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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsA Report From the Coronavirus Frontline: "They Are Essentially Drowning in Their Own Blood."
March 21, 2020
A Report From the Coronavirus Frontline: They Are Essentially Drowning in Their Own Blood.
Holy shit, I do not want to catch this and I dont want anyone I know to catch this.
Lizzie Presser
snip//
With our coronavirus patients, once theyre on ventilators, most need about the highest settings that we can do. About 90% oxygen, and 16 of PEEP, positive end-expiratory pressure, which keeps the lung inflated. This is nearly as high as Ive ever seen. The level were at means we are running out of options.
In my experience, this severity of ARDS is usually more typical of someone who has a near drowning experiencethey have a bunch of dirty water in their lungsor people who inhale caustic gas. Especially for it to have such an acute onset like that. Ive never seen a microorganism or an infectious process cause such acute damage to the lungs so rapidly. That was what really shocked me.
It first struck me how different it was when I saw my first coronavirus patient go bad. I was like, Holy shit, this is not the flu. Watching this relatively young guy, gasping for air, pink frothy secretions coming out of his tube and out of his mouth. The ventilator should have been doing the work of breathing but he was still gasping for air, moving his mouth, moving his body, struggling. We had to restrain him. With all the coronavirus patients, weve had to restrain them. They really hyperventilate, really struggle to breathe. When youre in that mindstate of struggling to breathe and delirious with fever, you dont know when someone is trying to help you, so youll try to rip the breathing tube out because you feel it is choking you, but you are drowning.
When someone has an infection, Im used to seeing the normal colors youd associate with it: greens and yellows. The coronavirus patients with ARDS have been having a lot of secretions that are actually pink because theyre filled with blood cells that are leaking into their airways. They are essentially drowning in their own blood and fluids because their lungs are so full. So were constantly having to suction out the secretions every time we go into their rooms.
Before this, we were all joking. Its grim humor. If you are exposed to the virus and test positive and go on quarantine, you get paid. We were all joking: I want to get the coronavirus because then I get a paid vacation from work. And once I saw these patients with it, I was like, Holy shit, I do not want to catch this and I dont want anyone I know to catch this.
more...
https://www.motherjones.com/politics/2020/03/lung-fluids-coronavirus/
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A Report From the Coronavirus Frontline: "They Are Essentially Drowning in Their Own Blood." (Original Post)
babylonsister
Mar 2020
OP
StarryNite
(9,435 posts)1. OMG
Indykatie
(3,695 posts)2. This is Some Kind of Scary n/t
Wellstone ruled
(34,661 posts)3. Great post.
Hope everyone reads this.
icymist
(15,888 posts)4. Why are the stories I read about inside hospitals always afraid of retaliation?
...I spoke to a respiratory therapist there, whose job is to ensure that patients are breathing well. He works in a medium-sized city hospitals intensive care unit. (We are withholding his name and employer, as he fears retaliation.)
I don't understand, who is going to retaliate against the truth getting out? Am I missing something here?
babylonsister
(171,035 posts)5. Maybe hospital personnel
have been told not to alarm the public any more than we already are.
stillcool
(32,626 posts)6. the 'base' will retaliate..
for anything that makes their idol appear to be fallible.