Coronavirus recovery hospital: Ravaged bodies, fearful patients, unpredictable fates

An orthopedic hospital turns itself into a transition hospital for patients recovering from an unsettling virus that poses new challenges for everyone.

Coronavirus recovery hospital: Ravaged bodies, fearful patients, unpredictable fates

Last weekend on the COVID-19 wards at NYU Langone Orthopedic Hospital, it was the new business as usual. Namely, helping patients wean off oxygen, treating their anxiety and blood clots in their legs, and overcoming overall fatigue and deconditioning. I participated and learned a lot about the twists and turns of recovery. The virus and its aftermath can rav the body, badly damaging the lungs, heart, kidneys and brain. Rehabilitation can be difficult, not to mention the problems of when and where to send the patients when they are medically ready to leave.

Are two negative tests for COVID-19 sufficient before someone can go back to a household with an elderly parent or immuno-compromised spouse? Where should a homeless patient go? Treating this disease is a long slow process that doesn’t end at the hospital door.

At the heart of the battle against the virus in New York City is NYU Langone Health. Its orthopedic hospital takes COVID transfers from Tisch Hospital and the Kimmel Pavilion, NYU Winthrop and NYU Brooklyn while at the same time, according to the chair of orthopedic surgery, Dr. Joseph Zuckerman, it has accepted transfers for orthopedic emergencies from Bellevue, Tisch, and other hospitals that are beset by COVID patients.

Teams of experts teaching each other

Langone Orthopedic Hospital itself has four COVID wards, filled with patients in various stages of recovery. The hospital has temporarily pivoted and changed its overall purpose to perform as a transition hospital for COVID-19 patients.

According to Nurse Practitioner AB Brody, just coming off an overnight shift, there is an unsettling amount of unpredictability to the virus. He described to me the plight of a 93- year-old woman who had multiple medical problems, and was turning blue with very low oxygen levels in the middle of the night. They turned her over (proning) and she stabilized, the team gave her extra oxygen, which she responded to, and within four days she turned around and went home. Brody added that there are other patients, including some younger ones, who have not done nearly as well, and some have died.

Outside NYU Langone Medical Center in New York City on April 28, 2020.

Dr. James Slover, in charge of the surgical service at the hospital, talked to me about how the teams came together, sharing skills, a hospitalist and nurse practitioners and physicians assistants working together with orthopedists who usually inhabited these halls. Slover indicated that they were all learning from each other, that a surgical nurse practitioner with expertise in Personal Protective Equipment quickly shared this information while at the same time learning standard medical practices from his or her medical cohorts.

'We are not, at all, past the epidemic':Coronavirus Q&A with Dr. Tom Inglesby

I joined group rounds, experiencing and participating in the congeniality and effective exchange of information. There was no ranking or pyramid, just everyone pitching in, professionals doing their new jobs. The skills of the two critical care specialists I met with were clearly valued, especially when it came to the issues of low oxygen and blood clots. They readily lent their expertise to others on the team.

On the wards to do God's work

Michelle Meneses, Manager of Advanced Practice Providers at the hospital but now managing COVID Medicine, talked to me about the challenges of treating both mental as well as physical disabilities as COVID patients recover. The anxiety that stems from this illness, the isolation and the fear, compounds pre-existing psychiatric conditions and makes adjustment and placement that much harder.

Maskless at Mayo:Real men wear masks, Mike Pence. You and President Trump should, too.

Recovery from COVID 19 is a long game. It requires not just retooling but constant commitment and devotion. As I walked through the wards clothed in PPE, I couldn’t get out of my head the image of Dr. Adam Karp, a highly regarded longtime geriatrician, clearly in a high risk group because of his weight and being over 60 years old, carefully donning PPE to enter the room of a recovering COVID patient, bringing good cheer while performing an important decannulation procedure — removing the breathing tube from the patient’s trachea — which demonstrated that the patient was on the road to recovery.

Dr. Karp was wearing a kippah, and I didn’t have to ask him to know that he was on the wards to do God’s work. He and everyone else there appeared unafraid and performed their assignments at a high level. This jewel of a hospital will not be defeated by this powerful virus.

Dr. Marc Siegel, a member of USA TODAY's Board of Contributors and a Fox News medical correspondent, is a clinical professor of medicine and medical director of Doctor Radio at NYU Langone Medical Center. Follow him on Twitter: @DrMarcSiegel.

Source: https://www.usatoday.com/story/opinion/2020/05/03/coronavirus-pandemic-recoveries-unpredictable-unsettling-column/3059602001/

News Related

ORTHER NEWS

Trump’s ‘mission accomplished’ moment is premature and deadly. We have not defeated COVID.

Desperate for crowds and adoration, Trump has put his most fervent supporters at risk of getting a deadly disease. Future historians will be astonished. Read more »

NFLPA president JC Tretter says NFL is putting season, players at risk with its coronavirus approach

NFL Players Association president JC Tretter said Tuesday the NFL is putting the 2020 season at risk with its coronavirus approach, calling on the league to better “prioritize player safety.” “Like many other... Read more »

Brazilian President Jair Bolsonaro says he tested positive for the coronavirus

RIO DE JANEIRO (AP) — Brazil’s President Jair Bolsonaro says he has tested positive for COVID-19 after months of downplaying the virus’ severity. Bolsonaro confirmed the test results while wearing a mask and... Read more »

Venice Film Festival forges ahead amid COVID-19 pandemic with reduced lineup

The show will go on for the Venice Film Festival in September, but with a few modifications due to the COVID-19 pandemic. Organizers said Tuesday that they are pushing forward with plans for... Read more »

Amtrak offers buy-one, get-one promotion on its sleeper trains amid COVID-19 — with a catch

Amtrak wants you to have sweet dreams the next time you travel — so much so that it’s sweetening the deal on its sleeper “roomettes.” The rail service is offering a buy-one-get-one-free discount... Read more »

Florida teen treated with hydroxychloroquine at home before dying of COVID-19, report says

FORT MEYERS, Fla. – The family of a 17-year-old Florida girl who died last month from COVID-19 treated her symptoms at home for nearly a week before taking her to a hospital, a... Read more »

Mookie Betts worried MLB coronavirus testing woes could prevent him from ever playing for Dodgers

During nearly four months away from the game, Mookie Betts said he “stayed away from baseball to keep myself sane.” It’s not hard to understand why. The 2018 American League Most Valuable Player... Read more »

Tom Hanks doesn’t get ‘how common sense has somehow been put into question’ with coronavirus

Read more »

Can Gov. DeSantis force Florida schools to reopen amid the coronavirus pandemic? Some school leaders seem doubtful.

PALM BEACH, Fla. — As concern about the state order spread online, some school leaders said: Not so fast. As Florida educators puzzle over how to start the new academic year, Gov. Ron... Read more »

Texas surpasses 200,000 coronavirus cases after 4th of July holiday weekend

AUSTIN, Texas – Texas reached 200,000 total COVID-19 cases Monday, just 17 days after crossing the 100,000 threshold, a figure that took the state nearly four months to hit. The grim milestone came... Read more »