COVID Warrior: A Doctor In Emergency Department Of A Mumbai Hospital Explains How Fighting COVID-19 Is Mentally And Physically DrainingER is the face of any healthcare crisis and with the ongoing COVID-19 pandemic, it has become even more relevant: Dr Shweta Tyagi
Highlights
  • Dr Shweta Tyagi works in the non-COVID wing of a private hospital in Mumbai
  • PPE kit hampers the communication with patients, their relatives: Dr Tyagi
  • Dr Tyagi also isolates at home from her 9-year old daughter and parents

New Delhi: Nearing almost a year of the COVID-19 pandemic outbreak in China of December 31, 2019, cases in India are seeing a slight dip in for the first time since April. However, the unground reality for the healthcare workers in India more or less remains the same. Long working hours, disconnected with their friends and family, and a job that puts them at risk of both physical and mental health issues. Dr Shweta Tyagi, Consultant at Mumbai’s Sir HN Reliance Foundation Hospital’s Emergency Department has been practising for over a decade and has been fighting the pandemic on the frontline since it began.

Dr Tyagi usually has an 8-10 hours duty, but she and her team end up spending extended hours at the hospital. Moreover, she says that the ER department is on call 24/7, where they keep getting calls, even during their off shift, for medical advice.

Being in the emergency department, Dr Tyagi often meets suspected patients and even such patients who show no COVID-19 symptoms but later turn out positive. Sharing her experience in the ER amid a pandemic, she said,

Whenever patients and relatives visit ER, they are already highly anxious because of this visit is never a planned visit. There was obviously some emergency situation because of which they rushed to the ER. Even before COVID-19, their visits would be associated with anxiety and fear as they would visit for reasons like accidents, heart attacks, strokes or even abdominal and kidney issues. The pandemic has, however, increased the anxiety by many-many folds. We the doctors, in the emergency department, are expected to be prepared for anything and everything that comes through the ER door. Read and understand the situation accurately and fast, so that we can come up with the correct diagnosis and hence provide the appropriate treatment for the patient.

Also Read: Indian-American Teen Wins USD 25,000 For Work On Potential COVID-19 Treatment

It is a huge responsibility that ER has as it is of extreme importance to diagnose appropriately; any misdiagnosis can lead to a lot of issues for the patient, she said.

ER is the face of any healthcare crisis and with the ongoing pandemic, it has become even more relevant, Dr Tyagi explained.

The pandemic has also raised certain communication challenges caused by the safety measures, like the mask, PPE kits, the doctors have to wear at all times. Dr Tyagi explains that these hinder the interpersonal communication between the doctors, patients, medical staff as well as the relatives.

Because of COVID, the relatives have been restricted, they are not allowed in the hospital and without their presence, it gets difficult to communicate with the patient, and comforting the patient. On the other hand, we communicate with the relatives over the phone and update them on regular intervals, but there are certain communication gaps on the phone and the personal touch of doctors is not present to comfort them either. Most of all, we have to manage both the sides, because the worry is on both sides. This is just an extra burden on us.

Also Read: COVID Fighters: Meet Agnes, A Head Nurse From Mumbai Who Is Posted In A COVID-19 Dedicated Hospital

Furthermore, Dr Tyagi says that working in the ER wing of a non-COVID hospital means you have to be extra alert for other patients’ safety. Also, patients are scared to visit hospitals too, as they perceive it as a threat where they may contract the infection, which is why following every precaution and safety protocol is of the topmost priority. She says that they try their best to ease the fear of the patients who are visiting the hospital for other important and critical medical conditions like cancer, kidney dialysis, and even other comorbid patients.

We are in out full PPE gear at all times at the hospital, even though we are a non-COVID wing, because some patients who show up at the ER may later test positive. Safety protocol mandated the Emergency department in the PPE kit 24/7. Now, its not that just the patients who have respiratory symptoms are testing positive. Over the last 5-6 months, we have seen so many cases that have come to the ER with acute stroke, heart attack, abdominal symptoms like pain or vomiting. We thought these to be gastritis or pancreatic issue, but it eventually turned out to be COVID-19, says Dr Tyagi.

Also Read: COVID Fighters: On Duty for 160 Days, Mumbai’s Dr Mehul Shah Shares How His Team Is Fighting The Pandemic From The Frontline

Dr Tyagi says that even breaking this news to the patients and their relatives is a huge challenge as they are in the state of denial. They are aware of certain symptoms which are not the same in their case.

That’s when extensive counselling from our end is needed along with following safety protocols and shifting them to the COVID wing for isolation. Even telling them that their relative is being shifted to the COVID wing and they will not be allowed, is just a very difficult situation which can take a toll on mental health for not just the patient and relatives but the doctors as well, she said.

At home, Dr Tyagi isolates herself from her elderly parents who have comorbidities and 9-year-old daughter.

Going back home after work is a scary situation as well. I have elderly parents at home, who are vulnerable to COVID-19. So knowing that there’s a risk associated with my parents because of me, is not easy. My parents have comorbidities, so I have been isolating myself from them in the same house. My husband is a Pulmonologist, so he’s also doing COVID work. We have a 9-year-old daughter who is being taken care of by my parents and I have no contact with her as well. We as doctors still understand the risks invited but making the family members understand, it is a little difficult.

Dr Tyagi says that the mother-daughter bonding is one of the most important things that she’s missing out on due to the restrictions of COVID-19. But the duo has figured out a way to spend time with each other and bond, with social distance in place. She explains,

We can’t cuddle or hug, so we have started watching a web series together, The Gilmore Girls, which is also based on a mother-daughter relationship. So, my daughter looks forward to the time we spend watching Gilmore Girls from a distance. To bind with the rest of my extended family, we also host frequent group video calls with in-laws, every alternate day. My daughter has bonded a lot with her grandparents as they are parenting her full-time. Right now, they have their own life while me and my husband are like guests, who come and eat food and leave for long hours at a stretch.

While the situation is difficult, with no end on sight, Dr Tyagi says that it is her team at the hospital that motivates her and keeps her going through this.

My team in the emergency department has been really supportive and my brilliant colleagues and coworkers who have made us proud through their relentless 24/7 work for almost seven months now. None of us has got leaves, or off days in the last few months. We have been continuously on the frontline and to keep the team motivated is a huge task. They are anxious about contracting the infection as well. Anyone who develops symptoms needs counselling, it is not easy to counsel my own team, my nurses, my staff. But they have done a really good job and made us proud. My team works 24/7 without breaks, is a driving force that motivates me. We try to become an example for each other, looking up to each other. This gives us a push that we require to keep going, Dr Tyagi signed out.

My team works 24/7 without breaks, is a driving force that motivates me: Dr Shweta Tyagi
My team works 24/7 without breaks, is a driving force that motivates me: Dr Shweta Tyagi

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

19,66,15,634Cases
6,33,31,644Active
12,90,85,240Recovered
41,98,750Deaths
Coronavirus has spread to 194 countries. The total confirmed cases worldwide are 19,66,15,634 and 41,98,750 have died; 6,33,31,644 are active cases and 12,90,85,240 have recovered as on July 30, 2021 at 4:07 am.

India

3,15,72,344 44,230Cases
4,05,155 1,315Active
3,07,43,972 42,360Recovered
4,23,217 555Deaths
In India, there are 3,15,72,344 confirmed cases including 4,23,217 deaths. The number of active cases is 4,05,155 and 3,07,43,972 have recovered as on July 30, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

62,90,156 7,242

81,933 3,980

60,75,888 11,032

1,32,335 190

Kerala

33,49,365 22,064

1,55,327 5,287

31,77,453 16,649

16,585 128

Karnataka

29,01,247 2,052

23,277 685

28,41,479 1,332

36,491 35

Tamil Nadu

25,55,664 1,859

21,207 314

25,00,434 2,145

34,023 28

Andhra Pradesh

19,62,049 2,107

21,279 280

19,27,438 1,807

13,332 20

Uttar Pradesh

17,08,373 60

784 16

16,84,834 44

22,755

West Bengal

15,26,539 766

11,300 70

14,97,116 822

18,123 14

Delhi

14,36,144 51

554 19

14,10,541 70

25,049

Chhattisgarh

10,01,781 130

2,086 140

9,86,175 270

13,520

Odisha

9,74,132 1,615

15,276 489

9,53,088 2,039

5,768 65

Rajasthan

9,53,622 17

259 9

9,44,410 26

8,953

Gujarat

8,24,829 27

268 6

8,14,485 33

10,076

Madhya Pradesh

7,91,796 18

130 0

7,81,153 18

10,513

Haryana

7,69,858 30

712 10

7,59,516 17

9,630 3

Bihar

7,24,719 46

481 1

7,14,596 42

9,642 3

Telangana

6,43,716 623

9,188 126

6,30,732 746

3,796 3

Punjab

5,99,005 58

553 6

5,82,162 60

16,290 4

Assam

5,64,030 1,299

14,114 385

5,44,695 1,664

5,221 20

Jharkhand

3,47,105 56

259 22

3,41,720 34

5,126

Uttarakhand

3,41,982 48

669 3

3,33,952 51

7,361

Jammu And Kashmir

3,21,207 181

1,144 5

3,15,686 175

4,377 1

Himachal Pradesh

2,05,728 229

1,098 145

2,01,110 84

3,520

Goa

1,70,900 90

1,077 5

1,66,679 93

3,144 2

Puducherry

1,20,725 98

972 49

1,17,961 49

1,792

Manipur

96,824 1,000

10,895 27

84,408 1,016

1,521 11

Tripura

78,059 271

3,640 221

73,665 488

754 4

Meghalaya

63,745 731

5,750 294

56,933 423

1,062 14

Chandigarh

61,948 5

37 1

61,102 4

809

Arunachal Pradesh

47,477 335

4,252 49

43,000 383

225 1

Mizoram

37,171 764

11,862 252

25,168 511

141 1

Nagaland

27,653 67

1,299 51

25,798 114

556 4

Sikkim

26,132 276

3,297 180

22,498 92

337 4

Ladakh

20,324 4

60 4

20,057 8

207

Dadra And Nagar Haveli

10,643 1

36 5

10,603 6

4

Lakshadweep

10,162 7

70 6

10,042 13

50

Andaman And Nicobar Islands

7,534 3

10 3

7,395

129

Coronavirus Outbreak: Full CoverageTesting CentresFAQs

Leave a Reply

Your email address will not be published. Required fields are marked *

You may also like

Delta Variant Of COVID-19 May Spread As Easily As Chickenpox, Cause More Severe Infection: Reports

COVID-19 Delta Variant: The document from the Centers for Disease Control and Prevention (CDC) outlines unpublished data that shows fully vaccinated people might spread the Delta variant, first identified in India, at the same rate as unvaccinated people, reports said