I just finished my last tour of duty on the COVID-19 units – not because the pandemic is over (it’s not) but because I have 5 more weeks to work and will not have another rotation in that time. (Dog willing.) When I hang up my PAPR (Powered Air-Purifying Respirator) this week, I hope never to pick it up again.
We want this pandemic to be over, people are beginning to act like it’s over. We can pull the wool over our eyes or we can face the music. Numbers are down, but ask the dying what they care about numbers.
I started the week with someone who went to a family gathering for Easter. A guest invited by one of the family had driven halfway across the country to join them, picking up COVID-19 along the way. The whole family is now infected. I think they will all survive. Another patient went on palliative care that first day. While COVID-19 will not be the only cause of death, it will certainly be a contributing factor.
Another patient told me they felt “crappy” but could not explain further – not painful, not short of breath, not nauseated, just crappy; also disappointed in their lack of progress from the orthopedic injury in addition to COVID-19. I went in to work the next morning to find they died 16 hours later – 20 minutes before my arrival to work.
A fourth patient told me of a near-death experience. They had a heart arrhythmia and were about to undergo DC cardioversion (pretty much the same as defibrillation of a newly-dead person, or as Miracle Max might say, mostly dead). As doctors were preparing, my patient announced they were receiving a phone call from a (long-dead) parent. As they tell it, the doctor began the procedure instantly, not waiting for the anesthesia to take effect, later explaining to my patient that he thought their death was imminent. The patient says the doctor told them that, should they get calls from dead relatives, they should not answer.
The story was told, not to be entertaining, but in a tone of terror. This person was terrified of death and still fears their death is imminent. With COVID-19, I am in no position to doubt. I received my fourth vaccination at the end of my shift.