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Old 03-22-2020, 10:53 AM
Ted Johnson Ted Johnson is offline
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Default Covid 19. What happens

This is from a nurse who became sick:

COVID19 is not like the flu...at all... How do I know? Because I致e lived through it to tell the tale!

Memoirs of a 31 y.o. male with no underlying health conditions.

March 3, 2020-Bronchitis like illness started, dry cough, no fever

March 5, 2020-Low grade fever starts, still thinking bronchitis

March 6, 2020-Fever climbs from 99.8 to 102.6 in one hour, thought it was flu and was now outside the Tamiflu window, stayed home for symptom management.

March 9, 2020-Fever of >102 continues, this isn稚 flu, go to urgent care, diagnosed with pneumonia, started on Levaquin.

March 11, 2020-3 doses of Levaquin in, no improvement in symptoms, go to ER. Admitted, swabbed for COVID19, IV antibiotics got pneumonia on chest CT.

March 12, 2020-Get to a room and placed on supplemental oxygen via nasal cannula, 1 liter per minute (lpm). I知 only able to achieve 500 on my incentive spirometer, for perspective-my healthy lungs could hit 4000.

March 13, 2020-O2 saturation begins to decline, oxygen increased to 2 lpm, then 3 lpm, then 5 lpm. Oxygen saturation 88% on 5 lpm. The decision is made to use high flow (vapotherm) and move to ICU. Placed on 40 lpm and 60% oxygen. I知 terrified at this point because vapotherm is all that is standing between me and the ventilator. This is the moment I would have died at home had I not come to the hospital when I did. I would have respiratory arrested in my bed.

March 14, 2020-I have a bad coughing spell, my oxygen saturation drops to the 80痴. I知 still on 40 lpm and 60%. I知 trying to gasp for air, but because of the condition of my lungs, can only take small breaths without coughing more. I feel as though I知 about to die, my heart is racing, oxygen still low, and I知 sweating profusely. Im in respiratory distress! I pressed my call light trying to get the attention of anyone who can help. My nurse was in another room tending to another sick patient. Fortunately he sees me and comes to my room. I am now on 40 lpm and 100% oxygen, next step is the ventilator. I知 terrified. My breathing slows as my oxygen saturation slowly returns to the 90痴. I知 weaned back down to 60%. The same thing happens again in the night, and again I thought I was about to leave this world. Again I知 on 100%, this time for several hours. I知 slowly weaned again to 60%.

March 15, 2020-My morning arterial blood gas (which hurts like a &#129324 is normal. I get weaned to 50%.

March 16, 2020-My oxygen saturation is 97%, I知 weaned further to 30 lpm and 40%.

March 17, 2020-I致e been in ICU 4 days, forced to use a bedpan because my oxygen saturation drops if I turn or even move too much. I am unable to clean myself; I知 feeling completely helpless and so embarrassed, but my nurses were great and very understanding. I now truly understand my patients feelings from all these years of nursing. I知 weaned to 25 lpm and 30%. I知 going to the medical floor.

March 18, 2020-I知 weaned to 28%. I can achieve 1500 on my incentive spirometer finally. I知 hopeful to be weaned to a regular nasal cannula. The provider comes in. I致e been waiting for my swab results. I tested positive for COVID19...6.5 days of waiting for the outside lab to process the lab. I知 relieved because I finally have a diagnosis, a reason I致e been so sick. I知 weaned to 4 lpm on a regular nasal cannula, 4 hours later I知 weaned to 2 lpm. 4 hours later I知 weaned to room air. My oxygen saturation stats 93% and above all night.

March 19, 2020-As I write this, I知 waiting to attempt a 6 minute walk test to see if my oxygen stays up, so I can go home. I致e had no visitors this entire time due to my isolation precautions.

Guys, this is why social isolation is a thing. As a 31 y.o., I wasn稚 supposed to get sick. I wasn稚 supposed to be admitted to the hospital or the ICU for that matter. We致e already had several deaths from COVID19 in this area. I thank God I wasn稚 one of them! However, many won稚 be as fortunate as I have been. Many will die, especially those with any lung or heart problems. So please, I beg you to #stayhome
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Old 03-22-2020, 11:58 AM
jimwheeler jimwheeler is offline
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YIKES!!! with my allergy breathing problems I wouldn't make it.
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Old 03-27-2020, 01:30 PM
Ted Johnson Ted Johnson is offline
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From a nurse on the front lines on current challenges in our area

"Er is being utilized the way its supposed to be used, yes there's a shortage on PPE, yes we have covid pt and pts being tested for covid. The state is very selective on testing and pushing back alot in which we are having to send the test to our core lab that's taking up to 5 days to get back. Hospitalist at work say they suspect there's 500 to 600 covid-19 pts that just haven't been tested. They suggest to make it mandatory to shut down everything for 2 weeks. We are cross training OR nurses to the floor and training post intensive nurses on vents. We have been told this is only the beginning of the wave for us and are continuing to prepare for our possible future."

Problem #1 if it gets to the nursing homes.... and they get admitted then beds will not open up as nursing homes will not want to take pts back, #2 there's only certain nurses that are trained on vents. #3 they compare this to the flu it's not the flu it causes scarring in the lung they compare it to a Chronic Pneumonia. #4 they told us we have supplies but don't tell us for how many days. They took the n 95 mask away from us being very select with giving them. I was able to collect 3 mask over the last 2 weeks In which I'm taking home with me and lysol them.
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Last edited by Ted Johnson; 03-27-2020 at 01:40 PM.
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