Tuesday 12th May 2020
Figures for 11th May
UK COVID Deaths 210 / Total 32,065
James Cook Hospital – Total COVID deaths – 210
I would like to share some really good news about my friend Gary, who has spent the last six and a half weeks in Intensive Care down in London.
Gary became severely ill as a result of COVID pneumonitis and became desperately unwell, even by intensive care standards. I have spoken before about his rocky path through Critical Care and how worried about him we have all been during this time. My last update was on May 5th when I was able to talk to him via one of the LifeLines charity tablets.
Since then he has continued to improve. Within the next day or so he was breathing completely by himself without the need for a ventilator. His weakness appeared to be improving day by day too, such that he could now lift his arms and wave during video calls to his family.
Two days later, Gary was strong enough to cough adequately by himself, meaning the tracheostomy could come out. His voice was still quiet and despite the removal of the tracheostomy, he was still unable to swallow properly.
He continued with his chest physiotherapy which had two aims, the first is to help him take deep breaths and keep his lungs open in order that his breathing is not too much work for him. The second is to help him cough strongly enough to clear the secretions that tend to build up inside the lungs following any episode of infection, be it viral or bacterial.
On Saturday, the ICU staff arranged for him to be wheeled out into a garden area they have adjacent to the ICU. It’s hard for people who haven’t spent any time in hospital to imagine the benefit this has for patients, even if it is just for a short while.
Gary has no recollection of becoming unwell and being admitted to hospital all those weeks ago. He remembers nothing of being admitted to ICU or any of the events that happened subsequently. This is probably for the best. Psychological issues following critical illness are sadly all too common and I hope that his amnesia may protect him from experiencing some of these.
The following day, I received a WhatsApp message that Gary had posted on the mountain biking group that I and some of his friends use to communicate. He was joking about the VE day bunting and holding the record on the Intensive Care static bicycle. It was almost like business as usual.
Today he was discharged from Critical Care to the ward. This is a major milestone.
He is still having problems with swallowing and is desperate to be able to eat and drink something. His voice is also still faint, such that he is getting frustrated with not being able to make himself understood some of the time. Apparently today, he was trying to get one of the nurses to understand that he wanted help with his phone so he could listen to a podcast.
Jenni has been surprised just how pleased the ICU staff have been at Gary’s ‘remarkable recovery’. Indeed she has commented on how often she has heard that phrase used. I can understand its repeated use all too well. We have seen a good number of COVID patients survive Critical Care but the majority of those have had shorter stays and have recovered much quicker. So far, at my hospital, we have only had one patient be as poorly as Gary, for as long as Gary and survive. We have seen many more deaths. I would be surprised if this is any different for the ICU staff at Gary’s hospital. When we see a patient like this who survives, despite the odds, it is cause for rejoicing. We have all been in a fairly dark place and desperately need successes like these to lift our spirits.
Hopefully he will not encounter any more problems. God knows he’s had more than his fair share. I would anticipate that he will spend a few more weeks in hospital if all goes well. Knowing how motivated and determined Gary is, it won’t be a day longer than is necessary!
Thank you Richard for your interesting comments, as always. Let's hope Gary's fitness also results in a shorter time to full recovery.
Jon
Hi ironmanjon Certainly luck has been involved. You could argue that it was nothing but bad luck that Gary was one of the few people who became so unwell as a result of his infection. It is the way that an individual’s immune system responds to the virus that is critical. Genetics and how your immune system has evolved over your lifetime must play a part here but not in a way that is currently understandable. Once, he became unwell to the extent he did, I believe the only reason Gary survived was because he was as fit as he was. Time and time again we see that patients who are fit do well when it comes to prolonged intensive care…
Thank you everyone. It’s been very cheering to read your messages of support!
Great news about Gary. Really pleased to hear he is on the mend!
Everyone who knows or who read about Gary will be relieved and thrilled with your update.
I'd like to ask if you have a view on what makes Gary a survivor when most others in the same position have sadly died?
Is it simply luck? Or Gary's genetics? Or Gary's physical fitness? Or Gary's mental strength?
I think I recall reading you suggested Gary may take 12 to 18 months to make a full recovery. It would be interesting to hear what will be happening during that period and why it takes such a long time. My strong hope is that for Gary it will be materially sooner.