As COVID-19 infections with the omicron variant of the virus surge out of control nationwide, emergency rooms are filling up again — and one well-known New York City doctor says what they’re seeing now is much different than the last two years of the pandemic, NBC NY reports.

Manhattan emergency room physician Dr. Craig Spencer took to Twitter to explain how the current surge is different — both in who’s coming to the ER and how they’re being affected by the highly contagious virus.

“Today it seemed like everyone had COVID. Like, so many. And yes, like before, there were some really short of breath and needing oxygen. But for most, COVID seemed to topple a delicate balance of an underlying illness. It’s making people really sick in a different way,” Spencer wrote.

Spencer cited a few examples – diabetic being tipped into ketoacidosis, the elderly who were so weak from being ill that they couldn’t get out of bed, and etc.... Read More: NBC New York