iRegistered nurse Ann Enderle cares for a Covid-19 patient in the Medical Intensive care unit at St Luke's Boise Medical Centre in Idaho. AP
iRegistered nurse Ann Enderle cares for a Covid-19 patient in the Medical Intensive care unit at St Luke's Boise Medical Centre in Idaho. AP
iRegistered nurse Ann Enderle cares for a Covid-19 patient in the Medical Intensive care unit at St Luke's Boise Medical Centre in Idaho. AP
iRegistered nurse Ann Enderle cares for a Covid-19 patient in the Medical Intensive care unit at St Luke's Boise Medical Centre in Idaho. AP

US Delta surge among unvaccinated pushes Idaho hospitals to breaking point


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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".

Dr William Dittrich looks over a Covid-19 patient in the intensive care unit at St Luke's Boise Medical Centre in Boise, Idaho. AP
Dr William Dittrich looks over a Covid-19 patient in the intensive care unit at St Luke's Boise Medical Centre in Boise, Idaho. AP

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
David Haye record

Total fights: 32
Wins: 28
Wins by KO: 26
Losses: 4

The five pillars of Islam

1. Fasting

2. Prayer

3. Hajj

4. Shahada

5. Zakat 

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

1. Fasting

2. Prayer

3. Hajj

4. Shahada

5. Zakat 

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

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
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

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)
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%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

1. Fasting 

2. Prayer 

3. Hajj 

4. Shahada 

5. Zakat 

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

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%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
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.

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

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
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.

  1. Sellers should focus on providing high-quality used goods at attractive prices to buyers.
  2. It’s important to use clear and appealing photos, with catchy titles and detailed descriptions to capture the attention of prospective buyers.
  3. 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.
  4. 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 

While you're here
Updated: September 03, 2021, 2:14 PM`