Early one summer my family ventured south on one of our rare vacations. A rented travel trailer bobbed behind our packed car. A small carnival was attached to one of the campgrounds and it did not take long for me to find the midway. The flashing lights of the “fun house” caught my eye and I immediately felt the need to explore, but within 5 minutes I had regretted the decision. Once inside, my heart began to race, and my head darted about the room searching for a way out. All I could see were images of my own scared 9-year-old face staring back at me. I started to cry. A loud voice from a speaker above guided me out of the scary unknown. What a relief it was to have this direction during a period of uncertainty, allowing me to leave confusion and fear behind.
Like the childhood fun house, anxiety in the era of COVID-19 in not uncommon. A sleep deprived colleague recently shared with me that he was self-isolating from his wife and four young children. He explained that he was doing this in the hopes of sparing them from COVID-19 but losing sleep as a result. He went on to say, “I feel like we are all a part of the band on the Titanic”, playing music as we take on water. These words did not sit well with me and I refused to let them stick. I told myself that I am not a band member pretending that all is well, fine and good. I am one of the lifeboat tenders preparing for a time of uncertainty.
As a lifeboat tender, I have attempted to reduce my inner chaos with preparation. I dug out an old N95 mask from our kitchen closet. I had purchased it from the Home Depot during a spray-painting project about 4 years ago. I took it to work and wear it with a washable cloth mask over the top in order to prolong its life. Fortunately, a dear friend sent me two N95s in the mail, God only knows where she found them. I later received an additional 2 from the hospital where I work. I keep all these masks, along with protective goggles, cloth hair coverings and a face shield in a special bag next to my desk for easy access. Hand washing is also big on my agenda. I have direct patient contact and have always washed my hands A LOT, but now I feel a bit OCD, intently focusing on the duration and thoroughness of my ritual as I sing Happy Birthday a million times a day. When the shift comes to an end, I return to my locker, change out of my scrubs, take a shower, put on fresh clothes, dispose of the dirty scrubs and walk to the car. But before getting in, I change my shoes and store them in a plastic box and garbage bag. And finally, after a very long day, I hand sanitize and take the seat next to my dear husband who comes to pick me up from the hospital and return us to the safety of our home.
I believe that individual preparation is important, but for our Nation to move forward both medically and economically, we must put universal measures into place. For example, if a patient presents to a hospital with symptoms of COVID-19, a series of questions are asked to determine if testing is necessary. If the questionnaire results in a high probability of disease, the patient receives a test. The patient then becomes a PUI (patient under investigation) and must be transferred to either an isolation room or special medical unit to await results. This can take anywhere from 1 hour to 5 days, depending on who you are or where you live in our country. While the patient awaits the results, those who enter the PUI’s room; the patient’s nurse, provider, CNA, phlebotomist, respiratory therapist, registration or janitorial staff, must wear special PPE (personal protective equipment); gowns, gloves, masks, face shields and eye wear in order to protect the PUI, other patients, fellow staff members and themselves. This requires a great deal of time, attention, and costly equipment, all necessary because of a potential COVID-19 infection.
Without the appropriate testing and the knowledge that it provides, we are simply operating in the dark, squandering precious resources and creating an environment of fear. Currently there is a 1-hour test available in certain regions of our country and limited access to testing in others. A Federally run COVID-19 testing program with National guidelines, established protocols and CDC over site would help in creating a uniform strategy against this virus. The data obtained from the project could then be used to inform important decision making, allocate resources, ease National anxiety and ultimately enable our people to safely return to work, school and recreation.
We do not need to drown in a sea of sickness or economic despair. We can be prepared for what is ahead. We can choose to ready ourselves as a country and commit to Nationally guided COVID-19 testing, avoid a possible iceberg and steady this great ship! The idea of mass COVID-19 testing is a large, but necessary endeavor. It will be costly and cumbersome, but a wise investment. Just as the guiding voice in that childhood fun house, mass National testing is direction in the dark, enabling us to move beyond confusion and fear.
I wish you peace and understanding. Thank you for your sacrifice! We are ALL essential and so is our health!
KAKW