Today is May 25, 2020. I came to work at 8 am. The first thing we did was go through the admissions that happened overnight. Everyone is of course, tested for COVID-19. Since we have run out of the rapid tests, they all got the PCR test, which takes 2-4 days to return results. Until then, they are considered PUI (patients under investigation).
Of course, what strikes me is that COVID or no COVID, people get sick and usually what you end up treating is not just COVID but COVID and...
We admitted a lady that had a blood clot is her lung (pulmonary embolus). She became progressively hypotensive and we had to put a central line in her in the ED. The procedure went well (no complications). Her blood pressure began to stabilize.
The saddest patient of the day was a homeless guy found naked on the street and unresponsive. I learned that he was frequently brought to the ED where a shot of Narcan would wake him up and be would become combative and belligerent. This time was no different. The ED was going to discharge him when he had a seizure. It is possible that the seizure was due to withdrawals from any one of several substances he uses. COVID status pending.
Another patient had a GI bleed and CHF exacerbation and possibly COVID-19
I was at the hospital until 8 pm. 12 hours of work. Let's see what tomorrow brings.
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