As a senior physician at Vancouver's St. Paul's hospital, Dr. Del Dorscheid has a special view of how COVID-19 is affecting patient care beyond the pandemic.
Unlike other parts of the hospital, the intensive care unit he oversees has not been emptied in anticipation of a surge of cases. Staff treat COVID-19 and non-virus patients alike, and continue to support families as they come to terms with critical illness.
Dorscheid also runs a provincial asthma clinic for about 1,200 patients virtually.
"Even if I'm here in the ICU, in the background I still have other patients who need to be cared for. It gives me an interesting out-patient and in-patient experience as to what COVID is doing to health care in this province," Dorscheid said.
His asthma patients are terrified of entering a hospital and even if they did, most out-patient testing has been shut down. The novel coronavirus has limited huge portions of the non-COVID population from accessing timely and appropriate out-patient care they need, he said.
Death is ever present in the ICU. Normally, about 85 per cent of admitted patients survive, Dorscheid said.
The doctors and nurses who care for the critically ill already understand death is a reality. But COVID-19 has added an emotional burden to their work.
The grieving room is now empty, and the rooftop garden is no longer a place for goodbyes. Dorscheid said he's struggled with how to provide the same compassionate care to families under limitations imposed during the pandemic.
"For me it's very important to have the physical contact with those individuals. I see their body language, I see who the matriarch, the patriarch is, you see all of that," he said.
There is also a spiritual purpose to their work, he said.
"We're all going to die, and that's not something to be scared of. What we want to protect is the understanding of that individual and what they meant to those persons' lives, and that passing can be gracious and comfortable and actually a very beautiful thing."