Idaho hospitals nearly buckling in relentless COVID surge

Idaho hospitals nearly buckling in relentless COVID surge
A R.N. holds the hand of a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. More then half of the patients in the ICU are COVID-19 positive, none of which are vaccinated. Credit: AP Photo/Kyle Green

The intensive care rooms at St. Luke's Boise Medical Center are full, each a blinking jungle of tubes, wires and mechanical breathing machines. The patients nestled inside are a lot alike: All unvaccinated, mostly middle-aged or younger, paralyzed and sedated, reliant on life support and locked in a silent struggle against COVID-19.

But watch for a moment, and glimpses of who they were before the coronavirus become clear.

Artfully inked tattoos cover the tanned forearm of a man in his 30s. An expectant mother's slightly swollen belly is briefly revealed as a nurse adjusts her position. The young woman is five months pregnant and hooked to a breathing machine.

Down the hall, another pregnant woman, just 24 and hooked to a ventilator, is lying prone—on top of her developing fetus—to get more air into her ravaged lungs.

Idaho hit a grim COVID-19 trifecta this week, reaching record numbers of emergency room visits, hospitalizations and ICU patients. Medical experts say the deeply conservative state will likely see 30,000 new infections a week by mid-September.

With a critical shortage of hospital beds and staff and one of the nation's lowest vaccination rates, Idaho health providers are growing desperate and preparing to follow crisis standards of care, which call for giving scarce resources to patients most likely to survive.

St. Luke's Boise Medical Center invited The Associated Press into its restricted ICUs this week in hopes that sharing the dire reality would prompt people to change their behavior.

Idaho hospitals nearly buckling in relentless COVID surge
Jack Kingsley R.N. attends to a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. St. Luke's Health System announced on Tuesday that it will pause certain elective surgeries and procedures starting Sept. 1 because of increasing COVID-19 cases in Idaho. Credit: AP Photo/Kyle Green

"There is so much loss here, and so much of it is preventable. I'm not just talking about loss of life. Ultimately, it's like loss of hope," said Dr. Jim Souza, chief medical officer. "When the vaccines came out in December, those of us in were like, 'Oh, my God, it's like the cavalry coming over the hill.' ... To see now what's playing out? It's all so needless."

Inside the ICUs, Kristen Connelly and fellow nurses frequently gather to turn over each patient, careful to avoid disconnecting the tangle of tubes and wires keeping them alive. With breathing tubes, feeding tubes and half a dozen hanging bags of medications intended to halt a cascade of organ damage, turning a patient is a dangerous but necessary endeavor that happens twice a day.

When Idaho's hospitals were nearly overwhelmed with coronavirus patients last winter, Connelly wasn't fazed, believing she could make a difference. Now, instead of focusing on one patient at a time, she cares for multiple. Many colleagues have quit, burned out by the relentless demands of the pandemic.

Idaho hospitals nearly buckling in relentless COVID surge
Medical professionals pronate a 39 year old unvaccinated COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. Credit: AP Photo/Kyle Green

"At this point, I'm overwhelmed. I don't have much left," the 26-year ICU nursing veteran said Tuesday.

Connelly's own life is in triage mode as she tries to maintain her last reservoirs of energy. She doesn't eat at home anymore and has cut out all activities except for walking her dog. Her normally deep sense of compassion—which Connelly considers a critical job skill—has been shadowed by a seething anger she can't shake.

"We had a mother-daughter team in the hospital last week, and the mother died and the daughter was still here," Connelly said. "In that moment, I had a reprieve from the anger, because I got to be just overwhelmed with sadness."

"It's devastating," she said. "Where we are right now is avoidable—we didn't have to go here."

All of the ICU coronavirus patients were generally healthy people who simply didn't get vaccinated, Dr. Bill Dittrich said. Idaho could enact crisis care standards in days, leaving him to make gut-wrenching decisions about who gets life-saving treatment.

Idaho hospitals nearly buckling in relentless COVID surge
Dr. William Dittrich, M.D. looks over a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. More then half of the patients in the ICU are COVID-19 positive, none of which are vaccinated. Credit: AP Photo/Kyle Green

"I don't think anybody will ever be ready to have the kinds of conversations and make the kinds of decisions that we're concerned we're going to have to be making in the next several weeks. I'm really terrified," Dittrich said.

Most of the ICU patients fell prey to con artists before they fell ill with the virus, said Souza, the chief medical officer. He points to a patient who first tried the anti-parasite drug ivermectin. U.S. health officials have warned it should not be used to treat COVID-19. The man, in his 50s, refused standard medical treatments until he became so sick he needed to be hospitalized.

"What we're left with is organ supportive therapy. Misinformation is hurting people and killing people," Souza said.

What the science is clear on? Vaccines, he said. "We don't have any vaccinated patients here."

Idaho hospitals nearly buckling in relentless COVID surge
A pregnant and intubated COVID-19 patient is pictured in the Surgical Intensive care unit (SICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. Credit: AP Photo/Kyle Green

In deep-red Idaho, however, vaccinations, masks and nearly anything related to the coronavirus marks a de facto borderline between more traditional Republicans and the far-right.

Republican Gov. Brad Little urged residents this week to show love for their neighbors by getting vaccinated and announced he was using federal programs and mobilizing the Idaho National Guard to bring in hundreds of additional health care workers. In response, Lt. Gov. Janice McGeachin called the statement "shameful."

McGeachin, who is running against Little in the Republican gubernatorial primary and has tried to bar schools and cities from from enacting mask rules, said people should make their "own health choices."

The rift exists at the local level, too. Ada County commissioners voted to nominate a local pathologist to a regional public health board who has referred to COVID-19 vaccines as "needle rape" and the "clot shot." Dr. Ryan Cole's appointment still depends on votes by other county leaders.

Idaho hospitals nearly buckling in relentless COVID surge
Dr. William Dittrich M.D. holds the hand of a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. More then half of the patients in the ICU are COVID-19 positive, none of which are vaccinated. Credit: AP Photo/Kyle Green

Even families who have witnessed the trauma of COVID-19 firsthand are on opposite sides.

Lisa Owens' 48-year-old stepbrother, Jeff Scott, has been in the Boise hospital's ICU since early August.

"My kids call him the 'Candy Man' because he always brings candy when he comes," Owens said. "He really is this kind, loving, jovial person, and I wish with all my heart that he'd gotten vaccinated."

She's vaccinated, along with about half of her extended family. But Jeff Scott, their aunt and uncle, Jeff's daughter and a few others are not. Her stepbrother likely caught COVID-19 from the aunt and uncle, Owens said. The aunt was hospitalized—she developed blood clots from the virus—but has since recovered.

If anything, those experiences entrenched other relatives in their anti-vaccination beliefs, Owens said.

  • Idaho hospitals nearly buckling in relentless COVID surge
    Dr. William Dittrich M.D. looks over a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021.. More then half of the patients in the ICU are COVID-19 positive, none of which are vaccinated. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Kristen Connelly, R.N. of the Surgical intensive care unit (SICU) at St. Luke's Boise Medical Center in Boise, Idaho holds back tears as she talks about the pressure of dealing with the influx of patients to the hospital because of COVID-19 on Tuesday, Aug. 31, 2021. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Ann Enderle, R.N., checks on a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. There are only 4 open ICU beds available in all of Idaho as of Tuesday. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Ann Enderle R.N. checks on a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. There are only 4 open ICU beds available in all of Idaho as of Tuesday. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Medical professionals pronate a 39 year old unvaccinated COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Lisa Owens holds back tears as she talks about her stepbrother, who has COVID-19 and is in the Intensive care unit at St. Luke's hospital in Boise, Idaho, on Tuesday, Aug. 31, 2021. Owen's stepbrother has been in the ICU for a month and hasn't shown improvement. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Neeraj Soni, M.D. walks through the emergency department at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. Idaho Gov. Brad Little said during a news conference today that "nearly all Idaho hospitals are overwhelmed with unvaccinated COVID-19 patients," Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Ann Enderle R.N. attends to a COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. There are only 4 open ICU beds available in all of Idaho as of Tuesday. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Medical professionals pronate a 39 year old unvaccinated COVID-19 patient in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. There are 208 COVID-19 patients in the St. Luke's ICU's statewide as of Tuesday. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    James Souza, M.D. Senior Vice President and Chief Physician Executive is pictured during a tour of St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021.. "We are making an enormous effort to save lives." Souza said, "but this is a pandemic of unvaccinated citizens". Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    A pregnant COVID-19 patient rests in the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. Idaho Gov. Brad Little activated the National Guard on Tuesday to assist state hospitals. Credit: AP Photo/Kyle Green
  • Idaho hospitals nearly buckling in relentless COVID surge
    Pictures of health care professionals hang on the wall of the Medical Intensive care unit (MICU) at St. Luke's Boise Medical Center in Boise, Idaho on Tuesday, Aug. 31, 2021. More then half of the patients in the ICU are COVID-19 positive, none of which are vaccinated. Credit: AP Photo/Kyle Green

"Sure, they see Jeff in the hospital, but they also see his aunt and uncle, and they're OK. The last update we had is even if he does recover, he's looking at eight months of rehab," she said. "If he pulls through, I'm going to march him into the nearest vaccine clinic myself."

Owens fears her stepbrother may be taken off if someone with a better chance of survival needs the bed.

"I don't even want to think about it. ... I mean, he's been in there for a month. If it comes to crisis standards of care, they're going to say he's not showing enough improvement, because he's not," she said, fighting back tears. "I hope he pulls through it."

___

This story has been updated to correct the last name of the man in the ICU. He is Jeff Scott, not Jeff Owens.


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