story and photo by Bobby Anderson, Staff Writer

At the time, none of us knew.
The patient we received from the emergency room was breathing 40-50 times a minute and maxed out on oxygen.
The bipap – the last line of oxygenation before a ventilator – wasn’t keeping up and the patient was struggling.
We knew the Coronavirus – or more technically, Covid-19 – was a thing.
Like all hospitals around us, there were whispers of a handful of patients on our campus being tested for it.
But they were in the ICU or on a separate floor, being taken care of by nurses with special personal protective equipment, wearing helmets and facemasks with powered air-purifying respirators.
Meanwhile, our patient was in respiratory distress.
Lab tests, chest x-rays and CT scans were reviewed along with a late call about the patient’s history.
The situation called for an ICU level of care.
The call from the patient’s doctor revealed COVID 19 was highly suspected.
That’s when COVID-19 became real for all of us in the room.
Outside the room, five respiratory therapists, the house supervisor and my charge nurse huddled together.
Eyebrows and voices raised.
The people I looked to most in the hospital for answers were without them.
Not only that, they were scared.
The bipap ventilation system was effectively aerosolizing the already contagious virus.
In layman’s terms, the high pressure flow made the viral particles even smaller and easier to transmit.
The surgical masks we were all wearing aren’t designed to be effective against the virus.
Two days later we learned the patient died while on a ventilator.
The day after that we learned results were positive for COVID-19.
Direct exposure was declared and all of us barred from returning to work for 14 days.
Nearly two weeks later we’re still learning.
Now I take my temperature twice a day and monitor for symptoms while logging everything online.
A fever over 100 degrees. A cough. Vomiting and diarrhea. Body aches.
All are symptoms of infection.
I haven’t been tested nor will I be tested unless I develop symptoms.
But my goal throughout this pandemic isn’t to complain or blame others. My goal, when I’m not at the bedside after my quarantine ends, is to highlight individuals who are helping turn the tide.
One of those individuals making a difference is Becky Lewis.
Lewis RN, MSN, CIC, is the system director of infection prevention for INTEGRIS, Oklahoma’s largest health system.
This virus has affected us all in different ways: personally, professionally and emotionally.
In Becky’s own words:
I see my family less and work more.
It is necessary but it is hard.
My five-year-old asks me when the sickness will be gone and my almost two-year-old cries when I come home because he knows that means it’s time to go to bed.
I come home and immediately start looking at any new common guidance documents from the CDC and the like to see if there were any revisions or updates overnight.
Every day I identify three to five items to focus on and work toward providing recommendations or guidance for each and relay that information to the system. The amount of updated or new information to digest is astounding.
I am currently on day 49 of non-stop COVID work. I am tired to my bones but know what I am doing is necessary and important work. I am working to keep our patients and caregivers safe.
I worry about the fear factor for our teams on the front line and the misinformation that can feel stronger than science.
My first week on the job as an infection preventionist was during H1N1 and it was wild, but we didn’t have the same social media presence that we do now and it is a strong element to work with and around.

by Nick Thomas

While most of us will be remembering mothers on May 10 this year, entertainers who worked as child actors in television sitcoms may also have special memories of their ‘TV mom.’ For Paul Petersen, that was Oscar winner Donna Reed, matriarch from “The Donna Reed Show.”

“It’s kind of an archival look back at an iconic television show,” said Petersen who, like Reed, appeared in all 275 episodes during the series run from 1958 to 1966. “I wanted the book to not only examine the people who made the show, but to put television in the historical context of the period. During the 8 years, we went through a lot including illnesses, accidents, and national incidents from that era.”
One of the most memorable was the 1963 Kennedy assassination.
“We were rehearsing and a guy from the radio station across the street called with a real quiver in his voice asking for Donna,” said Petersen who remembers answering the phone. “Donna then told us the president had been shot and it shut down the studio. We just packed up and went home for a very painful weekend.”
Most of Petersen’s memories of the show are far more pleasant, however, like the first day filming on the set.
“Donna was from a little town in Iowa called Denison, in the county right next to where my mother was born around the same year,” he explained. “When I got the job, the most excited person in my family was my grandfather who insisted on taking me to work to film the pilot. He marched right up to Donna and said, ‘Donna Belle Mullenger (her birth name) I knew your dad!’”
Reed was gracious, and remained personable and well-liked throughout the series, according to Petersen. “We all got together for lunch and were very close – uniquely close compared to other television families.”
A potentially tragic incident occurred when Paul crashed his Pontiac Grand Prix during the series. But Donna came to his rescue.
“The accident was my fault and for punishment I had to ride a bicycle 8 miles to work every day. But Donna and Tony (her husband) felt sorry for me and gave me a brand-new Volkswagen Bug. I loved that car!”
During the show’s run, Petersen obviously called Reed ‘mom’ while filming, but it was always ‘Miss Reed’ away from the set.
“It wasn’t until four years after the show ended when I was in my mid-20s and we were at Chasen’s restaurant that I remember her learning across the table and saying, ‘Paul, I think it’s time you started calling me Donna!’”
Having a close ‘second mom,’ especially a famous one, could have created friction between Petersen’s real mother and the actress.
“I remember in an interview my mother said, ‘how could I ever compete with Donna Reed?’ But she understood I had an ongoing professional relationship with Donna that sometimes required spending more time with her than my actual mother.”
“Donna was my de facto mother and guardian on the set, a pretty safe person to leave your kids with,” added Petersen. “She was an Iowa bred farm girl, the oldest of five children, who had lived through the depression and came out to California to be a Hollywood star and succeeded. She was a wonderful role model.”
In 2018 for the anniversary of the show’s first broadcast, Petersen (and coauthor Deborah Herman) released “The Donna Reed Show: A Pictorial Memoir” (see www.micropublishingmedia.com).

Nick Thomas teaches at Auburn University at Montgomery and has written features, columns, and interviews for over 800 newspapers and magazines. See getnickt.org.

Talk about on the job training, Hailee Stull became a registered nurse less than a year ago. Now, she finds herself working on the frontlines of a worldwide pandemic.
“I never imagined something like this would happen in my lifetime, much less my first year on the job.”
Stull works in the Emergency Department at INTEGRIS Southwest Medical Center. She says it has been amazing to watch her team rise to the challenge. “Policies and procedures for the COVID-19 situation have been frequently changing since the beginning of the outbreak. We’re dealing with changes sometimes from shift to shift and doing our best to keep up and stay informed.”
She adds, “I’ve watched my coworkers adapt and thrive with every change thrown our way. It has been fascinating to watch and experience the creativity, teamwork and generosity on full display.”
Stull says patients and visitors have been impacted by the ever-changing environment as well. “They’ve had to deal with visitor restrictions, symptom screenings at every entrance and waiting in their cars to be seen. This crisis has proven to me just how resilient we all can be.”
But she admits caring for coronavirus patients on top of other emergencies can be a juggling act. “My role as an ER nurse is to not only care for COVID-19 patients, but to also care for other emergent patients. People are still breaking bones and having strokes. Those things don’t stop just because of a virus.”
Stull’s sense of duty helps her push past the fear. “Dealing with the unknown is always scary. I have seen what this virus has the capability to do to people. It is frightening to put myself in direct contact with this virus,” she reveals.
However, as a nurse this isn’t the only frightening disease I am in contact with. I do the best I can to protect myself while caring for my patients.”
Stull says she has always wanted to be a nurse and nothing, not even a pandemic, can change that. “I have always been a caregiver at heart and always will be – long after this pandemic is a thing of the past.”

by Greg Schwem

The ongoing stay-at-home order has forced most of us to seek amusement by posting photos of ourselves from bygone eras to our social media accounts.
“Share your high school senior picture” was trending last week; a challenge I was about to undertake until I read how doing so could invite hackers to glean more information about me, such as where I attended school, where I currently lived and who did such a horrible job cutting my hair in 1980.
Security experts also warned that more information could be easily obtained once this information was known, as many people choose to use their high school as a security answer or worse, their password. Those of you who attended Catholic schools need not worry; even the most skilled hacker is probably going to give up before guessing, “AcademyOfOurLadyOfGoodCounsel1994.”
Despite not participating, I enjoyed seeing these throwback photos, from graduation and other events, posted by friends. Did everybody in the 1970s wear thick, black horn-rimmed glasses and look like they worked for the Apollo space program?
Ladies, if you attended college in the early 1980s, did the law require you to part your hair down the middle and then feather it back with enough aerosol to start a salon?
And guys, did you not realize that only David Coverdale, from Whitesnake, and Jon Bon Jovi could pull off the big hair, pompadour look? The rest of you had that “just exited a wind tunnel” look.
Tom, my long-time comedian friend in New York, often reminds me why he has never jumped on the fashion bandwagon. “The hipper your clothes are today, the more ridiculous photos of you are going to look in 20 years,” he says on stage.
I won’t argue.
When scientists find a vaccine for COVID-19, the “all clear” signal is given, and life returns to whatever is subsequently defined as “normal,” we will all be left with treasure troves of photos taken during the pandemic. And in future decades, when those photos find their way into school history books (assuming schools and books still exist) or onto social media sites, viewers won’t need to look at a hairstyle, a car in the background or an item of clothing to determine the photo was indeed shot in 2020.
For starters, the viewer only has to see the photo’s dimensions. It will most likely be shot vertically, with a 9-by-16 aspect ratio. The photo will contain only one subject. Correction, one HUMAN subject. Animals may be included, but more people? Absolutely not, for they will all be standing at least 6 feet away and, therefore, out of frame.
The subject will be wearing sweatpants and a faded T-shirt containing some semblance of the slogan, “We’re All in this Together.” He or she will be shoeless. Men will have facial stubble; sadly, so will some women. Hairstyles won’t have complimentary names like “The Rachel,” “Charlie’s Angels” or “The David Hasselhoff.” Instead, all hair will fall into the “Dang, That Should Have Been Cut Weeks Ago” category.
Photos of celebratory occasions will feature one participant, perfectly centered, wearing a “Happy Birthday” or “Congratulations” party hat, while grainy, square images of others hover overhead. The word “Zoom” will appear somewhere.
The “guess where this photo was taken” game will be boring once everybody realizes the answer is always the same: “Uh, your house?” Kids who play sports won’t appear in photos wearing brightly colored uniforms while baseball diamonds and soccer fields glisten behind them. Instead, the background will be a basement wall or a garage door. Youth basketball players, take heart: At least the vertical photos will make you look taller than you are.
Since the stay-at-home order began in mid-March, I have neglected to take many photos, so anxious am I to erase this moment from my life, rather than record it for future viewing. I did break down last weekend and post a selfie, snapped while my wife cut my hair. The pandemic, I realized, would not date it.
Trust me, even without a global health crisis, that image is horrifying and depressing.
(Greg Schwem is a corporate stand-up comedian and author of two books: “Text Me If You’re Breathing: Observations, Frustrations and Life Lessons From a Low-Tech Dad” and the recently released “The Road To Success Goes Through the Salad Bar: A Pile of BS From a Corporate Comedian,” available at Amazon.com. Visit Greg on the web at www.gregschwem.com.)

You’ve enjoyed reading, and laughing at, Greg Schwem’s monthly humor columns in Senior Living News. But did you know Greg is also a nationally touring stand-up comedian? And he loves to make audiences laugh about the joys, and frustrations, of growing older. Watch the clip and, if you’d like Greg to perform at your senior center or senior event, contact him through his website at www.gregschwem.com)

* As of this advisory, there are 3,280 confirmed positive cases of COVID-19 in Oklahoma.
* There are three additional deaths; zero occurred in the past 24 hours and the others died between April 24-April 25.
* One in Tulsa County, a male in the 65 and older age group.
* One in Carter County, a female in the 50-64 age group.
* One in Wagoner County, a female in the 65 and older age group.
* There are 197 total deaths in the state.
Note: The number of total cumulative negative specimens, total cumulative number of specimens to date, and the number currently hospitalized reported below are compiled through the Executive Order reports submitted to the governor. These reports are not submitted on the weekend, and therefore, those numbers found in this report will be updated Tuesday. All other numbers listed in this report are current.
* The American Association on Health and Disability (AAHD) has created a survey to assess health care and health care access challenges people with disabilities are encountering with the COVID-19 pandemic. The survey is open until May 1 and can be found here.
* A list of COVID-19 testing sites in the state can be found here.
* For more information, visit coronavirus.health.ok.gov.

*The total includes laboratory information provided to OSDH at the time of the report. Total counts may not reflect unique individuals.
**This number is a combination of hospitalized positive cases and hospitalized persons under investigation, as reported by hospitals at the time of the report. The data reflect a change in calculation and should not be compared to prior data.

Dear Savvy Senior, Do currently offered vaccines against pneumonia provide seniors any protection against the coronavirus disease? I’ve always been bad about getting vaccinated, but this coronavirus pandemic is causing me to change my thinking. Pro-Vax Patty

Dear Patty,
This is a great question. Because the coronavirus (COVID-19) attacks the lungs and respiratory system, many readers have asked whether the pneumonia vaccines, which are administered to millions of patients each year, might protect someone if they contract the coronavirus.
But unfortunately, the answer is no. Vaccines against pneumonia, such as pneumococcal vaccine and Haemophilus influenza type B vaccine, do not provide protection against the new coronavirus.
This virus is so new and different that it needs its own vaccine. Researchers are in the process of rapidly developing a vaccine against COVID-19, but it is expected to take at least a year before it’s ready.
Having said that, you should also know that there are several other important vaccines the Centers for Disease Control and Prevention (CDC) recommends that all seniors should get up to date on after the coronavirus pandemic dies down. Here’s a rundown of what they are, when you should get them, and how they’re covered by Medicare.
Flu vaccine: While annual flu shots are recommended each fall to everyone, they are very important for older adults to get because seniors have a much greater risk of developing dangerous flu complications. According to the CDC, last year up to 647,000 people were hospitalized and 61,200 died because of the flu – most of whom were age 65 and older.
To improve your chances of escaping the seasonal flu, this September or October consider a vaccine specifically designed for people 65 and older. The Fluzone High Dose or FLUAD are the two options that provide extra protection beyond what a standard flu shot offers. And all flu shots are covered under Medicare Part B.
Pneumococcal vaccine: As previously stated, this vaccine protects against pneumonia, which hospitalizes around 250,000 Americans and kills about 50,000 each year. It’s recommended that all seniors, 65 or older, get two separate vaccines – PCV13 (Prevnar 13) and PPSV23 (Pneumovax 23). Both vaccines, which are administered one year apart, protect against different strains of the bacteria to provide maximum protection. Medicare Part B covers both shots if they are taken at least a year apart.
Shingles vaccine: Caused by the same virus that causes chicken pox, shingles is a painful, blistering skin rash that affects more than 1 million Americans every year. All people over age 50 should get the new Shingrix vaccine, which is given in two doses, two to six months apart. Even if you’ve already had shingles, you should still get this vaccination because reoccurring cases are possible. The CDC also recommends that anyone previously vaccinated with Zostavax be revaccinated with Shingrix because it’s significantly more effective.
All Medicare Part D prescription drug plans cover shingles vaccinations, but coverage amounts, and reimbursement rules vary depending on where the shot is given. Check your plan.
Tdap vaccine: A one-time dose of the Tdap vaccine, which covers tetanus, diphtheria and pertussis (whooping cough) is recommended to all adults. If you’ve already had a Tdap shot, you should get a tetanus-diphtheria (Td) booster shot every 10 years. All Medicare Part D prescription drug plans cover these vaccinations.
Other Vaccinations
Depending on your health conditions, preferences, age and future travel schedule, the CDC offers a “What Vaccines Do You Need?” quiz at www2.CDC.gov/nip/adultimmsched to help you determine what additional vaccines may be appropriate for you. You should also talk to your doctor during your next visit about which vaccinations you should get.
To locate a site that offers any of these vaccines, visit VaccineFinder.org and type in your location.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

Story and photos by Darl DeVault

While Oklahoma seniors have been the most vulnerable to COVID-19, our modern heroes, medical health professionals, have also been impacted by this huge stress event.
Medical outcomes are stark. There are no proven therapies to treat or cure the disease. In Oklahoma, the vast majority of COVID-19 deaths are in seniors 65 or older, as high as 80 percent. The statistics go on and on, unchanging in dire descriptions of how vulnerable aging bodies are to the pandemic.
Another group shares a vulnerability every bit as brutal in descriptions. Our medical health professionals are the next highest death rate in America. Besides the brutal numbers of deaths, there is another facet of their suffering.
They are repeatedly exposed to preventable unmanageable stress. This immersion in the onslaught of a pandemic has the potential to inflict post- traumatic stress disorder.
In honor of the 200th birth anniversary of Florence Nightingale, the World Health Organization (WHO) has designated 2020 as the “Year of the Nurse and Midwife.” Since National Nurses Week is celebrated soon from May 6 through May 12 it is appropriate to ask one “What are you going through?”
Nurse Beth Bierig said last week from New Jersey, “Working on a floor of all COVID-19 positive patients whose change in status happens quickly without warning, makes you feel constantly guarded as to when your own medical health will quickly turn badly as well. You don’t have time to even comprehend how scary the silent killer surrounds every piece of air you work in, but it weighs heavily on your mind.”
Bierig, from Hackensack University Medical Center, goes on to explain how having a servant’s heart can put a nurse in harm’s way. “While performing life sustaining measures on your patients and respiratory fragments flood the air in the process, you can’t help but wonder, will it be saving their life that takes mine?” she said. “I don’t know the effects it will have on myself or other people, because everyone has had different experiences. Every nursing specialty has their own traumas and people are generally drawn to what they can handle.”
Also, “the support nurses receive after this will affect their long-term mental health pertaining to this situation. The whole situation has affected everyone strongly, not only health care providers. We’re living in a historic time and hopefully we all learn from it.”
From the respiratory therapists who manage ventilators, and technicians that manage ICU equipment to the direct caregivers, stress can be overwhelming. The heroes who share their servant’s heart signed up to be properly supported and use their knowledge and ability to affect positive change. Again, at present, there are no proven therapies to cure COVID-19.
Some health care professionals function where they are overwhelmed by the sheer number of deaths that take place right in front of them. Sometimes as often as hourly, these deaths may inflict a PTSD future on the frontlines of medicine.
For those healers who were constantly worried about their own health because of a shortage of personal protective equipment life can change. Just the apprehension of spreading the disease to their family could have a dire outcome.
COVID-19, the severe respiratory illness caused by the novel coronavirus pandemic is extremely transmissible. Properly protected ICU critical care team workers being readied for patient interaction look like preflight prep before blastoff for our moon missions.
These heroes may share an almost as strong an impact as the vulnerable seniors who perished. Some may suffer grave symptoms of psychological stress impacting their ability to deliver medical health care in the future.
Every psyche is different in the many roles played by helping healers who suited up to sustain the COVID-19 patients. Science tells us women are twice as likely to suffer PTSD symptoms.
This pandemic is something different. The onslaught of stress can change brain wiring for the worse — at the level to create PTSD. Later, some may seek to stay away from the situations that remind them of the traumatic events.
Some caregivers may not be able to adaptively overcome the stress and adversity while maintaining normal psychological and physical functioning.
The potential for PTSD is when an individual is placed in a situation where they do not have all the needed equipment, weaponry, support by colleagues in numbers needed, or proper support from superiors. This is also fueled when they feel they do not have the proper protective material and are forced to go in harm’s way relentlessly when they fear for their own survival. On April 3, Oklahoma showed 10.6 percent of its confirmed cases were health care workers.
Situationally produced and yet self-imposed is the stress of sleeping in their cars in their hospital parking lot because they do not want to bring potential illness and death home to their families. This can result in the development of PTSD, depression and other psychiatric disorders.
In a medical scenario where our heroes ran toward the danger and healing is supposed to take place that sounds extremely abrupt. But in many of our hospitals that were overwhelmed by COVID-19 patients presenting repeated unmanageable stressors, that is exactly what was happening.
Often nurses and doctors in COVID-19 hotspots made life and death choices, deciding who was to live and who was to die because of a limited number of ventilators and limited ability to intubate. And there was the randomness of patients dying right in front of them as these patients first entered the hospital.
We must be honest. Nurses and doctors are human and cannot escape that negative impact. People who signed up to work around the sick also take great pride in learning all the ways to be healers.
To suddenly be immersed in the onslaught of hourly and daily negative scenario can have a permanently deleterious effect on the human psyche. It remains to be seen if overwhelming the individual at a high morbidity level has a lasting effect. We know brainwave activity that negativity establishes can create specific pathways in the brain that were not there before.
How do we know what effect this has on these brave people’s body and spirit when these pathways are never compensated for? These individuals may have anxiety and depression from these days forward.
The wild card in all of this are brave medical health professionals who contracted COVID-19 themselves, while trying their best to help others. Hundreds have died around the world. Yes, they signed up for this profession, but not to suffer the same as their patients.
Another stressor is some hospitals, such as the University of Oklahoma Medical Center, are cutting pay and hours because of the strict emphasis on COVID-19 leaving them cash poor.
“A grateful nation will likely create a fund offering therapy and treatment for front line medical professionals who have health problems traceable to saving lives similar to the federal World Trade Center Health Program,” Oklahoman Kara De La Pena, APRN, said. “Considering for many of us who took on preventable risks, the James Zadroga 9/11 Health and Compensation Act of 2010 will be held up as a model for providing us medical treatment. That program is funded through 2090 now.”
The seniors saved and whole world thank our heroes and seek restorative insight into the medical outcomes thrust upon the healers who fight to keep people alive.

Paul H. and Evelyn Bourne were the first two COVID-19 patients to require hospitalization at INTEGRIS Canadian Valley Hospital in Yukon. The married couple came to the hospital together, both were listed in critical condition and both required intubation to breathe.
Six weeks later, we are happy to announce that both are making progress.
Evelyn, who was transferred to another hospital, was taken off of the ventilator today (Wednesday, April 29) and is showing improvement. While Paul is headed to INTEGRIS Jim Thorpe Rehabilitation.
The 71-year-old spent 11 days on a ventilator, a total of 23 days in the hospital and then another 15 days in a long-term acute care facility. But today, he got one step closer to going home. Here is the emotional send-off.
Paul is expected to spend approximately 14 days at INTEGRIS Jim Thorpe working to regain his strength and coordination. We hope Evelyn will soon follow his lead. It’s stories like these that keep our caregivers going. This is what makes our job worthwhile.

Mark Rolfe, M.D., is a Lung Transplant and Critical Care Pulmonologist at INTEGRIS Baptist Medical Center. He says we are starting to see an increase in COVID-19 cases requiring hospitalization. Many of those end up in the intensive care unit, where he works.
“The first time I walked into the room of a patient known to have COVID-19, I paused at the door,” admits Rolfe. “I was a little frightened at facing this disease for the first time.”
It was the first case to be diagnosed at INTEGRIS Baptist, and Rolfe reveals it brought back memories from early on in his career. “I grew up in medicine at the beginning of the AIDS epidemic and remember the hysteria around that diagnosis and all the precautions people took to not catch it. We initially wore hazmat suits with those patients and put them in different wings of the hospital.”
He continues, “It feels like I am living those days from my medical school years all over again. This disease, unlike HIV, is very contagious though. A person can spend five to six minutes with someone who is infected and catch this disease.”
In Rolfe’s ICU, every patient there either has the virus or is considered high risk. But despite the apparent danger associated with COVID-19, Rolfe feels his unit is very safe. “We have developed protocols that protect us, and everyone is very careful,” he says. “I feel I am more likely to get this disease shopping at the grocery store than in my hospital or ICU.”
He further explains, “In the public, there are unknown asymptomatic carriers who are very contagious and just don’t know it. In the hospital, I know where the danger is, and I am prepared to deal with it safely.”
Rolfe understands the importance of his work. “We are doctors. We are supposed to take care of the ill to the best of our ability. It is a challenge, but it is also a calling. God gave us these gifts for a reason. It’s time to step into the breach and use them.”
But don’t call him a hero, he says that honor is reserved for America’s finest. “Doctors are not heroes. We are doing what we were trained to do. Generations of physicians have fought off diseases throughout the years. It is our legacy. It is why we are respected in this society. The efforts to fight this disease and help people through it is the price of that respect,” states Rolfe.
“The people who put on a uniform and protect our country are the heroes.
Masks, gloves and hand washing will stop a virus. Nothing stops a bullet, a missile, a grenade, or a knife. The police and military are our heroes.”
However, Rolfe does acknowledge that the novel coronavirus has completely altered life as we knew it. He says each one of us has the power to reclaim it, we just have to work together to do so. “It’s all been said before, but it is worth repeating – wash your hands, don’t touch your face, avoid crowds and stay home to stay safe. Do what you can now, so you don’t become one of my patients later.”