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On Doctor’s Day, celebrated this Sunday (18), a health professional opens his diary and shares part of his experience in the fight against Covid-19. Lucas Antony, 30, had been working as an intensivist for two years at the São Vicente de Paulo Hospital, in Tijuca, in the North Zone, when he faced a sudden change in his work routine: it was the beginning of the pandemic.
With so many new and sometimes terrifying experiences, the professional decided to keep a diary of his new day to day at the Intensive Care Center (CTI).
Throughout the almost 30 pages, the intensivist told 40 stories and reported on the new coronavirus, patients, doctors, doubts, insecurity about the future and even feelings such as the fear of having contracted the disease from a professional colleague.
Intensive care doctor writes a diary to report the routine during the pandemic – Photo: Playback
“I think he spent most of the time in a mask, but we shared surfaces. I hope I don’t get sick,” he wrote in a newspaper extract.
- Brazil passes 152.6 thousand deaths from Covid and is close to 5.2 million cases
- RJ has more than 3,000 cases and almost 100 deaths from Covid registered in 24 hours
In the notebook, the professional details facts, repercussions and doubts of the pandemic, and its reflections in the daily work.
“It may be that this phase goes down in world history as the first global pandemic in repercussion and simultaneous response among all countries, or it may pass as a great exaggeration and disproportionate response. Considering measures of social isolation and home quarantine, in addition to severe restrictions to economic activities [que] they affect most of humanity at this time, I believe more in the first hypothesis, and that is why this report ”, Lucas stressed, as soon as he began to record memories.
Doctor writes newspaper during the new coronavirus pandemic – Photo: Disclosure / Hospital São Vicente de Paulo
TO G1, the doctor said that at the age of 15 he developed the habit of doing an annual retrospective on sheets of a notebook. At 30, he maintains the routine of writing the events that happen in his life. In the case of the pandemic, what motivated him to relate his experience in such detail was the desire to have his own historical record that was faithful to reality.
“When I went there in March, I saw that the disease was spreading all over the world, it had just arrived here in Brazil. A new virus that affects the world population, generating various health, sanitary and economic consequences is something else, a historical fact. Due to my specific area within the profession, I was right in the eye of the storm, ”he explained.
He also stressed the importance of his diary to tell his children and grandchildren.
Even as a historical record. When we remember things, it ends up that our memory changes our memory. Having written the diary forms a more reliable record of what was happening ”, he reinforced.
In addition to describing the work routine, Lucas Antony also drew on the daily context of the country and the world with each written story. He described, on occasions, the number of cases of contamination and deaths, evolution of patients, influential people who were contaminated by the new coronavirus, among other topics.
“In Italy, yesterday, for the first time since the disease arrived in the country, there was a reduction in the number of people hospitalized in the ICU. Perhaps the peak is happening in those countries, which can serve as a reference. Although we implemented social isolation before Europe and the US. [Estados Unidos] and we have done everything possible to expand the capacity of the hospital here, April must be a difficult month, “he wrote.
Intensivist recounts intense work routine during the new coronavirus pandemic in a newspaper – Photo: Disclosure / Hospital São Vicente de Paulo
For the intensivist, publishing the diary is a possibility, but not yet.
“Maybe a bit later, because we are still living in Covid. Lots of things can happen. I have not had Covid so far. Nothing prevents me from getting sick and then my journal will reflect an experience from the other side, like being sick, ”he said.
Personal and professional challenges
What the doctor’s diary reflects is, among so many topics, an intense workload. Lucas, who worked in a postoperative unit, said he had a major change in the flow of service.
“We in the postoperative CTI ended up absorbing patients from the general CTI, which at that time was dedicated to the Covid CTI patients. As the workload increased, I ended up working in a new unit that appeared in the hospital, which is the semi-intensive unit, ”he said.
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Lucas Antony, an intensive care doctor at Hospital São Vicente de Paulo, writes a diary with reports on the pandemic – Photo: Disclosure / Hospital São Vicente de Paulo
In addition to these changes, Lucas Antony said that he saw his shift hours multiply throughout the week, as well as the number of patients.
“On average, I worked about 50 hours a week. With the pandemic, it was at least 72, 78 hours, reaching a peak of 90 hours a week. People who work in intensive care always have some deaths. During the peak here in Rio, we observed an increase in the number of deaths in all hospitals. In the book of death, for example, if there was a death every 3, 4 days, now there was every other day ”, he recalled.
“Outsiders have the idea that the CTI is a place where only many sick people go, but it varies a lot, it depends. Each CTI, suppose [com] about 10 beds, he works with 1, 2, at most 3 very, very, very serious patients. With the pandemic, there were times when instead of having 1, 2, 3 very serious patients, we had 7, 8 very serious patients for every 10 beds, “he said.
According to the doctor, during the months of the pandemic he saw people between 29 and 90 years old and what impressed him was the severity with which the disease affected the youngest patients.
“Covid is a disease that can affect anyone of any age, including young patients who did not have comorbidities, who did not use any medication, who had a normal body weight. Seeing the 34-year-old patient, a 29-year-old girl who got serious, we always think, right? I’m that age, I don’t have comorbidity either, I may well be on that side, “he said.
During the new coronavirus pandemic, an intensive care doctor related his daily life in the ICU on pages of a notebook – Photo: Disclosure / Hospital São Vicente de Paulo
The intensivist’s marathon required not only technical knowledge, but also personal sacrifice. Due to his direct contact with the disease, he stopped seeing his mother, who is 68 years old and suffered from lung disease, for about seven months.
“My godfather died from Covid about 3 months ago, so I haven’t seen my mother since March. This week was the first time I saw my mother. I have some friends who are afraid to meet me because I work with a patient who has Covid and I work in the ICU, “he said.
In addition to the day-to-day in the hospital as recounted by Lucas, a team from the São Vicente de Paulo Hospital CTI also portrayed some moments in the intensive care unit during the height of the pandemic (check it out below).
Medical team from Hospital São Vicente de Paulo, in the North Zone of Rio, supports a patient with Covid-19 – Photo: Disclosure / Hospital São Vicente de Paulo
Patient is discharged from Hospital São Vicente de Paulo, in Tijuca, in the North Zone of Rio – Photo: Disclosure / Hospital São Vicente de Paulo
