ICU is full of the unvaccinated and my patience with them is wearing thin

R&I – TxpAT **

Please note, this is an article from the British Guardian newspaper written by an anonymous NHS respiratory consultant who works across a number of hospitals. Vaccinations, ambulances and all hospital treatment are free of charge at the point of use on NHS.

Most of the resources the NHS is devoting to Covid in hospital are being spent on people who have not had their jab. In hospital, Covid-19 has largely become a disease of the unvaccinated. The man in his 20s who had always watched what he ate, worked out in the gym, was too healthy to ever catch Covid badly. The 48-year-old who never got round to making the appointment. The person in their 50s whose friend had side-effects. The woman who wanted to wait for more evidence. The young pregnant lady worried about the effect on her baby. The 60-year-old, brought to hospital with oxygen saturations of 70% by the ambulance that he initially called for his partner, who had died by the time it arrived; both believed that the drug companies bribed the government to get the vaccine approved. All severely ill with Covid. All unvaccinated and previously healthy. All completely avoidable.

But the story is different on our intensive care unit. Here, the patient population consists of a few vulnerable people with severe underlying health problems and a majority of fit, healthy, younger people unvaccinated by choice. Watching the mix of patients coming in with Covid, it feels to me like hardly anybody has been vaccinated nowadays; of course, this is because the people that have been vaccinated are getting on with their lives at home. If everyone got vaccinated, hospitals would be under much less pressure; this is beyond debate. Your wait for your clinic appointment/operation/diagnostic test/A&E department would be shorter. Your ambulance would arrive sooner. Reports of the pressure on the NHS are not exaggerated, I promise you.

Yes, vaccinations are unpleasant. They cause side-effects. They hurt. You may even still catch Covid afterwards. I have many colleagues who have felt awful after vaccination and a few who had to take a day or two off work. However, I have not heard of any who have been hospitalised with Covid afterwards or who have had severe side-effects. The approvals process was incredibly stringent and we now have an unbelievable amount of real-world data that these vaccines work. The science that has been applied here is nothing short of awe-inspiring to me. However, I realise that none of these rational arguments would change the mind of someone who is resolved against having it, although I suppose it may push someone who remains undecided.

As a respiratory doctor, I have spent my whole career treating people whose lung diseases have been caused by smoking, including long after they knew the risks. I have spent countless hours with people who blame themselves for ruining their health; I have thought a lot about our personal responsibility for our health and to what degree we should be held accountable for our choices. I personally – unlike some of my colleagues – have never felt any ambivalence about treating smokers without judgment in exactly the same way as people with diseases that are not seen as self-inflicted.

Fundamentally though, for me, it comes down to this. I can’t think of a single case offhand of a person who was previously fit and healthy who has ended up needing intensive care after being fully vaccinated. It may not stop you from catching Covid. But it can save your life when you do.

Rawr

Article URL : https://www.theguardian.com/world/2021/nov/21/icu-is-full-of-the-unvaccinated-my-patience-with-them-is-wearing-thin