The medical team in a central Israeli hospital returned to the COVID ward earlier and more dramatically than expected
“Most people here are unvaccinated,” says Dr. Ilya Kagan, head of the coronavirus intensive care ward at Beilinson Hospital near Tel Aviv, standing at the bed of a man in his 50s who is sedated and on a ventilator. frustrated because this could have been prevented.” The unit has four such patients, two of whom are also hooked up to an ECMO heart-lung machine. The internal medicine ward has another 19 patients in serious condition, and in total, Beilinson has 34 COVID patients. During one 10-hour stretch in January, at the height of the third wave, the hospital was treating 74 COVID patients, with 46 of them in the same ward. “We expected to be packed by this point, but the situation has stabilized,” Kagan says. “We’re tired after a long year, and frustrated because this could have been prevented.” Even through fogged-up goggles, the elephant in the intensive care unit was clear to see – patients who didn’t get vaccinated. “It’s frustrating most of all for the patients themselves,” says Dr. Katya Orvin. “It’s hard to judge. Last week I had a patient who didn’t get vaccinated due to an allergy, and she died.” Orvin runs the cardiac intensive care unit, but she also volunteers in the COVID ward. On the day we met, she had just dropped her daughter off for her first day of school; then it was straight to the ward. “I’ve learned so much here,” she says. “The coronavirus has become a part of life.” According to Dr. Liran Stetlander, a doctor in the unit, “In early May I discharged the last patient from here. I hoped we wouldn’t be back.” The return came sooner than expected. Kagan says: “If not for the vaccines, this wave would have killed us.” “So there’s anger at this group, but empathy always wins out. When you talk to their families, when you talk to the patients, when you see them, your heart breaks. I asked one patient why he didn’t get vaccinated. And he said, ‘Because I’m stupid.’” The doctors also note an important trend. The families of unvaccinated patients, some of whom also aren’t inoculated, are rushing to get vaccinated when they see their loved ones in critical condition. “Someone who isn’t vaccinated also can’t come to visit or say goodbye,” Kagan says. “There was a patient who died while his wife was in quarantine. She couldn’t say goodbye to him. There are no words to describe what a catastrophe that is. A man in his 60s, who has a wife he has loved for decades, and he dies alone. No one deserves this.” And Stetlander adds: “The vaccine works. Even when a vaccinated person gets seriously ill, it’s not as bad. If those million people who’ve refused the vaccine were vaccinated, there wouldn’t have been a fourth wave. orin Shamir is the unit’s social worker; she liaises with family members who aren’t able to visit their loved ones. “There’s almost always a feeling of guilt – like an unvaccinated daughter who infected her father,” she says. “I’ve been here for years and I’ve seen a lot of death, but with this the family members’ thoughts after the fact makes it extremely hard. There is nothing normal about what’s happening here.” At the end of the ward lay the only patient who was conscious, Michael (not his real name). A fit and healthy 40-year-old, he didn’t get vaccinated. He couldn’t really say why. He certainly doesn’t fit the anti-vaxxer stereotype. He’s not awash in conspiracy theories and doesn’t hold firm beliefs about the supposed dangers of the vaccine. For over a week he has been lying on his stomach gazing at his phone and wondering how he got here. He missed his daughter’s first day of first grade. “It was foolish not to get vaccinated,” he says. “When you hear that everyone’s getting vaccinated but people are still getting sick, you take a step backward.” Other patients in the internal medicine ward who were able to talk preferred not to, maybe because it’s hard to keep explaining why you decided not to get the shot. Michael says that if he could go back in time he would get vaccinated, but when asked if he would get a booster shot every six months if that’s what the Health Ministry recommended, he says “I’d have a dilemma.” According to nurse Aya Jabarin, who races from one patient to another, “There have been fully conscious unvaccinated patients who understand what’s going on around them. I explain to them how important the vaccine is, but I can’t do more than that. Not everyone will be convinced and get vaccinated. All you can do is shine a spotlight on it. “I wouldn’t say that I’m angry. I’m not here to scold the patient, I’m here to take care of him. Yes, these people had a way not to be here, but they chose differently.” Jabarin also lost her grandfather to the virus. “He followed the rules, he was older, and when it happened to him we were in shock,” she says. “It was really tough.” There’s something else that the medical staff all agree about – the emotional toll on them. They realize that something in them has changed. “You just ask about it and I feel like crying,” says Pnina Artzman, the head intensive care nurse, who has more than 25 years of experience. “I’ve never experienced anything like COVID. I’ve never seen a disease that affects the lungs like this,” she says. “You just receive the patient and immediately you have to intubate them. In the second wave it was very hard; many patients died. It was very frustrating for the team. And that was back when people were applauding the medical workers.” But that time is gone – people have left their balconies. Public hospitals are still pleading for funding. And at this point, a year and a half into the pandemic, someone has to start taking care of the medical staff too. Kagan, the head of the ICU ward, says the third wave hit them hard. “It really got to us because of the high death rate, because of the young people,” he says. “You take these things home with you. Like when you have a young patient who’s being intubated and he asks when he’ll wake up, and you have to lie and tell him in a week, when you know there’s a good chance he won’t come out of it.” Nurse Jabarin adds: “There are difficult shifts with resuscitation, and I see it when I’m going to sleep. I hear the monitors all the time. But this is our life. I don’t think anyone who has been dealing with this pandemic will come out of it the same. It will leave its mark on all of us.” Nick Note: I follow the news out of Israel closely. They have one of the worlds best medical systems. A world class medical community, Cutting edge research and Plenty of money for the health care system. They lead the world in medical research and vaccinations. AND AND AND they have accessible real time digital medical data bases. I can compare the data to what i see here in the clinic i started. When they lift controls the infections pick up. When we vaccinate they drop. if their was a huge vaccines conspiracy i would see it. Yes their have been SOME side effects. I know out of thousands 2 people who have had lasting side effects (a matter of weeks) and one that I wouls say are serious. But I have watched hundreds die and hundreds more who were infected with what we call long haul covid. Many who ended up disabled for life. I also see the lab results and can tell you for sure without a doubt that antibodies drop among the vaccinated. After 5 to 6 moths especially amoung people over 50 years old they have very very little protection. SO… That is why in real world experince I urge you to get the 3rd shot.I have been involved with people who had hepatities. ANd I helped pay for the vaccines. Hepatitus A is 2 shots, Hepatitus B is 3 shots. Side effects are minumual but much more then in the covid vaccines. I have been involved with several Hepatitus infected people… And it is a death sentance. Their is a treatremtnt, direct-acting antivirals (DAAs). but many insurers are not willing to pay for them, since the drugs can cost up to $100,000 for a full course of treatment. Even though when they factored in the long-term medical cost of delaying treatment for hepatitis C, they found the savings, in combination with improvements in the quality of patients’ lives, were enough under current standards to justify using them even at early stages and paying for them. I was involved with Linda who was very ill. We got her started on treatment and after threatening, pleading with and finally starting a lawsuit her HMO paid the bill. Cost of the 12 week therapy was over $100,000 with LOTS of side effects. But like Covid the side effects risks are far far far less then the illness….She is completely recovered and back living her life at the beach in Florida. With the covid plague we are very lucky. We have a vaccines that really really works with minimal side effects. Without government funding this could have been another $100,000 disaster for most people. As far as conspiracies… well get over it that is how the world works. When you go buy your chicken their are loads of conspiracies that over the years Tysons and others have cooked up. And as far as side effects many people are allergic to and some have died from the chemicals in chicken feed, the growth hormones, antibiotics and chemicals used in processing and preserving the meat….. Even your peanut butter is filled with risks and secret chemicals. Many people have died and get serious ill with peanut allergies….. Suck it up and get over it. Far far far more people have died in car crashes and dehabilitated for life then in total vaccine side effects…. but you still drive. People take billions of dollars of drugs made in disgusting unregulated drug labs in Mexico and Columbia and suffer far more deaths then any vaccine. But the very people who are willing to smoke weed sprayed with banned insecticides or other powders made with industrial grade chemicals not fit for human use are not getting vaccinated…. This is some crazy shit!