The intensive care rooms at St Luke's Boise Medical Centre are full, each a blinking jungle of tubes, wires and mechanical breathing machines. The patients nestled inside are a lot alike: all unvaccinated, mostly middle-aged, paralysed and sedated, reliant on life support and locked in a silent struggle against Covid-19.
But watch for a moment and glimpses of who they were before the coronavirus become clear.
Artfully inked tattoos cover the tanned forearm of a man in his 30s. An expectant mother's slightly swollen belly is briefly revealed as a nurse adjusts her position. The young woman is five months pregnant and hooked to a breathing machine.
Down the hall, another pregnant woman, only 24 and hooked to a ventilator, is lying prone — on top of her developing foetus — to bring more air into her ravaged lungs.
Idaho hit a grim Covid-19 trifecta this week, reaching record numbers of emergency room visits, hospital admissions and ICU patients. Medical experts say the deeply conservative state is likely to record 30,000 new infections a week by mid-September.
With a critical shortage of hospital beds and staff and one of the nation's lowest vaccination rates, Idaho health providers are growing desperate and preparing to follow crisis standards of care, which call for giving scarce resources to patients most likely to survive.
St Luke's Boise Medical Centre invited The Associated Press into its restricted ICUs this week in hopes that sharing the dire reality would prompt people to change their behaviour.
“There is so much loss here, and so much of it is preventable. I'm not just talking about loss of life. Ultimately, it's like loss of hope,” said chief medical officer Dr Jim Souza. “When the vaccines came out in December, those of us in health care were like, 'Oh, my God, it's like the cavalry coming over the hill … To see now what's playing out? It's all so needless.”
Inside the ICUs, Kristen Connelly and fellow nurses frequently gather to turn over each patient, careful to avoid disconnecting the tangle of tubes and wires keeping them alive. With breathing tubes, feeding tubes and half a dozen hanging bags of medications intended to halt a cascade of organ damage, turning a patient is a dangerous but necessary endeavour that happens twice a day.
When Idaho’s hospitals were nearly overwhelmed with coronavirus patients last winter, Ms Connelly wasn’t disconcerted, believing she could make a difference. Now, instead of focusing on one patient at a time, she cares for multiple. Many colleagues have quit, burnt out by the relentless demands of the pandemic.
“At this point, I’m overwhelmed. I don’t have much left,” the 26-year ICU nursing veteran said on Tuesday.
Ms Connelly’s own life is in triage mode as she tries to maintain her last reservoirs of energy. She doesn’t eat at home any more and has cut out all activities except for walking her dog. Her normally deep sense of compassion — which Ms Connelly considers a critical job skill — has been shadowed by a seething anger she can't shake.
“We had a mother-daughter team in the hospital last week, and the mother died and the daughter was still here,” Ms Connelly said. “In that moment, I had a reprieve from the anger, because I got to be just overwhelmed with sadness.”
“It’s devastating,” she said. “Where we are right now is avoidable — we didn’t have to go here.”
All of the ICU coronavirus patients were generally healthy people who simply weren't vaccinated, Dr Bill Dittrich said. Idaho could enact crisis care standards in days, leaving him to make gut-wrenching decisions about who receives life-saving treatment.
“I don’t think anybody will ever be ready to have the kinds of conversations and make the kinds of decisions that we’re concerned we’re going to have to be making in the next several weeks. I’m really terrified,” Mr Dittrich said.
Where we are right now is avoidable — we didn’t have to go here.
Kristen Connelly,
ICU nurse
Most of the ICU patients fell prey to con-artists before they fell ill with the virus, said Dr Souza, the chief medical officer. He points to a patient who first tried the anti-parasite drug ivermectin. US health officials have said it should not be used to treat Covid-19. The man, in his 50s, refused standard medical treatments until he became so sick he needed to be admitted.
“What we’re left with is organ supportive therapy. Misinformation is hurting people and killing people,” Dr Souza said.
What the science is clear on? Vaccines, he said. “We don't have any vaccinated patients here.”
In deep-red Idaho, however, vaccinations, masks and nearly anything related to the coronavirus marks a de facto borderline between more traditional Republicans and the far-right.
Republican Governor Brad Little urged residents this week to show love for their neighbours by being vaccinated and announced he was using federal programmes and mobilising the Idaho National Guard to bring in hundreds of additional healthcare workers. In response, Lieutenant Governor Janice McGeachin called the statement “shameful".
Ms McGeachin, who is running against Mr Little in the Republican gubernatorial primary, and who has tried to bar schools and cities from enacting mask rules, said people should make their “own health choices".
The rift exists at the local level, too. Ada County commissioners voted to nominate a local pathologist to a regional public health board who has referred to Covid-19 vaccines as “needle rape” and the “clot shot”. Dr Ryan Cole's appointment still depends on votes by other county leaders.
Even families who have witnessed the trauma of Covid-19 first-hand are on opposite sides.
Lisa Owens's 48-year-old stepbrother, Jeff Owens, has been in the Boise hospital's ICU since early August.
“My kids call him the ‘Candy Man’ because he always brings candy when he comes,” Ms Owens said. “He really is this kind, loving, jovial person, and I wish with all my heart that he’d got vaccinated.”
She's vaccinated, along with about half of her extended family. But Jeff Owens, their aunt and uncle, Jeff’s daughter and a few others are not. Her stepbrother likely caught Covid-19 from the aunt and uncle, Ms Owens said. The aunt was admitted to hospital — she developed blood clots from the virus — but has since recovered.
If anything, those experiences entrenched other relatives in their anti-vaccination beliefs, Ms Owens said.
“Sure, they see Jeff in the hospital, but they also see his aunt and uncle, and they’re OK. The last update we had is even if he does recover, he’s looking at eight months of rehab,” she said. “If he pulls through, I’m going to march him into the nearest vaccine clinic myself.”
Ms Owens fears her stepbrother may be taken off life support if someone with a better chance of survival needs the bed.
“I don’t even want to think about it. … I mean, he’s been in there for a month. If it comes to crisis standards of care, they’re going to say he’s not showing enough improvement, because he’s not,” she said, fighting back tears. “I hope he pulls through it.”
THE%C2%A0SPECS
%3Cp%3EEngine%3A%204-cylinder%202.5-litre%20%2F%202-litre%20turbo%0D%3Cbr%3EPower%3A%20188hp%20%2F%20248hp%0D%3Cbr%3ETorque%3A%20244Nm%20%2F%20370Nm%0D%3Cbr%3ETransmission%3A%207-speed%20auto%0D%3Cbr%3EOn%20sale%3A%20now%0D%3Cbr%3EPrice%3A%20From%20Dh110%2C000%0D%3C%2Fp%3E%0A
Read more about the coronavirus
David Haye record
Total fights: 32
Wins: 28
Wins by KO: 26
Losses: 4
More from Neighbourhood Watch:
The five pillars of Islam
SCORES
Multiply Titans 81-2 in 12.1 overs
(Tony de Zorzi, 34)
bt Auckland Aces 80 all out in 16 overs
(Shawn von Borg 4-15, Alfred Mothoa 2-11, Tshepo Moreki 2-16).
The specs
Engine: 4.0-litre V8 twin-turbocharged and three electric motors
Power: Combined output 920hp
Torque: 730Nm at 4,000-7,000rpm
Transmission: 8-speed dual-clutch automatic
Fuel consumption: 11.2L/100km
On sale: Now, deliveries expected later in 2025
Price: expected to start at Dh1,432,000
Jetour T1 specs
Engine: 2-litre turbocharged
Power: 254hp
Torque: 390Nm
Price: From Dh126,000
Available: Now
The five pillars of Islam
Killing of Qassem Suleimani
UAE%20SQUAD
%3Cp%3E%0DJemma%20Eley%2C%20Maria%20Michailidou%2C%20Molly%20Fuller%2C%20Chloe%20Andrews%20(of%20Dubai%20College)%2C%20Eliza%20Petricola%2C%20Holly%20Guerin%2C%20Yasmin%20Craig%2C%20Caitlin%20Gowdy%20(Dubai%20English%20Speaking%20College)%2C%20Claire%20Janssen%2C%20Cristiana%20Morall%20(Jumeirah%20English%20Speaking%20School)%2C%20Tessa%20Mies%20(Jebel%20Ali%20School)%2C%20Mila%20Morgan%20(Cranleigh%20Abu%20Dhabi).%3C%2Fp%3E%0A
GAC GS8 Specs
Engine: 2.0-litre 4cyl turbo
Power: 248hp at 5,200rpm
Torque: 400Nm at 1,750-4,000rpm
Transmission: 8-speed auto
Fuel consumption: 9.1L/100km
On sale: Now
Price: From Dh149,900
Killing of Qassem Suleimani
Lexus LX700h specs
Engine: 3.4-litre twin-turbo V6 plus supplementary electric motor
Power: 464hp at 5,200rpm
Torque: 790Nm from 2,000-3,600rpm
Transmission: 10-speed auto
Fuel consumption: 11.7L/100km
On sale: Now
Price: From Dh590,000
THREE
%3Cp%3EDirector%3A%20Nayla%20Al%20Khaja%3C%2Fp%3E%0A%3Cp%3EStarring%3A%20Jefferson%20Hall%2C%20Faten%20Ahmed%2C%20Noura%20Alabed%2C%20Saud%20Alzarooni%3C%2Fp%3E%0A%3Cp%3ERating%3A%203.5%2F5%3C%2Fp%3E%0A
Mohammed bin Zayed Majlis
THE DETAILS
Deadpool 2
Dir: David Leitch
Starring: Ryan Reynolds, Josh Brolin, Justin Dennison, Zazie Beetz
Four stars
Red flags
- Promises of high, fixed or 'guaranteed' returns.
- Unregulated structured products or complex investments often used to bypass traditional safeguards.
- Lack of clear information, vague language, no access to audited financials.
- Overseas companies targeting investors in other jurisdictions - this can make legal recovery difficult.
- Hard-selling tactics - creating urgency, offering 'exclusive' deals.
Courtesy: Carol Glynn, founder of Conscious Finance Coaching
Killing of Qassem Suleimani
RESULT
Copa del Rey, semi-final second leg
Real Madrid 0
Barcelona 3 (Suarez (50', 73' pen), Varane (69' OG)
Specs
Engine: Electric motor generating 54.2kWh (Cooper SE and Aceman SE), 64.6kW (Countryman All4 SE)
Power: 218hp (Cooper and Aceman), 313hp (Countryman)
Torque: 330Nm (Cooper and Aceman), 494Nm (Countryman)
On sale: Now
Price: From Dh158,000 (Cooper), Dh168,000 (Aceman), Dh190,000 (Countryman)
Tiger%20Stripes%20
%3Cp%3E%3Cstrong%3EDirector%3A%3C%2Fstrong%3E%20Amanda%20Nell%20Eu%C2%A0%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EStars%3A%3C%2Fstrong%3E%20Zafreen%20Zairizal%2C%20Deena%20Ezral%20and%20Piqa%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ERating%3A%3C%2Fstrong%3E%204.5%3C%2Fp%3E%0A
What the law says
Micro-retirement is not a recognised concept or employment status under Federal Decree Law No. 33 of 2021 on the Regulation of Labour Relations (as amended) (UAE Labour Law). As such, it reflects a voluntary work-life balance practice, rather than a recognised legal employment category, according to Dilini Loku, senior associate for law firm Gateley Middle East.
“Some companies may offer formal sabbatical policies or career break programmes; however, beyond such arrangements, there is no automatic right or statutory entitlement to extended breaks,” she explains.
“Any leave taken beyond statutory entitlements, such as annual leave, is typically regarded as unpaid leave in accordance with Article 33 of the UAE Labour Law. While employees may legally take unpaid leave, such requests are subject to the employer’s discretion and require approval.”
If an employee resigns to pursue micro-retirement, the employment contract is terminated, and the employer is under no legal obligation to rehire the employee in the future unless specific contractual agreements are in place (such as return-to-work arrangements), which are generally uncommon, Ms Loku adds.
The five pillars of Islam
Mohammed bin Zayed Majlis
Western Region Asia Cup T20 Qualifier
Sun Feb 23 – Thu Feb 27, Al Amerat, Oman
The two finalists advance to the Asia qualifier in Malaysia in August
Group A
Bahrain, Maldives, Oman, Qatar
Group B
UAE, Iran, Kuwait, Saudi Arabia
Teri%20Baaton%20Mein%20Aisa%20Uljha%20Jiya
%3Cp%3E%3Cstrong%3EDirectors%3A%3C%2Fstrong%3E%20Amit%20Joshi%20and%20Aradhana%20Sah%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ECast%3A%3C%2Fstrong%3E%20Shahid%20Kapoor%2C%20Kriti%20Sanon%2C%20Dharmendra%2C%20Dimple%20Kapadia%2C%20Rakesh%20Bedi%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ERating%3A%3C%2Fstrong%3E%204%2F5%3C%2Fp%3E%0A
More from Neighbourhood Watch
The%20BaaS%20ecosystem
%3Cp%3EThe%20BaaS%20value%20chain%20consists%20of%20four%20key%20players%3A%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EConsumers%3A%3C%2Fstrong%3E%20End-users%20of%20the%20financial%20product%20delivered%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EDistributors%3A%3C%2Fstrong%3E%20Also%20known%20as%20embedders%2C%20these%20are%20the%20firms%20that%20embed%20baking%20services%20directly%20into%20their%20existing%20customer%20journeys%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EEnablers%3A%3C%2Fstrong%3E%20Usually%20Big%20Tech%20or%20FinTech%20companies%20that%20help%20embed%20financial%20services%20into%20third-party%20platforms%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EProviders%3A%3C%2Fstrong%3E%20Financial%20institutions%20holding%20a%20banking%20licence%20and%20offering%20regulated%20products%3C%2Fp%3E%0A
It's Monty Python's Crashing Rocket Circus
To the theme tune of the famous zany British comedy TV show, SpaceX has shown exactly what can go wrong when you try to land a rocket.
The two minute video posted on YouTube is a compilation of crashes and explosion as the company, created by billionaire Elon Musk, refined the technique of reusable space flight.
SpaceX is able to land its rockets on land once they have completed the first stage of their mission, and is able to resuse them multiple times - a first for space flight.
But as the video, How Not to Land an Orbital Rocket Booster, demonstrates, it was a case if you fail, try and try again.
OPINIONS ON PALESTINE & ISRAEL
The specs
AT4 Ultimate, as tested
Engine: 6.2-litre V8
Power: 420hp
Torque: 623Nm
Transmission: 10-speed automatic
Price: From Dh330,800 (Elevation: Dh236,400; AT4: Dh286,800; Denali: Dh345,800)
On sale: Now
KILLING OF QASSEM SULEIMANI
More from Rashmee Roshan Lall
How%20champions%20are%20made
%3Cp%3E%0D%3Cstrong%3EDiet%3C%2Fstrong%3E%20%0D%3Cbr%3E7am%20-%20Protein%20shake%20with%20oats%20and%20fruits%0D%3Cbr%3E10am%20-%205-6%20egg%20whites%0D%3Cbr%3E1pm%20-%20White%20rice%20or%20chapati%20(Indian%20bread)%20with%20chicken%0D%3Cbr%3E4pm%20-%20Dry%20fruits%20%0D%3Cbr%3E7.30pm%20-%20Pre%20workout%20meal%20%E2%80%93%20grilled%20fish%20or%20chicken%20with%20veggies%20and%20fruits%0D%3Cbr%3E8.30pm%20to%20midnight%20workout%0D%3Cbr%3E12.30am%20%E2%80%93%20Protein%20shake%20%0D%3Cbr%3E%3Cstrong%3ETotal%20intake%3A%3C%2Fstrong%3E%204000-4500%20calories%20%0D%3Cbr%3E%3Cstrong%3ESaidu%E2%80%99s%20weight%3A%3C%2Fstrong%3E%20110%20kg%0D%3Cbr%3E%3Cstrong%3EStats%3A%3C%2Fstrong%3E%20Biceps%2019%20inches.%20Forearms%2018%20inches%3C%2Fp%3E%0A
UAE currency: the story behind the money in your pockets
Bib%20Gourmand%20restaurants
%3Cp%3EAl%20Khayma%0D%3Cbr%3EBait%20Maryam%0D%3Cbr%3EBrasserie%20Boulud%0D%3Cbr%3EFi'lia%0D%3Cbr%3Efolly%0D%3Cbr%3EGoldfish%0D%3Cbr%3EIbn%20AlBahr%0D%3Cbr%3EIndya%20by%20Vineet%0D%3Cbr%3EKinoya%0D%3Cbr%3ENinive%0D%3Cbr%3EOrfali%20Bros%0D%3Cbr%3EReif%20Japanese%20Kushiyaki%0D%3Cbr%3EShabestan%0D%3Cbr%3ETeible%3C%2Fp%3E%0A
CREW
%3Cp%3E%3Cstrong%3EDirector%3A%20%3C%2Fstrong%3ERajesh%20A%20Krishnan%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EStarring%3A%20%3C%2Fstrong%3ETabu%2C%20Kareena%20Kapoor%20Khan%2C%20Kriti%20Sanon%26nbsp%3B%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ERating%3A%3C%2Fstrong%3E%203.5%2F5%3C%2Fp%3E%0A
UAE currency: the story behind the money in your pockets
More on Quran memorisation:
BUNDESLIGA FIXTURES
Saturday, May 16 (kick-offs UAE time)
Borussia Dortmund v Schalke (4.30pm)
RB Leipzig v Freiburg (4.30pm)
Hoffenheim v Hertha Berlin (4.30pm)
Fortuna Dusseldorf v Paderborn (4.30pm)
Augsburg v Wolfsburg (4.30pm)
Eintracht Frankfurt v Borussia Monchengladbach (7.30pm)
Sunday, May 17
Cologne v Mainz (4.30pm),
Union Berlin v Bayern Munich (7pm)
Monday, May 18
Werder Bremen v Bayer Leverkusen (9.30pm)
Tips from the expert
Dobromir Radichkov, chief data officer at dubizzle and Bayut, offers a few tips for UAE residents looking to earn some cash from pre-loved items.
- Sellers should focus on providing high-quality used goods at attractive prices to buyers.
- It’s important to use clear and appealing photos, with catchy titles and detailed descriptions to capture the attention of prospective buyers.
- Try to advertise a realistic price to attract buyers looking for good deals, especially in the current environment where consumers are significantly more price-sensitive.
- Be creative and look around your home for valuable items that you no longer need but might be useful to others.
RESULTS
5pm: Handicap (TB) Dh100,000, 2,400m
Winner: Recordman, Richard Mullen (jockey), Satish Seemar (trainer)
5.30pm: Wathba Stallions Cup Handicap (PA) Dh 70,000, 2,200m
Winner: AF Taraha, Tadhg O’Shea, Ernst Oertel
6pm: Abu Dhabi Fillies Classic Prestige (PA) Dh110,000, 1,400m
Winner: Dhafra, Fabrice Veron, Eric Lemartinel
6.30pm: Abu Dhabi Colts Classic Prestige (PA) Dh110,000, 1,400m
Winner: Maqam, Fabrice Veron, Eric Lemartinel
7pm: Handicap (PA) Dh85,000, 1,600m
Winner: AF Momtaz, Fernando Jara, Musabah Al Muhairi
7.30pm: Maiden (PA) Dh80,000, 1,600m
Winner: Optimizm, Patrick Cosgrave, Abdallah Al Hammadi
How it works
1) The liquid nanoclay is a mixture of water and clay that aims to convert desert land to fertile ground
2) Instead of water draining straight through the sand, it apparently helps the soil retain water
3) One application is said to last five years
4) The cost of treatment per hectare (2.4 acres) of desert varies from $7,000 to $10,000 per hectare
Zayed Sustainability Prize
More on animal trafficking
Mohammed bin Zayed Majlis