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One medical professional called him “crazy” and another said it made you paranoid: The rate at which patients get worse and die from the new coronavirus is shocking even to doctors and nurses with years of experience. Now they are trying to find a way to stop these sudden health problems.
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Coronavirus epidemic (COVID-19) 4817
Patients “look good, feel good, turn around and are out of touch the next moment,” said Diana Torres, a nurse at Mount Sinai Hospital in New York, the epicenter of the US pandemic. USA, where more than 415,000 people are infected. “I am becoming paranoid, I am afraid to leave his room,” she added.
Not only adults and patients with concomitant diseases can be in the situation at any given time, and only a moment later they are on the verge of death. This can also happen to young, healthy people, health experts told Reuters.
A young woman died unexpectedly while Sister Laurie Douglas was being transferred to Au Lady Lake Hospital in Baton Rouge, Louisiana. Douglas says that after 34 years in the profession, she has developed “an intuition of who will fade and who can improve.”
“But for these people, none of that applies,” he added. “He was planning his wedding last week. This week, his family is planning his funeral,” said Douglas, referring to the deceased patient.
Patients can enter a hospital with high oxygen levels and have a joyous conversation, said a doctor at New York Presbyterian Hospital, and they just “breathe” and intubate a few hours later.
“What is scary here is that there are no rules in this,” said the doctor, who wished to remain anonymous.
These scenes unfold everywhere. By COVID-19, the respiratory disease caused by the new coronavirus had infected more than 1.4 million people worldwide yesterday and killed more than 83,400 people.
The rapid decline is likely the result of an “overreaction” of the immune system while fighting the virus, said Dr. Otto Young, an infectious disease specialist at UCLA Medical Center in Los Angeles.
Called the cytokine storm, this phenomenon is seen when the body overproduces immune cells and their activating compounds, cytokines, which cause dangerously high blood pressure, lung damage, and organ failure.
Emily Music, a 25-year-old nurse in New York State, said she suffered an emotional breakdown last week after a case in which a relatively healthy 44-year-old woman suddenly needed intubation.
“I had an emotional crisis that night,” he said. “I cried for my friend,” added Music.
In the case of patients with COVID-19, intubation means a tube that passes through their respiratory tract into the mouth of a patient with difficulties in connecting to a breathing apparatus.
Associated Press journalist Anic Jessdanun, who was in good health and ran 83 marathons, died last week of COVID-19, according to a Facebook post by his cousin, Prinda Mulpramuk, BTA reported.
Jesdanun, fifty-one, initially did not need hospitalization, according to the publication. He began to recover, and on the visit to the doctor in late March he showed clean lungs and strong signs of vitality. But a “sudden change in the situation” sent him to the emergency department on April 1 and “13 hours later we lost him,” Mulpramuk wrote.
A nurse in the intensive care unit at Mount Sinai Hospital recounts how she witnessed how patients rapidly developed kidney failure, adding that many people had to be given the anticoagulant heparin intravenously. “His condition is getting worse and worse,” said the nurse. “We are really working hard to figure out how to treat them,” he added.
Doctors say they have limited success in rescuing patients who require intubation.
At Columbia University Irving Medical Center, intubated patients spend about two weeks in breathing apparatus, chief surgeon Dr. Craig Smith said Friday.
A doctor at New York Presbyterian Hospital said more patients were dying than usual from the devices. The exact numbers are unknown since the epidemic is still booming and hospitals sometimes operate in chaotic conditions.
Some of these establishments are experimenting with unproven medications in hopes of helping patients, including hydroxychloroquine against malaria.
“Basically, we try everything with these patients,” said the doctor at New York Presbyterian Hospital.
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