My Second Covid19 Patient

Last night, I was assigned to my second Covid19 patient. He is a 53-year-old male who was admitted several weeks already due to bowel perforation. His name is Fhroylahn Cahbhutho (was intentionally misspelled due to confidentiality reasons, and for my own record as well).

He had a history of testosterone replacement therapy due to his hypogonadism which his body did not tolerate thereby causing poratl vein, splenic vein, and superior mesenteric vein thrombosis and eventually bursts due to wall weakening which eventually led to bowel perforation with underlying peritonitis and sepsis.

He came to us Covid19 negative and was been in the facility for several weeks where he developed extremely high fever which was only thought to be sepsis because he has a diagnosis for sepsis. When the MD ordered to test him for Covid19 the result came back positive.

He was even surprised why he had Covid19 because he knew he was tested at Cedars before he left and he was negative. How in the heck he got the virus while staying in the East Unit for a while.

For the record, he is on room air and was breathing fine, no complaints of headache, nor diarrhea, no respiratory problems, no anosmia and loss of appetite. Was noted to be euthermic and only complained that he was sweating occasionally.

Naturally, he was placed on total isolation and was assigned to only one nurse (which unfortunately happened to be me). I clustered all his care and attended to his needs so that I will only spend a minimal amount of exposure with him despite wearing the gears or PPE's for the Covid19. Of course I have to wear N95 mask, bonnet, shoe covers, gloves (doubled up), face shield and goggles, aprons, etc. Also observing proper handwashing technique and use of sanitizers when the hands are not really soiled.

Thorough precautions was observed and I always made sure that his colostomy bag was emptied so as not to have leaked it out to the skin resulting in changing the bag and also emptying the urinal with urine because he frequently voids in it.

He is an easy patient and has no complaints other than medicating him of his Dilaudid for pain every 4 hours PRN as ordered for moderate pain. He is not a complainer and was chill. I had a good night with this assignment. Thank God!