Postcard from the epicenter #2

More from Dr. Wenzel in Mexico City:

I made rounds on wards for H1N1 and in the ICU today. I saw some very sick patients- on respirators-and the very ill have a brief course to ARDS. I still don't know why the clinical difference here and home. But this virus can be virulent. The cases nationally are declining and less so at the referral centers. The worries here include what happens as it enters rural Mexico. Cases are up in some cities. More to come.