Legend [15903]
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Joined: 11/15/09
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Layover on way home to Chas.. don't read real covid experience
Aug 18, 2021, 1:59 PM
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if you don't want to. Im headed home to relax and get away from this #### show. Probably won't respond. This is so you have real stories.
Sunday was SOOOO bad, at the end of the shift, we took a spont group pic and then clapped for ourselves. A 1st in my 15 yrs.
I typed up this Facebook post last night, didn't intend on sharing it here.. but honestly, whatever. I'm over peoples fake realities and sensitive feelings.
Side, my sister and her fam aren't vax. I never said a word about it.. until Fri. I called her with love. She and her husband heard me and thanked me. Doesn't mean they'll vax, but if something happens, I did my best.
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Just worked 5 12h shifts.
Fri: 1 patient intubated at 3a, I came into him coding (cpr, drugs, etc) at 710am until he died at 1045a.
I truly don't even remember my other pt.
Sat: 2 patients. 1 43yof on 100% 02 on a CPAP machine, alternating with a 40L 100% high flow. Not sure her status now, but she was still fighting for every breath at the end of the shift.
The other man in his 60s made the choice to not be intubated. He was MISERABLE. Kept ripping off his mask.. I said, "you'll die if you keep doing that." He looked at me wide eyed and gave me 2 thumbs up. "Do you want to die?" Two big thumbs up nodding his head.. not enough breath to vocalize. His wife and daughter came in for 10 mins, then waited outside looking through the door as I gave him enough morphine and Ativan to make him comfortable. Once he was out, took off his mask and he died within 30 mins.
Sun: 66 yof, intubated 36h prior. Seemed relatively stable when I got her. Intubated, sedated, paralyzed, prone laying on her belly. Put her on her back after 16h. Seemed "stable." Put a dialysis catheter in bc her kidneys were no longer filtering. Still ok. The rest of the unit was EXPLODING, so I helped. Posted that picture of the team in my last post.
By midday my ladys BP began to drop. No prob. Put on one BP med infusing. Then her o2 dropped a little, no room to move on the vent, she was max vent support. BP drops a little more. Max out first BP med. Add a second in the process. Then a 3rd bc dialysis RN shows up and MAYBE this will help, but we know her BP takes another drop when start dialysis.. Finish dialysis on 3 vasopressors maxed. O2 sat is tanking. Tell the family. This is resp failure from COVID pneumonia causing the secondary heart complications. We threw antibiotics at her, nope. When I left, COVID had torn threw her. Her o2 sat was 55%. She died at 1230 that night.
Mon: I have 1 pt. He's actually stable and still ok. My coworker gets a pt from the ER who had just been intubated. He I think is 50s, healthy looking guy. Within 30 mins of his arrival, he mirrors the pt I had on Sun. We are doing CPR on him. As I'm breaking his ribs (real) with CPR to pump his heart, I see another newly intubated 40yof being wheeled in. I continue on my task, others pushing drugs, also pt was on max vent support, RR 30 20/20, 100% NOWHERE TO GO. We intermittently code this man for 2-3 hours. Finally settling on 4 max dose vasopressors and max ventilation. He was still alive today, but I will be shocked if he lives through this.
In the afternoon, the newly brought in 40yof codes again.. and again.. and again.. we did easily 6 rounds of CPR. Max BP support, 02 sats in the 50-70s. She was intubated at 11am. She died at 630p.
Tues: We had one pt die. He wasn't mine, but we simply could not get his o2 levels above 50-60% and his heart finally gave. My dude from Monday not worse not better. We reparalyzed him and put him on his belly again. Time will tell how he does.
This is all in one of 3 10 bed ICUs. No idea what they experienced on the other floors.
These pts are not vax.
We do not have treatment.
We have a vaccine.
Not one of them thought it would happen to them. They took their chances. They banked on treatment we don't have. And why?
You make your personal choice, but be willing to live (or not) with the consequences not just on you but your family, the breaking healthcare system, and the community as a whole.
As you decide to not take the vax, you may be fine, or you may not. If you aren't going to listen to medical doctors who advise to get the vax, then why come to the hospital and then listen to the same people you chose not to in the first place? Do you know what we are going to give you better than you know the vaccine?
And it's not that we don't care.. we have worked harder these last days than I EVER have... it's just hard to be emotionally invested when the outcome is clear, and soooo quick, and was completely avoidable.
Of course this is just my little snapshot in my little hospital in the little big city Sacramento.
Message was edited by: soywaker®
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