I've probably watched close to a hundred people die from COVID, working in ICU in the past year during this pandemic.

I know it's been close to 100; over half of patients, when they get bad enough to make it to ICU, don't make it. They just.. Die. No matter what we do. 1/
And it's TERRIBLE. It's AWFUL. It's indescribable.

Caring for someone, getting to know them, their family, yet knowing they'll die, regardless of everything you're trying..

It's soul wrenching. 2/
All we've been able to do for so many is drag it out, slow it down, put it off, but not actually stop it.

I can name SO MANY who died.

I carry them with me.

Every. Day.

I carry their names and their humanity with me, in my memories, in my soul, EVERY. DAY. 3/
I do forget the names of some, because there were too many.

So, so many.

But I remember the name of the first one who with our facility, in our county.

Because they were MY patient that night. 4/
I had to comfort the family, call them in, help them understand, hug them, try to reassure them that the death of their loved one would make a difference in the long run, and that their family member was amazing, they would be remembered, and that it wasn't anyone's fault. 5/
We didn't even know what we were doing then..

We didn't have tools.

We were fighting a brand new, unknown entity that had barely begun to strike everything we held dear.

We didn't have anything that we knew worked. 6/
That wonderful patient died, barely two weeks after we admitted them, and it wasn't anyone's fault.

And a year later, we still don't REALLY have the tools.

We try, and we've gotten better at prolonging and guessing the process, but in the end.. 7/
We don't have the answers, and we know we don't. We show up, do the best we can, comfort, and try to keep humanity and dignity as much as possible.

But I carry the name of that FIRST patient who died in our facility, in our county, with me, FOREVER, because they were MINE. 8/
They were MY responsibility, and their family was counting on me, and all I could do was help that patient die; I couldn't save them.

I couldn't make sure they went and threw their grandkids in the air one more time. 9/
I couldn't do anything to help them, except make sure they had a dignified death, and that their family was able to be with them when he left the Earth.

I, and MANY other nurses, STILL bear witness to people dying from COVID, every shift.

Every day. 10/
We carry all those with us, long after they're gone.

And we always will.

#thosewecarry 11/

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More from @LilRedRooster

5 May
As an ICU nurse, I'm tired of watching people die of COVID.

So. Tired.

Please..

Get vaccinated so your grandma or friend or father or daughter or mother doesn't have to come to me and die.

All I've done the last year is watch most of my COVID patients die.
I've never, in seven years of nursing, four years in critical care, experienced something like over HALF of my patients dying, no matter what I do.

And I'm TIRED of it.

The very bottom of my soul is thin and stretched and barely surviving.
And many of my coworkers feel the same.

We just want people to care about their neighbors. About themselves. About their communities.

We just want people to bother with their own health so we don't have to comfort them as they're dying of a virus we can't really beat.
Read 4 tweets
30 Aug 20
I suppose why I feel so strongly about families rescinding DNR orders and aggressively resuscitating a love one who made their wishes know, is that it feels like it devalues that person's death, and in so doing, devalues their individual journey.

Death is sad. It is hard. 1/
But death is inevitable, and the suffering is only for those of us left behind, not for those moving on.

My grandfather was a chaplain for 35 years, and always said that death was never the hardest for those dying; it was always those left behind he had to comfort most. 2/
But that is why we owe it to one another not only to make sure we each live well, but that we each die well.

No one who is dying owes us their dignity to make us feel better about them leaving.

No one else owes us their peace so that we can keep ours. 3/
Read 8 tweets
13 Apr 20
I'm tired. So tired.

I just want America to be healthy and take care of one another.

Please stop making things like this.

I am tired of these, too.

Instead, vote for better leadership, and a healthcare system that exists for YOU.
Stop creating a world fueled from your apathy towards your neighbors' lives and well being that has led me and others like me to have to put ourselves in needless danger.

Stop saying that people around you aren't your problem.
Start caring about your neighbors' health, their education, their ability to be sheltered, to eat, and to make a living wage.

Start caring about creating a society of productive, supported individuals.
Read 6 tweets
5 Apr 20
I'm gonna tell you all a secret: I'm actually still in the camp that this is "just like the flu", if the flu chose to slam us in a pandemic form, a la 1918.

I have seen some nasty flu deaths. The flu has ALWAYS had the potential to do this, we just don't acknowledge that.
Really, ANY viral respiratory illness has always had the potential to do this to us, we've just always felt safer and more secure with a known enemy than a new one, even if that known enemy has always had the potential to be ugly to us and just hasn't for a while.
It speaks volumes that the general public is so lacking in knowledge and fear around even the flu, which killed 5% of the population at one point, that they can't even bother to get a readily available vaccine or treat it likes it dangerous, when it kills thousands every year.
Read 5 tweets
4 Apr 20
I remember my grandfather telling stories of my great grandmother being notoriously callous and hard. Not abusive, just with a steel exterior, and hard to love.

I never considered why.

She survived WWI, WWII, the great depression, and the 1918 flu pandemic as a Navy nurse.
I have been finding myself pulling away from people, being less touchy, less emotional, more distant, more turned into myself.

Self preservation, coping mechanism, survival skill, whatever I might call it, I do find myself being harder to love lately.
Trying to turn off the fear, anxiety, self-doubt, isolation, and general sense of upending I've felt in the past month around my profession and my personal life, I've definitely turned more inward in an attempt to shut all the noise out.

Does it work?

I mean, yes.

And no.
Read 7 tweets
28 Mar 20
I have a perhaps lengthy message for all my med-surg and floor nurses, so don't mind me if I take a few seconds of anyone else's time. Feel free to read this, or skip it. I just needed to discuss a few thoughts.
As an ICU nurse, I have been following the talk of needing ventilators with trepidation. These patients who get sick enough to need pulmonary life support also need a lot more: Proning, nitric, high PEEP, hemodynamic support with pressors, etc.
Watching that discussion as an ICU nurse makes me nervous; the mortality rate for ARDS patients even before this virus and stress on the healthcare system was very poor: 50-90%, depending on the various factors. ICU care for these patients is difficult, stressful, and exhausting.
Read 10 tweets

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