Sunday, June 7, 2020

SURVIVING COVID- A recovered Dr's account


I heard,read,talked about the covid pandemic, till it hit home. Till I exeprienced it myself it was something that would happen to someone else, not me. Denial helps us to keep anxiety at bay but denial also keeps reality at bay.
First when my 78 years old  father was diagnosed as covid positive, l already developed my first  bout of fever spike. Getting a bed for my father was a task in itself , with me lying in the back seat of the car shivering with chills, helpless, not knowing whether my father would be shifted from a non-covid to a covid hospital or what awaits me in the next 20 days.
With admission of my father in a  a covid hospital, and simultaneously my symptomatic condition progressing, slowly time started seeming unreal. Father's condition was deteriorating and mine too. My husband, Sujit transformed our bedroom to ICU. Talking to physician friends, whose immense help and guidance helped him to sustain me at home for almost 9 days. Then on the 10th day, my condition deteriorated. I was in such a fogged state of mind with my father's condition going downhill and my own general medical condition seeming to go downhill. Finally sujit decided to get me admitted. He and his close friend drove me around in the car calling doctors, friends anf acquantainces in search of a bed for at least 6 hours . I was sitting like a dead body in the car listening to the concersations these two were making  trying desperately for a bed  Finally a friend (Dr Vikrant Shah) managed to secure a bed in Surana hospital in chembur. I remember myself sitting at at around 2 am or so, on a chair at the hospital gate, totally unaware what part of Mumbai it would be. Iin the darkness and  silence of the night I wondered if I would just probably sit there forever.  Sujit did the formalities of getting me admitted. As no relative was allowed inside the hospital premises, finally a wardboy escorted me inside the hospital, leaving behind my dear ones, as if I am entering some unknown strange place totally secluded from the rest of the world. I turned back to Sujit  and our friend again and again and bade them goodbye with weak gestures till they disappeared from my sight.
The moment I entered the hospital building at around 3 am, a ppe donned exhausted doctor standing at thhe elevator enquired about me. He took my history in short, and that was the first time I realised i could not speak a word without getting breathless. I had not spoken for so many days due to fever, bodycahe, dullness that I didn't realise that I was breathless. The doctor patted my shoulder and said not to worry, told the wardboy to take me to my room, told me he would meet me in the morning.
It was around 3:30 am. 27th may 2020
I was kept in a single room. The staff came, put iv, checked all my parameters, took blood for testing. The rmo Dr. Vikas came and attended to me. It all seemed unreal. I was put on oxygen. That morning I tried to sleep but couldn't,  but felt safe that I was in a hospital.
From next day onwards, as things started sinking in, as I got more aware of my breathlessness,I started assimilating things around me, inside me,  my being alone in a hospital , with no one by my side, with no one to hold my hand, no one to put hand on my forehead, an altogether different reality started developing. And the last straw on camel's back was the news that my dad passed away.
I felt the gravity of one singular reality, being alone, unable to breath, face to face with death,my dad's, my own. As evening light seeped through the huge window of my hospital room, I started experiencing darkness more intently than ever. Light was sustaining me to face my fears in the daytime but as night approached, the fear of death and darkness would a start a dance in my mind ,an eternal dance of life and death.
My ears would crave for the slightest human existence around me. The staff going about  doing their tasks outside, someone talking down the road, someone's steps approaching my room. I realised how important human company is, especially in a situation where uncertainty rules  and one is on the verge of life and death and all alone. That night I sudeenly woke up startled, at around 1 am and panicked. The oxygen mask , my saviour seemed like someone holding my mouth, not allowing me to breathe. A panic attack...I called the nurse and the staff of the hospital stood beside me holding my hand and I shall never forget that comforting touch ever in my life. The staff was in ppe, I didn't know the person, I knew only one thing, I have someone to hold my hand when my morale, mental strength, physical strength had hit rock bottom. All barriers of self and other disappeared. A feeling of calm dawned upon me.
My treating doctor Dr Sameer had been so encouraging throughout my journey that I cannot thank him enough. He himself used to be exhausted when he would come at around11 pm for his rounds. But relentlessly, without a  frown of irritation or annoyance he would encourage me to do the prone awake position to improve the perfusion of lower parts of lungs, guide me through the progress I am making and then talk to Sujit on phone to give him the updates of my progress. What  a blessing he had been through out this journey I made! I ssurrendered myself to my doctor. I trusted that whatever he would do would be the best for me and i don't have to worry about any medical apsects of mine. In fact, I deleted the fact from my mind that I am a doctor. I was just a sick living being wishing to live.  I experienced first hand how doctors are the frontline warriors in this pandemic along with  their team of nursing staff. How their lives need to be protected with right protective gears and why it is so necessary for the concerned authorities  to provide them with the utmost care and protection.The nobility of the profession struck me really hard and respect  for my fraternity grew multifold.
As I was suspended in the interim of life and death, the most striking realisation was that of kindness. How much love and kindness the world is filled with! People came forward to provide us with any support we needed, friends went out of the way to provide us with help in a very difficult lockdown situation, the hospital staff, right from the wardboys, mavshis, nursing staff, the canteen, the doctors took the responsibly of not only their respective tasks but went ahead beyond the call of their duty  to keep the morale of patient up so that they don't lose  hope.
How each every and every fibre of the fabric needs every other fibre to hold the fabric of humanity!
Gradually as blended with the surroundings, I started rooting myself in my one and half year long insight meditation practice. The mindfullnes practice teaches to witness everything eight in this moment, as it is, without judging. I started centering myself in the present moment, just witnessing what is happening niw. If i an breathless now, i am breathless. If ihace pain, i hace pain. If I am scared, I am scared. Nothing less, nothing more. Buddha's words used to ring in my heart 'In what is seen, there is just the seen. In what is heard, there is just the heard. In what is sensed, there is just the sensed. In what is thought, there is just the thought'. I held dearly to this 2500 years old wisdom. It's  nit that I was not scared, at times, fear did step in, but I was no longer scared of fear. Mind used to wander, chatter, think about untoward consequences but I used just witness those  and not draw any conslusions from that. I was being in the rawness of the present moment, not bothered about what arises in it. What arises, passes away.
It was a nightmare but it taught me more than a pleasant dream. It taught me about the kindness each one of us carries inside us, all the tilme, about  compassion, an innate human trait, an absolute contrary picture that we are made to believe in today's  times that world has lost love and kindness. 
Humans shall survive this pandemic greatly because of it's ability to reach out and help others with kindness and compassion, and that's  an absolute need of the hour.
It's  my humble appeal to each and every person to be responsible about one's own life as well as life of others, to stay safe themselves and help those who are in need.
It's in the worst of times that the best in humanity shines through the darkness and brightens up the world.
This pandemic may be the worst the world has seen in a century but I am also hopeful that this pandemic will see the best in the human species, the common singular foundation of which rests in kindness and compassion. And I am sure there would be many individuals like me all over the world who would have witnessed kindness in their own life right through all the uncertainty of sickenss, dying and death and would carry the light of kindness ahead to brighten up other's lives.
I write this as I await my discharge from the hospital in a day's time. I have been off oxygen mask since more than  a day now, without any discomfort or breathlessness. Sice three days cyclone Nisarga had changed the weather and from my window, I watched gushing winds, a downpour, grey skies. Today I look out the window, my only bridge to nature outside, and see bright warm sunlight hugging the trees, water-drenched leaves reflecting golden light, butterflies fluttering around merrily and a magpie robin singing. The cyclical nature of rain and sun, pain and pleasure reminded me of one thing, the joy of life.

Post-discharge
After coming back home and settling in the small comforts of home, I realised that I am not all well yet. I am able to do my daily tasks but breathing is still a bit laboured. I am continuing spirometry exercises. I have started my daily meditation  practice. I have started doing breathing exercises like pursed breathing exercise and abdominal breathing exercise. I am eating well, resting  well, sleeping well and taking the medicines prescribed by doctors. I am allowing my body to heal, keeping my mind calm. Now things  will take it's own course slowly. Our body has it's  own innate intelligence, what Alan Watts calls "innate intelligence of an organism". If we don't  meddle with it too much, and if we listen to our body and mind quietly and calmly, this 'intelligence' helps us at every step. 


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