Thursday, October 13, 2022

77 Things to Hate About Covid

Caroline Dew, an ICU Critical Care nurse in Australia, wrote this thread that I want to save. My only criticism is that it's written in the past tense. You can see from these graphs of hospitalizations that the pandemic hasn't ended. Canada has a bigger population, but it's currently in a worse position than Australia. Sylvia Jones says our health care system isn't in crisis despite the unprecedented closures of hospital emergency wards, and I'm terrified to find out what she thinks a crisis looks like.


Dew's thread is a response to the Australian Herald Sun article "The 77 things we hated about the Covid response." (It's behind a paywall so thick I can't even link to it!):

An ICU nurses' response to this h. scum piece. I bring you:

The 77 things I hated about what COVID did to the human body (with Heather Paterson Photography):

  1. It killed people

  2. I hated that it was so infectious that I would be the only one in the room with them as they died

  3. It destroyed lungs. In a desperate attempt to get oxygen into them we would nurse them on their stomachs.
  4. I hated the fear in a patient's eyes as they desperately struggled to breathe.
  5. The decimation of the human body as we fight to keep them alive months into their ICU stay

  6. The clots...so many clots
  7. The PEs
  8. The strokes
  9. The DVTs
  10. The dead bowel

  11. The brain inflammation
  12. The confusion
  13. The acute delirium
  14. The psychosis
  15. The hallucinations
  16. The brain fog
  17. The acute kidney injury
  18.  The chronic kidney failure
  19. The Continuous Renal Replacement Therapy
  20. The heart attacks
  21. The heart inflammation
  22. The heart failure
  23. The heart arrhythmias
  24. The circulatory failure
  25. The need for intense drugs to keep blood flow to vital organs
  26. The multiple huge lines inserted to large blood vessels to deliver these massive doses of drugs
  27. The multiple lines inserted into blood vessels to monitor pressures in the body
  28. The tubes through the mouth to ventilate lungs
  29. The tube through the neck to ventilate lungs longer term
  30. The oppressive tight face masks pushing in oxygen & keeping lungs open
  31. The copious sputum
  32. Helping patients when they can no longer cough out the sputum by sucking it out with tubes
  33. The desperately huge breaths that patients take when gasping for breath that they pop holes in their lungs
  34. The dead fingers and toes
  35. The swollen skin
  36. The blisters
  37. Skin falling off in chunks
  38. Pressure injuries because we had to position patients in abnormal ways as we desperately try to keep oxygen delivery to vital organs
  39. The diarrhoea 
  40. The nausea
  41. The loss of taste
  42. The lack of appetite
  43. The inability to eat for months on end because of the tubes and weakness
  44. The tube through the nose to get liquid food direct to the gut
  45. The wounds from surgery after having dead gut removed
  46. The bacterial and fungal infections that spread in the immune weakened body
  47. The unwanted side effects of life saving drugs
  48. The fear
  49. The anxiety
  50. The stress
  51. The pain
  52. The itch
  53. The weakness
  54. The loss of independence
  55. The embarrassment
  56. The loss of control
  57. The loss of connection with the outside world
  58. The separation from family
  59. The separation from friends
  60. Missing out on sharing life events
  61. Not being with family members as they also suffered from Covid, not being able to comfort them
  62. Not getting to say goodbye to your life partner as they died int he room down the hall
  63. Facilitating connections with loved ones over FaceTime
  64. Facilitating goodbyes over FaceTime
  65. Making 'that' phone call at 3am
  66. On the rare chance we could get family in - Rushing to dress the family in PPE meticulously and carefully but quickly to get them in in time
  67. Patients not being able to talk. With a tube in your throat, you can't talk.
  68. Frustration that you can't communicate.
  69. Losing months of your life. Waking up to be told you've been unconscious for three months
  70. Isolation
  71. Working with a machine to learn how to breathe again.
  72. Losing control of your bladder and bowel
  73. Learning how to walk again
  74. Having to put control of every body function into someone else's hands
  75. Nightmares
  76. Crying in PPE
  77. Knowing all you can do is stroke a forehead, and hold a hand.
What we did back then to prevent Covid further ripping through our unvaccinated population was worth it. What we achieved as a country is something to be proud of.

Another nurse added "the cough, the headaches (patient and staff), facial pressure injuries from proned patient positioning, ETT cuff leaks, forcing HCWs to accept a new normal SpO2 (.85%), the way it tore apart families, redeployment of staff and impact on our health system as a whole."

Just for fun, here's Waterloo Region's Covid hospitalizations from October 2020, 2021, and 2022. How people keep talking and behaving as if the pandemic ended is beyond me! Keep wearing masks, kids!!

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