"This is not the update wanted to give you. Your husband died about fifteen minutes ago. I'm so sorry."
The rest of it is harder to say. He wasn't alone. The respiratory therapist and I stayed with him until the end, squeezing his hands, telling him it was okay to go.
We told him he fought well, had been so brave for so long, and he could rest. We wiped his brow and watched as he slipped away, out of his body and the devastation of the illness and into a bright light or a calming dark that wraps around you like a prayer.
Souls linger.
Some longer than others. Mostly just a few seconds, counted by the sudden tingle deep in my spine, a shifting awareness that there is more in the world than I can see. A few seconds where the veil opens and the naked truth of the world is almost revealed before it closes again.
He was gone before his heart completely stopped beating. There were no compressions, no hasty administration of hail-mary medications that would only postpone the inevitable. Just him and the two of us, murmuring to him in the darkened room.
I'm glad we could spare him this last torment, that amidst the wreckage covid leaves in its wake there are still moments of mercy and peace, bitter and hard won though they may be. And under it all a deep sense of something misplaced, like part of the world tilted away.
This should not have happened. These deaths didn't have to happen. I keep saying this like I will find meaning in it but the truth is as simple as it is hard to swallow: they died because we failed them. We placed our petty conveniences on a pedestal, clung tight to ignorance -
And made our neighbors a sacrifice. Each life a brilliant light, lush and shining and gone forever; each leaving something dark and cold in the world where they used to be. Each leaving others to carry the love that now has nowhere to go.
He had young daughters.
Another has a two year old son. One just married. One finally out of an abusive, decades long relationship. Many of them are pregnant. They are more than numbers.
They all leave behind people who will never be okay again. They take something with them when they go.
So much love with nowhere to go. Sometimes I think it will crack the world in two.
They deserve better.
*all patient information, including but not limited to sex, race, time of hospitalization, family members, etc has been changed. I am not discussing any actual patient but combinations/fictionalizations of many.
*all patient information, including but not limited to sex, race, time of hospitalization, family members, etc has been changed. I am not discussing any actual patient but combinations/fictionalizations of many.
To clarify:
The opening sentence is words said by me to the spouse of a recently deceased patient. I've said some version of these words more times than I care to count.
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The people now ending up in the ICU with covid are those who've had it before. Some were hospitalized before, others had a "mild" illness that damaged their lungs. People come in with non-covid issues and end up on the vent with a peep of 18 and a paralytic because of the damage.
Others come in with something completely unrelated, end up vented for surgery, and everyone is scratching their heads as to why they aren't improving and then someone mentions "oh yeah he had covid four times and that's why he's on oxygen at home."
Sometimes I just think about how the reckoning for this will never come and yet I see it, every day. The cost of this is so fucking high and I'm still infuriated that so many people get to ignore it. Millions of people died. I saw a sliver of that and I am haunted.
I became an ICU nurse at the end of July in 2020, during one of the first peaks of covid when it was all still so new. I learned how to be a nurse behind a respirator and a yellow gown, amidst the constant beeping and hissing of ventilators that couldn't support failing lungs.
Because I was so new, I had no baseline for what normal nursing looked like; I just had a vague sense that it couldn't look like this. The unit was bleak and everything we did felt futile, and I realized at some point I felt more like a ferryman to death than anything else.
Some people lived, if they never got to the point they needed Bipap. Most didn't. By the time they came to us they were too sick, their lungs too shredded, kidneys already failing and blood already clotting and so often beyond the power we had to heal.
I love being a nurse. Didn't exactly expect to be a new nurse in the middle of a highly politicized pandemic but life comes at you fast and even in a pandemic, there's nothing else I want to do. Caring for the sickest of the sick is an honor and I treasure my patients.
It is devastating to watch people die when those deaths were avoidable and it's even more devastating when you watch them die the same way, time after time after time. It's devastating that basic common sense and decency has been politicized.