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Medical Worker: Seeing Terrifying Lung Failure Even in Young Patients Completely Changed My Perspective on COVID-19

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  • Medical Worker: Seeing Terrifying Lung Failure Even in Young Patients Completely Changed My Perspective on COVID-19

    Source: https://www.towleroad.com/2020/03/me...rker-covid-19/


    Medical Worker: Seeing Terrifying Lung Failure Even in Young Patients Completely Changed My Perspective on COVID-19
    March 21, 2020 by Lizzie Presser, ProPublica

    As of Friday, Louisiana was reporting 479 confirmed cases of COVID-19, one of the highest numbers in the country. Ten people had died. The majority of cases are in New Orleans, which now has one confirmed case for every 1,000 residents. New Orleans had held Mardi Gras celebrations just two weeks before its first patient, with more than a million revelers on its streets.

    I spoke to a respiratory therapist there, whose job is to ensure that patients are breathing well. He works in a medium-sized city hospital’s intensive care unit. (We are withholding his name and employer, as he fears retaliation.) Before the virus came to New Orleans, his days were pretty relaxed, nebulizing patients with asthma, adjusting oxygen tubes that run through the nose or, in the most severe cases, setting up and managing ventilators. His patients were usually older, with chronic health conditions and bad lungs.

    Since last week, he’s been running ventilators for the sickest COVID-19 patients. Many are relatively young, in their 40s and 50s, and have minimal, if any, preexisting conditions in their charts. He is overwhelmed, stunned by the manifestation of the infection, both its speed and intensity. The ICU where he works has essentially become a coronavirus unit. He estimates that his hospital has admitted dozens of confirmed or presumptive coronavirus patients. About a third have ended up on ventilators.

    His hospital had not prepared for this volume before the virus first appeared. One physician had tried to raise alarms, asking about negative pressure rooms and ventilators. Most staff concluded that he was overreacting. “They thought the media was overhyping it,” the respiratory therapist told me. “In retrospect, he was right to be concerned.”

    He spoke to me by phone on Thursday about why, exactly, he has been so alarmed. His account has been condensed and edited for clarity....

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