Global Statistics

All countries
695,781,740
Confirmed
Updated on September 26, 2023 9:04 pm
All countries
627,110,498
Recovered
Updated on September 26, 2023 9:04 pm
All countries
6,919,573
Deaths
Updated on September 26, 2023 9:04 pm

Global Statistics

All countries
695,781,740
Confirmed
Updated on September 26, 2023 9:04 pm
All countries
627,110,498
Recovered
Updated on September 26, 2023 9:04 pm
All countries
6,919,573
Deaths
Updated on September 26, 2023 9:04 pm

COVID-19 Survival Improved By Better ICU Care : Shots

City of Cape Town urges people to leave Kataza the baboon alone

Kataza the baboon. Facebook / Baboon Matters The City of Cape Town has asked the public not to feed a baboon that has relocated to Tokai. The baboon, known as Kataza or SK11, is slowly being integrated into the Tokai troop. Video footage, however, shows humans feeding Kataza. The City of Cape Town has requested that Kataza…

Rassie: There are various benefits for SA rugby to go north

As SA Rugby moves to determine which franchises will go to Europe in future, Rassie Erasmus has noted several potential benefits for the local game should that route be followed.The national director of rugby believes the high world rankings of Wales, Ireland and Scotland mean PRO Rugby is competitive and that fans will eventually identify…

A Once-in-a-Century Climate ‘Anomaly’ Might Have Made World War I Even Deadlier

(John Finney Photography/Moment/Getty Images) An abnormally bad season of weather may have had a significant impact on the death toll from both World War I and the 1918 Spanish flu pandemic, according to new research, with many more lives being lost due to torrential rain and plummeting temperatures. Through a detailed analysis of an ice…

PICS | Truck driver killed in Pinetown after truck ploughs into several cars

A vehicle that was hit in the accident. A truck driver was killed in a horrific sequence of events following an initial crash in Pinetown. While trying to move the truck after the accident, it appeared to lose control. He died after falling out of the truck which ploughed into several cars and a wall.A truck driver…

42 people in court for R56m police vehicle branding scam

Forty-two people have been implicated in a police car branding scam. Forty-two people have been arrested for their alleged involvement in a police vehicle branding scam. They face a range of charges including corruption, fraud, money laundering, theft and perjury.Of these, 22 are serving police members.Forty-two people are set to appear in the Pretoria Magistrate's Court on…

Niticia Mpanga, a registered respiratory therapist, checks on an ICU patient at Oakbend Medical Center in Richmond, Texas. The mortality rates from COVID-19 in ICUs have been decreasing worldwide, doctors say, at least partly because of recent advances in treatment.

Mark Felix/AFP via Getty Images


hide caption

toggle caption

Mark Felix/AFP via Getty Images

Niticia Mpanga, a registered respiratory therapist, checks on an ICU patient at Oakbend Medical Center in Richmond, Texas. The mortality rates from COVID-19 in ICUs have been decreasing worldwide, doctors say, at least partly because of recent advances in treatment.

Mark Felix/AFP via Getty Images

If you think all the coronavirus news is bad, consider the uplifting story of Don Ramsayer.

The 59-year-old man from Cumming, Ga., is living evidence that doctors in intensive care units quickly figured out how to help more patients survive.

In early August, Ramsayer was helping his son pack up the car for his freshman year at The Citadel, the Military College of South Carolina. Ramsayer had been having night sweats and wasn’t feeling that well, but he tried to play it down.

“We got the last box packed and it was ready to go in the car, and I finally succumbed to my sister and kids, who said ‘Dad, something’s wrong. Go to the hospital.'”

Ramsayer, a software designer and self-described gym rat, had been diagnosed in November with a slow-moving form of leukemia. But the doctors at Emory Johns Creek Hospital, northeast of Atlanta, ran a few tests and concluded that his new symptoms were actually from COVID-19.

He was admitted to the hospital and got sicker and sicker over the weekend. Ramsayer recalls the doctors phoned his sister and told her to prepare for the worst, “because they did not think I was going to make it.”

As his health declined, doctors “basically threw everything in the kitchen sink at me,” he says. “Almost like Sherlock Holmes. ‘What can we try here? What can we try there to get in front of these things?’ “

Doctors gave him a newly available antiviral drug, remdesivir, as well as an experimental treatment called convalescent plasma. That involves transfusions of blood plasma from people who have recovered from COVID-19 and carry antibodies that might help fight the virus.

He also ended up on a ventilator for nine days, under heavy sedation.

Don Ramsayer and his sister Melanie Ramsayer speak over FaceTime on August 30. He’d been off the ventilator for 10 days and was finally recovered enough from COVID-19 to be moved out of the ICU.

Don and Melanie Ramsayer


hide caption

toggle caption

Don and Melanie Ramsayer

Ramsayer himself rather unexpectedly ended that phase of his treatment.

“Somehow I got out of the straps,” he says in an interview from his hospital bed. “I completely unhooked myself … and pulled the breathing tube out. And here’s the really funny thing. I’m obviously pretty doped up. They had me on all kinds of stuff and how I was even conscious, they aren’t even sure of that. The first thing I do is I say, ‘Can I have a Coke?’ “

He says doctors at first considered reinserting the breathing tube, but they saw he could breathe on this own well enough.

“I continued to improve from that point forward,” he says.

Ramsayer’s story is remarkable, considering his cancer and the complications of his case. But this story is far from unique.

“We have very much replicated what’s been seen worldwide, which is over time the mortality in ICUs have decreased,” says Dr. Craig Coopersmith, director of the Emory Critical Care Center. He oversees ICUs at five hospitals in the Emory system, including Johns Creek.

The decline in mortality related to COVID-19 varies month to month. At Emory it has been in the range of 20% to 50%. Coopersmith says there are lots of reasons for that.

A big one is that, when the first wave of Covid-19 hit Atlanta’s hospitals in April, doctors had no experience with the disease. Medical management of these patients is now, by comparison, routine.

“There’s certainly nothing routine about the pandemic,” Coopersmith says, “but in terms of how we’re managing it, once you have taken care of something for the tenth time, it is normal.”

Doctors can better handle common and serious complications like blood clots. They realized that patients do better if they aren’t lying on their backs all the time. Patients in Emory hospitals are encouraged to spend some time lying on their stomachs. That simple effort sometimes is enough to keep them out of the intensive-care unit.

A poster filled with photographs in Don Ramsayer’s hospital room — a reminder of those at home cheering him on.

Don and Melanie Ramsayer


hide caption

toggle caption

Don and Melanie Ramsayer

Ramsayer found it uncomfortable to sleep on his stomach — he says he has a couple of blown disks as a result of his days as a powerlifter — but he did sleep on his side when he could.

And while no medicine can cure COVID-19, a series of studies showed that steroids can benefit the sickest patients.

Emory, like many medical centers, had not been using steroids such as dexamethasone routinely to treat COVID-19 until a major study from the United Kingdom showed that these drugs reduce the risk of death among seriously ill patients.

“So that’s a tremendous success story,” Coopersmith says. “In just a few months we have a drug which is easily available everywhere and quite cheap, and which improves survival significantly in the ICU patient population.”

Indeed, steroids were part of Ramsayer’s treatment.

After The ICU, Many COVID-19 Survivors Face A Long Recovery

The trend in improving survival has been documented in intensive care units around the world. Even so, people treated in the ICU for COVID-19 are at higher risk of death than is the case for other viral lung diseases. Across the United States, hundreds of people still die daily from COVID-19.

Coopersmith credits some of the improvements in treatment to scientific advances, as was the case for steroids. He says it also helped that, for the past six months, all the attending physicians shared their observations and ideas with one another on a daily text chat, “and in that we find the art of medicine.”

Ramsayer also credits his own deep faith in God for getting him through the ordeal. When we spoke, he was getting ready to be discharged after more than five weeks in the hospital.

“I’m walking, sitting, I can get around. My only limitation is just my oxygen requirement,” he says. He considers that a mere inconvenience.

He’s eager to return to his work as a software designer, and to keep working with his doctors to figure out the right treatment for his leukemia.

“That’s something we’ll tackle once I get back on my feet.”

You can contact NPR Science Correspondent Richard Harris at [email protected].

Read More

LEAVE A REPLY

Please enter your comment!
Please enter your name here

Hot Topics

City of Cape Town urges people to leave Kataza the baboon alone

Kataza the baboon. Facebook / Baboon Matters The City of Cape Town has asked the public not to feed a baboon that has relocated to Tokai. The baboon, known as Kataza or SK11, is slowly being integrated into the Tokai troop. Video footage, however, shows humans feeding Kataza. The City of Cape Town has requested that Kataza…

Rassie: There are various benefits for SA rugby to go north

As SA Rugby moves to determine which franchises will go to Europe in future, Rassie Erasmus has noted several potential benefits for the local game should that route be followed.The national director of rugby believes the high world rankings of Wales, Ireland and Scotland mean PRO Rugby is competitive and that fans will eventually identify…

A Once-in-a-Century Climate ‘Anomaly’ Might Have Made World War I Even Deadlier

(John Finney Photography/Moment/Getty Images) An abnormally bad season of weather may have had a significant impact on the death toll from both World War I and the 1918 Spanish flu pandemic, according to new research, with many more lives being lost due to torrential rain and plummeting temperatures. Through a detailed analysis of an ice…

Related Articles

City of Cape Town urges people to leave Kataza the baboon alone

Kataza the baboon. Facebook / Baboon Matters The City of Cape Town has asked the public not to feed a baboon that has relocated to Tokai. The baboon, known as Kataza or SK11, is slowly being integrated into the Tokai troop. Video footage, however, shows humans feeding Kataza. The City of Cape Town has requested that Kataza…

Rassie: There are various benefits for SA rugby to go north

As SA Rugby moves to determine which franchises will go to Europe in future, Rassie Erasmus has noted several potential benefits for the local game should that route be followed.The national director of rugby believes the high world rankings of Wales, Ireland and Scotland mean PRO Rugby is competitive and that fans will eventually identify…

A Once-in-a-Century Climate ‘Anomaly’ Might Have Made World War I Even Deadlier

(John Finney Photography/Moment/Getty Images) An abnormally bad season of weather may have had a significant impact on the death toll from both World War I and the 1918 Spanish flu pandemic, according to new research, with many more lives being lost due to torrential rain and plummeting temperatures. Through a detailed analysis of an ice…