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Doctor who survived Ebola details a harrowing day in the ER. Coronavirus scares him

Fiona Lowenstein, 26, thought she could ride out the Coronavirus at home, but ended up with difficulty breathing and had to spend 2 nights in the hospital.

Posted: Mar 24, 2020 12:21 PM
Updated: Mar 24, 2020 12:21 PM

Dr. Craig Spencer has worked as an epidemiologist in Africa and Southeast Asia and famously survived getting Ebola in 2014 after caring for patients in Guinea.

The coronavirus scares him.

Spencer is now the director of Global Health in Emergency Medicine at New York-Presbyterian/Columbia University Medical Center in New York City, which has become the epicenter of the US outbreak.

He described a harrowing day in the emergency room in a lengthy Twitter thread posted early Tuesday morning.

Spencer wrote that he starts his day like many other workers by brewing a big pot of coffee because the coffee shops near the hospital are closed.

It ends with him taking his clothes off in the hallway of his apartment, avoiding his toddler until he can run to get a shower to "rinse it all away" before getting some family time for the first time in days.

The hours in between are filled with case after case of coronavirus, beginning when he walked into the ER at 8 a.m.

"Immediately struck by how the calm of the early morning city streets is immediately transformed," he wrote. The bright fluorescent lights of the ER reflect off everyone's protective goggles. There is a cacophony of coughing. You stop. Mask up. Walk in."

He writes that he is told about a patient who is receiving the maximum amount of oxygen but is still breathing fast.

He describes having "a long and honest discussion" with the patient and her family -- who are on the phone -- that she needs to go on life support before things get worse.

"You're notified of another really sick patient coming in. You rush over. They're also extremely sick, vomiting. They need to be put on life support as well. You bring them back. Two patients, in rooms right next to each other, both getting a breathing tube," he wrote. "It's not even 10 a.m. yet."

Afraid to take off his mask

He gets paged almost hourly with urgent messages:

"Stat notification: Very sick patient, short of breath, fever. Oxygen 88%.

Stat notification: Low blood pressure, short of breath, low oxygen.

Stat notification: Low oxygen, can't breath. Fever."

At some point, he realizes that it's the afternoon and he hasn't drank any water.

"You're afraid to take off the mask. It's the only thing that protects you. Surely you can last a little longer - in West Africa during Ebola, you spent hours in a hot suit without water. One more patient..." he wrote.

Spencer eventually gets something to eat in the hospital cafeteria which is thankfully still open. He washed his hands twice, cautiously took off his mask and eats as fast as he can before rushing back to work.

"Nearly everyone you see today is the same. We assume everyone is #COVID-19. We wear gowns, goggles, and masks at every encounter. All day. It's the only way to be safe," he wrote. "Where did all the heart attacks and appendicitis patients go? Its all COVID."

When his shift finally ends, Spencer cleans everything he has before he leaves the hospital to walk home.

"Before you leave, you wipe EVERYTHING down. Your phone. Your badge. Your wallet. Your coffee mug. All of it. Drown it in bleach. Everything in a bag. Take no chances," he wrote. "Sure you got it all??? Wipe is down again. Can't be too careful."

Spencer says he feels" naked and exposed" as he walks down the deserted streets without a mask.

"The streets are empty. This feels nothing like what is happening inside. Maybe people don't know???" he wrote.

Social distancing is 'the only thing that will save us'

As bad as the day was, Spencer expects it to get worse.

"Everyone we see today was infected a week ago, or more. The numbers will undoubtedly skyrocket overnight, as they have every night the past few days. More will come to the ER. More will be stat notifications. More will be put on a ventilator," he wrote.

Spencer wrote that it's too late to stop the virus, but its spread can be slowed because "the virus can't infect those it never meets."

"Social distancing is the only thing that will save us now," he wrote. "I don't care as much about the economic impact as I do about our ability to save lives."

He ended the thread with a plea for people to take the pandemic seriously.

"You might hear people saying it isn't real. It is.

You might hear people saying it isn't bad. It is.

You might hear people saying it can't take you down. It can.

I survived Ebola. I fear #COVIDー19.

Do your part. Stay home. Stay safe.

And every day I'll come to work for you," he wrote.

California Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 783313

Reported Deaths: 15018
CountyConfirmedDeaths
Los Angeles2598176330
Riverside566811153
San Bernardino52287908
Orange518731127
San Diego44293796
Kern31261350
Fresno27560355
Sacramento21171375
Alameda20494374
Santa Clara20252296
San Joaquin19793414
Stanislaus16289332
Contra Costa15734199
Tulare15599256
Ventura12236143
Imperial11558314
San Francisco1069697
San Mateo9522143
Monterey936066
Santa Barbara8846110
Merced8750134
Kings726877
Sonoma6998114
Marin6557112
Solano608555
Madera429658
Placer342841
San Luis Obispo336027
Yolo274054
Butte273835
Santa Cruz21898
Sutter164210
Napa160413
San Benito129011
Yuba11187
El Dorado10644
Mendocino83318
Lassen7310
Shasta66814
Glenn5503
Colusa5096
Nevada5066
Tehama4904
Humboldt4826
Lake45910
Calaveras31114
Amador28616
Tuolumne2214
Inyo18714
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Del Norte1361
Mariposa752
Plumas490
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Trinity150
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Heat and haze were on the menu today but a cool-down is in the works for next week.
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