COVID-19: The Second Wave, a Tsunami - Part 3
Response on war footing:
We were at war for more than a year, and now it had reached
unprecedented proportions. The gravity of the situation was soon understood by
the military hierarchy and a war ops room like setting was created
incorporating all the stake holders. All the non-clinical responsibilities were
delegated to the administrative staff in the formation, allowing us to focus on
our specialized task. Daily conference calls with the head of the formation
ensured speedy rectification of issues at hand especially pertaining to oxygen
crisis and manpower shortages.
For a change, the medical service had become the “Arms of
war” and the infantrymen in the staff were deployed to play the supportive
role. I could see their enthusiasm as
they seamlessly got involved in the hospital logistics and in the process,
developed a newfound respect for their medical brethren, whom they saw fighting
on the frontline, against this ruthless, invisible enemy.
Administrative tasks having been taken care of, the frontline
healthcare workers in the hospital got down to their task, all hands on the
deck. There were 5 physicians taking rounds of various wards twice a day, while
a few manned the triage areas and the out-patient department. This ensured optimum
workload distribution, and adequate time for the physicians to interact with
the patients. Every ward was supplemented with medical officers from other
departments, nursing staff and support staff who were present round the clock.
It was a unique experience for the non-medical specialists,
who had never seen such severe cases of respiratory failure, organ system
dysfunction and mortality in such high numbers. There respects for their
colleagues in the specialty of Medicine and other critical care team had risen.
Turning point:
As the surge of cases rose exponentially through the month of
April, the beginning of May showed a promising fall in number of cases as also
the test positivity rates started to recede. As the numbers of admissions fell,
with more recoveries, it was a heartening feeling to see happy patients going
home, having seen many around them who were not so fortunate. Over the next fortnight, number of critical
cases reduced with fall in number of deaths. Wards which had been overflowing
with patients till now and all ventilators being occupied, were showing signs
of recovery. There were fewer telephonic calls from frantic relatives asking
for availability of beds, and fewer emergency calls from the wards. Night sleep
had become more peaceful and days less tiring.

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