Must go through this about 20 times per day. Its routine for us now. For dr. William pascal and his colleagues working in the icu. Double gloves. Repetition is required. Gown on. Gown off. Repeat. You get pretty good at putting these on after a while. They must change their protective equipment each time they check on a new patient. All right, lets go to our gentleman here. Lets look at the vent. Their unit in brooklyn is filled with people who are critically ill from covid19. Right now we have 22. And i think were expecting two more. And theres no slowing down. Dr. Pascal, we need you over here, please. Lets go. Hes called upon to tend to a patient whose Blood Pressure and oxygen levels have dropped alarmingly low. So he tries a potentially lifesaving intervention called pronin. We basically turn patients onto their stomachs. Is t worked. 83. Its coming up slowly. Is spaipatient is out of the words for now. We spend a lot of the day putting out fires. Jumping from one disaster to the other. This is life on the front lines. In the epicenter of our countrys pandemic. New york i where at least 220,000 people have tested positive and at least 14,000 have is died. Abc news was given guided access inside the medical center. Do you know what were down to . Is it it it it it 50 . Is is is from the e. Nearly two weeks in a hospital at war with covid19. One bed empties, another patient comes in. And the hurricanerculean eff every day. If we can help a few people, its worth we initially, when this started tried to divide the Emergency Department between hot and cold zones and noncovid19 patients on the other. As the disease has progressed and the pandemics worsened, pretty much the entire Emergency Department is a hot zone. You just figure on who else is on tonight. Dr. John marshall runs the hospitals er where theyve already had thousands of cases since the pandemic hit. I think there are 53 vebnts right now. Dr. Marshall has done his share of triaging, from columbine to soldiers in afghanistan, but he says covid19 is unlike anything hes treated before. His Team Receives a patient in respiratory distress. The medical staff quickly gets to work. This kind of thing is happening multiple times an hour during the busiest times a day. A day or so ago we put 14 people on ventilators in a less than 1ho 12hour period. That doesnt include those getting other modalities. To help with the influx, the hospital has set up field tents on the sidewalks outside the er. Hi, guys. I did deploy with the air force and army in afghanistan, but ive given care out of tents before. We dont think about needing tents in the middle of the city. But new york city in general has been good about preparing for large disasters like this and coordinating the work between the hospitals. If it wasnt for that, wed be in a much worse position. Theyve also put out a call for reenforcements. Early march, the numbers coming out of new york started getting very, very scary. Dr. Astrid holland answered that call. She left her life in Salt Lake City to come and work here where shed trained. Seeing friends and colleagues being affected by it, i f i hadt it, if not me then who whats bothering you . Tightness . Your chest . It started on monday, and you were just sitting down when it started . Yes. And you have not had any fever or cough with this . No, but i have been taking my temperature. Her patient was tested for covid19 and then released. Theres so much of the communication that we do in general is based on facial expressions and kind of trying to come up to patients, looking like this and kind of shouting to them a little bit makes that communication with patients a lot harder, i find. All right, thank you. Now its their eyes that tell us the story their faces cant. Eyes that are worried. Tired. And feeling their own pain. In one of the parts of our job is delivering bad news to patients. Honestly, its one of the more psychologically exhausting parts of the job. Dr. Daniel nichola h h h h too often had to make the call no one wishes to telling someone that their Family Member may not make it, it takes a lot for, i don know. It takes a lot for you to be able to, you know, muster the strength. There are a lot of times that people get angry. There are some people that just accept it, and there are some people that cry. Theres little time for dr. Nichola to deal request his own feelings. He has to turn back to running the makeshift icu. We are facetoface with these patients who are breathing rapidly, coughing, and we need to place the breathing tube to properly oxygen eight them and keep them alive, but that requires us to be directly over the face of the patient. So you can imagine today we got called about 15 or 16 times to do this. Im afraid that i might catch it and that i might spread it to the people that i love. I am scared that one day i am going to miss something or not change my gloves or not wash my hands at some point and bring something home, so i am dr. Marshall shares that same fear. My home life has definitely changed during this crisis. Dr. Covid is here. My boys call me dr. Covid now. Spray the doorway, too. Give me a minute. The second i walk in the door, they immediately remind me that i cant go in the house more than two feet without stripping off all my clothes and hopping in the shower. Would you guys be happier if i was somewhere else and not coming sonoma. No. My wife and i are sleeping in different rooms so she doesnt get sick and can take care of the boys. But were still having dinner together. This is probably the one time we can leave you guys alone, because your friends parents wont loet them come over anywa because theyre quarantined. Are you afraid were going to throw a party. No, i tryust you. Being with my family is the kind of thing that reminds my why were doing all this and why this is so important. My familys sort of a touchstone for me that allows me to reset, come back and did the same thing the next day. When we come back, a crash course on nursing inside the covid ward. I dont want to get emotional at work. And the virus strikes one of their own. Cancer wont wait. It wont wait for a convenient time or for hospitals to get back to normal again. Thats why, at Cancer Treatment centers of america, we arent waiting. Were right here, still focused on the only thing we do, providing worldclass cancer care, all under one roof. Because cancer isnt just what we do, its all we do. Cancer Treatment Centers of america. Call now for an appointment. Only roomba i7 uses two multisurface rubber brushes. And picks up more pet hair than other robot vacuums. And the filter captures 99 of dog and cat allergens. If its not from irobot, its not a roomba™. Wthe Natural Light is amazing. Hardwood floors. There is a bit of a clogging problem. clog dancing at least geico makes it easy to bundle our renters and car insurance. Yeah, helping us save us even more. For bundling made easy, go to geico. Com stop dancing around the pain that keeps you up again, and again. Advil pm silences pain, and you sleep the whole night. Advil pm unlike ordinary wmemory supplementsr . Neuriva has clinically proven ingredients that fuel 5 indicators of brain performance. Memory, focus, accuracy, learning, and concentration. Try neuriva for 30 days and see the difference. Hey allergy muddlers. Achoo . Do your sneezes turn heads . Try zyrtec. It starts working hard at hour one. And works twice as hard when you take it again the next day. Zyrtec muddle no more. We know how important it is to have a safe, reliable vehicle right now, so toyota is here to help. For your peace of mind, many of our Service Centers are open. If you need to replace your vehicle toyota will defer your payments for 90 days. And every new toyota comes with toyotacare, a nocost Maintenance Plan for two years or 25,000 miles. Were here for you. Contact your local toyota dealer to see how they can help. Toyota as long as theyre abovele 88, im dr. John marshall and his team are conducting morning rounds. Theres a moderate and highrisk group. The moderate are intubated. The emergency room is filled with people seriously ill from covid19. Many are having difficulty breathing. Were trying to keep a lot of the patients off ventilators and keeping them on highflow oxygen, giving them, 40, 50, 60 liters of oxygen per minute, even though were applying advanced measures, some of these patients are continuing to go downhill and getting worse no matter what we do. For many of these doctors, their nightmares go beyond these walls. Theres a couple of my patients that passed away that you know i dont think ill forget their names ever. A young father of six who died earlier this week and telling his wife, whos in the waiting area that he wasnt requestigoi make it is one of the hardest conversations ive had. He, it was very unexpected. Very sudden. Do we have any shortages on the floor . The hospital leadership holds daily checkins as they run through their latest numbers. On top of the 20 . Those on the front lines know their exposure leaves them highly vulnerable. We found out this morning that we lost another teammate. I would like to ask everyone to just take a moment of silence and just reflect upon all the work that were doing. Thank you, everyone. But amidst the grief, hope still lingers. Hes coming after two woeeks at home recovering from covid19, dr. Paul saunders gets a heros welcome back at the hospital. Thank you very much. Its undeserved, but thank you all for coming to work and for working so hard in all this time. All appreciated by everybody, but thank you so much. And welcome back. Happy to be back. [ applause ] still got people coming in. Back to work, guys. Back to reality. This is surgical icu. Is this the stuff you miss putting on . No, this is not something, this is the patient who was put on yesterday. So hes been on for about 24 hours now. In this crisis, dr. Saunders is called upon for the most extreme cases, when a ventilator isnt enough. What we do is go to assess them where they are at the bedside and put in very large ivs that drain blood from their body, take it out of their body and run it through an oxygen eighter, it takes out Carbon Dioxide and puts it back in their body. You have a total of eight patient. Stretched thin here and around the country, critical nursing staff. Up from d. C. To help, danelle quickly gets a crash course in life at this covid ward and then immediately gets to work. These people will be standing and talking to you, and their oxygen saturation is in the low 80s or like mid80s. Its crazy. Its crazy how fast this disease. Progresses. Hi, sir. Hello. Hello. My names danelle. I know this young ladys been taking care of you all day. 82 years old. Okay . Appreciate everything thats being done. Le and i hope by the grace of god i have a few more years in me. If not, whatever he wants is going to be. God bless them, all thats trying to help. You know, you have a lot of young people here. Right . Their immune systems are good, but theyre still risking their lives. Have you had the fear that this will be fatal for you, like, is that a real fear for you . Or do you feel as if you, that this is not a reality for you . Just because ive never heard it from a patients perspective. Do you fear . I hope im going to beat it. Of course. Okay . But i, so that are they say im doing okay for my age. You look like youre doing good. Im a feisty old man. I see. I see. But the thing is, whether i beat it or not, i still have to atha say thank you to everyone who tried. And i have to say thank you to the young people, because they have their life. Let me help you with that. I just cant imagine like what theyre going through. My heart just goes out to him. I just dont want to get emotional at work, because i have a lot of my shift to do. So i try not to think about anything that might pull on my heartstrings while im at work. At the end of the day, in a long war thats far from over, an ovation. Thats so richly deserved. [cheers and its a celebration of the essential workers that keep this city alive and keep it going, you know, through all of these hard times. Its unity. I dont feel like a hero. I feel like someone who has a privileged job that i love. And i do my job. But i do look at all my colleagues, you know, who keep coming to work and keep going at it and who are relentless, really, and i do think that they are, i do think that theyre heroes. We are on the front line. Were dealing with tragedy every day. And to have the support of somebody next to you saying, like, its okay. You know. Were in it together. It makes it a little easier. Things are getting clearer, yeah i feel free to bare my skin yeah thats all me. Nothing and me go hand in hand nothing on my skin thats my new plan. Nothing is everything. Keep your skin clearer with skyrizi. 3 out of 4 people achieved 90 clearer skin at 4 months. Of those, nearly 9 out of 10 sustained it through 1 year. And skyrizi is 4 doses a year, after 2 starter doses. I see nothing in a different way and its my moment so i just gotta say nothing is everything skyrizi may increase your risk of infections and lower your ability to fight them. Before treatment your doctor should check you for infections and tuberculosis. Tell your doctor if you have an infection or symptoms such as fevers, sweats, chills, muscle aches or coughs, or if you plan to or recently received a vaccine. Nothing is everything ask your dermatologist about skyrizi. Your cells. Trillions of them. Thats why centrum contains 24 key nutrients to feed your cells, supporting your energy so you can take care of what matters most. Centrum. Feed your cells. Fuel your life. Only roomba uses 2 multisurface rubber brushes to clean all your floors. And with patented dirt detect technology, roomba finds dirt throughout your home. If its not from irobot, its not a roomba. Nissan has been with you through thick and thin. And now is no different. Were offering Payment Options for current owners and our Service Departments are here to help. And for future owners, were offering no payments for 90 days on 14 models. This is help when you need it. You may not be thinking about blood donation, but blood is needed to save the lives of people who are sick with a range of illnesses. Its easy and safe to give. If you are in good health, please donate. We need heroes now. Visit red cross blood dot org to schedule an appointment. This is kind of a first. For all of us. But maybe this is a time to put other things. First. Like being the first to check in. Or the first to try you hand at the culinary arts. Or all the arts. Be the first to volunteer. Or the first to say its all going to be okay. And when the day comes, when were no longer looking at our worlds from the inside out. It will be what we did in here that will make us stronger out there. I do motivational speakingld. In addition to the substitute teaching. I honestly feel that thats my calling to give back to younger people. I think most adults will start realizing that they dont recall things as quickly as they used to or they dont remember things as vividly as they once did. Ive been taking prevagen for about three years now. People say to me periodically, man, youve got a memory like an elephant. Its really, really helped me tremendously. Prevagen. Healthier brain. Better life. Our profound gratitude to the team battling the pandemic. The hospital last night sharing this tweet, safely discharging now more than 500 patients and growing. And special thanks to our producers in the field, who went behind the front lines to bring us these heroic stories. Thats nightline. Well see you right back here at the same time next week. Thanks forting staying up with us u goodnight, america. Pa, da, pa, pa, da, pa, pa, da, Pa Jimmy Kimmel live from his house jimmy hello, im jimmy,