COVID-19: There’s danger if we don’t prop our medics
SOME people have described the current unprecedented global siege caused by coronavirus as the third world war (WW III) which seers like Nostradamus foresaw. Some call it the Armageddon cited by several religious faiths.
Other sources have
even gone farther to dub the COVID-19 pandemic a novel biological warfare in
which there is no war front, no frontlines, no known weapon and no defined
boundaries. But all sources are unanimous on an issue: the executors of the war
are the group of professionals we call ‘the medics,’ and their armaments are
provided by the pharmaceuticals and others in the larger global health
industry.
In that sector, the lead operators are the
physicians. The doctors are the generals and field marshals in the COVID-19
pandemics war. True to the war nature of the pandemic, many medical persons,
from doctors to nurses to paramedics, have contracted the virus and died like a
lot of their patients. So, when we will have to tell the full story of this
plague after its havoc, we will tell the tale of some medics who died in it as
fallen heroes just the way we remember dead soldiers and veterans (vets) of
past wars.
As Easter gift, one of my cousins, Chike
Odikanoro, sent me an electronic season’s greeting card and a short film via
WhatsApp. The film was so engaging and inspirational that I had to watch it
several times before sharing it with some friends.
Subject of the
recording is a Nigerian physician, based in the United States of America
(USA). The obviously stressed young
doctor, after working on several shifts, stole some minutes his choking
schedule to exhale his stress on a piano he has, permanently mounted in his
living apartment.
Still clad, head-to-toe, in his medical
protective gear – gloves, cap, overall, dangling stethoscope-on-the-neck et al
– the doctor decongested all his emotions on a grade ‘A’ performance of two
Igbo gospel songs on the keyboard. His
singing was flawless despite signs of stress.
His prowess in the piano was even better. He
sang and roamed through the keys far better than many professional musicians.
His ad libs and remixing of the popular numbers as well as the prayerful chants
he infused between the lines of the lyrics were equally thrills to behold for
me. I wondered whether I was beholding a professional musician or new-age
pastor dressed in physicians’ costume.
I had to reach out
to my cousin who confirmed that it was a young Igbo doctor who recently
graduated from the University of Port Harcourt in Rivers State before migrating
to the USA for greener pasture. His name is Dr. Michael Igwe.
However, what struck me more was not his
roots but his message and what the whole performance which he recorded by
himself in a lonely sitting room (possibly his residency apartment in a US
hospital) communicated to me about him.
The film started with him switching on something,
maybe on a video camera mounted on a tripod and clearing his throat repeatedly
as he speaks which hints of tiredness or lack of sleep. The doctor speaks to kick-off the film:
Alright. Good
morning… Emm! How are you guys doing? Emm! I just got out of work and I am so
tired… I’m going back again. When I got home this morning, I was praying and
asking God: “Should I keep going? As I stayed praying, the Lord gave me a song.
A very simple song… When I was singing it as I prayed the song is (he began singing
the Igbo number) ‘N Ga Enyere Gi Aka’ (meaning “I will help you”)
In the song, the singer hears a reassuring
voice of God encouraging him that He will guard and protect him once he remains
upright and harbours no fear. As the young doctor sang with a stress-marked
voice which he managed like a professional, I sensed a burden being exhaled in
his emotional performance.
The video piece got me into pondering the
weight of challenge the young physician’s shoulder. I used him as an example of
a typical doctor working in frontline of the medical field during this
pandemic.
Watching him sent me imagining how many bad
cases he may have faced in this COVID-19 time – from emergencies to deaths to
even fear for his own safety and that of his loved ones.
From the initial
song, the doctor waltzed into another Igbo gospel number, ‘Okwukwe m Di N’ime
Gi Onye na-eme Mma’ (meaning ‘My faith is in you, the one who does good
things’). Soon after, he veered into speaking in tongues. He ended the
10-minute-long film with three short but revealing sentences.
His words: “There is
no fear. There is no fear. I love you all.”
From the last
expression, it was discernable that there was fear but the young man, possibly
in his late 20s or early 30s had causes for fear but his faith in God is what
holds him together and gets him going.
His case reminded me
of another young doctor and writer who like seeking my view when he has such
need. He works in one of Nigeria’s federal isolation centres. After weeks in
the national call-up, he informed me of his “very challenging engagements.” At the end of every chat, we
concluded on the need for him to also remember to take his safety seriously.
There is a currently trending WhatsApp voice
note in which two nurses dwell on the availability or absence of personal
protective equipment (PPE) and safety measures in their different
hospitals. Some aspects of the audio are
funny. Some are not.
The summary is that medics are human beings
too.
Just as veterans can return from war with
Post-Traumatic Stress Disorder (PTSD) doctors and paramedics also have their
trauma in this kind of situations. As
noted in the BBC article, ‘Coronavirus: Why Healthcare Workers are at Risk of
Moral Injury’ US researchers have discovered that doctors are likely to have
moral injury – a trauma wrapped up in guilt.
Being humans, they
can be overwhelmed by gory situations that they may have moral injuries when
things go awry. This could be especially with young ones when they see more
deaths or pains than their emotions can cope with. This can also occur when a
person “commits, fails to prevent or witnesses an act that is anathema to their
moral beliefs.”
The Department of
Veterans Affairs website likens it to psychological trauma involving “extreme
and unprecedented life experience”, that can lead to “haunting states of inner
conflict and turmoil”.
When a medical person finds himself in a
haunting position and he does not have enough materials to work with and save
the patient or protect himself, the moral burden may erupt.
Researches into moral injury is now hinting
of how such injuries can impact people in all walks of life, especially
healthcare workers in the Covid-19 pandemic.
In the BBC article cited, one doctor told the
BBC team that the stress was intense. “Seeing people die is not the issue.
We’re trained to deal with death… The issue is giving up on people we wouldn’t
normally give up on.”
They dubbed it,
“young doctors being asked to play god”.
A physician, Nöel Lipana, who had had such an
experience in foreign medical tour, explained the challenge to BBC reporters as
very deep and disabling. “A person doesn’t just take the gloves off afterwards
without that loss affecting their moral fibre, their soul,” says Nöel Lipana,
who was left with a moral injury from his 2008 Afghanistan tour. He now works
as a social worker while promoting better understanding of moral injuries both
in the military and beyond, which includes staging art performances and a
forthcoming documentary film, Quiet Summons.
Evidences of that abound around us. Medics
are increasingly cringing under the wait of COVID-19. We have to support them,
encourage them and give them requisite strengthening. We have to pay the medics
in this current warfront well and give them sensible health insurance. Else, we
are digging the graves of most of us. The worst our society can do is to leave
them with a sense of helplessness.
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