So, let’s say this up front: this post is not from me, but from a friend. A friend who wanted this kept anonymous due to — well, not just the Internet, I’m sure, but friends and family. You are wise not to trust this, because it’s an account from a person you don’t know, a person without a name. I know them. And I trust them. And this story isn’t even that salacious or terrifying, except for me in a kind of subtle, dystopian way. This person asked if I could post this somewhere, and so here I am, posting it.
* * *
I got swabbed for covid-19 today.
I went in to my rheumatologist for a routine appointment, and at admission, I was asked if I’d had any of the symptoms listed on the wall. As it happens, I’ve had a very mild fever (between normal and 99.6) off and on since Feb. 20 (it’s March 10 as I write this, so 18 days), and a cough intermittently for even longer —but I have asthma, I have a cough a lot of the time.
So I told the nice woman manning the desk. She very apologetically gave me a paper surgical mask, then told me to sit in the waiting room. Some time later, I was told to go into an exam room to wait instead.
Even later still, a PA came in with gloves, a gown, a surgical mask and visor, awkwardly tried to take my temperature without holding the thermometer, and when it fell out of the sleeve and onto the ground, she gave up. Then she said my rheumatologist would call me later, and I should go to urgent care to be tested. She gave me a bad photocopy showing three locations where testing for coronavirus was already set up.
When I left, all of the desk staff were wearing masks. They hadn’t been before.
Let me back up. I’m absolutely confident I don’t have coronavirus at this time. If nothing else, I have a pretty bad immune system, am on immunosuppressants, and suffer some comorbidities — I would expect to be much sicker than this.
OK, so, not especially sick, but I try to do the right thing. And so in the interest of public health, and feeling slightly ridiculous, I went to urgent care.
I put my mask back on, went in, waited for a while as the patient in front of my finished checking out. They were not wearing masks at this urgent care.
When I explained why I was there, the receptionist told me to go sit in my car and call her. So I did. I was checked in, she told me there were five patients ahead of me, and she’d call when it was time for me to come in.
OK. Abundance of caution. Also very, very frightening. I watched people around me come and go. I wondered if it was OK to have my car windows open or not.
An hour and change later, I called again from the parking lot wondering what my ETA was. She told me I was still behind five other patients — they had been waiting on a delivery of gowns — but there was no wait at an associated urgent care facility seven minutes away.
Fine. I went.
This place let me wait in the waiting room until I was called. Half the front desk staff had masks, but not everyone.
When I was called, the nice woman in a gown, gloves, and mask but no visor took my blood pressure and temperature (99), then swabbed both nostrils with the same two Q-tips (deeply uncomfortable but not painful.) “I’ve been testing for two or three days and haven’t seen any come back yet,” she said. “So it may be a while.”
I laughed. “So I should hear in, what, a week?”
“You’re optimistic,” she said. Then she sent me on my way.
I stopped at the front desk about my copay. “Should I pay here, or…?” I asked. I gestured at my mask. Handing over a credit card didn’t seem like the best idea.
The front desk staff consulted with each other and shrugged. “You can pay,” one said.
That seemed… wrong. Unhygienic. “Are you sure? I don’t want to…”
“We can bill you,” the other one said. “Have a nice day.”
Here are some things I have learned:
* When you are already short of breath, wearing a mask makes it worse.
* When you are already kinda freaked out, waiting alone in your car makes it worse.
* There is wildly inconsistent medical practice on protocols to prevent transmission.
All of these things are going to need to be addressed. The first two because the more isolating, uncomfortable, and flat out terrifying the experience of getting tested is, the less likely people are going to follow through. Note that there were several steps in here where I could have just not done my civic duty and no one would be the wiser.
And the third is a problem for obvious reasons. If even people working on the front lines aren’t taking consistent steps against transmission, what hope do the rest of us have?
This is going to be rough, friends. Take care of yourselves, wash your hands, and flattenthecurve.com.
Yvonne Hertzberger says:
So, if he had been positive they just had him spread it everywhere. Way to go.
March 11, 2020 — 11:19 AM
jmarie1974 says:
Not encouraging.
March 11, 2020 — 11:26 AM
Jenn says:
Yet I still have coworkers who think this is being blown out of proportion and who are more mad at the logistics of their kid having an extra week or more home from college.
Proud to say that my office just announced a very strong “stay at home, work from home if you can, we’ll figure this out so no one has to suffer financially if we can help it” policy. No one here is in the target demographic to get really, really sick, but our parents and grandparents sure are.
March 11, 2020 — 12:12 PM
Erica Ellis says:
I recently called my county’s Covid-19 hotline to get guidance on how to deal with mild respiratory symptoms. Get tested? Just stay home? What about family members? The person who answered spent the first 30 seconds going, “Umm, ahh, let me look…” before basically telling me to do what I felt was right. This is a hotline set up specifically to answer questions about Covid-19, mind you. So next I emailed my state health department at a special email address set up to answer Covid-19 questions. Nothing for 24 hours, and then I got an error message saying it was undeliverable. It would be an understatement to say I am not optimistic about our chances of containing this. People with mild symptoms will be the biggest spreaders because they won’t feel bad enough to stay home. And there’s no guidance on this? And “hotline” email addresses don’t even work? Not encouraging.
March 11, 2020 — 12:14 PM
Michelle says:
I think what’s most terrifying to me is the fact that they have no clue how long these tests take. What do you do in the meantime? Stay home? Walk around in one of those giant bubble things? Light yourself on fire just to be sure you don’t contaminate the universe? What a nice reminder of how crappy the American health system is. (I would know, I used to work in it.)
March 11, 2020 — 12:15 PM
Eva Porter says:
Well, experience wasn’t helpful. But it is informative.
March 11, 2020 — 1:17 PM
Rebeca says:
And for a lot of us that amazing experience is gonna be 1k to 3k out of pocket.
Right now, for me, it’d be a choice between tuition money or getting tested. Or I guess a choice between medical debt and more student loan debt if I go through with both.
Great job, America.
March 11, 2020 — 1:19 PM
Mica Rossi says:
And this is why it spreads. If he/she had been positive, this person would have infected the staff, who would have infected their families, who would have infected…..and so on. One of those nice people at the desk could have been someone’s over-60 grandma with a compromised immune system. It’s criminal that she might have died because the facility where she works didn’t take the simplest of precautions.
March 11, 2020 — 1:24 PM
Sarah says:
For Christ’s Sake. So you’re telling me your friend never even got the chance to be treated for his original presenting complaint? Way to go, people. Way to go. Ugh, the hype around Corona virus is awful.
And as for those hoarding toilet paper, let me paint a scenario: you’re out for the day, going about your business. You enter the public washroom. You don’t want to, but you’re ABSOLUTELY BUSTING. You will pee your pants if you don’t go, like, RIGHT NOW. You go in, holding your breath, trying not to touch anything, but there’s literal shit and droplets of pee on the toilet seat, but nothing to clean it up with because, well, short paper is in short supply these days, thanks to you. You reach for your handy Kleenex pouch but unfortunately, your water bottle’s leaked all through your bag. It’s no use to you now. You do your business, squatting and trying not to touch the seat. After, you wash your hands, scrubbing them raw. But it’s too late. You’ve touched a billion different surfaces and the corona virus is taking hold. If only there had been toilet paper in that washroom…
March 11, 2020 — 1:50 PM
Marisa says:
The problem with the American healthcare system today is that it is typically REACTIVE instead of PROACTIVE. You can see this in the example above with the clinic staff.
What can you as an individual do to be proactive?
Don’t feed into panic and fear.
Read the CDC and WHO websites for updates. Use their outlines for precautions until further notice from them.
Do not add or feed into panic and fear. Take the steps recommended to keep you and your loved ones safe. This is the best way to slow down the coronavirus and keep healthcare and basic resources available to everyone.
We all need to work together on this one. Don’t panic. Stay calm. Follow the directions of the CDC and WHO websites. There’s a lot of misinformation floating around out there. Do not add to it. The best way to help yourself and others is to stay calm and think.
March 11, 2020 — 1:51 PM
Varina Suellen Plonski says:
Thank you for posting this, Chuck. And especially for the link to Flatten The Curve!
March 11, 2020 — 1:54 PM
tambo says:
Fwiw, it sounds about like I figured things would be. My sister was in the hospital a week ago due to seizures and altho we weren’t around the pulmonary floor, plenty of people (both patients and visitors) were coughing or congested, no one wore masks, no one wore gloves unless they were assisting a patient… Covid-19 was around a week ago, two weeks ago, three weeks ago… and although it didn’t ‘appear’ in Iowa until a few days ago, nothing had been put in place at the biggest hospital in Des Moines. Nothing except barely working hand sanitizer dispensers beside elevator entrance/exits..
I know we expect a high-competency rate for our medical professionals and intake personnel, but they’re still regular people who are working under managers and executives who often make broad decisions based on staffing and profit, not the potential of contagion and the health of their patients or visitors. I think we’re in for a bumpy ride here in the states.
March 11, 2020 — 2:56 PM
iBeLeaf says:
I’m in the same boat with RA and immunosuppressant drugs. My doc told me which ER to go, to tell them I’m on those drugs, and I’ll get pushed up the list. She also told me to go if I was feeling sick, had respiratory problems, and had a high fever. Fingers crossed I don’t need to go at all.
March 11, 2020 — 9:09 PM
Widdershins says:
If nothing else Corvid-19 is a huge wake-up smack on the back of the head for so many people about how precarious the systems we think, (against all obvious evidence to the contrary) are reliable, aren’t. 🙁
March 12, 2020 — 5:17 PM