Healthcare workers on the frontline face years of risk, danger and harm



Gabrielle Don Luna sees her patients in every patient.

As a nurse in the emergency room at the same hospital where her father, Kovid, died last March, Ms. Luna knows what it’s like to hang on to every new piece of information for the family. Relatives of those patients who are always incredibly awful for updates have become acutely aware of the need to take more time to persuade them in development.

And Ms. Luna is willing to share her personal loss if it helps, as she did recently with a patient whose husband has died. But, she has also learned to stop him in order to respect each person’s different grief, such as when a partner’s father also died of the disease.

She said it is challenging to allow herself enough grief to help patients without drowning herself.

“Sometimes I think it’s a much bigger responsibility,” he said. “But this is the same job I signed up for, right?”

Lunas is a nursing family. Her father, Tom Omaa Luna, was also an emergency nurse and while Ms. He was proud when Luna joined him in the field. When he died on April 9, Ms. Luna, who also had mild symptoms of Covid-19, took about a week off work. Her mother, a nurse in a long-term care facility, later spent about six weeks at home.

“She didn’t want me to go back to work for fear of something happening again,” she said. Luna said. “But I had to go back. They needed me. “

While her hospital in Tianac, NJ, was dealing with virus patients, she struggled with stress, burnout, and a terrifying fear that left her grief-stricken: “Did I give it to her? I don’t want to think about it, but it’s a possibility. ”

Like Luna, many who have been treating millions of coronavirus patients in the United States over the past year come from drug-deficient families. This is a calling gender passed down through generations, binding spouses and connecting siblings living in different states.

It is a bond that sustains shared experience, but for many, the epidemic has also provided an introduction to fear and stress. Many people are concerned about the risks they are taking and even their loved ones have to face every day. They worry about a scar that can’t be left behind.

And Ms. For people like Luna, they care for coronavirus patients in the shape of a favorite therapist lost from the virus.

For Dr. Nadia Zuabi, the damage is so new that she refers to her father, an emergency department physician, in the current strain.

His father, Dr. Shawki Zuabi, spent his last days at his hospital, UCI Health, in Orange County, California, before Kovid died in January. 8. The younger Dr. Zuabi returned to work almost immediately, hoping to get through. Purpose and his colleagues’ camaraderie.

She expected that working with those who cared for her father would intensify her commitment to her own patients, and that is to some extent. But primarily, she realized how important it is to balance taxing emotional well-being with her well-being.

“I always try to be as sympathetic and compassionate as I can be,” said Dr. Zuabi. “Part of you is that maybe the survival mechanism has to build a wall because it feels like it’s not always sustainable.”

The work is full of reminders. When she saw the patient’s fingerprints, she remembered that her peers had also booed her father to check his insulin levels.

“He took all these bruises on his fingertips,” he said. “It broke my heart.”

The two were always close, but they found a special connection when she went to medical school. Physicians are often derived from physicians. About 20 percent of people in Sweden have parents with a medical degree, and researchers believe the rate is similar in the United States.

Elder Dr. Zuabi had a gift for conversation and he preferred to talk about medicine with his daughter as he sat on a chair in his living room. She is still in her residency training and during the last year she went to her for advice on working on challenging covid cases and she will dispel her doubts. He said, ‘You have to believe in yourself.’

When she caught the virus, she took the time to stay on her bedside every day, and continued their conversation. Even when he was introverted he pretended they were still talking.

He still does. After a difficult shift, she turns to her memories, part of which stays with her. “He really thought I’d become a great doctor.” “If my dad thought that way about me, it must be true. I can do it, even if it doesn’t feel like it. “

In the same way, medicine is often a passion grown from a set of values ​​from one generation to the next, it is also shared by one sibling and draws those who recover in married life together.

According to an estimate provided by Maria Polikova, a health policy professor at Stanford University, about 14 percent of physicians in the United States also have a medical degree. According to a study published in Them Nals Intern f Internal Medicine, and a quarter of them are married to another physician.

In interviews with dozens of doctors and nurses, they described how it has long been helpful to have a loved one who knows the rigors of the job. But the epidemic has also revealed how horrible it can be to keep a loved one in a state of loss.

One nurse’s brother noticed him when another virus was on the hot spot before he volunteered. A doctor had a boring talk with her children about what would happen if both she and her husband died of the virus. And others described crying quietly during a conversation about Will after putting their children to bed.

Dr. Miss Fred E. Kensy Jr., Jackson, Miss. No. The two emergency department physicians understood that they were surrounded by fear when they served in the Navy. He never expected that he would face such dangers in civilian life, or his wife, internist and pediatrician, but the same dangers.

“It’s horrible to know that my wife, every day, has to go to the patients’ room that has covid, ”Dr. Kansy said before she and his wife were vaccinated. “But it is beneficial to know that not only one of us, but both, are doing everything possible to save lives in this epidemic.”

The vaccine has eased fears of infection in the work of inoculated medical personnel, but some have expressed deep concern about the toll on their close relatives due to a year’s horrific behavior.

Dr. Emergency Physician of Northwestern Medicine, Chicago. Adesuva I. Akhetuahen, a doctor at the Mayo Clinic in Rochester, Minna, said of her sister, “I’m worried about the pain and death she’s going through.” I feel like I’ve learned to cope with something from working in the emergency department before covid started, but something like that isn’t supposed to happen in his specialty as a neurologist. “

She and her sister, Dr. E. Assosa t. Igodars talk regularly on the phone to compare notes on the precautions they are taking, to provide updates about their family, and to support each other. “He fully understands the work I am going through and encourages me,” said Dr. Ighodaro.

The endless intensity of work, the rising death toll, and the swirling attitude of some Americans towards safety precautions have caused anxiety, fatigue, and irritation for a growing number of health care workers. According to a survey published by Yale School of Medicine in February, about 25 percent of them probably have P PTSD. And a lot of people have left the field or are thinking of doing so.

Donna Quinn, a midwife at NYU Health in Manhattan, is concerned that her son’s experience as an emergency room therapist in Chicago will leave the field he recently joined. He was in his last year’s residency when the epidemic began, and he volunteered to serve on the Intelligence team.

“I’m worried about taking an emotional toll on him,” he said. “There have been nights when we have cried about what we feel.”

She still has dreams that are sometimes terrifying that she falls out of bed. Some are about her son or patients that she can’t help. In one, the patient’s bed cloth is transformed into a giant monster that chases him out of the room.

Ms. When Luna first returned to her emergency room at Holy Name Medical Center in NJ’s Tinek, after her father’s death, she felt something was missing. She had a habit of keeping him there. With every urgent intercom call for rehabilitation, she wondered, “Is this my dad?” But he can stop at least everyone and now and then to see how he is doing.

More than that, she never knew what it was like to be a nurse without her. She remembered that when she was in elementary school she was studying to enter the field, coloring almost every line in her large textbooks with yellow highlighters.

At breakfast last March, Ms. Luna told her father how shocked she was when she grabbed an iPad to say goodbye to a family who couldn’t be hospitalized for a dead patient.

“This is our business,” he called out to Mr. Luna. “When we can’t have a family, we behave like a family. It’s a tough role. It will be harder, and there will be even more time where you have to do it. “

Kitty Bennett Contributed research.