Dr. Padgett’s workforce at EvergreenHealth determined to transfer him to cardiac specialists at Swedish Well being Providers in Seattle. Dr. Matt Hartman, a cardiologist there, reported it was obvious that Dr. Padgett’s problem was speedily worsening and that if they did not do a little something, he would not endure.
“We did not know if this was a person who was just going to die no matter what we do,” he reported. “We assume with his age, and the reality that there’s no other major comorbidity or problem, that we really should at minimum give it a check out.”
The crew determined to hook Dr. Padgett up to a device known as an ECMO that could basically serve as the two an artificial heart and lung, using his blood out of his overall body, oxygenating it and returning it to him. Whilst this kind of techniques are most typically performed in the medical procedures suites, in this situation it was all accomplished in the intense treatment device, to reduce the spread of the coronavirus elsewhere in the clinic.
“We brought the working home to him,” claimed Dr. Samuel Youssef, a cardiac surgeon at Swedish.
The crew also commenced consulting with oncologists. Indicators of inflammation in Dr. Padgett’s human body were being “astonishingly substantial,” suggesting that he was potentially working with a “cytokine storm,” a risky phenomenon in which the immune programs of normally balanced persons overreact in battling the coronavirus.
The doctors administered the drug tocilizumab, usually utilised for most cancers individuals who can have comparable immune method reactions. They added high-dose vitamin C soon after observing reviews that it may possibly be advantageous. These experimental treatment options experienced also been tried out on yet another individual, a 33-12 months-previous woman, with some success.
In excess of that week in mid-March, there were being symptoms of advancement. As his irritation quantities arrived down and his lungs begun to supply a lot more oxygen, the crew commenced scaling back again the ECMO equipment, till they eventually eliminated it on March 23.
4 days later, on March 27, the respiratory tube was eradicated. Slowly, following two weeks in a sedated coma, Dr. Padgett started to wake up.