% >>
THIS
WEEK
THE
U.S.
CENTERS
% FOR
DISEASE
CONTROL
ACTIVATED
% ITS
EMERGENCY
OPERATIONS
CENTER
% TO
ADDRESS
THE
OUTBREAK
OF
% SEVERE
AND
POTENTIALLY
DEADLY
% LUNG DISEASE
CAUSED
BY
VAPING.
% U.S.
SENATOR
TAMMY
BALDWIN
% CALLED
FOR
THE
ACTIVATION % SAYING MY HOME
STATE
HAS BEEN
% ON
THE
FRONT LINES
OF
THIS
% OUTBREAK.
% >>
ACCORDING
TO
LATEST
NUMBERS
% FROM
THE
WISCONSIN
DEPARTMENT
% OF
HEALTH
SERVICES,
OUR
STATE
% HAS
SEEN
48
CASES
OF
LUNG % DISEASE
IN
21
COUNTIES.
% ANOTHER 13
CASES
ARE
SUSPECTED.
% NO
DEATHS
HAVE BEEN
REPORTED
IN % WISCONSIN.
% PATIENTS IN
THE
MAJORITY
OF
% CASES
ACCORDING
TO
STATE
% OFFICIALS REPORTED
USING
% E-CIGARETTES
OR
VAPING
DEVICES
% TO
INHALE
THC
PRODUCTS LIKE
% WAXES
OR OILS.
% NATIONWIDE, THERE
HAVE
BEEN
AT
% LEAST
EIGHTH
DEATHS
CONFIRMED
% WITH
SOME
530 PEOPLE
SUFFERING
% DAMAGED LUNGS
AS A
RESULT
OF
% VAPING.%NOW
THE FOOD
AND
DRUG
% ADMINISTRATION
HAS
REPORTEDLY
% LAUNCHED A
CRIMINAL
% INVESTIGATION FOCUSING
ON
THE
% SUPPLY CHAIN
OF
VAPING
PRODUCTS.
% WITH MANY
PEOPLE
INJURED
SAYING
% THEY
HAVE USED
BLACK-MARKET
THC
% PRODUCTS.%MEANWHILE,
TWO
KENOSHA
BROTHERS
% WERE
CRIMINALLY
CHARGED WITH
% WEEK
IN
CONNECTION WITH
TCH
% VAPING
CARTRIDGES.% AUTHORITIES DESCRIBING
THE % OPERATION
AS
A VERY
LARGE % CRIMINAL ENTERPRISE.%
THE PROSECUTOR IN
THE
CASE SAYS
% THE
CARTRIDGES
FOUND IN
THE
% BROTHERS' HOME
ARE
BEING TESTED % TO
SEE
IF
THEY
CAN
BE
LINKED
TO
% ANY CASES
OF
LUNG
DISEASE.
% AGAINST
THIS
RAPIDLY DEVELOPING
% PUBLIC HEALTH
CRISIS
DOCTORS
AT
% CHILDREN'S
HOSPITAL
OF % WISCONSIN WERE
AMONG
THE
FIRST
% TO
CONNECT
THE
DEADLY LUNG
% DISEASE TO
VAPING.
% ACCORDING TO
THE
GOVERNOR,
PUT
% WISCONSIN ON THE
NATIONAL % FOREFRONT
OF THE INVESTIGATION.
% WE
LEARN MORE
NOW
ON
THIS FROM
% THE
MEDICAL
DIRECTOR
OF
THE
% PEDIATRIC
INTENSIVE
CARE
UNIT
% AS
CHILDREN'S
DR. MICHAEL MEYER
% WHO
JOINS
US.
% THANK YOU FOR BEING
HERE.
% >>
THANK YOU
FOR ALLOWING ME TO
% BE HERE.
% >>
HAVE
YOU
EVER
SEEN
ANYTHING
% LIKE
THE
DAMAGE
YOU'RE
SEEING
% IN
PEOPLE'S
LUNGS LINKED
TO % VAPING
THAT
YOU'RE SEEING?
% >>
AS
PART
OF
BEING
A
PEDIATRIC
% INTENSIVE CARE
PHYSICIAN
WE
SEE
% MANY
CASES OF
SEVERELY
DAMAGED
% LUNGS.
% WHAT
WAS
INTERESTING
ABOUT
% THIS,
IT WAS
IN
TEENAGERS, THE % TIME OF
YEAR AND
THE
FACT
THAT
% WE
HAD
A
CLUSTER
OF
TEENAGERS
% THAT ALL CAME TOGETHER IN
OUR
% HOSPITAL.%>>
WHAT
DID THE
TIME
OF
YEAR
% HAVE TO
DO
WITH
IT?
% >>
NORMALLY WHEN
WE
SEE
WHAT
WE
% CALL A
PNEUMONIA
LIKE THIS
WE % THINK WINTERTIME.
% WHEN WE SEE IT
OUT OF
THE
% SEASON
AND
SEE
IT
IN
TEENAGERS,
% WE
START
THINKING
BAD
DISEASES
% AND
IT
INVOLVES
A
VERY % EXTENSIVE
WORK-UP OF
THESE
% CHILDREN THAT
INVOLVES
A
VERY
% LARGE TEAM OF
HEALTHCARE
% PROVIDERS IN ORDER TO SORT
% THROUGH ALL
OF THE
QUESTIONS
% AND
COME
UP
WITH
A
DIAGNOSIS.
% >>
AND
SO
HOW
KIND OF
% FRIGHTENING WAS
IT
FOR
THE
TEAM
% OF
PHYSICIANS TO
SEE
THIS
% CLUSTER OF
THIS
LUNG
DAMAGE?
% >>
YOU
KNOW,
FRIGHTENING
I
% DON'T THINK
IS THE
BEST WORD
TO
% DESCRIBE IT.
% I
THINK
THAT AS
A
GROUP
AND
AS
% A
TEAM,
IT
BECAME VERY
% INTRIGUING AND INTERESTING.
% EVERY
DAY
THAT WE'RE
HERE
AT % CHILDREN'S, WE'RE HERE
TRYING
% TO
DO WHAT
IS
RIGHT
AND WHAT
IS % BEST FOR THE
HEALTHCARE
OF
THE
% CHILDREN IN OUR
COMMUNITY
AND
% YOU
SEE
A
CLUSTER
AND
YOU
GO
% INTO
YOUR
MINDSET
THIS
IS
MY
% ONE
PATIENT
AND
HOW
I'LL
TAKE % CARE
OF
OUR PATIENT.
% THROUGHOUT OUR
TRAINING
WE'RE
% TAUGHT ABOUT
PUBLIC
HEALTH
AND
% TRYING
TO
ASSOCIATE
CLUSTERS
OF % DISEASE PRESENTATIONS
AND
THINK % ABOUT
THE
BIGGER
PICTURE.% THAT'S REALLY WHAT
HAPPENED
% HERE.
% >>
HAVE
YOU
ISOLATED
WHAT IS
% CAUSING
THE
DAMAGE?
% >> NO,
HERE
WE HAVEN'T.
% OUR
FOCUS
REALLY
HAS
BEEN ON
% THE
CLINICAL CARE
OF
THE
% CHILDREN
THAT
HAVE
BEEN
HERE
AT
% CHILDREN'S
AND
THEN
UTILIZING % OUR RESOURCES
WITH
WISCONSIN
% DEPARTMENT
OF
HEALTH
TO REALLY
% SORT OUT WHAT
COULD
BE
THIS.
% I
VIEW
US AS
A
CANARY
AND
WE % WERE THE FIRST
CANARY
IN
ORDER
% TO
PUT
THE
PIECES
TOGETHER % BECAUSE
HERE
AT
CHILDREN'S % WE'RE
THE REFERRAL AREA
FOR
THE
% STATE.
% SO
SERIOUSLY
ILL,
SERIOUSLY
% INJURED CHILDREN
SHOW
UP
AT OUR
% DOORSTEP FROM
ALL
OVER THE
% STATE
OF
WISCONSIN.
% >>
SPECIFICALLY
WHAT
HAPPENS
TO
% PEOPLE
AFFLICTED,
AND
HOW
ARE
% PHYSICIANS ABLE
TO PREVENT
THEM
% FROM
DYING?
% >>
SO
I
THINK
WE
SAW
SOME
% COMMON THINGS
AS
WE
WENT
BACK
% THROUGH OUR
CLUSTER
OF
CHILDREN.
% USUALLY
WE
SAW
A
COUPLE
WEEKS
% OF
WEIGHT
LOSS,
DECREASED
% ENERGY, INCREASED
WORK
OF
% BREATHING,
AND
JUST OVERALL
% DIFFICULTY WITH BREATHING.
% THEN SOMETHING
CHANGED
IN
THE
% CHILDREN WHICH
LED THEM
TO
SEEK
% HEALTHCARE.
% WITH
INCREASING WORK AT
% BREATHING
AND
ALL
OF
THEM
HAD
% LOW
BLOOD
OXYGEN
SATURATION
AND
% NEEDED MORE
OXYGEN
AND
LARGE
% AMOUNTS OF
EXTRA OXYGEN FOR % SOME
OF
THEM.
% >>
DOES IT
MAKE
A
DIFFERENCE
IN
% THE
OUTCOME
FOR
PEOPLE TO
SEEK
% CARE
SOONER?
% >>
I
THINK
THAT'S
A
GREAT
% QUESTION THAT
WE'RE
STILL % TRYING
TO
SORT
OUT.% MANY
OF
THOSE
PIECES.
% THAT'S
WHY
UNDERSTANDING FROM
A
% CDC
STANDPOINT
THE
TOTAL
NUMBER
% OF PATIENTS THAT
ARE
AFFECTED % BY THIS
SO
THAT
WE
CAN GET
A
% BETTER
UNDERSTANDING.% THERE IS
ALWAYS
GOING
TO
BE
% UNIQUE CHARACTERISTICS OF
EACH
% INDIVIDUAL PATIENT
THAT
IT MAY
% BE
A
LONG
TIME OF
EXPOSURE
OR
% SHORT
TIME OF
EXPOSURE
AND IT
% WILL
BE
UP
TO
THAT INDIVIDUAL % PATIENT'S RESPONSE
TO
IN
THIS
% CASE
WHAT WE
THINK
IS VAPING.
% >>
SO
OF
THE
PATIENTS
IN
21
% COUNTIES
IF
THEY
ARE
PEDIATRIC
% CASES ARE THEY
ACTUALLY
COMING % TO YOUR
FACILITY
OR
ARE
YOU % WORKING
WITH
THEIR
PHYSICIANS?
% >> A LITTLE
BIT
OF
BOTH.% CHILDREN'S
HERE
IN
MILWAUKEE
% WE'RE THE REFERRAL
POINT
FOR
% THE
STATE OF
WISCONSIN
AND
% SERVICE
THE
ENTIRE
STATE
OF
% WISCONSIN, NORTHERN ILLINOIS
% AND
PIECES OF
MICHIGAN
AND
% MINNESOTA.
% WE'RE
VERY
PROUD
OF
OUR
CARE % CENTER AND
BEING
A
CENTER
OF
% EXPERTISE FOR THE
CARE
OF
% CHILDREN.%THERE IS OTHER PL
ACES IN
THE
% STATE
THAT TAKE CARE OF
% CHILDREN
AND
WE
WORK VERY
% CLOSELY WITH
THEM
AS
WELL.% HERE
IN
MILWAUKEE
WHAT
WE'VE % HAD
17
CHILDREN
HOSPITALIZED.
% >>
DO
YOU
KNOW
THE
EXPERTS
AND
% THE MEDICAL PROFESSIONALS, DO
% YOU
KNOW WHAT
THE
LONG-TERM
% CONSEQUENCES
OF
THIS KIND
OF
% LUNG DAMAGE
MIGHT BE
FOR
THESE
% PEOPLE?
% >>
I
THINK
THAT'S
THE
BIG % QUESTION
AS
WE MOVE
FORWARD % WITH THINGS.%THE
TREATMENT
THAT
WE
PUT
IN
% PLACE
WAS
ACTUALLY
VERY
GOOD
% SUPPORTIVE CARE
AND
USED A LOT
% OF
STEROIDS
IN
ORDER
TO
% DECREASE
THE
IMMUNE RESPONSE
% AND
INFLAMMATORY RESPONSE.
% WHERE
WE'RE
GOING
TO STRUGGLE
% RIGHT
NOW
IS
TO
REALLY
% UNDERSTAND
THAT
IF
THIS
IS
% ASSOCIATED WITH
VAPING
AND
THAT
% WHAT
CHEMICAL,
WHAT
DURATION
OF
% EXPOSURE, AND
WHAT
DOES
IT
LOOK
% LIKE
10,
15, 20
YEARS
FROM
NOW?% THESE
ARE
ALL
UNKNOWN.
% VAPING
HAS
BEEN AROUND
FOR
15
% YEARS.
% THE
LAST
THREE
TO
FOUR
YEARS
% WE'VE SEEN A
BIG
INCREASE IN
% VAPING
IN
CHILDREN.
% CHILDREN AND
THEIR DEVELOPING % LUNGS
WE
DON'T
KNOW THE
LONG
% TERM EFFECT OF
THE
VAPING
% PRODUCTS.%WE
KNOW
VAPING IS
BAD
FOR KIDS
% AND
IT
IS NOT
APPROVED
FOR
% CHILDREN.%>>
WE
DESCRIBE
THIS
AS
A
% RAPIDLY DEVELOPING
PUBLIC
% HEALTH CRISIS.%DO
YOU CONTINUE
TO
SEE
CASES?
% >>
WE
HAVEN'T
SEEN
A
CASE TWO
% OR
THREE
WEEKS.
% WE
WERE
AVERAGING
ONE
CASE
PER
% WEEK
WHILE IT
WAS
GOING
ON.% WE DECIDED
WE
NEEDED
TO
GO
% PUBLIC AND
MAKE
A
PUBLIC
% SERVICE ANNOUNCEMENT AROUND
OUR % SIXTH CASE.
% WE
THOUGHT
IT
WAS A
LARGE
% ENOUGH
CLUSTER.
% BY
THE
TIME
THAT WE
DID GO
LIVE
% IN
THE
STATE
OF
WISCONSIN
SENT
% OUT
ITS
PROVIDER
ADVISORY
% LETTER
IS
WE
HAD
EIGHT
CHILDREN % THAT WE
HAD SEEN
BY
THAT TIME.
% >>
WHAT
IS
IT
LIKE
FOR
YOU
AND
% YOUR PHYSICIANS AND
YOUR TEAM
% TO
HAVE
BEEN, AS
A
GOVERNOR
% SAYS, AT
THE FOREFRONT
OF
THIS
% INVESTIGATION?%>> YOU
KNOW,
WHEN
YOU
HEAR
YOUR % GOVERNOR
AND
STATE
SENATOR
TALK
% ABOUT
YOUR
TEAM
IN
THAT
FASHION % IT
DOES
BRING A
SENSE
OF
PRIDE.
%
I
THINK
THAT
AS
TRADITIONAL % WISCONSINITES THERE
WILL
BE
A
% GREAT
SENSE
OF
HUMILITY AND % BEING
HUMBLE
AND MOST
OF
US
% WILL
LOOK
AT
THIS AND
SAY % THAT'S WHAT
WE'RE
HERE FOR.
% OUR
JOB
IS TO
BE
THE SAFETY
NET
% FOR
THE
HEALTH
OF OUR
CHILDREN
% AND OUR
COMMUNITY.
% AND
CHILDREN'S HOSPITAL
OF
% WISCONSIN AND
THE
MEDICAL % COLLEGE
ARE
PART
OF
COMMUNITY
% PRIDE
AND ESPECIALLY SOUTHEAST
% WISCONSIN BUT
FOR
THE ENTIRE
% STATE
OF
WISCONSIN.
% >>
DR. MICHAEL
MEYER,
THANK
YOU % VERY MUCH
FOR JOINING
US ON %