Days after caring for a handful of suspected coronavirus patients in
mid-March, Dr. Gaurav Malhotra said he was struggling to breathe just
from climbing one flight of stairs. Feverish night sweats soaked his
clothes.
The 40-year old hospitalist at Northern Westchester Hospital in Mount Kisco, N.Y., knew he’d contracted Covid-19.
So he sat his wife down to make sure their will was in order. Then he
turned to managing his case from their bedroom. With no access to
intravenous fluids, he downed bottles of Gatorade. He demurred when his
boss asked if he should come to the hospital, in part because he didn’t
want to expose his co-workers.
“Part of our job is to deal with death on a daily basis,” said Dr.
Malhotra, who tested positive for the virus earlier this month. “Now it
was me doing it about myself.”
Dr. Malhotra is among the growing number of clinicians nationwide who
suspect they contracted the virus on the job. They are grappling with
such issues as the lack of protective gear, how they could have avoided
the virus when treating patients and how to get treated themselves. And
like the rest of the public, they are frustrated by the testing process.
Northwell Health, his hospital’s parent company, has 40 doctors who
have tested positive for the virus at its 19 hospitals, spokesman Terry
Lynam said. The company is “doing as best we can” to keep workers safe
and has an adequate supply of protective equipment, he said, though
workers are being asked to reuse N95 masks
Shortages of masks, surgical gowns, face shields and other crucial
equipment are heightening medical workers’ concerns that they can’t
protect themselves from it.
Some worry that the virus is difficult to avoid once waiting rooms and hallways become crowded with patients carrying it.
“I got infected even wearing all of my protective equipment,” said
Shelley Urquhart, a pulmonary and critical-care nurse practitioner at
Norton Audubon Hospital in Louisville, Ky., who tested positive for the
virus last week.
Ms. Urquhart, 36, and three doctors all noticed they had symptoms of
the virus after treating one of her hospital’s first Covid-19 patients
for respiratory failure, she said. Holed up in her bedroom, she trades
text messages with the sick clinicians about how they are managing
fevers, sore throats, chest tightness and gastrointestinal distress.
They have griped about how it took at least a week to get test results,
which showed three of them had confirmed cases, she said.
A Norton Healthcare spokeswoman said it has robust prevention and
screening initiatives to protect patients and employees from the spread
of the disease, including frequent handwashing and proper use of
protective equipment.
Across the U.S., some of the sickest doctors are using their own
coronavirus cases to plead for access to experimental drugs from their
hospital beds. Yisachar Greenberg, a cardiac electrophysiologist at
Maimonides Medical Center in Brooklyn, wrote on Twitter earlier this
month that he’d received hydroxychloroquine, azithromycin and zinc, but
that his condition was worsening.
“I am desperate can anyone help me get the drug from Gilead
Remdesivir please help,” read one of his tweets. Gilead Sciences Inc.
has said it would begin late-stage studies this month for remdesivir,
which has been identified as a possible treatment. A Gilead spokesperson
said the company doesn’t discuss individual cases. Maimonides Medical
Center didn’t comment on the situation.
Some doctors with less serious, though still severe, cases say they
are reluctant to take up a bed in their hospital since they can rely on
their own skills.
One Central Massachusetts interventional cardiologist who tested
positive for the virus earlier this month said he is managing his severe
case from a mattress on the floor of his home office. To make sure his
oxygen doesn’t dip dangerously low, he attached a finger monitor that
his wife bought at Walgreens. At night he gets overcome with eerie
febrile hallucinations where he hears a nurse call him to see a patient.
But the only patient in the room is him, said the doctor.
Dr. Malhotra said the severity of his illness scared him.
A CrossFit devotee with no underlying medical conditions, he came
home from a night shift earlier this month and sensed his temperature
was rising. The next night he was sweating. He sent his wife to load up
on Gatorade and went to his hospital for a coronavirus test at their
employee testing area, which offered a quick turnaround.
Two days later, the results came back negative.
“There’s no way I don’t have this thing,” he said to himself. “I’ve
never felt this bad before.” So he went back for a second test, and that
came back positive for Covid-19.
A friend who is an infectious-disease specialist offered to call in
prescriptions for hydroxychloroquine and azithromycin, two drugs that
are being tested to treat the virus. Dr. Malhotra, who trained as an
internal medicine physician, said no.
He didn’t want to use up drugs that could go to sicker patients, and he worried that their side effects carried their own risks.
Dr. Malhotra said he wore an N95 mask and surgical gown while giving
suspected coronavirus patients intravenous antibiotics and oxygen. At
least one of them tested positive for Covid-19, he said. If those
patients didn’t give it to him, he suspects that he picked it up
elsewhere at work.
“It wasn’t like I was walking around in the hospital gowned up 24-7,”
he said. “It’s tough for health-care workers to avoid it because it’s
staying in the environment.”
Dr. Malhotra said he hasn’t seen his own primary-care doctor in four
years and is instead leaning on his boss to monitor his symptoms — which
recently have grown less severe — by text message. He took Tylenol and
Motrin at least twice a day. He’s also taking electrolyte tablets that
his wife consumes when she runs marathons.
“Other than turning toward my own friends and colleagues, I wouldn’t know who to turn to in this situation,” he said.
When he first came down with the virus, Dr. Malhotra said his
children disinfected the door handles. But once his wife and daughter
developed mild symptoms, that stopped.
On Friday, their suspicions were confirmed when his wife’s test
results showed she also has the virus. When Dr. Malhotra called the
urgent-care clinic for his daughter’s results, they said her test order
had been canceled. The clinic offered no explanation, he said, just an
apology.
https://www.marketscreener.com/GILEAD-SCIENCES-4876/news/Gilead-Sciences-Doctors-With-Coronavirus-Frightened-by-Their-Own-Symptoms-30271907/
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