Pennsylvania - Coronavirus COVID-19

Hospitalized with coronavirus, I fought for my life as I watched the death toll rise in Philadelphia and beyond

by Maureen Boland, teacher at Abington High School, for The Philadelphia Inquirer

Last week, while lying in a hospital bed, struggling to breathe, I read about myself on the internet.

Anesthesiologist, Teacher Among New Confirmed Covid-19 Cases in PA,” the headline read. But the true headline is this: I’m one of the lucky ones.

Although I tested positive for COVID-19, developed pneumonia and dangerously high liver enzyme levels, I narrowly escaped being transferred to the ICU to be put on a ventilator. I’m home now, but I wake up each night around 2 a.m., reeling from the ordeal, still battling the emotional scars of the experience.

My symptoms emerged on Friday, March 13, the day after the high school where I teach English shut down under Gov. Tom Wolf’s orders. My daughter Julia accompanied me on a walk with our puppy. Halfway through, I felt overcome by weakness and complained to Julia that I didn’t know if I could make it back to our Wyncote home. She offered to go ahead and get the car, but, as a former runner, that hurt my pride, so I pushed through and made it home.

That afternoon, the fevers started — with a cough, chills, aches, and pains. A former journalist, I had been following the science of the coronavirus for weeks and was convinced I had it.

On Saturday morning, I called my doctor’s weekend service but was told by the covering doctor that he couldn’t order a test based on my symptoms alone. My fever never exceeded 100. I could breathe OK. I toughed out a weekend of fever, chills, and cough.

I called my doctor on Monday. I was told again I couldn’t get tested based on my symptoms, but I also couldn’t be seen in the office just in case I had coronavirus. My fevers continued through Tuesday. Luckily, my doctor called back later on Tuesday — regulations had changed overnight, he said, and he could now order a test for me because of my age — 52 — and my history of asthma.

On Wednesday morning, I visited the local drive-through testing site, a dystopian experience where the doctor dressed in full hazmat gear swabbed my nostrils and suggested I start steroids after listening to my lungs. He looked me in the eye and told me not to be afraid. My test results, he said, would take four days to process. Get on the prednisone, he urged.

I did, but by Thursday my breathing became labored and only worsened by the weekend. I developed nausea, lost my taste and smell. That’s the most notable hallmark of my coronavirus story — the symptoms kept morphing.

Meanwhile, as I watched the nightly news, I saw the stories streaming in about more people being hospitalized and dying. I began to fear the worst, while Julia started delicately suggesting that we might need to go to the emergency room. I could see the fear on her face. I was starting to panic, but I fought my family’s pleas. I wanted to avoid the hospital at all costs.

On Saturday morning, a week into my illness, I called my doctor’s weekend service again. I was barely able to speak and breathe. He insisted I go straight to my local ER.

My husband, Scott, drove me there and kissed me goodbye in the parking lot. He’d never be let in, I insisted, because I surely had given him and both of my daughters the coronavirus (not to mention my colleague and his father, who in the days since my diagnosis has tested positive and has been hospitalized twice with symptoms).

As soon as I was triaged, I was quarantined. That’s when my true ordeal started.

After being isolated in a room on a cot with the door closed, health-care workers started poking and prodding me as they ran various tests. Nurses took my blood pressure and completed blood work. Techs ran an EKG. The respiratory therapist gave me a nebulizer treatment of albuterol for my breathing. A team took an X-ray of my chest. Another COVID test was ordered. An IV line was put in. The ER doc questioned me, and I told him I was scared, that I couldn’t breathe. All the health-care workers who cared for me were diligently trying to administer good care. But it was clear that this virus was uncharted territory.

I waited in that ER room alone on a cot in a scant gown, hooked up to all sorts of wires, for about 10 hours before being moved to an official hospital room. I had no food or water. I had to study the tubes and wires so I could remember how to plug them back in when I went to the bathroom. I asked for a pillow, but there were none. No TV, the door closed at all times, I was left to labor to breathe and wait and worry.

When the ER doc returned with my test results and decided he’d be admitting me, I knew it wasn’t a good sign. I’d resisted the idea of the virus winning its war against my body, but, as I stared at the walls, alone, hour after hour, my new reality set in.

All those years of running, never smoking, a meat-free diet, daily vitamins. I shouldn’t be gasping for breath, I told myself. I thought about my girls and all we’d been through together. I got angry that my body was failing me.

EFGEAM3Q5RDSVOQZJEDR5I6WEM.jpg

Maureen Boland, posing here with her husband Scott, daughters Julia and Caitlin, and dog Anderson Cooper, is grateful to have survived the coronavirus and to have avoided being put on a ventilator. "As someone with asthma, one of my greatest fears is not being able to breathe on my own," she writes.
Between Saturday and Sunday, I was finally transferred to the cardiac unit, where I got more tests. My liver function levels were exponentially high. The X-ray showed pneumonia in my left lung. My COVID test came back positive at 4 a.m.

Because I’m a teacher and have come in contact with many students, I emailed my principal so that families could take precautions.

By Sunday the pulmonologist and infectious-diseases doctors explained that they were watching me closely and thinking about moving me to the ICU, where I might be put on a ventilator.

As someone with asthma, one of my greatest fears is not being able to breathe on my own. I knew the odds of coming off the vent were not good. I’d held my father’s hand and watched him die after days on a ventilator. At that point, I became terrified. I wanted to rip the IV from my arm and flee the hospital.

My family went into overdrive — and this is where I’m luckiest. When talk of the ICU and ventilator started, my sisters desperately tried to transfer me to the Hospital at the University of Pennsylvania, which has a coronavirus team. However, the two hospitals refused because they said my care plan wouldn’t change with the move. My husband remained calm and FaceTimed me by the hour, calming me when I was the most frightened and in pain. My daughters, brother-in-law, and niece delivered toiletries, food, an iPad, and other necessities to the hospital. My younger daughter, Caitlin, baked my favorite cake.

Even though I knew all the medical professionals were doing their best in challenging circumstances, I still felt alone in my battle against my body.

It was as if I were existing in a fish bowl: I could see doctors, nurses, and other staff discussing my case outside my window. We communicated by a phone next to my bed. I felt like a caged animal, a pariah, having to talk through a mask to the doctors and nurses who entered my room in protective gear.

It was an apocalyptic experience.

VXOEMW2JEBCABLXZDB6FRGIABY.jpg

MAUREEN BOLAND
From her hospital bed in isolation, Maureen Boland could see her doctors and nurses discussing her case through a window.
CNN was streaming into my room 24/7 and I watched the death numbers rise every day. Don’t let that be me, I thought to myself.

The most frightening part of the experience was that it felt as if every doctor who saw me contradicted the former, seemingly spitballing on my treatment plan.

I was put on steroids, then taken off steroids and told why the CDC warns against them in cases of the coronavirus.

I was given a nebulizer breathing treatment (which did really help me breathe better the first day), told I could have another, and then refused any others for the remainder of my stay (even when I asked repeatedly for one) — again, I was told, because they’re not recommended in COVID cases.

The first ER doctor said he and the X-ray doctor disagreed about my scan results.

My family debated with the team of doctors about whether to put me on the hydroxychloroquine. Whether it was the hydroxychloroquine or not, one day after being given the drug combination (antibiotics were added), I made some progress and began breathing better.

The liver function tests started trending back down. I narrowly escaped the ventilator.

On Wednesday night, I was released from the hospital to continue to heal at home. After five days without a shower and my body bruised all over, one of the first things I wanted to do was to take a bath.

I may be able to scrub off the gluelike sticky substance all over my chest from the repeated EKGs I was given, but it will take time for me to recover from this experience as I watch the numbers of coronavirus cases exponentially grow. I worry whether other victims of this insidious disease around the world enjoy the same access to luck, love, support, and medical care that I did.

As I submerged myself in the tub, trying to scrub away thoughts of the experience, the black-and-blues on my hands, arms, and stomach from needles and IVs remain as reminders of how important access to good public health care for all is — and how fragile we all are at this moment in time.

Maureen Boland is an English teacher at Abington High School.
 
Cases

updates, compare to last week on previous pages.

County Number of Cases Deaths
Adams 25
Allegheny 642 4
Armstrong 13
Beaver 96 6
Bedford 4
Berks 326 3
Blair 5
Bradford 10
Bucks 619 17
Butler 91 2
Cambria 7
Cameron 1
Carbon 59 1
Centre 44
Chester 307 3
Clarion 6
Clearfield 7
Clinton 3
Columbia 26
Crawford 9
Cumberland 68 2
Dauphin 132 1
Delaware 822 15
Erie 20
Fayette 29 1
Forest 4
Franklin 32
Fulton 1
Greene 12
Huntingdon 4
Indiana 17
Juniata 11
Lackawanna 190 7
Lancaster 408 11
Lawrence 24 2
Lebanon 124
Lehigh 1006 8
Luzerne 849 5
Lycoming 10
McKean 1
Mercer 18
Mifflin 5
Monroe 572 11
Montgomery 1230 18
Montour 33
Northampton 716 12
Northumberland 15
Perry 5 1
Philadelphia 3611 28
Pike 125 2
Potter 3
Schuylkill 103
Snyder 8 1
Somerset 6
Sullivan 1
Susquehanna 6
Tioga 8
Union 6
Venango 5
Warren 1
Washington 53
Wayne 35
Westmoreland 157
Wyoming 5
York 189 1
 
Action News reporter George Solis recovers from coronavirus

PHILADELPHIA (WPVI) -- Action News welcomed reporter George Solis back to work after his battle with the coronavirus.

George joined us on Action News on Monday evening to tell his story:


I would describe my case as mild at best. I instantly took precautions as soon as I felt ill.

There were moments when I felt better and moments when I was afraid, unsure how my body was fighting the virus.

Through it all I had many friends, colleagues, and family checking up on me which I feel helped with recovery.

I first recall feeling unwell on March 21st. I had finished my report for the day I remember reciting:

"As you can imagine it will be some time before things back to normal for them."
 
Experimental coronavirus vaccine given to Philadelphia volunteers
by Tom Avril, Updated: April 6, 2020- 11:59 AM
VNOXRUUCOVAZ3FXKICSM6MO3YE.jpg

MONICA HERNDON / STAFF PHOTOGRAPHER
A few minutes before 4 p.m. Monday, a researcher placed metal probes against the skin of a healthy volunteer at the University of Pennsylvania, delivering a small dose of fluid with a large goal: to protect the world against the coronavirus.

The volunteer was the first of three people this week to receive an experimental vaccine made by Inovio Pharmaceuticals of Plymouth Meeting. The company began work on its vaccine just 10 weeks ago, after Chinese authorities published the microbe’s genetic code, an accelerated schedule that once was unimaginable.​
  • “Here we are the first week of April, and we’re starting to vaccinate people,” said Pablo Tebas, the Penn Medicine physician overseeing the effort. “The whole time frame has been collapsed.”

    The study will enroll up to 40 volunteers, split between Penn and the Center for Pharmaceutical Research in Kansas City, Mo., the company said.

    Human tests have begun on at least one other vaccine candidate, made by Cambridge, Mass.-based Moderna Inc., but most of the several dozen vaccines in development have not reached that stage.

    Each volunteer at Penn will receive two doses of the Inovio vaccine, spaced four weeks apart. Screening of potential participants at the Kansas City site is underway.

    A primary goal is to make sure the vaccine, for now called INO-4800, does not cause any adverse effects. Researchers also will analyze blood samples from participants to make sure their immune systems are generating an appropriate response — a key marker of whether their bodies would be able to fight off an infection.

    The vaccine volunteers are not being exposed to the virus, at least not on purpose. But separately, scientists are doing that in animal studies. Several dozen labs and companies are at work on vaccines worldwide; none is expected to be ready before next year.

    Even so, that timetable would represent the fastest development of a vaccine.

    Getting the process done by next year will require a lot of work and careful scrutiny, said Richard Hatchett, chief executive officer of the Coalition for Epidemic Preparedness Innovations, which helped fund development of the Inovio vaccine.

    “Producing a COVID-19 vaccine within the next 12 to 18 months is not only a scientific challenge; it will also require new levels of collaboration and investment across industry and government,” he said in a statement issued by Inovio. “There is still a long road ahead before we have a safe, effective, and globally accessible vaccine ready for broader use, but today we have reached an important milestone on that journey.”

    Early lab tests of the Inovio vaccine were done at Philadelphia’s Wistar Institute, in the lab of David B. Weiner, a member of Inovio’s board. The technology used to make the vaccine is based on research Weiner did while at Penn.

    The approach is dramatically different from that used in most vaccines, in which people are injected with a weakened or killed form of a virus so their immune systems can learn to make antibodies to fight off a real infection.

    Instead, the Inovio vaccine is a plasmid: a minuscule package of genetic instructions injected into the person’s skin cells. The cells make a fragment of the virus, enabling the person’s immune system to make antibodies in much the same way it would respond to the weakened or killed viruses in a traditional vaccine.

    Called a DNA vaccine, Inovio’s drug can be assembled quickly from chemical components. A traditional whole-virus vaccine, on the other hand, is typically isolated and purified from strains in animals — a process that takes years.

    Tebas, an infectious disease specialist at Penn, said there is no shortage of volunteers willing to try the vaccine. The Philadelphia site has enough for the first round of the trial, but if all goes well, more will be needed.

    “There has been tremendous interest in this vaccine among people who want to do what they can to help protect the greater public from this pandemic as soon as possible,” he said in the Inovio news release.


    Posted: April 6, 2020 - 11:59 AM
    Tom Avril | @TomAvril1 | tavril@inquirer.com
 
Bucks COVID-19 Cases Pass 700; Death Toll Reaches 20
April 6, 2020
Bucks COVID-19 Cases Pass 700; Death Toll Reaches 20
Eighty new COVID-19 cases pushed the county’s total to 713 today, while three more residents with coronavirus died.

The large number of new cases is not a sign of a surge taking hold, said Bucks County Health Department Director Dr. David Damsker. More than half of the new cases came from a single private laboratory that was reporting multiple days of results, he said.

“We are definitely seeing a larger chunk of cases happening among healthcare providers,” Damsker said, along with others who have jobs requiring them to work in close proximity to fellow workers and members of the public.

“Everybody wants to talk about the surge,” Damsker said, but he said it has not been seen among the general population that has been self-isolating at home. “If we have a surge, it’s going to be in the healthcare providers, workers and residents in congregate settings, and the people who have to be out there working essential jobs that bring them into contact with a lot of people. However, given the new masking recommendations, we hope that will help reduce the risk of these outbreaks over the next two weeks.”

While Bucks County’s cases have risen steadily, an increasing number of patients also are recovering. Approximately 110 people are confirmed to have recovered and have been removed from isolation.

Today’s three deaths once again were among elderly people with underlying health issues: a man in his early 90s, a woman in her late 80s and a second man in his late 80s. Twenty county residents with coronavirus have now died.

Thirty-six patients are hospitalized, 12 of them in critical condition on ventilators.

Pennsylvania’s death toll stood at 162 at the beginning of the day as the statewide case total reached almost 13,000 across all but two of the commonwealth’s 67 counties.

Residents of 48 of Bucks County’s 54 municipalities have tested positive for the virus. A map showing those municipalities and charts of other coronavirus-related information is on the county’s data portal: Bucks County, PA COVID-19 Hub Site
 
Penn, they're good!

We have some of the greatest healthcare in the country, maybe even world, in Philly.

Penn, Jefferson, Mainline, Temple, Einstein, Trinity Health among them.
Agreed. Thankful always to be in the Philly area. And over here in South Jersey as well - Cooper, for one.
 
.
- York County,
Pennsylvania -
- Stay-At-Home Charge Withdrawn -
- 29 March 2020 -

York County is in South-Eastern, PA

4)) Magisterial District Judge Docket:
https://ujsportal.pacourts.us/docke...-NT-0000226-2020&dnh=U1xln9Qwqu2ZXacM/v1q/g==

5)) ABC TV:

State police issue first stay at home order citation to York woman ‘just going for a drive’

6)) York Daily Record:
Red Lion woman cited $200 in violation of the stay-at-home order after going for a drive

7)) The Disease Control & Prevention Act of 1955:
Pennsylvania Statutes Title 35 P.S. Health and Safety § 521.20 | FindLaw
§ = Section
§§ = Sub-Section
DA = District Attorney
EMS = Emergency Medical Services
ID'd = Identified - Identification
LE = Law Enforcement
MDJ = Magisterial District Judge
PSP = Pennsylvania State Police


[Contribution # 7252
Thread # 516295]

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Pa. plans for 'eventual’ relaxation of social distancing; Philly looking into rapid blood tests for coronavirus

As the pandemic surges, ‘no one deserves what’s brewing in Kensington’

"What happens if the virus descends on Kensington Avenue?

That’s the fear on everyone’s mind in a neighborhood that has, perhaps, no equivalent in any other American city — a dense residential community of a few square miles overwhelmed, almost to a whole, by a vast open-air drug market and its customers: the hundreds of young people with addiction, many of them homeless, who live and use opioids, huddled on the neighborhood’s main thoroughfare.

Here, vulnerable people shoulder at once the effects of several devastating public health crises. The grip of addiction. The diseases that can follow — like last summer’s hepatitis A outbreak. The gun violence sparked by the drug trade — outmatched only by the staggering fatal overdose rate."
 

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