Category Archives: Covid 19

Public health nurse reflects on treating coronavirus patients in their homes

Public health nurse first to test Solano residents from Travis

By Todd R. Hansen, Daily Republic, March 29, 2020
Public Health Nurse Rodney Butterfield shows how to put on protective gear when testing patients for Covid-19 during a Solano Public Health Practical Skills Training-Outbreaks and Infection Control session at the Solano County Events Center in Fairfield, Tuesday, March 24, 2020. (Aaron Rosenblatt/Daily Republic)

FAIRFIELD — Rodney Butterfield was not new to infectious diseases.

“As nurses, you frequently enter a space where a patient has an infectious disease,” said Butterfield, a 14-year veteran in the nursing profession, the past two as a registered nurse in the Solano County Public Health division. “But this was a little different.”

He volunteered to help test and track the health progress of four Solano County residents at their homes: three who had been released into Public Health care from Travis Air Force Base and one who is believed to have contracted the Covid-19 disease through a community contact.

Public Health Nurse Rodney Butterfield demonstrates proper technique for adorning protective gloves before testing patients for Covid-19 during a Solano Public Health Practical Skills Training-Outbreaks and Infection Control session at the Solano County Events Center in Fairfield, Tuesday, March 24, 2020. (Aaron Rosenblatt/Daily Republic)

Butterfield said the coronavirus was new to everyone – medical professionals and members of the public alike. There was very little information about it, and not all the information was correct, or it was changing so rapidly that even the medical profession struggled to keep up.

He said even today physicians are calling the Public Health office to make sense of the sometimes conflicting information, and there are frequent updates on how the virus can be transmitted.

The primary way, however, remains person-to-person, so health officials continue to emphasize the need to wash hands, keep a healthy distance from other people and to keep your environments clean and sanitized.

Even worse at the beginning, Butterfield noted, everyone who seemed to be getting Covid-19 were dying, if the scattered media reports were to be believed.

“So, yeah, it was a little scary because everything I’ve dealt with in the past was known,” Butterfield said. “It put you on a red alert to be cautious with all you did.”

But as cautious as the situation made Butterfield, he said his clients were truly scared.

“They were frightened. . . . At the time, they didn’t know anything about (the novel coronavirus). We didn’t know anything about it,” Butterfield said.

To make matters worse, and the isolation even more severe, neighbors were also uncertain and did not necessarily react with a sense of understanding or kindness.

“I don’t know what the neighbors said, but my clients felt ostracized,” Butterfield said.

“The question that was most penetrating for us was, ‘What is going to happen to us?’ ” Butterfield said of his clients’ concerns.

It was a question that had far-reaching effects, from the immediacy of their health to their families to what the future would be like for them.

Butterfield, who was a construction contractor in Utah in his first life and started his second career as a licensed vocational nurse in correctional facilities, said his four clients have recovered, and he has talked to two of them since.

“They were just thrilled that they were past this thing,” Butterfield said. “I think what they were thankful for the most was I was giving them the most updated information available.”

Butterfield has now returned to his normal duties, though he still fields calls about the new coronavirus. Many are from individuals who are concerned for their health because the companies they work for have not shut down or made any attempt to adhere to social guidelines.

Butterfield said the experience has made him wonder if he should have gone into research, because it will be researchers who find the ultimate cure.

“I just hope next year we will all be getting vaccinated for this,” Butterfield said.

Most people who have the new coronavirus experience only mild or moderate symptoms, such as fever and cough. Some people, especially older adults and those with underlying health problems, experience more severe illness such as pneumonia, or death.

The vast majority of people recover. The World Health Organization reports people with mild illness recover in about two weeks, while those with more severe illness may take three to six weeks to recover.

Access, transparency lacking in media coverage of coronavirus

Editor: Note reference to relaxation of HIPAA restrictions, perhaps significant here in Solano County.  – R.S.

The scariest aspects of the coronavirus are what we can’t see on TV

By Brian Stelter, CNN Business, Host on Reliable Sources, March 26, 2020

We see the daily counts of coronavirus cases and deaths; the long lines for tests; and the White House briefings where the president pretends the situation is not dire.

But we’re not able to see inside the emergency rooms and intensive care units where this invisible demon is being fought.

We’re not able to see the front lines. Or the full extent of the human suffering. We only hear about the battle through the testimonies of doctors and nurses; though the pleas of governors and mayors; and through interviews with patients who are well enough to call in via Skype.

Does this distort the public’s understanding of the virus? Does the lack of visibility make it hard for some folks to process how serious this pandemic is? I asked Esther Choo, emergency physician and health care advocate who started the #GetMePPE hashtag last week.

Yes, she said via text, “this whole thing has been hampered by its abstractness. I mean, half the interviews on TV that I’ve seen are totally well people pissed they didn’t get tested.” But they’re not the real faces of this pandemic — the hospitalized patients are. “The truth is, the sickest patients are terrifying,” Choo said. “They are air hungry, dropping their oxygen, confused, distressed. We can never show that. But it is terrifying.”

Choo put it this way: “What would the zombie apocalypse be like if we only had verbal descriptions of zombies, but could never show them?”

HIPAA restrictions and media ethics issues both stand in the way of having cameras in hospital corridors. So this crisis challenges reporters to get creative…

Painting ugly pictures with words

This graf of a must-read NYT story about the surge at NYC hospitals is the closest we can come to seeing inside the ER: “Rikki Lane, a doctor who has worked at Elmhurst for more than 20 years, said the hospital had handled ‘the first wave of this tsunami.’ She compared the scene in the emergency department with an overcrowded parking garage where physicians must move patients in and out of spots to access other patients blocked by stretchers.”

“Tomorrow will be worse”

Meredith Case, an internal medicine resident at Columbia, took to Twitter on Wednesday because she said the press “does not reflect our reality.” The deluge of patients “is here,” she wrote in the morning. “Our ICU is completely full with intubated COVID patients.” At night she signed off with this: “Today was the worst day anyone has ever seen, but tomorrow will be worse. We are on the precipice of rationing. Needless to say, these decisions run counter to everything we stand for and are incredibly painful…”

? Via the NYPost: “A stunning photo shared on social media shows three nurses at Mount Sinai West posing in a hallway while clad in large, black plastic trash bags fashioned into makeshift protective garb…”

? In Louisiana: “Number, rate of hospitalized patients also up…”

? In Michigan: Hospitals are “nearing capacity…”


New York (CNN Business) A version of this article first appeared in the “Reliable Sources” newsletter. You can sign up for free right here.

Benicians gear up to make masks for local healthcare workers

Editor: We received the following email from Benicians Larnie and Bodil Fox.  They are organizing a strong effort in Benicia to sew medical masks for healthcare workers.  See their video at https://youtu.be/Uyh6iAKqrao. Reach out to them at larniefox at gmail dot com if you can help!  – R.S.

From: Larnie and Bodil Fox
Sent: Saturday, March 28, 2020 2:49 PM
Subject: Urgent need

Benicia Resisters ~

This is a call for help.

Bodil and some friends have started sewing medical masks for health care workers. We are fielding requests for hundreds of masks at this point. Currently we are distributing masks to Kaiser Vallejo, Kaiser Antioch, Oakland Children’s Hospital and Alta Bates Berkeley. We are going the un-official route ~ getting them to nurses that work at these facilities who distribute them to their co-workers. They report that the people who get them are really grateful, and our home-made masks are most definitely being used, and we believe, saving lives.

More are needed.

We are looking for people who can sew, donations of cotton fabric and 1/4 inch elastic, and we would like to hear from anyone who has a need. We have fabric and elastic available for anyone who will turn them into masks.

HERE is a short video we put together to show the mask style we have been using. This design, by Ruby Wallis, is quick and easy to make and fits over an N95 mask which extends its life. We know these masks are not ideal, but they are much better than the nothing that is currently available. Please share.

This is a photo of some nurses at Kaiser Vallejo wearing our masks.

Let us know if you can help.

Stay safe!

Bodil & Larnie
larniefox at gmail dot com