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Lost On The Frontline | Kaiser Health News

America’s well being care employees are dying. In some states, medical workers account for as many as 20% of identified coronavirus instances. They are inclined to sufferers in hospitals, treating them, serving them meals and cleansing their rooms. Others in danger work in nursing properties or are employed as residence well being aides.

Some of them don’t survive the encounter. Many hospitals are overwhelmed and a few employees lack protecting tools or endure from underlying well being circumstances that make them susceptible to the extremely infectious virus.

Many instances are shrouded in secrecy. “Lost on the Frontline” is a collaboration between The Guardian and Kaiser Health News that aims to document the lives of well being care employees within the U.S. who die from COVID-19, and to grasp why so many are falling sufferer to the pandemic.

These are among the first tragic instances.



California Nurse Thrived In ER and ICU, But Couldn’t Survive COVID-19

(Courtesy of the Baumbach household)

Jeff Baumbach

Age: 57Occupation: NursePlace of Work: St. Joseph’s Medical Center in Stockton, CaliforniaDate of Death: March 31, 2020

Jeff Baumbach, 57, was a seasoned nurse of 28 years when the novel coronavirus started to flow into in California. He’d labored within the ER, the ICU and on a cardiac ground. Hepatitis and tuberculosis had been round over time however by no means posed a significant concern. He’d cared for sufferers who had tuberculosis.

Jeff and his spouse, Karen Baumbach, additionally a nurse, initially didn’t take into account it considerably riskier than challenges they’d confronted for years.

“He’d worked in the ICU. He was exposed to so many things, and we never got anything,” she mentioned. “This was just ramping up.”

One day throughout work, Jeff despatched a sarcastic textual content to his spouse: “I love wearing a mask every day.”

Within weeks, he would wage a troublesome and regular combat towards the virus that ended with a sudden collapse. Across the U.S., dozens of different well being care employees have died, in accordance with studies compiled by The Guardian and Kaiser Health News. The CDC has not but issued a full tally, and lots of states have mentioned little about what number of well being employees are dying.

Jeff was working at St. Joseph’s Medical Center in Stockton, California, about an hour south of Sacramento, the place he was a case supervisor for Kaiser Permanente sufferers handled there. (Kaiser Health News shouldn’t be affiliated with Kaiser Permanente.)

In mid-March, Jeff and his spouse traveled to New York City to assist their youthful son, one in every of 4 grownup kids, settle into an condo. As they had been leaving, bars and eating places had been beginning to shut down. The feeling set in that one thing severe was happening.

Back residence, Karen mentioned her husband was notified that he could have been round a co-worker who examined optimistic for the coronavirus. Jeff would want to put on a masks. On March 23, he referred to as in sick. The subsequent day, he was informed to get a COVID-19 take a look at.

Jeff’s take a look at was optimistic. Soon after, so was Karen’s. The couple hunkered down collectively at residence, Karen with physique aches and congestion and Jeff with a fever and cough.

Their residence had been the location of numerous household brunches and barbecues, for which Jeff was usually the chef. It was the place he solved huge jigsaw puzzles together with his children, sealed them collectively and put them on the ceiling of the storage.

Kaila Baumbach, 26, the final baby residing of their Lodi residence, had moved out as a precaution. She and her dad had been shut. They had gotten tattoos collectively on a household journey to Hawaii. Hers, a peace signal. His had two giant Celtic hearts and 4 smaller ones to signify his kids. Kaila mentioned she didn’t textual content or name her dad when he was sick.

“I thought he was invincible,” she mentioned throughout a telephone interview, by tears.

Karen took Jeff to the emergency room on March 26, the place he was recognized with pneumonia, however selected to recuperate at residence. On March 31, he collapsed in an upstairs lavatory.

“It was just like that,” Karen mentioned. “It went downhill really fast.”

Karen referred to as 911 and went with him to Adventist Health Lodi Memorial, the hospital the place she labored. She sat in her automotive getting updates by telephone. Kaila waited in one other automotive.

The ventilator Jeff was related to had little impact and he remained unresponsive.

When it appeared hopeless, Karen went in, suited with full protecting medical gear, and informed Jeff, her husband of 33 years, she liked him. The children love him. And she was sorry.

“We both sat here all those days with him getting worse before my eyes and me not seeing it,” she mentioned. “The doctor reassured me that several times people have seemed to be OK and then they just fall off and then it’s just too late.”

Karen returned residence alone, nonetheless in quarantine.

The subsequent day, Kaila organized about 50 household and family members to drive by the couple’s residence and shine their telephone flashlights to point out help. Karen’s mom, Sharleen Leal, referred to as her at eight p.m.: “Look outside.”

Karen seemed out an upstairs window. Lights from traces of automobiles getting into each instructions on the avenue shone vibrant. Grieving, and awash with gratitude, she cried.

Christina Jewett, Kaiser Health News | Published April 15, 2020

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On The Eve Of Retirement, VA Nurse Succumbs To COVID-19

(Courtesy of Mark Accad)

Debbie Accad

Age: 72Occupation: Clinical nursing coordinatorHospital and Location: Detroit VA Medical Center in Detroit, MichiganDate of Death: March 30, 2020

Nurse Divina “Debbie” Accad had cared for veterans for over 25 years and was set to retire in April. But after contracting the novel coronavirus, she spent her ultimate 11 days on a ventilator — and didn’t survive previous March.

She joined a rising checklist of well being care professionals engaged on the entrance traces of the pandemic who’ve died from COVID-19.

Accad, 72, a scientific nursing coordinator on the Detroit VA Medical Center, devoted her life to nursing, in accordance with her son Mark Accad.

“She died doing what she loved most,” he mentioned. “That was caring for people.”

She was born Divina Amo within the Philippine city of Alimodian, identified for its candy bananas. The eldest of 4 kids, she was a precocious pupil. She completed highschool at age 14 and needed to wait a yr to pursue her dream of nursing college. She graduated from Central Philippine University with a bachelor’s in nursing in 1969.

Yearning to maneuver overseas, she utilized to a “fly now, pay later” program for nurses and landed a job in Chicago, becoming a member of tens of thousands of Filipino nurses who’ve migrated to the United States. She later moved to Taylor, Michigan, the place she married William Accad in 1985 and raised 4 kids with him.

Her niece April Amada lives in Accad’s hometown. She remembers her aunt as a beneficiant cook dinner: A go to from Tita Debbie (Aunt Debbie) meant unli-kainan, or “unlimited food”: She served up huge American breakfasts, cooked spicy kielbasa with cabbage and launched her household to Jell-O.

Accad was the “pillar of the family,” Amada mentioned, bettering their high quality of life by sending residence cash, and even supporting her youthful sister by nursing college.

Amada mentioned her aunt first signaled she was sick on the night of March 16, telling relations she had a fever and unfastened stool. On March 19, she reported feeling higher by taking Tylenol. But the next day, she was hospitalized with pneumonia, a complication of COVID-19. She informed her household within the Philippines that she had examined optimistic for the illness attributable to the coronavirus and requested them to hope for her and to unfold the phrase to native pastors, Amada mentioned.

Amada, who can be a nurse, mentioned her household felt helpless watching their beloved matriarch endure from afar, and being unable to journey to her bedside due to the infectious nature of the illness. They final noticed her face on a video name.

Mark Accad, 36, who lives throughout the road from his dad and mom, mentioned his mom had diabetes, a risk factor for severe problems from COVID-19. In her final telephone name with him, he mentioned, she was preoccupied along with her household’s well being greater than her personal. But he may hear in her voice that she was anxious.

“It’s just terrible that we all couldn’t be there for her,” he mentioned.

Mark Accad mentioned he believes his mom was uncovered by contaminated co-workers, although that hasn’t been confirmed. She was a nursing supervisor who usually stepped in to look after sufferers, he mentioned.

The Department of Veterans Affairs is facing serious shortages in protecting tools for its well being care employees, in accordance with inner memos obtained by The Wall Street Journal. Mark Accad mentioned he doesn’t know whether or not his mom had satisfactory protecting gear.

In an announcement, the Detroit VA Medical Center declined to touch upon Accad’s case, citing privateness issues, however confirmed that an worker of her age died from coronavirus problems.

The VA has “implemented appropriate measures to ensure the safest health care environment for each Veteran, visitor and employee,” together with instantly isolating sufferers identified to be in danger for a COVID-19 an infection. As of Monday, 9 VA well being care employees systemwide had died of COVID-19 problems, and over 1,500 had been being quarantined due to coronavirus infections, in accordance with VA spokesperson Christina Noel.

Mark Accad mentioned he would love his mom’s story to boost consciousness of the dangers well being care employees face within the world pandemic.

“She’s a hero for what she did,” he mentioned.

Melissa Bailey | Published April 15, 2020

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Nurse’s Faith Led Her To Care For Prisoners At A New Jersey Jail

(Courtesy of Denise Rendor)

Daisy Doronila

Age: 60Occupation: NurseHospital and Location: Hudson County Correctional Facility in Kearny, New JerseyDate of Death: April 5, 2020

Daisy Doronila had a unique perspective than most who labored on the Hudson County Correctional Facility, a New Jersey lockup 11 miles from Manhattan. It was a spot the place the veteran nurse may put her Catholic religion into motion, exhibiting kindness to marginalized individuals.

“There would be people there for the most heinous crimes,” mentioned her daughter, Denise Rendor, 28, “but they would just melt towards my mother because she really was there to give them care with no judgment.”

Doronila, 60, died April 5, two weeks after testing optimistic for the coronavirus that causes COVID-19. The jail has been hit onerous by the virus, with 27 inmates and 68 workers members having examined optimistic. Among these, one other nurse, a correctional officer and a clerk additionally died, in accordance with Ron Edwards, Hudson County’s director of corrections.

The jail is the location of a significant outbreak. According to published reports, one other nurse and a correctional officer who labored there have died. More than 40 staffers and 20 inmates or immigration detainees had examined optimistic for COVID-19 as of April 6.

Hudson County and jail officers didn’t reply to calls or emails with up to date numbers.

Doronila fell unwell earlier than the scope of the jail infections had been identified. She was choosing up additional shifts within the weeks earlier than, her daughter mentioned, and planning on a visit to Israel quickly with pals from church.

That plan started to collapse March 14, when somebody on the jail seen her coughing and requested her to go residence and go to a physician.

Doronila, of Nutley, New Jersey, went to her physician and a neighborhood hospital within the coming days however was informed she had strep throat, so she wouldn’t get a coronavirus take a look at. Then she was informed her fever wasn’t excessive sufficient to benefit a take a look at.

Edwards, the jail chief, mentioned Doronila provided to return again to work after she began feeling unwell, not eager to let him down. He informed her to remain residence and relaxation.

“She was one of my hardest workers,” he mentioned, describing her as refined, clever and compassionate. “Daisy could handle herself. If someone got obnoxious with her, she’d put them in their place and call for help if she needed to.”

As days glided by in March, her situation bought worse. Feeling breathless, she went to an pressing care heart on March 21.

Her oxygen saturation degree was 77 ― far under ranges that must be near 100 — so she was despatched by ambulance to the hospital. The subsequent day, she was transferred to the ICU, the place she was placed on a ventilator, by no means to speak to her household once more.

Rendor, who was not allowed to go to her mom, mentioned time crawled as she awaited updates from nurses and medical doctors.

On her fifth day within the hospital, her mom went into cardiac arrest and was revived. On Day Nine, she was placed on dialysis.

By Day 14, it was futile.

Rendor mentioned her mom emigrated from the Philippines as a younger nurse. She liked to decorate in trendy garments and eat seafood on the waterfront in New York City.

The two liked to buy collectively and had been trying ahead to the subsequent chapters in life. For the mom, retirement at 65. For Rendor, marriage and maybe beginning her circle of relatives.

“It was about to get really, really good,” Rendor mentioned.

Christina Jewett, Kaiser Health News | Published April 15, 2020

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An Army Veteran, Hospital Custodian ‘Loved Helping People’

(Courtesy of Michelle Wilcox)

Alvin Simmons

Age: 54Occupation: Environmental service assistantPlace of Work: Rochester General Hospital in Rochester, New YorkDeath: March 17, 2020

Alvin Simmons began working as a custodian at Rochester General Hospital, in New York state, weeks earlier than he fell unwell. “He loved helping people and he figured the best place to do that would be in a hospital,” his sister, Michelle Wilcox mentioned.

An Army veteran who had served within the first Gulf War, Simmons liked karaoke and doted on his three grandchildren, Wilcox mentioned. “He was a dedicated, hardworking individual who had just changed his life around” since a jail stint, she mentioned.

According to Wilcox, Simmons started creating signs shortly after cleansing the room of a girl he believed was contaminated with the novel coronavirus. “Other hospital employees did not want to clean the room because they said they weren’t properly trained” to scrub the room of somebody doubtlessly contaminated, she mentioned. “They got my brother from a different floor, because he had just started there,” she mentioned. (In an e mail, a hospital spokesperson mentioned that they had “no evidence to suggest that Mr. Simmons was at a heightened risk of exposure to COVID-19 by virtue of his training or employment duties at RGH.”)

On March 11, he visited the emergency room at Rochester General, the place he was examined for COVID-19, Wilcox mentioned. Over the subsequent few days, as he rested at his girlfriend’s residence, his respiration turned extra labored and he started to cough up blood. He was rushed to the hospital on March 13, the place he was later declared brain-dead. Subsequently, he acquired a COVID-19 analysis. Simmons died on March 17.

Danielle Renwick, The Guardian | Published April 15, 2020

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Nurse At Nevada VA Dies After Caring For Infected Colleague

(Courtesy of Bob Thompson)

Vianna Thompson

Age: 52Occupation: NurseHospital and Location: VA Sierra Nevada Health Care System and Northern Nevada Medical Center in Reno, NevadaDate of Death: April 7, 2020

Nurse Vianna Thompson, 52, spent two evening shifts caring for a fellow Veterans Affairs well being care employee who was dying from COVID-19.

Two weeks later, she too was mendacity in a hospital intensive care unit, with a co-worker holding her hand as she died.

Thompson and the person she handled had been amongst three VA health care workers in Reno, Nevada, to die in two weeks from problems of the novel coronavirus.

“It’s pretty devastating. It’s surreal. Reno’s not that big of a city,” mentioned Robyn Underhill, an evening nurse who labored with Thompson within the ER at Reno’s VA hospital the previous two years.

Thompson, who dreamed of educating nursing in the future, died April 7, becoming a member of a rising checklist of well being care professionals killed within the pandemic.

Born Vianna Fye in Port Huron, Michigan, she turned a go-getter nurse who labored nearly completely at evening, placing in 5 or 6 12-hour shifts per week, in accordance with her husband, Bob Thompson, 60.

The couple met in 1991 on the Osan Air Base in South Korea, the place he was a listing administration specialist within the Air Force, and he or she was a veterinary technician within the Army, caring for navy police canines. They bonded over two-step dancing and nation music.

Vianna was a “proud momma,” usually exhibiting off photographs and movies of their three sons on her telephone, her husband mentioned. As the principle breadwinner for over eight years, she juggled two jobs to verify her boys had every little thing they wanted, together with saxophones, drums and keyboards so they might play jazz and nation music. “She was just sweet, big-hearted, caring, unselfish,” he mentioned.

Before she died, Thompson was working two jobs: full time within the ER on the VA Sierra Nevada Health Care System in Reno, and half time within the ICU at Northern Nevada Medical Center.

In the ICU, she tended to a fellow VA well being care employee who had fallen unwell with COVID-19, in accordance with nurse Underhill. Two days later, on March 29, Thompson arrived at work with a cough.

“She came to work sick, and we were all very concerned,” Underhill mentioned. “Call it intuition, call it ‘Spidey sense,’ but I knew that moment that she was coughing that this was not going to end well.”

Underhill mentioned Thompson already had a slight smoker’s cough, so she could have neglected the truth that her cough was a traditional symptom of COVID-19.

“She was in denial that she was taking care of this high-risk population,” Underhill mentioned. And she was reluctant to overlook work.

That Sunday shift could be Thompson’s final. Over the subsequent 4 days, she wrestled with fever, weak spot and shortness of breath. The following Thursday, she texted her husband from the bed room: “Call the ambulance, I can hardly breathe.”

She was taken to the VA hospital the place she labored and instantly sedated and placed on a ventilator.

The subsequent Tuesday, her organs had been failing and it was time to take away life help, her husband mentioned. They related him on FaceTime to say goodbye, and a nurse held her hand as she died.

As a veteran, she certified for an “honor flight,” wherein the affected person’s physique is roofed with a black field, draped with an American flag and wheeled by the hospital whereas others line up and salute.

Because of the infectious nature of the coronavirus, a flag couldn’t be safely draped over her physique, so somebody walked in entrance of her with a flag.

Bob Thompson mentioned the dignity flight ceremony drew extra individuals into the hallways than workers had seen in 20 years, “all the way from the ICU to the morgue.”

“God’s getting a hell of a nurse,” he mentioned.

Melissa Bailey | Published April 15, 2020

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Dr. J. Ronald Verrier Was Busy Saving Lives Before The Pandemic

(Courtesy of Christina Pardo)

J. Ronald Verrier

Age: 59Occupation: SurgeonHospital and Location: St. Barnabas Hospital within the Bronx, New YorkDate of Death: April eight, 2020

Dr. J. Ronald Verrier, a surgeon at St. Barnabas Hospital within the Bronx, spent the ultimate weeks of his audacious, unfinished life tending to a torrent of sufferers inflicted with COVID-19. He died April eight at Mount Sinai South Nassau Hospital in Oceanside, New York, at age 59, after falling unwell from the novel coronavirus.

Verrier led the cost even because the financially strapped St. Barnabas Hospital struggled to search out masks and robes to guard its employees — many nurses proceed to make material masks — and makeshift morgues within the parking zone held sufferers who had died.

“He did a good work,” mentioned Jeannine Sherwood, a nurse supervisor at St. Barnabas Hospital who labored intently with Verrier.

“He can rest.”

Born in Port-au-Prince, Haiti, Verrier graduated from the Faculté de Médecine et de Pharmacie in 1986 and skilled at Lincoln Medical Center within the Bronx. He labored at St. Barnabas for 20 years, performing 1000’s of surgical procedures on critically unwell sufferers and trauma victims, whereas overseeing the overall surgical procedure residency program.

A towering presence with a large, dimpled smile, Verrier watched his giant flock intently — popping into sufferers’ rooms for impromptu birthday events, urgent his medical college residents to sharpen their surgical expertise and extinguishing doubt in vibrant, younger minds.

“He kept pushing me forward,” mentioned Dr. Christina Pardo, a cousin who turned an obstetrician and gynecologist. “I would call him and say, ‘I swear I failed that test,’ and he would laugh. He was my confidence when I didn’t have it.”

“He was someone you’d love to see if you were having a bad day,” mentioned Dr. Ridwan Shabsigh, chairman of the Department of Surgery at SBH Health System. “He would comfort your heart.”

The Verrier household stretches throughout continents — a boisterous crew of cousins who grew up as brothers and sisters, a pot of joumou, a spicy Haitian soup, at all times boiling someplace.

Verrier, who spoke English, French and Creole, zipped round to a niece’s marriage ceremony in Belgium, a baptism in Florida, one other marriage ceremony in Montreal. In February, he ferried medical provides to Haiti, returning to St. Barnabas to fortify the hospital for the surge of coronavirus sufferers.

Verrier helped steer the hospital’s efforts to extend — by 500% — the variety of critically unwell sufferers it may look after, an effort he labored on till he turned unwell.

“He was at the hospital every day,” Shabsigh mentioned. “This was a nonstop effort, day and night.”

Verrier found he was contaminated in early April. After creating signs, he labored from his Woodmere, New York, residence.

Undaunted, he didn’t need to speak about being sick. “He has this personality that, ‘Everything is going to be OK,’” mentioned Pardo.

Shabsigh spoke with him the day earlier than his dying.

“He understood the coronavirus, he understood the pandemic,” he mentioned. “He still maintained a high morale and hope that he would recover.”

When his situation worsened immediately, in accordance with Pardo, Verrier was taken by ambulance to a close-by hospital the place he died.

After a strong earthquake struck Haiti in 2010, Verrier tended to victims, treating dozens of sufferers who required amputations at a Port-au-Prince hospital.

“Sometimes you use a little anesthesia and you cut the limb,” Verrier mentioned soberly in a video recorded on the time. “Because you have to save a life.”

Sarah Varney, Kaiser Health News | Published April 15, 2020

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America’s First ER Doctor To Die In The Heat Of COVID-19 Battle

(Courtesy of Debra Vasalech Lyons)

Frank Gabrin

Age: 60Occupation: DoctorHospital and Location: St. John’s Episcopal in Queens, New York, and East Orange General in New JerseyDate of Death: March 26, 2020

At about 5 a.m. on March 19, a New York City ER doctor named Frank Gabrin texted a buddy about his issues over the shortage of medical provides at hospitals.

“It’s busy ― everyone wants a COVID test that I do not have to give them,” he wrote within the message to Eddy Soffer. “So they are angry and disappointed.”

Worse, although, was the restricted availability of private protecting tools (PPE) — the masks and gloves that assist preserve well being care employees from getting sick and spreading the virus to others. Gabrin mentioned he had no selection however to don the identical masks for a number of shifts, towards Food and Drug Administration pointers.

“Don’t have any PPE that has not been used,” he wrote. “No N95 masks ― my own goggles — my own face shield,” he added, referring to the N95 respirators thought of among the many greatest traces of protection.

Less than two weeks later, Gabrin turned the primary ER physician within the U.S. identified to have died on account of the COVID-19 pandemic, in accordance with the American College of Emergency Physicians.

Read more here.

Alastair Gee, The Guardian | Published April 10, 2020

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This story is a part of “Lost on the Frontline,” a undertaking from The Guardian and Kaiser Health News that goals to doc the life of each well being care employee in America who dies from COVID-19 in the course of the pandemic. If you may have a colleague or liked one we should always embrace, please share their story.

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