In the ER

I decided to post this because I wanted to tell everyone who's interested about an experience many people may share in the weeks ahead.

 

Three days ago, I woke up with shortness of breath, what seemed to be a slight fever, and a general feeling of fatigue. I called the nursing advice line at Kaiser--they answered right away. They asked me several questions and told me to get down to the ER stat.

 

I was surprised to find that I was the only person waiting. I was seen almost immediately. They first checked my blood oxygenation level (that little clamp thingy they put on your finger)--that was fine. BP was high (perhaps understandably). EKG and chest X-ray showed nothing wrong. They drew some blood.

 

About an hour passed. I was now in the respiratory unit, and I watched people being wheeled back and forth. Nurses and doctors were in full PPE regalia. The place seemed busy but not overly so.

 

A little while after that, one if the docs came in and had me do some exercises and deep breathing while he monitored my heart and lung function. The labs came back while he was doing that. Bottom line, they saw no apparent reason why I should be sick. The doc said, "You may have the coronavirus." I said, didn't the blood work include a CV test?.He said no, we only have a very few test kits and your symptoms aren't severe enough.

 

So I was told to go home and be prepared to come back, even the same day, if my symptoms worsened. They haven't. I phoned around to see if I could find a thermometer and of course, no one had them in stock. So I just went home and crashed. The next 48 hours, I slept maybe 35 of them. My shortness of breath went away. I have a slight cough, but I think it's from post-nasal drip. I THINK I still have a slight fever (I was 99.4 in the ER). I feel somewhat better overall.

 

So what in fact happened? I really don't know. If I do in fact have the CV, that might actually be a good thing, since my symptoms are mild--or, I might get much worse. I'm self-quarantining for 14 days--not much different from what I had already been doing--and the next two weeks will consist of Netflix and pizza delivery.

 

I think it's the uncertainty more than anything else that gets me. I've always assumed I would be exposed, but I would at least like to know if that's what actually happened. Fingers crossed, I guess.

 

And this narrative wouldn't be complete without a shout-out to all the nurses and doctors who took care of me. They were very nice, professional, and thorough. And an even bigger shout-out to all the medical professionals everywhere who are working 14-hour shifts and risking their lives. Get them what they need, goddammit.

Agreed!

 

“A review of federal purchasing contracts by The Associated Press shows federal agencies waited until mid-March to begin placing bulk orders of N95 respirator masks, mechanical ventilators and other equipment needed by front-line health care workers.”

 

Leadership matters.

Oh, and very glad you are doing well!

Amen Kevin.The healthcare professionals are the true unsung heros.And glad you are doing better.


Good that your O2 Sat and CXR were OK.   

 

Thanks for writing about your experience.  Hope you heal from whatever it is very soon.  Many folks can sense temp elevation in the 99s; fatigue, "general malaise."   You'll know if it gets over 101, and certainly over 102...chill, rigor.  If you feel that chill/rigor coming on, call the same line.   Sounds like they were on it very well.

Originally posted by: MisterPicture

Oh, and very glad you are doing well!


Thank you! Though it's more like "not getting worse," I find that encouraging. Either I have something else altogether, or I have it but my body is handling it. I certainly hope that everyone who catches the bug (and everyone will) has mild to no symptoms and makes a full recovery.

Originally posted by: bbking

Amen Kevin.The healthcare professionals are the true unsung heros.And glad you are doing better.


I think that when this is over (and I mean OVER over), every healthcare professional should get a two-week all-expense-paid trip to Hawaii.

 

Well, maybe somewhere else if they already live in Hawaii :)

Originally posted by: Candy Wright

Good that your O2 Sat and CXR were OK.   

 

Thanks for writing about your experience.  Hope you heal from whatever it is very soon.  Many folks can sense temp elevation in the 99s; fatigue, "general malaise."   You'll know if it gets over 101, and certainly over 102...chill, rigor.  If you feel that chill/rigor coming on, call the same line.   Sounds like they were on it very well.


Yeah, I was really impressed, actually. And I was glad to see, given that I can't obtain a thermometer, that my perception of a moderate fever was accurate. Thanks for the tip on how I might recognize if it gets worse.

 

Side note: as I was surprised to be in a vacant ER on a Friday, I was thinking that maybe the lockdown we've been under for two weeks has drastically reduced the incidence of all the other stuff that normally fills up the ER--auto accidents, sports injuries, bar fights, etc. etc. What do you think?

Good question, Kevin.  Were I to run an ER I'd sharpen the triage process.  ER sees a lot of people who don't have a PCC, and sometimes the PCC is harder to get into than coming to ER.

 

I'm an advocate for these Urgent Care places, have had good experiences, different clinics.   I wonder if Urgent Cares have seen their business increase.  URI's, UTIs, GI upset, kid sniffles and earaches, minor injuries/lacerations--they can do it, in and out much faster than ER, and much cheaper.  Why?  Maybe not paying a king's ransom for 2-3 MD specialists at the ER, one for the X-ray ("Radiology Associates"), one for the lab ("Pathology Associates"), one for the actual ER head guy. 

 

Anyway, I don't know.  I'm sure it depends on time of day, whether a tsunami of patients or just a slow night.  You might have lucked out.

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