29 / March / 2020 : 00-26
I was initially skeptical of COVID-19. Today, it frightens me.
I am an internal medicine resident working at a nest blanket hospital in New York City. Ten days ago, we had zero patients with COVID in our hospital. Today, we have hundreds. Ten days ago, we were well rested with a supercharged attitude, ready to tackle the virus head on. Today, we are overburdened, exhausted, sick, and disappointed. Our supplies have dwindled, our census of critical patients has skyrocketed, and we are running out of healthcare providers due to the lack of adequate protective equipment. We are fighting a losing battle with no end in sight and need help – now.
Officially, we have 13 resident physicians at this hospital who fallen sick to the virus. Unofficially, it is likely much, much higher. As I walk through the halls, I see attendings and residents hiding their coughs, clearing their throats under their breath, or sniffling as they turn away. Why do we continue to work? Because if we don’t, who will? We are physically sick, but no one can replace us. We hide our emotions and our coughs from our fellow colleagues and try to comfort each other, but we don’t know how. All our energy is focused on our patients.
A few days ago, I was called into a code blue. Normal protocol requires that we bag mask the patient, but new COVID protocols state that we should not to avoid aerosolization of viral particles. As I watched him decompensate, I asked myself, “Do I protect my life, or risk his, a 41-year-old with a family and long life ahead of him?” We took an oath when we graduated medical school, and that is why we are here every day. That is why I decided to risk my life to bag mask him.
We have shut down multiple units in our hospital and dedicated them to the care of COVID patients. We call these areas the “COVID Caves.” Each day while working in the ICU, we get an average of 12 new consults for COVID patients. To find them, I walk down a dark hallway, past an endless row of stretchers until I find my new patient. When I reach the gurney propped up against the musty gray wall, I put on my mask, the same mask I have been using for days, and my suboptimal goggles, which I sanitize after each patient encounter. The patient has the “COVID appearance of doom.” We know he will require intubation soon. But we must then decide – how can we allocate our dwindling resources most ethically and effectively? We have already run out of ventilators in this hospital. We cannot provide everyone with the care they deserve. Multiple times per day, we are now faced with the nightmarish and chilling decision of choosing between intubating a 40-year-old patient and an 80-year-old patient. We took an oath to do no harm and act in the best interest of our patients. This country’s lack of preparedness, though, has made it so we cannot act in their best interests. We are here, making life and death decisions, because our markets and governments are systematically broken.
These are not tales from another country. These are truths from New York, your New York. And, soon, this will be the reality in your own town if major changes are not made across the country.
What do we need? We need supplies for patients – ventilators, beds, and medications. We need protection for medical providers – appropriate masks, goggles, and gowns. We need more providers so that those who are sick can stay home to heal and prevent the spread of infection. We need you to take hygiene and distancing protocols seriously. We are begging for help.
Viewed
5244times
Recommended
28 / February / 2020
Armenia lifts visas for Australia, New Zealand, Singapore and South Korea
YEREVAN. – Armenia approved on Monday visa-free travel for citizens of Australia, New Zealand, Singapore and South Korea.
The decision was approved during the Armenian government’s...
23 / October / 2020
The U.S. Mission in Turkey has received credible reports of potential terrorist attacks and...
Security Alert: U.S. Mission in Turkey
Ankara, TurkeyOctober 23, 2020
Event: The U.S. Mission in Turkey has received credible reports of potential terrorist attacks and kidnappings against U.S....
24 / February / 2020
China says wants 'calm' resolution to U.S. trade war
China is willing to resolve its trade dispute with the United States through "calm" negotiations and resolutely opposes the escalation of the conflict, Vice Premier Liu He, who has been leading the...
28 / February / 2020
Georgia president says EU visa-free travel not under threat
Georgian Prime Minister Giorgi Kvirikashvili said visa-free regime between Georgia and the EU is not endangered, Novosti Gruziya reported.
Earlier Germany internal affairs ministers Thomas de...
26 / May / 2023
But a similar scenario is unfolding in the Caucasus, and receiving far less attention, Freedom...
But a similar scenario is unfolding in the Caucasus, and receiving far less attention, Freedom House said in its annual Nations in Transit report.
04 / October / 2020
Dear Talysh and Lezgi brothers and sisters!
Dear Talysh and Lezgi brothers and sisters!We are closely following the internal political developments in Azerbaijan, in particular, the growing protests in Talysh and Lezgin populated cities and...
08 / April / 2020
Indian inventor hopes COVID-19 car will put brakes on spread of virus
Getting across the importance of staying at home to prevent the spread of coronavirus has inspired one Indian inventor to create a new car.
The spherical vehicle looks like the COVID-19 virus....
08 / April / 2020
Indian inventor hopes COVID-19 car will put brakes on spread of virus
Getting across the importance of staying at home to prevent the spread of coronavirus has inspired one Indian inventor to create a new car.
The spherical vehicle looks like the COVID-19 virus....