Biohazard, Crime Scene, Coronavirus Cleaning

What is going on with everybody on YouTube! Welcome back to my channel and for those of you who are new around here, my name is Michael a.k.a Dr. Chile and I are a fifth-year interventional radiology resident physician. On today's video, I wanted to discuss the coronavirus and koban 19 x-ray findings and I was planning on making this video, anyways but then I saw this video that CNN posted about their one of their main correspondents, Chris Cuomo who is also the brother of Andrew Cuomo the governor of New York, so it's been very public over the last few days that Chris Cuomo has been diagnosed as positive for koban 19 and he's kind of been giving an update throughout his course and disease progression. In this particular video, I saw a few days ago they discussed Chris Cuomo's chest x-ray findings and I feel like I could do a better job and explaining it than they do. So we're going to go through this video and use it as a way to kind of discuss the chest x-rayfindings of koban 19 or the novel coronavirus infection and go from there, so let's go ahead get into it.So like I said before, Chris Cuomo is a CNN news correspondent which I see him all the time. On this channel, he is the brother of the New York State Governor Andrew Cuomo, which I actually didn't put two and two together for a while, but that's a different story. Last week he tested positive for koban 19 and they've been in viewing him almost daily. About the course of his disease and he does a pretty good job ofopening up about it, so I'm gonna start the video and I'll stop it intermittently when I feel like I need to interrupt. I feel better than I deserved and I now know that I can't just take it from this thing that with the fever spikes you, just want to curl up in a ball and stay there for the next six-seven hours and you can get a bundle up your clothes. You've got it and you know start drowning yourself influence, you got to take your time off and you got to get out if you don't want it to get into your lungs. You gotta force yourself to breathe, you got to get up off your ass, you got to walk around and it hurts you don't want to do it. Everything in your body is telling you, not to do it and it's lying to you. So I really like what he's doing here and he's staying positive, he's staying active and he's mobilizing which is fantastic. You don't want to just lay in bed and let this disease take a hold of you and if you can help it and it's lying to you and I know that and the more I do, the more I push myself to do, the better I'm gay, so I'm gonna take faith in that for now, and  I know I'm not through it but that's good.Let's talk about the collective, though for a second. So he's actually onto something with this because, when patients will lay flat in the hospital bed on, ventilators the actual back or posterior of the lungs do not aerate as well, because they aren't expanding and because that is the dependent portion of the thorax. So, as you've seen in many cases with this virus, we actually prone the patients and allow the posterior or back of the chest to expand which allows those Airways to kind of open up and if you don't allow those Airways to open up, that lung becomes collapsed or a delight attack and can cause that infection, just to kind of sit there and not resolve.So I'm going to fast forward this part because they're just talking about data and whatnot. So, I think let's fast-forward to the part where you start talking about his chest x-ray. Now, in terms of all we're we don't want to go through he'll have coronavirus in most of the cases and your big fear is that it's gonna get your lungs, that's what it wants. It wants your lungs this thing, so this virus does love the small Airways or your lungs and this weekend, I had the fever start to go down a little bit and I started to feel it come into my chest, so I went to get a chest x-ray and I want you guys to see this just so you can see what we're looking for. Now, so first and foremost this is just a normal frontal radiograph as we call it. It's not labeled pa or a peek probably a PA radiographed given the way it looks, but let's see what they say about it. Obviously you understand this, what we're looking for in the lungs are big white areas and what are the terms that people will hear, what are they looking for and what do you see in this mighty expansive, chest and trunk.So first and foremost, Sanjay Gupta is the neurosurgery physician. Right there, he is the chief medical correspondent for CNN and he's all over this channel and you've probably seen him everywhere, he is neurosurgery trained and it has been out of practice I think for a little bit now,and I'm willing to bet he hasn't actually looked at a chest x-ray in a very long time, because neurosurgeons don't really look at chest x-rays that much. That's not in their specialty, so we'll see what he has to say about the chest x-ray. One of the things that you'll hear is infiltrated so if you are a longtime subscriber to my channel, I did a video on where I read a normal chest x-ray versus their really complicated ICU x-ray and I said I don't use the term infiltrate and still to this day I get questions about why I don't use that term and this is a perfect example, so I don't use the term infiltrate because it implies infection. When you say there is an infiltrate on a chest x-ray, it is basically saying that there's an infection there. Well, that's how people interpret it and the problem is that many things on chest x-ray. It looked like an infection, that heartinfection so if I were to call something an infiltrate implying, it's an infection and it was an infection that would be a misdiagnosis. So in short, anything that pacifies the lung fields on chest x-ray and does not always have to be an infection.Other things can also pacify the lung fields on chest x-rays such as malignancy or cancer, also fluid can also do the same thing, hemorrhage protonation smith Tyrael, etc. So just remember that the term infiltrate is not used by me or anybody. I trained with because not everything ona chest x-ray doesn't infiltrate or infection. Do you have an infiltrate in your chest and in your lungs? and that's basically a collection ofinflammatory fluid. I would look for those areas where you know the black areas are the air in your lungs, I would look for some of those black hairs and essentially be filled with white spots and I just won't make it clear for the audience, I'm not diagnosing here from afar. In the middle of the chest x-ray, there you can see you have a little bit of infiltrates and you could see the same, so again this is really difficult to see because I'm looking at a picture of an x-ray on a news broadcast and I'm also watching on YouTube, so it's not exactly ideal for diagnosing. However, I don't see any infiltrate on this x-ray and this is a lateral projection here. This is the sternum, up here in the back and as you can see here the spinous processes in the vertebrae, here this is the side view of the heart or the lateral view, so again this x-ray is taken from the lateral projection, which means it is the beam and drawing this way, that's why you can see all the ribs like. This right here I think whathe's seen is the overlapping ribs and normal pulmonary interstitial vasculature that is causing this infiltrative appearance, but this is pretty clear from what I can see. This is the side view and now you'll see in the story, the film there is your spine. You see those sort of Domino looking bones.Also smaller might, I might add breath and I don't know what he means by small bones. These look like normal vertebrae to me and actually look pretty good for a big guy like you in the middle of the spine there and then in front of that aside is the x-ray of your lungs and so I think what he's saying is in front of the spine is the x-ray of the lungs, but what most people don't realize is that the lungs actually go out well past or well posterior or behind the spine here. As you can see right here, this is the back of the lung and here on both sides and this is the spine column, right here you can see there's a good distance between the spine and the lung, so if you're looking at it from the side the lungs kind of expand posterior to the spine and it looks pretty good maybe a little bit of fluid buildup there. I don't see any fluid buildup, if there were to be fluid buildup, there would be some blunting of the costophrenic angles here. You can't really see all of them, so maybe there is like stant amount of fluid there, but I would never call that pneumonia which is what they're trying to diagnose. Pneumonia is not just diagnosed by a chest x-ray but it's one of the tools that doctors used to diagnose and again, you just make it clear not diagnosing Cris via television here butthat you know looks pretty good and I looked at that more closely on my computer today. Look I have different pulmonary people they take very close readings because it's either really pneumonia or it really isn't and they expect me to have to infiltrate because I have the virus and I have to tell you it is scary to have your lungs go up there and see this stuff be, like what is that, what is like that smoke in there and they tell you that's the virus, so this is exactly why I wanted to do this video in the first place because chest x-rays are not really good at diagnosing COVID 19 or novel coronavirus and this is the perfect example for that because Chris Cuomo has been diagnosed and contaminated of the virus. However, his chest x-ray is pretty normal and the reason for that is because often in many other disease processes, as well as COVID 19 and will actually lag on chest x-ray and what I mean by that is it actually takes a while for the virus to accumulate within the lungs and actually show itself on chest x-ray. So as you can see here, you can test positive for the virusbut have a normal chest x-ray which is why chest x-rays are not really that valuable. In the beginning stages of the virus, they can, however, be useful in tracking the disease progression so it looks like Chris Cuomo is doing well so far and  I wish him the best.

Do you ever wonder what happens when the police leave? Crime scene cleaners are private companies that handle to clean up after the police are gone. Spaulding Decon is one of the nation's largest cleanup companies handling the aftermath of homicides, suicides, decompositions, hoarding, and much more. These are our stories. So I'm getting ready to go in for the initial shock. I can smell biohazard pet waste and I can smell the ammonia from the cats. The walls are yellowing from the smoke- from smoking inside the building. This is a- this is just- there’s a cat that just ran back that way. This is a huge case of depression. This isn’t the worst. We’ve seen far worse. I don’t have any gloves on right now, so I'm just trying to kick the doors open. There’s animal waste everywhere. Everywhere, I’m not going to venture any further in right now cause I am not fully dressed up for this but I just kind of wanted to see what we were working with. I feel like I wish you guys had smell-o-vision so you could actually smell what we’re smelling right now. It's actually burning my nose. I feel like my nose hairs are sizzling from the ammonia. We are at a hoarder’s home here. We are starting in the garage and we have our big dumpster. I’m suited up because we are going to be going inside and its got a lot of animal waste and its probably knee-high with trash and stuff. So I’ve got this on here. I’ll probably wear a respirator since the ammonia levels are decently high.She has 2 cats but she has 2 dogs as well, and they’ve never been let out. It's just really 8 years of accumulation. It breaks my heart because I have 2 dogs- 2 teacup Yorkies- and Laura said that the dogs that are here are identical to mine and mine are spoiled rotten. It's heartbreaking. We’re an animal-loving company we all have animals it's gut-wrenching to me.Kyle: Just knowing like my dogs are inside Laura: YeahKyle: Fucking kills me Laura: But the hardest part is knowing she didn’t do this on purpose Kyle: No, no this is a clear case of depressionLaura: It's hard. It's hard.Kyle: What?... That fucking thing was heavy Laura: Yeah fucking speed it up. Knees to the chest! Kyle: Knees to chest, bitch.Kyle and Laura: Knees to the chest! Laura: Let’s do this!Kyle: Go ahead. Can you? 1..2..3Juan: This job is a little nasty but it's not so hard. It's an easy job. To do a hoarding... that’s easy.Ben: You could tell she was really depressed. You could tell she was going through something.Kyle: I love total cleanouts because it makes life so much simpler not having to pick and choose. We only have a tiny list.Laura: Right, but also it like a huge transformation and biohazard remediation. I love the before and after Kyle: oh 100%. Instant satisfaction.Laura and Kyle: ♪ we are family leave♪ Kyle: No we’re not. Don’t even try.Kyle: There are 2 that are seen. I am waiting for the 3rd. I will cry if it's up my leg.Laura: Where did they go? Kyle: I don’t know which is why I'm freaking out Laura: Oh, I thought you guys put them outside or somethingBen: No, they started going up the wall so I left them alone. Kyle: I swear to god. It's not a spider though I couldn’t tell that from far away. Laura: What are these poor cats eating? Kyle: Leftovers on the floor. You have to look at the expiration on it. 2008?!? No!Kyle: They'll die. They're better off eating roaches. I want to give you an update on the hoarding situation here in Pasco County, Florida. We are probably 6 1/2 hours into the cleanup. There are 5 of us here. We have already dumped one large trailer of this size and now we almost have the second one completely full here. So this is 24 cubic yards of biohazard waste. It holds up to 2 1/2 to 3 tons right there. But we started off with the garage and we are using it as a staging area for very few keep items that she wanted to keep which was really just jewelry, purses, and pictures. So this room was pretty bad here. It was probably knee-high maybe a little higher. The kitchen had a ton of spiders and roaches. So it was challenging to get them all in garbage bags. So follow me. We found food from 2008 and I mean it was really old stuff you can see on the floor finally. There are still tons of spiders and tons of fast food and food packages. We're really going to end up throwing 99% of all her house away and she's gonna start fresh so this was probably stacked I would say about 4 ft high. Then this room, we're working on this now we couldn't even walk in here so at least now you can see some carpet and then we have all of this debris here so you know she's only keeping like this TVand stuff but take a look at the ceiling fan that is years of accumulation. You have tons of feces back here to the bed so it looks like they were using this room for their bathroom. You know, animals want to be clean but when you leave them alternatives, they don't really have anywhere else to go so. Now in this room you can see tons and tons of bags of cat food and we have a couple more hours here this project will take us probably two days to do a clean-out of five people and then two days to really deep clean it and get it you know we're all these spiderwebs and everything or on the ground, we're gonna pull this carpet up we're gonna pull the padding up and she is going to start fresh which is fantastic because she's gonna get a brand new beginning andI'm happy to give it to her. Ben: Monday if she's having flooring guy comment I'm just gonna also have a painter commend she doesn't need to replace any of their fixtures because we were able to clean them in salvaged out bathroom we've all used it at least twice today bedroom cobwebs are actually on the outside everything on the inside is clean we remove the floors wipe everything down since she's painting and redoing the floors we left them aside for her be easier for her new crew to come in and see carousel hallway. Again the closet the limits this is the worst room in the whole actually with the equal matter you see here it's actually gonna have a hard laminate or tile pudding so she's having all the tax dripping ripped up because we weren't able to actually clean it. We could have done that pushing things in you a-hole reader. I think we do provide hope and I think we provide a new beginning a new lease on life a new start and this house is the perfect scenario she lost her entire family eight years ago she's in a deep depression and she's living in filth because this is the way that she feels inside and just from the first time meeting her she's so embarrassed and she's so sad and I just wanted to help her and I want to transform this house to where when she comes home. She's actually happy to be home and she's not living in spiders and roaches and milk from 2017 and you know the stench in here is just for it the cat's the dogs there are feces everywhere, so no one should have to live like that and it's just super sad that someone can get that depressed that they want their environment to match how they feel on the inside. It's just super sad and you know I think the biggest misconception that I see from our followers and viewers is they think the hoarders are lazy and that honestly could not be further from the truth. They're not lazy, they are debilitated by depression and I know everyone has had a bad day and they've been depressed or sad at some point in their life where you just want to lay on the couch all day well that day that you're laying on the couch you're probably not putting your trash in a bag and taking it out imagine that every single day for years and that's what's causing these people to do this. They are not lazy at all they're just debilitated by depression and a tragic event that happened in their life.

Do you ever wonder what happens when the police leave? Crime scene cleaners are private companies that handle the clean up after the police are gone. Spaulding Decon is one of the nation's largest cleanup companies handling the aftermath of homicides, suicides, decompositions, hoarding, and much more. These are our stories. We are located in Tampa, Florida today. We are doing a hoarding cleanup. I did not see the before pictures, so I have no idea what to expect. I am covered up to my waist in fleas after three steps into the door Boots are made for and that's just what they'll do. Just a lot of garbage a lot of obvious garbage. If you look over in the living room, it's a lot of McDonald's. If you go down this way and all through the house you'll actually see an animal fecal matter. There are clothes- clothing piles here and there, but a lot of it is just- this is just the look of overwhelming. Something tragic happens and you know, they can't handle it. The client said that her father had two strokes and her dogs were sick and dying. So that's kind of- that is extremely obvious with somebody who just can't handle it and who can't handle the overstress. We're going to a bio slash like hoard, I guess. The guy had cats and they messed up the floor in the room. You could see pat pee on the furniture and stuff and in his bathroom, you can see where the cat peed all over. Everything, that smell is strong. Like I smelled it from when I walked up to the apartment door. I can tell, you know, there was some type of pet in there. There were pets in there.[That's a hard thing. The hard thing is the chemicals we use because they're so strong. So you have to use your mask all the time and sometimes the houses are so hot. So that's the hard thing for these kinds of jobs. Even though there is a cat pee on, just about everything doesn't want to get rid of it. The only thing he wants to get rid of is he has to get rid of the apartment and is telling him the carpet and he has like- a fold-out couch bed that he has to get rid of. We got the full go-ahead to just- WHEW! These respirators are like breathing through straw.I've got the full go-ahead to just wipe everything off the counters. There's nothing we're looking for in the kitchen. So it's gonna be as super easy. We got the full go-ahead to just sweep everything off the floor. We've been working in the kitchen for probably, I don't know. Maybe five minutes? And we've got the flooring done here. Countertops are gonna take another couple minutes. We do have to be careful with what's on the dining room table. There are a couple of things that she's looking for. Other than that, it's moving really steadily. I think we've only been here maybe two full hours. We're gonna end up coming back here to do another deep clean up the house. Probably in a week or two once things settle down here. But that's pretty much the extent of it. Don't get me wrong, it is dirty and disgusting. But out of the tons of trash, we've gone through, I'd probably say more than half of was sealed up stuff that hadn't even been opened yet. Not the worse. It gets a lot worse. From what I can see, they still plan on keeping him. They still plan on keeping the cat. We are going to need bags for the carpet because of that smell. We are going to need bags for the carpet because it's smelling so bad. We have to cut it into small pieces and put it. Now just going to clean up the carpet, getting all the big stuff out of the way so we could get down to the carpet or remove the carpet. The carpet and this couch definitely have to go other than that though everything else looks like it can be wiped down so. Let's get it out of there so we can remove the carpet. We got the carpet up quicker than I thought we would. I thought it was going to stick in more places but came up nice and easy with just a little bit of shoveling under the padding. It smells horrible in here and I can taste it! It's in my mouth! So basically what we're about to do next is we're about to use a chemical that we use and spray the floor down and scrub the floor really good and if we can't we're going to have to seal it. We use a paint call KilzWe use it to seal it, just seals it into the floor so it stops that smell but we're going to have to have to spray the walls, to wipe the walls down's like cat pee slash and human pee and like this both of them mixed together and it's real pungent. You can see here that we cleaned and kind of organized this room got rid of any obvious garbage if you follow me upstairs so we labeled with duct tape these are clothing that's staying and we'll follow into this room here. This room is pretty much a total gut job. There's no more carpet and all of the furnishings are gone clothing is staying that's just something that she's gonna have to go through and books are staying. It's just family and war memorabilia. More packages that we found for when she remodels and that is actually the next step in the process. Once the deep cleaning is done she's doing a full-fledged remodel and well go on through the living room. All of the garbage is cleared out. The couch is gone and we have little tables that have disappeared. Everything that has on the surfaces is just stuff and that she has to go through herself. We'll move back on into the kitchen, the countertops are clear. The sink is clear. There's gonna be a deep cleaning tomorrow, which will take care of the majority on top of the counters, on the stove, in the sink. The flooring, we did a broom sweep clean because there's a deep clean going on tomorrow. We'll work our way back to the bathroom and you'll be shocked and amazed. We actually have a bathroom with running water. The water does run permanently, but it's cool to splash in your face in this freaking Florida heat. Clothing, this was the majority of clothing and personals. The laundry that was in here she wanted to keep everything and she wanted to keep all the personal so obvious garbage was another thing that we got rid of in here and put the clothing in there. She's good to go. The bedroom, you're gonna be shocked and amazed. Again, we have not really a bed this was kind of our catch-all for the things that she wanted to keep underneath the bed, all the way around the flooring, all the way around, and all of that was covered. The best thing I could have done was asked her is there anything personal that you need out of your bedroom, if not I can just do a good swoop and be done and she agreed to it and she's just ready for a new life. The hallway obviously is much better and the flooring is going to be replaced. The house is getting a full gut job. It was a hard job because the house is so hot but it looks good. We cleaned a hoarding house and everything is good.