaking point. this one from the "detroit news" inside sinai grace war zone, we started to run out of body bags. detroit today opened the first beds at its convention center, to try to take some of the strain off of their over-run hospitals. the first 25 beds opened at the

convention center in detroit today, they hope to have 250 beds operational by the end of the week. i will tell you, while this is happening, the mish can rep, michigan republican party is nevertheless attacking the state's governor for being too tough for the coronavirus and demanding that the stay at home nonsense should be lifted, there is no reason for it. call the governor, they are literally addressing the public, telling the public to call the governor of michigan to call the governor and complain to stay at home and try to spread the spread of the virus. michigan is fine. why do we need this stupid stay-at-home order. that's the michigan republican party. they are running out of body bags because, what, it's spring, they haven't been conserving then, they have been wasteful with their body bags? but honestly, things are bad in a lot of places. the indiana governor today announced that they are over 300

deaths and over 6,000 cases, but they don't know how many more cases they're going to be able to track because they don't know how many more tests they are going to be able to do because they are out of swabs. there aren't enough swabs to do more testing. they have run out of them. so they're now experimenting with how they might be able to make mcgyver some more of those. today, from on board the uss john c. stenis, the military posted this video of sailors cutting and sewing and rigging homemade masks for use on board that aircraft carrier. i think the military might have thought of this as a kind of, you know, heart-warming, everybody's pitching in kind of thing, but it also shows that even the united states navy does not have adequate supplies to provide masks for active duty sailors currently deployed on aircraft carriers, so they really are making them themselves, in craft shops, on board ship. the navy says they're making 30

a day right now on board the stenis, they hope to be up to 50 a day by next week, i should tell you at full tilt the stenis can have 6,000 sailors on it at a time. if you're looking for a snap shot of how the epidemic is shaping up where you live, or if i know you, where your parents live, or your grandparents live, and you're worried about them, we're going to post a link tonight at maddow blog, to this map, which is not being put out by any government agency. but i think it, i think this is a particularly helpful map. it is made by a company called topos, it's a company that does mapping and artificial intelligence stuff, founded by a couple of data geek professors who teach at u-penn and cooper union, and what we're finding outside of a national clearinghouse of statistics on the epidemic, people are good at wrangling data from sources we can get, are trying to get the

data easy to visualize and access and easy to use for decision making and the number of cases on a county by county map in the country, places with a high number of cases in dark red, and they also map a moderate number of cases, they map those in a lighter color of red, and here's a map that, from, also from the topso database that looks very different, highlighting different parts of the country, and this shows the rate of increase of new cases in individual counties in the country, so those dark red blocks all over the country, those are counties that have a high rate of increase of new cases of the virus, places where the epidemic is really taking off. you can see it's everywhere. and you can zoom in, say to a place like alabama, which looks pretty red-hot on this map and once you're in alabama, you can look county by county, to see what the rate of increase is, in new cases, and county by county, to see where the epidemic is growing fast. you can do this where you live,

you can do this where your parents or grandparents live. again, this is the topos map. if you want to go directly to check this out online, it's covid-19.topos.com. and again, everyone is trying to do their own data visualization tools because the u.s. government is putting out basically nothing useful. but this at least as of today is the handiest thing i've seen so far to figure out basically what parts of country ought to be freaking out a little bit more than they are. the other, one of the other tools i have found, to try to do that, as the government puts out no useful information, is to look at news coverage, literally just the free press coverage, of what's going on in nursing homes. tonight, nbc news has this fairly terrifying report in which they've gone state to state, to try to figure out what the death toll from coronavirus has been in american nursing homes so far. obviously from what we know about the virus, it is particularly dangerous for

people who are older, or who have underlying health conditions, and the way that we prevent people from getting it is by keeping them distant from one another, and nursing homes are a perfect storm, in terms of the virus being able to spread and the virus zeroing in on the people least able to fight it off. nbc news tonight finds more than 2400 nursing homes in 36 states that are contending with known coronavirus cases inside their facilities, and nbc news tonight is documenting more than 2200 americans dead in nursing homes already. but the most astonishing thing about this new reporting, from nbc news, is that as this national epidemic rips through nursing homes all over the country, and in cities and rural areas and suburbs and red states and blue states, everywhere, with the most vulnerable populations in those facilities, both for getting it and for being unable to survive it, as

coronavirus just rips through american nursing homes, it's freaking nbc news that is doing the tracking of those cases and deaths nationwide. it is nbc news doing it as a journalistic project which is great but the reason they're having to do it is because there is no federal effort whatsoever to track that data, let alone to do anything about. >> it the federal government is not only, the federal government is not only not responding to the particular vul thablt inabilities of nursing homes, where, thousands have died and have a bull's eye on them, the federal government is not even looking, they're not even counting it, there isn't federal data on, it and they're not trying for it. this will be the deadliest swath of this virus. through our elders. in nursing homes and long-term care facilities. and so far, the federal government literally is pretend it's not happening. let alone doing anything about it. it is not supposed to be that way and it does not have to be

that way. and that story is next. poppy come quick.

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page one today in the great state of louisiana, veterans home hit hard, 25 have died at a facility in reserve, louisiana, many have not been tested for the virus. and in indiana, 24 dead, after coronavirus outbreak, at long-term care facility. here's virginia, one long-term care facility in virginia, reaching a grim milestone today, with 40 deaths at that one facility. here's alabama. also new today. testing reveals 36 cases at one nursing home in alabama. that also yields this gut-wrenching headline. she did not deserve this, nurse at alabama nursing home dies from covid-19. here's new jersey. three nursing homes in the town of elizabeth, new jersey, alone, have lost 45 residents to the covid-19 outbreak.

here's north carolina. second veteran dies amid covid-19 outbreak at rowan county veterans home. here is another, 19 cases, at a nursing home in the great state of oregon. there's a different headline from louisiana today. coronavirus outbreak at louisville, excuse me, kentucky, here's a kentucky headline today, coronavirus outbreak at louisville nursing home infects 29 people, killing five. choose your state. choose your newspaper. choose your local tv station. you will find at least one story like this. wherever you look. it is ubiquitous local news everywhere in the country. but that's how it's being treated. local stories. that just happened to be happening everywhere at the same time. coronavirus hitting nursing home, veterans home, long-term care facilities and hitting them hard. in los angeles, this week, the l.a. county public health director went so far to say it would be quote, perfectly

appropriate for families to take their elderly loved ones out of nursing home, bring them home if you can because the homes are just that dangerous right now. currently, there is no national response even trying to address this part of the crisis. there's no coordinated national effort. this is a problem that is everywhere. and this is the most vulnerable patients in the country. as nbc news reports tonight, the federal government isn't even tracking cases in nursing home, let alone doing anything about this part of the problem. every state is on their own. and yes, states are, some of them, trying, at the state level, to do something. in maryland, and in virginia, the governors in those two states have made packets to work together, each though one is a democrat and one is a republican, in those two states, they have now started multi-agency task forces specifically for nursing homes, task forces that can intervene, that can come in to help, that can help with things like testing, that can help with things like supplies, help with things like infection control.

help with things like treatment. and that's encouraging. that seems like a good model. it's larry hogan in maryland who ordered it first. it's now virginia ordered as well. those two states working together and trying it. maybe other governors would follow suit. that would be good. but that's two states out of 50, when it comes to the absence of any federal response. ultimately there has toing something bigger here. more than 2,000 americans already dead in these kinds of facilities and it is poised to kill thousands more americans in these facilities and we can't just let that happen. we are at a critical point right now when it comes to this part of american life. we're past the point of prevention. of keeping it out of these facilities. in thousands of these facilities, it's already there. and once it's in there, it is so dangerous to these populations. now is the time when there needs to be help. there does need to be invention. we cannot sit back and let it happen. we will lose too many thousands of americans. there has to be an effort to

stop it. and i know apparently the federal government isn't interested in doing this. but they have to. honestly, they have to. during the obama administration, andy slavik served at the head of centers for medicare and medicaid services, overseeing health care coverage for 100 million americas and overseeing the type of coverage that millions of americans use for their stays in hospitals. and he helped to repair the broken enrollment of the obama care web site and andy slavik knows how to approach the seemingly overwhelming and impossible to fix and we called him and he is the person i would like to most like to talk to first about what i find as a middle of the night sit up and worry about it issue. joining us, former head of the centers for medicare and medication service, the host of

the new podcast "in the bubble" thanks for taking the time to be here tonight. thank you for your expertise. >> thank you, rachel. thank you for your focus on this really incredible important story. >> well, let me ask you if there is anything that i have said about, you can probably tell i feel emotional about it, i'm head up about it, and it literally has been keeping me up. in the way that i have been talking about it, just as a layman observing these things, am i saying anything that strikes you as wrong, or that it feels like the wrong approach to this, as a problem? >> the only thing strange is that you're almost the only one saying it. let's step back a second. there's a million and a half americans living in nursing homes today, there's about 15,000 nursing homes in the country, and many of them are quite small, and think about who these folks are, people over 80 today, were born at or around the great depression, many of them served in the korean war, and they have lived through so much in this country, and the promise that medicare and

medicaid in our country owes to these people is a dignified life and healthy life, and a peaceful existence to their last days. sadly, this is not what's happening. the time to have dealt with this of course is years ago, not in the middle of a crisis. in 2016, in fact, president obama created regulations, that we put through, that were wholesale meant to address complete nursing home infection control, nursing home safety, overuse of anti-psychotic, all of these things, but sadly, in 2017, the trump administration looked at those regulations and said they were not going to enforce them. that has turned out i think to be the root of a lot of the challenge here. >> in terms of trying to get our hands around this, and not giving up on this, and not

deciding this is too hard to do, i mean it really does feel like an impossible problem because as i said, a lot of these facilities are small, they're everywhere, there's nothing uniform in terms of the way that care is provided or the way they are overseen, it feels like an overwhelming problem in terms of how you would try all of these individual facilities even if you think of it at the level of one facility. when we first learned about that facility in kirkland washington, who had a whole bunch of people positive and we learned that a whole bunch of people would die there, it wasn't for a lack of trying or lack of caring to keep those people alive that things went so badly. do you feel at all, that there is a constructive way it approach it, that there is something, that for example, that something as paufrlg as the federal government could do that could meaningfully make a difference? >> it is not impossible. with people's lives on the line, you cannot go in with the attitude that this is impossible. if i were there, there's three

things i would do immediately. the first thing i would do is i would test and get resources to every nursing home in the country, because we know right now, that the nurses and the staff, many of them are affected, infected, we don't know which ones, many of them don't want to show up, so over the next seven days, i would commit to testing every single one of them and getting gear to every single one of them. the federal government absolutely has the power to do. that the second thing i would do, is i would help them. we're in the middle of the crisis, i would get them resources. i would go to congress, i would get them resources, to retro-fit some of their facilities. hospitals are not taking nursing home patients right now. many times, because they prefer to have them die in the nursing home. i would get, i would give money for infection control. i would get resources for tele-medicine for doctors to come in and talk to patients. i would get the cdc to issue guidelines so i could bring in hospice nurses because there are going to be folks who do not make it through this, and i

don't want people in this state to be dying alone. and the third thing i do, is something you talk about really repeatedly and the most critical thing and i think it extends to everything this administration is not doing right. transparency. i would have a monday morning, tuesday wednesday, thursday, friday morning phone call with the nursing home operators in this country, public a dashboard around the country of infection control records of where there were infections and how many were infected and deaths and the way this will get fixed, and this is not to embarrass anybody, and the way to get this fixed, there are nursing homes that are doing it right and the nursing homes that are doing it right can give guidance for the ones that are doing it wrong. we don't have time to go back to the drawing board and create new regulations. i wish we did the but in the middle of the crisis, we would get them on the phone and share best practices and publishing them and slowly taking down infection rates and for those who couldn't do it, we would be moving people into facilities. >> andy, former head of medicare

and medicaid services under president obama, host of the podcast "in the bubble" that three-part strategy is incredibly practical and both ambitious and overdue and necessary. and i hope a lot of people are listening to you, to that tonight, to give us hope about that crisis, but also i hope people will do something like this, by listening to you. if they won't do it at the federal government, every state should start doing it themselves. andy, thank you so much. >> thank you, rachel. much more to get to tonight. stay with us. when you shop with wayfair, you spend less and get way more. so you can bring your vision to life and save in more ways than one.

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everything can be broken except the bars, because they can't break the bars. the window, the computers are broken, the cameras are taken down. it is just like mayhem. >> it is just like mayhem. that is a prisoner at the lansing correctional facility

outside of kansas city, kansas, describing in realtime, an uprising, a disturbance at that prison yesterday. the incident apparently started mid-afternoon around 3:00 p.m. and lasted for more than eight hours. aerial foot average the prison showed stuff being thrown out of the windows in cell block c. officials say there was widespread damage throughout the whole facility. the situation lasted until about 11:00 p.m. last night and tactical teams went in that cell block and used tear gas and two prisoners were ultimately treated for minor injuries. officials in kansas say they have not been able to confirm what caused the disturbance at the prison but that young man, that prisoner you just heard from, talking to the local news station, kshb, he called in to say that what prisoners were angry about was the handling of coronavirus cases at that prison. so far, 12 prisoners and 16 staff members at lansing correctional facility have testing positive for coronavirus and prisoners are reportedly upset about how it's being

handled and the fact that they don't feel like they can protect themselves from getting infected. it's also worth noting that the cell block where that uprising took place is just a few hundred yards from the infirmary where people who are sick with the virus are being held and treated. kansas's governor said today that the investigation into what caused that disturbance is ongoing. she said there would be transparency in the state's handling of the matter but this of course comes at a time when governor kelly already has her hands full, including in some ways she probably shouldn't have to deal with. governor kelly, in kansas, is a democrat, she's issued a stay-at-home order for the state, ordered a ban on large gatherings, but then this week, a group of republican legislators overturned her order against large gatherings, because apparently, they want residents of kansas having large gatherings right now. yesterday, in response, governor kelly actually filed a lawsuit, calling on the state supreme

court to push back that effort, by republican lawmakers, and settle this issue quickly. very quickly. especially given this weekend's easter holiday and the prospect of crowded easter services on sunday morning. >> this is not a normal situation about policy or politics. the actions of the republican legislative leader jeopardize both the health and safety of kansans. we do not have time to play political games during a pandemic. i'm confident that the supreme court will take up this matter and adjudicate it quickly. i will not stand by when lives are in jeopardy and i will not allow the rule of law, or the constitution to be trampled on during an emergency. i took an oath to uphold the constitution and the laws of this state. it is a promise i made to each of you. we will get through this together. we will continue to flatten the

curve. and we will beat this terrible disease. please remember, stay home, stay safe, save lives. >> today, we learned that the kansas state supreme court will in fact take this up quickly and will hold an emergency session tomorrow morning on the matter. and this is the democratic governor putting in place a ban against large gathering, and republican lawmakers saying they have overturned it. and it's no longer in effect. the hearing the state supreme court is scheduled for 9:00 a.m. tomorrow morning, saturday morning, which is an unusual time frame, but the urgency is there for a reason, the court is making arrangements for the public to view the arguments maybe through a live stream on the web site, any case, tomorrow morning at 9:00 a.m. and i will tell you that i have already cleared my calendar, but that wasn't hard. watch this.

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the battle continues.

the end of another shift. we still have a large number of people intubated down here. i believe there's 13 intubated, and about five or six on cpap. a lot of people are still requiring high concentrations of oxygen. it doesn't seem like it's slowing down. >> dr. earnest patty is senior emergency medicine physician at the sbronx hospital, the senior emergency medicine physician at the one of the hardest hit hospitals in one of the hardest hit burroughs in the hardest city in america, which happens to be the worst epidemic on earth. a third year resident at the same hospital at st. barnabas.

>> it seems terminal. the worst scenario, you're playing god seeing who lives and dies. i don't know how anybody can do that and sleep at night. >> i don't know how anybody can do that and sleep at night. i don't know how anybody can do any of this and sleep at night. by new york city standards, the community st. barnabas, to date, the bronx has seen the highest rate of deaths per capita from the virus. which is really something for the good americans who live in the bronx but it is -- it must be utterly transformative for, say, the senior emergency medicine physician who is in charge of keeping people alive when they turn up in extreme numbers at st. barnabas

hospital. dr. patty, i know you have just gotten off work. appreciate you taking time to talk to us. thank you. >> thank you for having me, rachel. areels appreciate it. thank you. >> i want to start by expressing my condolences. i know you lost a colleague, trama surgeon, father of three. i've been reading about him tonight. i imagine that must make going to work even haroder now. >> it makes it very hard to go to work, it really does. when it hits home like that. when we lose any patient. it really bothers us but when you lose somebody you worked with side by side. he cared for my own family members, my uncle, my daughter. i mean, it's -- he's a dear friend. it hits very close to home. thank you. >> dr. patti you sent us footage today that was very affecting, not because you showed us anything that was particularly

gory or particularly narrative. you gave us a point of view video showing what it's like in the clinical context to be among lots of patients who need mechanical assistance to breathe, what it's like to be a health worker in that environment, the sounds of that, the machines, the beeping, the struggling of the patients. it's something that we who aren't health care providers almost never see. i wanted to does you, though, st. barnabas, you see something like 1200 trama patients a year. how does what you're doing now compare to what you normally see? how abnormal is your day in the life right now compared to a busy day in the time before coronavirus? >> i have to say, probably two of the things that struck me the most right from the beginning, rachel, were having to, when you walked into the department, the level of noise and the level of

increased seemed like 100 fold, the number of machines beeping and alarming and making noise and trying to catch our atin attention was much greater than i've experienced in the past and those are ventilators because we had so many in the emergency department. we were basically running our own icu. tonight we were still running an icu. the other thing is having to wear ppe or personal protective equipment like this for the entire day. non-stop. because i can tell you today i was actually performing an infew base on intubation on a very si patient. when i went to do the procedure, i always say a little quick prayer and i thought i hope this ppe protects me, as well because this guy is suffering so badly and definitely infected and i don't want to get sick. because i need to come back here and work again and help more people. those two feelings running

through your head and the other thing that bothers me, as well is not being able to have family by the bedside when we work as hard as we are. many times during normal resuscitations, families are present and they can see the level of commitment and dedication that we put into each one of our resuscitations. here the patients are alone. they don't know us. they can't really even see our faces because we're all covered with these masks and face shields and gowns and ppe. it really makes it very hard for both physician and caregiver, as well as the patient. it's unbelievable. >> dr. patti, i can't tell you how much we appreciate what you do. i'm putting another ask on you but i hope in coming days you'll come back to us. we played tape from you earlier in the hour you're talking about the hope that you're hoping that the numbers are going to start

to go down and things will start evening out in terms of the patient load, we would love to talk to you in coming days as this proceeds in your hospital and you and your colleagues fight this fight for us. >> really appreciate that. i'd welcome chatting with you because let me tell you, sometimes, being able to express what goes through your head, i mean, i can tell you when i drive home from work every night, i'm constantly talking to myself, to whoever the creator is looking for answers and it's tough to get them sometimes and i just want to remind you and all the viewers out there that this is a team effort. i work in emergency medicine. it's a team sport. it's not just one individual. i could not do what i do without the contributions of everyone that works in this hospital. everybody contributes so much to help us get our job done and, you know, i have to applaud all of them. it's an amazing team that i work with. >> and we all do. dr. earnest patti senior emergency room physician in the

bronx. i'll call you next week, sir. i hope you'll be able to come back. thank you. >> thank you, rachel. stay healthy, stay healthy. you too. we'll be right back. so i've been using this awesome new app called rakuten that gives me cash back on everything. that's ebates. i get cash back on electronics, travel, clothes. you're talking about ebates.

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that's simple, easy, awesome. go to xfinitymobile.com today. . behold the edgewood congregation church. services cancelled. god is making house calls. this is from athens, tennessee. folks, it's okay if the church is empty on easter, the tomb was empty, too. not a bad point. this is the journey of the faith church in maryland. jesus wrote an ass into jerusalem. keep yours at home. truer words, happy, easter everyone. it's easter with everything else. stay inside. that does it for us tonight, we'll see you again on monday. time for "the last word" where ali is in for lawrence tonight. good evening. >> good evening, rachel.