‘It makes me cry’: hospital workers voices on the front lines of Covid

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Junior Doctor Pushpo HossainPushpo Hossain is in the eye of the Covid storm in the capital of the country. The ward where the resident looks after patients with critically ill coronavirus must limit oxygen and consider who gets the non-invasive ventilators that are difficult to obtain. The number of covid patients is growing exponentially,”The number of covid patients is increasing exponentially,” We do a risk-benefit analysis on the basis of age, number of comorbidities, and often on the basis of available resources,”We do a risk-benefit analysis based on age, number of comorbidities, and sometimes based on the resources we have available,” [A patient] may be an ICU nominee, but we have no bed. Our hands are tied.

“That weighs heavily on the employees, who are struggling with fatigue, stress and exhaustion. Hossain rarely has time to eat properly and struggles to drink enough because she is so busy. Two of the five doctors on her ward are on Covid, leaving the other three to cover their shifts. “There are occasions when we all break down collectively. There are moments when we can no longer bear it,” she says. “In the emergency room, I remember me and the nurses just embracing. Oxygen was already scarce for patients because the delivery system of the hospital was on the brink of failure. “Oxygen for patients was already limited because the hospital’s delivery system was on the verge of collapse. ” If so many people were sucking oxygen at a high concentration, the machine will break down,” Hossain says. “Their greatest concern is that more individuals would turn up who need oxygen and the system would be overwhelmed. Epsom and St Helier University Hospitals NHS Trust said the burden on facilities was very high and had reached the limit of what the 80-year-old infrastructure could accommodate. We may have to evacuate and move all these patients who need oxygen to another hospital – and most hospitals are in the same situation. It added that by Jan. 11, a new vaporizer should be up and running, which would triple the supply of oxygen. Laura DuffellNurseIt was supposed to be Laura Duffell’s first day off since Christmas Day, but she was called back because the huge teaching hospital where she works is in danger of being overwhelmed by growing admissions from Covid. “I wasn’t supposed to work today,” she says. “It’s gotten very bad, very fast. In the last week, it’s escalated massively … we’ve gone from 130 Covid patients to 500. “Duffell, who is a pediatric nurse, says she is full at the southeast London hospital where she works, with ICU beds going to operating rooms and recovery wards. We constantly juggle where the patients go: are they sick enough to be in the ICU? Or can we put them in an ICU? Where are we going to get ventilators and where are we going to get nurses who can operate them?”We’re constantly juggling which patients go where: Are they sick enough to be in the ICU? Or can we put them in an ICU? Where do we get ventilators and where do we get nurses who can operate them? It’s hour by hour,”It’s hour after hour. “After surgeries for sick children were cancelled, her department worked hard over the summer to work through the waiting lists, but she worries they might again be in the same situation soon. “The current strain of coronavirus suspected to be responsible for the rise in cases tends to hit younger people harder,” she said.

“Duffell was forced to turn two pediatric wards over to children with the disease. “We had a child here and there last time, but we’re seeing a lot of hopeful younger people with this surge,” she says. “We already have one Covid ward for girls, and we’re setting up a second one. The worsening crisis is taking a personal toll on nurses such as Duffell, who has no days off on her calendar at present.

She dearly loves her family: “I feel like I have let them down.”

My children are really helpful, but they’re making remarks about never being there for me. The culpability is enormous.

But what should a person do? David HigginsGastroenterologistDavid Higgins normally performs elective endoscopies, which are a cancer screening pathway, but he fears that he will have to stop soon so that more Covid patients can be taken on by his wards. “David HigginsGastroenterologistDavid Higgins usually performs elective endoscopies, which are a diagnostic pathway for cancer, but he worries he’ll have to stop soon so his wards can take on more Covid patients. ”

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