I ask about the monoclonal antibodies-too late for those. Must be given before Covid reaches this stage, usually in the first day or two.
Do you know how long he’s had Covid? No, he replies. No way to tell. But his inflammation markers were low on his blood test yesterday. Because of that he can have remdesivir, an anti viral, which will help at this stage. Later on, when the inflammation markers are higher we still give this drug but it is not as effective. Apparently, these markers help indicate how bad Covid is.
Do you know what’s wrong with his stomach? (He has severe pain in stomach and has received IV morphine for it beginning in the ER.) Covid is causing the stomach pain, he has changes in his stomach consistent with Covid.
. I don’t ask what changes. I probably would not understand the answer.
He seems sicker today. Yes, the doctor replies. That is the normal progression of Covid. His oxygen alarm goes off. Doctor says, let’s put that back on, ok? Joey reluctantly Agrees. The doctor explains his oxygen is off for meals, to make it easier for him to eat and drink. They will assess him Friday for his ability to go home. He will a new blood test-today-for those markers.
I ask about his heart. The cyst they found is not urgent. The ultrasound was showed his heart function was ok. The cyst will be assessed after Covid is over. Will he have/get long Covid, I ask. Probably not. Most patients who are vaccinated and get Covid, do not get long Covid. (Nothing is a 100% of course.)
What kind of Covid does he have? Since 90% of the Covid in Utah is delta, is am pretty sure he has delta. We do not test everyone for the variety. (I explained to the doctor how two of Joey friends at the shelter workshop have Covid. It is certain that Joey got Covid from Erika, a girl friend. I learned the afternoon of the evening that Joey got sick, from Joey, that Erika was home sick, for a week, with Covid.
Joey also says her parents have Covid. I learn from the director of the group homes, earlier, that the director learned today that the sheltered workshop is shutting down for two weeks due to the Covid spread. It spread like wild fire in that disabled population although every single person there has had two vaccinations and wears mask.)
I relay this information to the doctor. Yes, he says, that is delta. If they had not been vaccinated, they would probably die. Joey’s friend Erika, who has Down’s syndrome as well, does not need hospitalization. Her parents also have Covid.
Our conversation continues. Joey became very overweight during the Covid lockdown-this is a huge risk factor for him. Having Down’s syndrome is another risk factor but the weight is the biggest issue. It can not be known just how sick he will get. It is a waiting game.
We discuss my doing a DNI. He agrees-there is no way to know how someone will do on the “tube”. How long they will be on it, how much damage will occur because of it.
I thank him and he leaves. Joey looks very tired.
I discuss with Joey how he is drinking a coke, not a Diet Coke. He smiles and takes a drink.
He has Covid, I tell myself, let him have the dang coke. I tell him it’s ok in the hospital but once home, it’s back to diet. And once he is well, and he will hate me for this, the human rights paperwork will be filed and he will go on a strict diet to lose weight.
The doctor has said that people who have been vaccinated and had Covid have a strengthened immune system. This is pretty much common knowledge as far as I know. The doctor says a new study, unpublished as yet from Israel, confirms what we all have assumed. But he will still need the booster.
Joey is tied. I go home. I get no more calls. I do not call him as he will call me if he needs anything or wants to talk. In addition, the group home people call him, his brother calls him, and the doctor wants him to sleep and nap and rest as much as possible.
Besides I know how he is. He is sick.