Tuscarawas County ER Doctor Concerned About Winter Of COVID-19
An emergency room doctor at Cleveland Clinic Union Hospital in Dover is hopeful his staff can manage this winter’s coronavirus surge. The Tuscarawas County hospital is seeing on average about 40 COVID-19 patients per day.
According to NPR’s data on hospitalizations, the facility has 81% of its adult inpatient beds full, and more than half of those are coronavirus patients.
Dr. Nate Johnson has worked in the Union Hospital ER for 15 years and heads the stroke unit. When asked about his current level of concern about the coronavirus in his hospital, he replied, "On a scale of 0-10, I’m at an eight. I don’t know what a 10 would be, but I really don’t want to see it."
Johnson says the number of people coming into the ER back in March, when the pandemic began, was lower than normal.
"Our volumes went from 125 patients per day to 60 or 70 per day," he said. "And of those patients, maybe 30 a day, especially that first week, simply were coming in for very mild upper respiratory tract infection symptoms."
At that point, Johnson said the hospital set up tents outside to test people for the virus, and patients were avoiding the ER.
"Because our biggest examples in the United States were New York City and Washington State, I think most people were truly afraid of the illness," he said. "People with these symptoms were afraid to physically enter the emergency department because people were so concerned about being exposed to COVID-19."
Now, the number of patients coming in is higher, but still not at the volume seen pre-COVID.
"We’re seeing about 90 patients a day," Johnson said. "But of those patients, up to half are COVID-type patients. Either they know they have COVID and they’re coming in because they’re getting worse, or they have symptoms that most likely are related to COVID and they’re being diagnosed, or they’re being diagnosed and they’re very ill."
Johnson says every aspect of the hospital is full, including the ICU and their step-down units. As a result, the ER has become a place where patients have to stay longer.
"People come into the ER for something like a sprained ankle or something, and when they look around, it seems like there are patients everywhere and it seems like we’re the busiest time we’ve ever had," he said. "But it’s not a numbers issue, it’s an intensity issue. It’s really sick patients who take a really long time to work up and then take a really long time to get to a bed."
Johnson says another concern is that many nurses and techs are out sick, creating staffing shortages. He says that employees have been steadfast, though.
"When this started in March, I thought, ‘We are going to have a mass exodus of nurses and techs.' And the fact that these folks show up every day, we are so blessed with some great folks in our hospital," Johnson said.
While running out of space is a concern, Johnson thinks they'll be able to handle the surge.
"Because we are now part of the Cleveland Clinic system, we get a lot of advice and best practices that trickle down," he said. "And we have been really resourceful. We have opened up beds that had previously not been used and have staffed those with administrators. We always seem to make room."
Johnson says he still has optimism. In addition to the COVID-19 vaccine beginning to arrive in Ohio, he says his days don't seem as daunting.
"I’ve felt better my last couple shifts, and maybe the reason being is that I’m starting to see more traditional medical issues," he said. "We’re starting to see strokes and heart attacks show up. It’s not all just COVID. It’s amazing how every day I think that next shift is going to be terrible, and I show up for that next shift and it’s rough, but the ceiling doesn’t fall in."
Johnson says he's thankful for the community support.
"When I came here 15 years ago, I really didn’t know this community," he said. "They really support us, and it really makes you feel good about coming in. And it gives you a sense of ownership."