One of the most upsetting aspects of the Covid-19 pandemic––which is saying a lot, frankly––is the number of people who have been so affected by misinformation and disinformation. You know the ones to which I refer: These are the people who are convinced the virus is a hoax despite the lives it's claimed and the devastation it has wrought on society at large. Disinformation kills––there are stories of people who remained convinced that Covid-19 is a hoax even while intubated in the ICU, even up to their last breath.
After Redditor asked the online community, "Doctors of Reddit, what happened when you diagnosed a Covid-19 denier with Covid-19?" doctors and other medical professionals shared these rather unsettling stories.
"The one that sticks out in my mind..."
I'm a doctor working in acute internal medicine. I've seen lots of COVID over the last 12 months, probably 300+ cases. The one that sticks out in my mind the most was a 70-year-old lady with COPD. She refused to have a vaccine because she didn't trust it despite the fact she was eligible for one for weeks beforehand (in the UK). Subsequently caught COVID and was admitted to hospital. She repeatedly doubted this was the diagnosis. She refused to go to our COVID High Dependency Unit despite quite significant respiratory failure. Of course, she deteriorated over a number of days to the point where she was on maximal oxygen on the ward and at that point finally accepted treatment in HDU with high flow oxygen, although continued to doubt she had COVID. Died within 24 hours of her HDU admission having refused to go to ICU.
And of course, what did her family say? They were convinced she never had COVID and even went as far as accusing us of withholding life-saving treatment from her. Unfortunately, there's no treatment for stupidity.
Indeed there isn't.
A completely avoidable tragedy.
"My worst experience..."
My worst experience was when a 2-year-old kid got diagnosed with COVID. His mother had brought him with c/o fever and diarrhea. The child was severely dehydrated and so we had to do a mandatory swab test since we planned to admit him. It came positive and the mother refused to admit it. We were ready to perform a repeat test and we even advised the parents to get tested. Her defense was "The child never left the house. It's just me and the father who go to work daily. The grandmother babysits while we are away. How can he even get COVID without leaving the house." She had called her husband, he came with 10-15 relatives in a car, they broke a few chairs and then left with the baby. We just informed about the case to the COVID control centre.
"Only one patient ever accused me..."
Infectious disease doctor here. Seen about 450-500 COVID patients in the hospital since it all started. Only one patient ever accused me of using the nasal swab to give him COVID (along with a microchip). A handful have ranted nonstop about China. Everyone else has been sick enough to accept it, but lots still refuse the idea of vaccination even after being in the ICU.
"I had a lady who was maxed out..."
I had a lady who was maxed out on high flow (the next step is breathing tube) who still refused to believe she had Covid and was holding a negative test in her hand that she had taken a week prior.
The denial is so strong here.
It would be sad if it wasn't so horrifying.
"I'm an attending physician..."
I'm an attending physician at our Triage Unit. On a Friday, an older gentleman (60 + years) came in with his entire family (wife, sister, BIL, 2 nephews, and 3 children), none of them with a face mask. All had mild COVID symptoms except him, he was saturating 80% with evident shortness of breath. We insisted on doing PCR and a chest CAT scan looking for COVID but he and his wife refused, saying that COVID wasn't real and it was just a bacterial infection. The more we talked with him the more agitated he got to the point that his face was red. We suggested hospitalizing him to stabilize him and start treatment, but they accused us of exaggerating his symptoms and that we only wanted to hospitalize him so we could steal the liquid in his knees (a stupid rumor that was going around when this whole thing started).
They both cursed at us and said they were going to a better hospital to get antibiotics. Fast forward 24 hours later on Saturday, I get a call from the hospital next county over telling us that they intubated one of our patients because he went into respiratory failure when he arrived and they had to transfer him here because they don't have the appropriate equipment. We transfer the patient on Sunday only to find out on the CAT scan he had 90% of lung damage. He passed away on Monday morning.
Just before the family took the body away, I gave the widow the death certificate (that I filled out) and before walking away, she turns around and waves the certificate yelling "See! I told you it wasn't COVID! It says here: "Death due to pulmonary pneumonia due to SARS-CoV-2! I knew it was a bacteria!" I told her: "SARS-CoV-2 is COVID-19, ma'am."
The lengths people are willing to go to stay in denial astound me.
Basic critical thinking appears to have gone out the window here.
"Unfortunately..."
I'm a family doc who mostly does outpatient.
I live in a pretty conservative area with a good proportion of COVID deniers, so I've been seeing COVID deniers since this mess became politicized (I've lost a few patients over the mask mandate).
Anyway, I'm pretty pleased to say that several of my COVID denying patients have completely turned their attitude around when they (or a close family member) contracted COVID. Even if their case wasn't severe, the sudden terror that they could wind up on a ventilator overnight really puts the fear of God into people.
Unfortunately, I still have some patients who are still pretty obnoxious despite their covid diagnosis. They mostly dig deeper into paranoia. If not about the virus itself, then about the circumstances surrounding them contracting it.
"If Fauci had done his job from the beginning, it never would've hit this town."
"It's the entire fault of Obamacare that I can't get the experimental immunoglobulin treatment!" (It's not, your eligibility for the infusion is dependent on a list of risk factors).
And, probably my favorite...
"So I have COVID and it's completely your responsibility to fix it. I need you to send Hydroxychloroquine, Zinc, Vit D, Lisinopril, and azithromycin to the pharmacy..." Then they proceed to get pissed at me when I don't.
"During our peak time..."
I'm an emergency department physician in the US. I work in an area that had the highest death rate for a solid couple of weeks in the country.
During our peak time when we had national news crews here covering how we were a s***show, saw numerous people screaming their Covid disease wasn't real despite being hypoxic and on large amounts of oxygen due to Covid. That was an unpleasant time as this was still early (May/June) and it was extremely political like people apparently plotting to kidnap our state governor due to lockdowns.
Saw a lot of people refusing Covid testing who needed admission for non-covid purposes because the swabs would give them covid or put some sort of tracking device. They weren't pleased when they then had to be admitted to our full-blown Covid floors. Our Covid floors resembled a warzone because they were understaffed and relative s***hole conditions as we basically converted hallways into covid floors.
Also saw a lot of people young people who weren't exactly deniers but thought you basically couldn't sick if you were young. Lots of people with their lungs permanently scarred or at a minimum a couple of weeks of misery and/or spread it to their loved ones who got extremely ill.
"The willful cognitive dissonance..."
Physician here. The willful cognitive dissonance is real. It never ceases to amaze me how many patients will refuse assistance from me to register to get vaccinated, make claims that vaccines are harmful, but then accept my medical care on anything else that suits their whim. Patients absolutely have the autonomy to refuse care, but why would you continue to see a physician and accept their medical advice and care if you think they would simultaneously recommend something to you that would be harmful?
I've posed this question to patients who are vaccine-hesitant: "Why would you let me manage your diabetes and hypertension if you think I would harm you by recommending vaccinations?" You cannot get any kind of thoughtful response aside from, "I just don't want to be vaccinated."
"Some denier patients lived..."
RN here with most of 2020 spent in COVID land. I never had anyone refuse treatment when things got serious. I know some of the MDs I worked with got yelled at, like the rest of us...but honestly, that happens frequently anyway.
Some denier patients lived, many of which had accepted reality by the end of their stay after seeing what we all were going through to treat them.
Some died telling me I was a sheep or an idiot or a liar between gasps of air.
COVID didn't care.
This comment is strangely poetic.
Covid definitely doesn't care. The virus lays waste to people and... that's it. Good luck with your games of Russian roulette.
"People are crazy."
I work on a COVID unit and I ran into a patient like this. They'd tell me over and over again about how they weren't really sick and about how I didn't need to be gowned up in PPE. They even tried to take my face shield off. If you test positive for COVID two times then you have COVID! People are crazy.
Covid disinformation is a very serious problem and it's costing people their lives.
What can be done about it?
News literacy matters: It's important to get information from verifiable sources. Scientists and medical professionals are trustworthy. Those with backgrounds in public health know what they're talking about. Some conspiracy theory you received from your distant cousin on WhatsApp or Facebook Messenger is not worth your time or consideration.
Have some of your own Covid denial stories to share? Feel free to tell us about them in the comments below!
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