Deep breaths.
- What about the 34yr old neutropaenic chemotherapy patient?
- What about the 17yr old with arthritis on immunosuppressing methotrexate long term?
- What about the 21yr old girl with cystic fibrosis?
- What about the 31yr old guy with chronically poorly controlled asthma who's already had 1 ITU stay in the past year?
- What about the 39yr old diabetic man?
- What about the 42 yr old liver transplant lady on anti-rejection medication?
- What about the 36yr old nurse in London who's currently ventilated previously being fit and well?
All these groups, except for the last one, are high risk. To assume this is simply a disease of the old is naïve. I'm happy you're not old. I'm not old either but this is quite frankly an unprecedented event we are about to deal with. It's all very well to just wave this away because you'll likely get mild symptoms, but it's time to stop being so selfish and start looking out for others more vulnerable than yourself. I don't know if you're British, but it's starting to piss me off here in the UK at people's apparent blasé approach to this - congregating at the beach at the weekend just past, going for large group cycles, that 'essential' travel to Snowdonia as seen on GMB. People need to be shit-scared of this, it's the only way they'll wise-the-feck-up and refrain from such things.
We had a significant update today that has come close to home. One of our nurses took unwell on Thursday and is now tubed and ventilated after contracting COVID.
I want people to realise just what is going on and what will happen:
- Hospitals are woefully unprepared for this, despite the best efforts of those working there, the tsunami of patients expected in the coming weeks will cripple the NHS. There's not enough PPE available. There's not enough tests - staff aren't being tested for it. There's not enough beds. One hospital here wont have enough oxygen ffs.
- People are being made DNACPR upon arrival to a hospital if they are over a certain age with even 1 co-morbidity. Fact of the matter is if they required ITU and there's one bed left, the person without the co-morbidity will be taken. The other person? Sent to the ward without nearly as much monitoring or oxygen availability. Wards in London have reported multiple patients being sent there to slowly fade.
- Staff in ITU have been briefed on dealing with colleague bereavement. Mental health is being prioritised for the staff.
- Operations requiring ITU care post surgically are being cancelled to save space. That has significant repurcussions for the general public.
- There are beds available at the moment in ITU, but in 2 - 3 weeks time? Place is going to be a shitshow.
Many people will die and they wont just be a 'tiny number of old people'. I'm not saying this to stoke fear, but quite frankly it's got to the point now I need to be realistic to others as to what is happening in the hospitals and what we're being told. I don't give a feck if you're not old, or if you're mate's aren't old. I give a feck about people adhering to the strict guidelines set out to them (and I hope we move to lockdown very quickly) in order to protect as many people as possible.
This is unprecedented.