{"id":112543,"date":"2020-08-31T15:54:05","date_gmt":"2020-08-31T19:54:05","guid":{"rendered":"https:\/\/www.ucf.edu\/news\/?p=112543"},"modified":"2020-09-25T14:34:33","modified_gmt":"2020-09-25T18:34:33","slug":"answering-the-call-to-serve-in-a-pandemic","status":"publish","type":"post","link":"https:\/\/www.ucf.edu\/news\/answering-the-call-to-serve-in-a-pandemic\/","title":{"rendered":"Answering the Call to Serve in a Pandemic"},"content":{"rendered":"

Patients lay intubated in hospital hallways, their respirator tubes and monitors running through holes punched into walls. Continuous lines of ambulances dropped off the sick and dying and returned with even more. Three refrigerated 18-wheelers sat parked outside, serving as makeshift morgues.<\/p>\n

That was the scene that greeted UCF College of Medicine<\/a> faculty physician Jeff LaRochelle on his first day serving at a New York hospital at the then-epicenter of America\u2019s COVID-19 pandemic<\/a>. A colonel in the Air Force Reserves and an internal medicine specialist, LaRochelle was called up to active duty during the first days of the pandemic and recently returned to UCF from his deployment.<\/p>\n

As assistant dean of medical education, LaRochelle had just finished putting the medical school\u2019s curriculum totally online because of COVID-19\u00a0when he received orders to report to McGuire Air Force Base in New Jersey. \u201cI received the call on Friday evening for deployment that Sunday morning,\u201d he says. \u201cSo, I pretty much had less than 48 hours to prepare.\u201d<\/p>\n

At the height of the outbreak, New York was losing 600 people a day to COVID-19.<\/p><\/blockquote>\n

The moment he landed in New Jersey, the Air Force sent him to the Jacob Javits Center in Manhattan, which had become a makeshift hospital for New York\u2019s thousands of COVID-19 patients. From there, he was assigned to Queens Hospital Center, where he led a ward team caring for about 30 patients suffering from the virus. New York and New Jersey were the first areas hit hardest by the pandemic that surfaced in the U.S. in January. At the height of the outbreak, New York was losing 600 people a day to COVID-19.<\/p>\n

\u201cOne of the things the military trains you is to be put in situations where there is a tremendous amount of chaos, and for you to walk in and create a sense of organization and structure out of the chaos, so that you can actually get things done,\u201d he says. \u201cAnd that’s exactly we walked into \u2014 absolute chaos.\u201d<\/p>\n

In the early days of the pandemic, the hospital was overwhelmed. It had lost 50 percent of its providers because so many nurses and doctors had contracted COVID-19. LaRochelle had two senior residents and two interns to help him provide care.<\/p>\n

\u201cPatients were everywhere. The ICU was full. The wards were full,\u201d he says. \u201cThe emergency room was just unbelievable. In a bay where you’d normally have one patient, there were three. And where you would normally have curtains separating the bays, there were none. It was just open. And everyone was mixed in together. So, you would have a patient who was intubated next to a patient who was just being evaluated.\u201d<\/p>\n

He said the hardest part of providing care was seeing the emotional impact on families who had to stay isolated from their sick loved ones to avoid getting infected. \u00a0He watched patients dropped off at the emergency ward who would never speak to or see their family members again before they died. Patients perished alone, even though some had sick relatives in the same hospital.<\/p>\n

\u201cWe would have entire families being admitted, and only one or two would make it home,\u201d he says. \u201cAnd having to inform relatives that their mom might make it home, but their dad might not, was very common. You couldn’t really hug anybody or offer comfort. That was the biggest impact I could see for myself, and for others around me.\u201d<\/p>\n

With additional resources \u2014 military reservists and other medical volunteers \u2014 the hospital was able to stabilize its processes after about two weeks, and about six weeks later New York\u2019s number of COVID-19 patients began to decline. LaRochelle had been told his deployment could last six months but returned home in two.<\/p>\n

He had to test negative for COVID-19 before being allowed to leave New York City. He then had the option of completing a 14-day quarantine at home, or on a military base and then had to have a second test at the end of his quarantine period. All his tests were negative.<\/p>\n

\u201cI don\u2019t think I really ever had any fear regarding my personal safety with respect to the virus,\u201d he said. \u201cWe had trust in the procedures we put in place regarding protective equipment, and went forward with the mission at hand. And based on what I heard, only two reservists contracted the disease during our deployment.\u201d<\/p>\n

As he returns to teaching, LaRochelle said COVID-19 has reminded him of lessons he wants to share with medical students.<\/p>\n

\u201cThis experience really underscored what I’ve always felt,\u201d he says, \u201cthat healthcare providers run towards the fire. We have to put ourselves in that dangerous spot sometimes to do the right thing for our patients and for our society.<\/p>\n

\u201cAltruism is a word we toss around a lot in medicine, but this is altruism in action. It’s the core of what we do as physicians and it\u2019s certainly one of the core values that we have in the Air Force \u2014 service before self. And that\u2019s the lesson I would like to share with our medical students \u2013 altruism in action. It’s a calling to serve in this profession.\u201d<\/p>\n

He said his experience also gives him perspective on Florida\u2019s efforts to fight the virus. \u201cI think Florida is now experiencing the tail end of our peak in cases.\u00a0We need to keep doing the simple things \u2014 wear a mask in public and wash our hands. The biggest lessons we can take from New York we already are taking \u2014 get tested, start treatment early and don\u2019t send COVID-19 positive patients back to nursing homes.<\/p>\n

\u201cEveryone needs to play their part — wear a mask in public and wash your hands.\u201d<\/p>\n

Richard Peppler, vice dean and associate dean for faculty and academic affairs, commended LaRochelle for answering the call to serve.<\/p>\n

\u201cDr. LaRochelle has a long and distinguished career with the military and puts service first,\u201d says Peppler, an Army reservist who was stationed in hospitals during Vietnam and Desert Storm. \u201cHe put himself in harm\u2019s way to provide medical care for patients in one of the areas affected most by the pandemic. We are grateful he has returned safely and has been able to draw on that experience to help the college to resume aspects of the educational program in a safe environment.\u201d<\/p>\n

LaRochelle also serves as a staff physician and resident preceptor at the Orlando VA Medical Center. Before joining UCF, he held several positions at the Walter Reed National Military Medical Center and Uniformed Services University of the Health Sciences, where he also received his M.D.<\/p>\n","protected":false},"excerpt":{"rendered":"

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