Michigan hospital workers weary as public support fades, COVID cases rise

Gwen Boeve, a registered nurse in West Michigan, outside a hospital emergency room Thursday. (Photo by Brian Vernellis/Holland Sentinel)

Eric Kumor’s been a nurse for 10 years. 

But the last few weeks he finds himself having to gear up emotionally just to walk in the door to work. 

“And within 30 minutes, like two of our nurses are already just in tears,” he says.

Sparrow Hospital in Lansing, where Kumor works, is one of many hospitals across Michigan facing a crush of coronavirus patients. The hospital is getting so full, they’re starting to move the non-COVID patients out of the main hospital to another campus. 

And it’s converted Kumor’s unit from regular, inpatient care, to handle overflow COVID patients. 

“I've never seen patients get sicker quicker in my career,” Kumor said. “It’s also kind of sad. Because when you walk into the unit and you see suffering; there’s just this feeling of sadness that I’ve never seen in my career before.”

The sadness and stress of handling so many COVID patients is getting to the state’s frontline health care workers, many of whom already struggled to cope in a job with long hours, little gratitude and daily tragedy.

Eric Kumor is a nurse at Sparrow Hospital in Lansing. (Courtesy photo)

Months into the pandemic, more than 3,500 people in Michigan are now hospitalized with the virus. The state is on pace to break its previous record of COVID-19 hospitalizations by next week. Deaths from the virus have been rising as well. And health care workers worry they won’t be able to keep up with all the new sick people showing up every day. They’re already worn thin. No one knows how long they can hold out. 

“People were already at a breaking point,” says Dr. Srijan Sen, a psychiatrist and University of Michigan professor. “And then COVID hit.” 

“People need breaks”

Sen researches stress, anxiety and depression among resident physicians. The interest, for him, is personal. He says two of his friends attempted suicide while in medical school. One survived. One did not.

Before the pandemic, Sen said, 25 percent to 30 percent of resident physicians showed signs of depression, a rate five times higher than the rest of the population. In the early stages of the pandemic, Sen says mental health for these physicians actually improved.

“We heard reports that physicians felt like this is what I actually became a doctor to do,” Sen said. “And there was a sense of people pulling together that everyone in the hospital and even in the larger society was hailing physicians and clinicians as heroes. And it felt like we were all in it together and working toward a common purpose.”

But the cheers that once greeted frontline health care workers at the end of their shifts faded months ago. The signs signalling support are gone. Some people now say the virus is a hoax. And all the while, these health care workers have been battling. In the past few weeks, the situation has gotten much worse. Some health care workers don’t know how they’ll keep up if it continues. 

“I’m just really tired,” said Dr. Ali Rizvi, a traveling physician who has worked in numerous hospitals throughout the pandemic. “I have been working almost nonstop.”

Rizvi says he had to take a break in August, and walked away from medical practice for his own mental health.

“I really do like what I do, and I’m very happy to do it,” he said. “But it still takes a lot out of you.”

Adding to the stress is that treating COVID patients is unlike treating any other kind of illness, according to Rizvi and others. 

“The last time I was the COVID nurse I remember saying ‘I just want to lay on the floor and not get back up.’” said Gwen Boeve, a nurse in a West Michigan emergency room. Michigan Radio is not identifying the hospital because Boeve did not have permission to speak on its behalf.

Boeve said one area of her emergency room is designated for COVID patients only. She isn’t always assigned to that area, but it’s hard not to notice.

“If you look into where the COVID nurses are sitting, or that COVID zone, they just look exhausted,” she said. “It just doesn’t feel like you stop running when you’re the COVID nurse, because you’ve got all of those extra steps to maintain safety.”

Instead of being able to walk in and help a patient whenever they need it, Boeve said nurses put on masks, gloves and gowns and try to get all of their tasks done at once, to reduce exposure. They can’t spend as much time with their patients, or help them feel comfortable.

“You can’t be the nurse that you want to be,” Boeve said. 

But more and more, that’s the nurse she has to be. This past week, Boeve said her hospital was so busy with COVID patients, there were no available beds. So patients had to stay in the emergency room, some waiting in hallways, until space opened up. The hospital has already opened up an overflow area, Boeve said, and a storage space was converted to make space for more beds.

Other hospitals throughout West Michigan have scrambled to add space as the number of coronavirus patients rises rapidly. And more health care workers are facing mandatory overtime shifts, working 16 hours at a time with no end in sight.

Hundreds have fallen sick, which creates more problems for those left to care for patients.

“That wreaks havoc on scheduling and staffing,” said Dr. Rizvi. “And that further degrades people’s emotional states. They need breaks, and they’re not getting the breaks they need.”

Dr. Ali Rizvi is a traveling physician who has worked in numerous hospitals throughout the pandemic. (Courtesy photo)

Caring for the caregivers

Breaks are in short supply in Michigan hospitals right now. Workers say they’re already burning out, and they expect the situation will get even worse in the coming weeks.

“We haven’t seen a light at the end of the tunnel yet,” Dr. Sen said.

The first piece of advice he has for people on the frontlines: If you’re stressed and feeling overwhelmed, talk about it. Take advantage of the mental health services available at your hospital. Talk about what you’re going through with your colleagues, and get professional help if you can. 

And he said, if someone else tells you you’re burnt out, you probably are.

“I think sometimes it’s hard to see these things in yourself,” Dr. Sen said. “When others around you notice these things and point them out, that’s often the sign.”

Taking time off might not seem like an option, but it’s important to find some way to decompress, said Mike Hastings, president of the Emergency Nurses Association.

“As nurses, we’re the carers,” Hastings said. “We want to care for everyone else. We want to care for our communities. But we’re terrible at caring for ourselves.”

Hastings is an emergency room nurse and a manager in the Seattle area, one of the first in the nation to see coronavirus patients. He said no matter how busy or stressed frontline healthcare workers get, everyone has their own ways of unwinding. For him, it’s mowing the lawn, or watching silly videos online – the more mindless, the better. 

The ENA, along with other nurses associations, has been hosting online conversations for nurses to be able to talk to others facing the same situations across the country. Hastings said people outside of health care often don’t understand what nurses face. Talking with peers, even at other hospitals, can be a better outlet.

 

Showing support

But you don’t have to be a health care worker to be able to help people on the frontlines right now. 

The nurses and doctors who spoke for this report all said there’s one thing more than any other that can help them right now, and that’s taking the virus seriously. 

“The frustration with people that don’t take it seriously is turning more into anger for a lot of us,” said Boeve.

She and others say it adds to the stress of the job when health care workers race to keep up with the crush of coronavirus patients, only to hear from some who still think the virus is no big deal. Inside the hospital, Boeve says, nurses bite their tongues.

“And that gets harder every day,” she says. “Because the more people you see who are sick and need hospital services, alongside somebody telling you that they don’t think it’s real, just starts to get under your skin.”

“I wish I could go door to door and tell everybody how real this is,” said Kumor, the nurse at Sparrow  in Lansing. “That we might have a bed for you. But it's going to be a real challenge to give you the care that we want to give you because of how sick people are.”

Workers are preparing to see even more COVID patients in the coming weeks. Some worry the flu could still pop up, making things even worse.

Hardly anyone expects to return to the days when thousands of people put up signs in their yard, supporting health care workers. And, even if people wanted to send food like in the spring, many hospitals no longer allow it. The virus has made it impossible for nurses and doctors to gather together in a room to share a warm meal.

Stories from the front  

Bridge Magazine, Detroit Free Press and Michigan Radio are teaming up to report on Michigan hospitals during the coronavirus pandemic. We will be sharing accounts of the challenges doctors, nurses and other hospital personnel face as they work to treat patients and save lives. If you work in a Michigan hospital, we would love to hear from you. You can contact reporters Robin Erb rerb@bridgemi.com at Bridge, Kristen Jordan Shamus kshamus@freepress.com at the Free Press and Kate Wells katwells@umich.edu at Michigan Radio.

There are still ways for people in the community to show they care, though. 

“Even just sending a card into the departments and saying, ‘Hey thanks for everything you do,’” says Mike Hastings, of the ENA. “Those cards get posted out where your staff are able to read them. And that’s meaningful. It’s something small, but it’s so meaningful to the staff to let them know that people are there supporting them and saying thanks.”

Detroit Free Press, Bridge Michigan and Michigan Radio have teamed up to report on Michigan hospitals during the coronavirus pandemic. If you work in a Michigan hospital, we would love to hear from you. You can contact Kristen Jordan Shamus at kshamus@freepress.com, Robin Erb at rerb@bridgemi.com or Kate Wells at Katwells@umich.edu.

 

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Comments

Greg
Fri, 11/20/2020 - 6:57am

Maybe they should make some more tik tok videos, like the last wave.

THANKS, first r...
Fri, 11/20/2020 - 9:04am

Maybe you should show some gratitude. After all, it's almost Thanksgiving. Have you done anything for others? Should we thank you for anything?

Subee
Fri, 11/20/2020 - 2:41pm

If people could just suck reality up and deal with the most basic personal behaviors being asked of them, we wouldn't be in this position. This is exactly why we want to keep the curve flat. Don't torment your health care workers because these simple behaviors are too hard for you. We have become fodder for a pandemic. These was a show this morning on NPR comparing Noem's handling of the pandemic in SD with Vermont's Phil Scott. SD is now experiencing an unbelievable number of 8.000 cases per 100,000 population while Vermont has 145 cases per 100,000.
Both have a Republican governor but only one is a sycophant idiot while the other conforms to medical knowledge and pretty much has done what Whitmer has done here in Michigan. Vermont, however, has a legislature that is predominately Democratic so they don't waste a lot of time up in Trump's colon like our Republican idiots in Lansing.

Just sayin
Sat, 11/21/2020 - 12:36pm

"Vermont, however, has a legislature that is predominately Democratic so they don't waste a lot of time up in Trump's colon like our Republican idiots in Lansing." Hey, but it's cold this time of year in Levering, MI. Besides Trump is a celebrity. He was the star on the Apprentice!

Hank B
Sat, 11/21/2020 - 3:36pm

We get it. It’s all the Republicans fault and only Republicans.
Whitmer had a chance to get people on her side. Instead she wanted to go on back-to-back late night shows cracking jokes in April. Newsome wants to tell you how irresponsible you are while he’s on his way to his Friendsgiving dinner party. Cuomo wants to remind you how awesome NY is by commissioning a victory poster in May that shows his own daughters pulling down the curve.
Yep, they’ve been great leaders if you count being arrogant and dismissive as leadership.

Subee
Sat, 11/21/2020 - 5:14pm

Hank B: You were so quick to start deflecting that you obviously didn't read my post. Vermont has a REPUBLICAN governor who performed very well so you can't say that all Republicans are being blamed for where we are now. Whitmer was in line with a Republican govenor who didn't dismiss the science of epidemiology and he had the support of his legislature which , IMHO, is the reason they have had the lowest percentage of cases in the country. Who knows if Michigan could have achieved the same thing if our non-science Republican legislature had simply agreed that we should listen to epidemiologists instead of Scott Atlas.

Justin Bowen
Sun, 11/22/2020 - 5:11am

Michigan GOP sues Whitmer to take away her power to control the spread. About a week and a half after she loses her power and the AG is no longer able to enforce orders, cases begin to skyrocket.

Yes, this IS the GOP's fault. The "pro-life" party is the party of disease and death.

LMAO
Fri, 11/20/2020 - 9:01am

They must have missed Stamas' riveting PSA.

AT
Fri, 11/20/2020 - 9:11am

Many healthcare workers in my family. My heart aches every time they go to work wondering about the risks to them and us. Who knew we would be like police, fire, military families? Sure there were always risks, but nothing quite like now. It's draining. Can't believe the craziness with people calling this a hoax, making everything worse. Pray for our country. Pray for healing.

duane
Fri, 11/20/2020 - 11:34am

I can appreciate the stress is different than the past, it is of longer duration then anyone had prepared themselves for, maybe it is time to seek out those whom have dealt with such stress in the past and even look around to find those that seem to be dealing with it now to find out about their approaches to see if those ideas can be used by others.

The most extreme I can think of are those who work the front line medical care stations in a combat zone and with what they must expect to face at any moment, and how they may never know if what they have done was enough. There was even a time when they weren't thanked, they were vilified much like those they care for.

t
Fri, 11/20/2020 - 1:15pm

The article says they can't tell us where Gwen Boeve works , but the photo caption tells us... #mediafail

remember this
Fri, 11/20/2020 - 11:15pm

Because they don't care. Wolves in sheep's clothing. They have no sympathy. You can hear it, it's like a switch. Governor this, shut down that, freedumb? MINE!

Deaths? That is when the switch hits. Passion dissipates, nay......it's like it never it was. Now you hear a calm, monotone as a matter of fact the weather is fine today type of tone..but a little more somber. Hasn't effected me.

Sorry health care workers. This is how it is.

Ouchez
Sat, 11/21/2020 - 6:02am

I was in Meijer's in Owosso last night and all had mask on except one couple in their 60's,,,how was that allowed??
Maybe a virus like this is what will take down human kind, it really shows just how weak and helpless we are. Not a single piece of military equipment we have been spending a fortune on can do a thing to help! Seems China may be the only nation left intact. But wait..!..is that Joe Biden coming to save the day..........or maybe operation warp speed.........

What?
Sat, 11/21/2020 - 12:40pm

Are you under the influence of NyQuil?

Anonymous
Sat, 11/21/2020 - 10:59am

We got here in part because the governor took it upon herself to dictate what we should and should not do based on data that she has not shared with rest of us. Maybe if she would have worked with the legislature our elected leaders could have spoken with one voice on the best way forward. Governor Witmer decided to go it alone and even though she has lost in court still refuses to work with the Legislature. She has lost the consent of the governed and is blaming us for us for not following her illegal and unconstitutional orders.

Sue
Sat, 11/21/2020 - 2:21pm

Get your lovely governor Whitmer to get the federal government in for help!! They can supply beds and medical personnel!

Nanette
Sun, 11/22/2020 - 9:55am

Many of us more than have support for our front line workers. With it getting colder here in Michigan how can we show them our support. We can not visit the hospitals to see our loved ones to help out these front line0 workers. Like covering up our loved ones, helping them to the bathroom and telling those that take care for our sick loved ones how very much we appreciate staff!
I have two members of my family that are in the health care line..one in a hospital and one as a CNA.