While the general public is being strongly advised to stay indoors, doctors, nurses and other health care providers can’t work from home. They are facing a new reality of their own, as hospitals and clinics prepare for an imminent influx of coronavirus patients.
Life in the United States and around the world has effectively been put on hold as social distancing has become the strategy of choice against the spread of the coronavirus, which as of Wednesday morning had infected 55,238 and killed 802 in the U.S. Millions are working from home or are out of work entirely, while schools in much of the country are closed. This is the second in a series of interviews by Yahoo News with health care providers in different parts of the country.
So far the surgeon said he has not been in the position of having to deny a patient a lifesaving procedure to make room for a coronavirus patient, but he worries about that possibility as the number of cases continues to grow. As of Wednesday morning, data from Johns Hopkins University showed that there were 2,628 confirmed cases of the coronavirus in California, including 54 fatalities.
“I don’t know if people have a false sense of security because [they’re] not in the real world, but we know of patients who are asymptomatic,” he said. “In my mind, I think every time you go into a new room you should put on new mask, but people aren’t doing that.” “We’re screwed,” he said. “We’re forced to go into a situation that we’re recommending the rest of the world not to be in.”“I don’t let my kids in my own car anymore because I’m worried my car has germs in there,” he said. “It’s impossible not to be exposed to someone sick in the hospital.”
“I was literally dreading going to work because of how much more at risk I felt than in day-to-day life at home,” she said. Even her own efforts to regularly disinfect her personal workspace and any surfaces touched by her patients feel inefficient and wasteful. Between the labor and delivery team and the NICU team, she said there can be up to 20 people present for a high-risk delivery. If the mother has tested positive for the coronavirus, all those people have to be wearing personal protective equipment, which they must each put on according to protocol in a negative pressure isolation room, known as an anteroom, before they enter the delivery room.
As with any high-risk delivery, the NICU team’s role is to determine whether the baby appears well enough to go to the regular postpartum floor or if the baby is in distress and needs to be taken to the NICU. For babies born to mothers with COVID-19, she said, the assumption is that the newborn is also positive for the virus, and those that are “well-appearing” upon delivery must be taken to an isolation room on the postpartum floor.
“We’re a very well oiled machine, so it’s a very anxious feeling to have so many unknowns in how to provide safe, effective care for people,” she said. “This just feels like chaos.” “We give medications and things like that, but we’re not doing very high-level medical care,” he said. “The premise is, if you’re sick you get sent out.”The average length of stay at this facility is between 20 and 30 days. They don’t take Medicare or Medicaid, and about 85 percent are covered by private insurance. There are approximately 70 patients and 30 or so staff, he said, so there are about 100 people in the building at a given moment, and it’s a “relatively small space.
“It was a false rumor, but [it was] the kind of thing that has thrown everything up in air,” he said. Since then, the facility has made a variety of changes, including allowing only 10 people to eat in the cafeteria at a time. It has also started working on transitioning some group therapy to a virtual conferencing platform instead of in-person meetings.
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