From fine to flailing: Rapid deterioration in COVID-19 patients, including the young and healthy, is shocking veteran doctors and nurses. Some are afraid to leave the rooms of those they are treating
- One medical worker called it “insane,” another said it induces paranoia - the speed with which patients are declining and dying from the novel coronavirus is shocking even veteran doctors and nurses as they scramble to determine how to stop such sudden deterioration.
It isn’t just elderly or patients with underlying health conditions who can be fine one minute and at death’s door the next. It can happen for the young and healthy, too, health professionals told Reuters. Patients might enter the hospital with strong oxygen levels and be engaged in happy conversation, said a resident emergency doctor at New York-Presbyterian Hospital, only to be “gasping for breath” and intubated a few hours later.
Called a cytokine storm, it occurs when the body overproduces immune cells and their activating compounds - cytokines - causing dangerously high blood pressure, lung damage and organ failure.Emily Muzyka, 25, a nurse in the New York suburbs, said she reached her breaking point last week, when a relatively healthy 44-year-old woman needed sudden intubation.
A nurse at Mount Sinai’s intensive care unit recalled watching patients’ kidneys quickly shut down, adding that many require intravenous drips of the blood thinner Heparin. “It’s insane how sick they get, how quickly,” the nurse said. “We’re really trying hard to figure out how to treat them.”At Columbia University Irving Medical Center, intubated patients are spending around two weeks on ventilators, chief surgeon Dr. Craig Smith said in a public newsletter on Friday.
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