Coronavirus Onboard Update 5/28 – Day 15 of Hell

A few days ago I posted about my husband Patrick and I both having tested positive for Coronavirus after Patrick had to be taken to the emergency room, unable to breathe. This is a follow up post to this.
My next post as many have requested…I will try to post about how we both caught the coronavirus.

I finally got another call in so I could get a different doctor…one I could actually understand to tell me about Patricks current struggle with Covid 19…the doctor I got this morning when I called at my usual 10am time was just impossible to understand and I hung up the phone crying. The next doctor when I finally was able to get through again, hours later, was wonderful, and took her time to explain Patrick’s current status with this damn virus. Here is the summary below. And then later in the day, I got an out of the blue text…from a Youtube watcher, who knew a very knowledgeable man…Both reports are detailed below for anyone interested in this coronavirus saga.

Before I tell you about it…I want to tell you that your support has been what has kept me going through this ordeal. I couldn’t have done it without each individual little tidbit that each of you have provided me with, big and small…it has all fit together like a perfect puzzle to nourish every bit of me. I can never repay the kindness you have all shown me!!! For those who send money to me by PayPal…and ai haven’t been able to thank…I can’t seem to find your email address…please reach out to me, I want to individually thank every one…money isn’t easy to come by and I so appreciate every single dollar that has been sent. It has taken SOO much of that worry about that element away from me…and it’s nice to have one element of worry squished because as many of you know…I’m a chronic worrier!!!

So here is the report today, and the further down the report for tonight…

Creatine level…they don’t monitor his blood for this becuase the machine is doing all the work and getting rid of the poisons. The dialysis machine causes his heart to work very hard, so they give him Adrenalin to help speed it up a bit but not have to work so hard. They will begin to back off the Adrenalin in a few days when the dialysis has cleaned many times, and relieves that stress, and hopefully dialysis machine will be able to be taken away soon. He is coping well on the ventilator now, his lungs are holding 86-90% which they are satisfied with, though not thrilled with and he has gone from 70% to 65% pressure on the machine settings, in the last hour and is coping with it, so a small improvement there. Some level called Po2, which I remember the initial emergency room doctor talking about is at 11…and I distinctly remember her saying Patricks was at 3…and that was quite bad…and 11 is what they want so here is there now with that number. They are still dealing with the inflammatory issues.  Asked about the hydroxicline and Zmax thing again, and she says that it’s big in the news right now, but for everyone it’s helping, it’s killing 10 more, and it’s just not indicated in this situation. I asked about using my plasma, and she said again it’s only in clinical studies, it not proven. She says he has antibodies now…so he doesn’t need antibodies…and his antibodies are indeed fighting. She also says that they all know about him, have seen his videos, know he has an incredible baseline and no medical problems…they can’t wait til he wakes up and tells them more stories. She was so nice…I’m still blubbering. At least the machine went from 70 to 65. At least they are happy with his oxygen levels, and at least the adrenaline use is going down. And he has his own antibodies now. So that’s good news right…not HUGE, but a little to embrace….


Tonight, 5/27, I got to speak to one of the top 6, head of Covid19 care in South Africa hospitals! One of our Youtube viewers said that our videos had gotten her through a dark time when she lost her husband. When she saw our latest video and then went to the website post about Patrick’s illness, she decided to take action since she was here, a sailor, and nearly cried watching the video. God I’m glad she reached out to me…this doctor was amazing.

This fairly young sounding doctor is of the 6 top brains of South Africa in regards to Covid 19. He took my number…made his number anonymous smartly, and called me and chatted with me for a full 15 or 20 minutes…He let me ask questions, gave me the run down of Covid 19 care in South Africa and much much more.

First… I asked about hydroxychloroquine, Azithromycin, and Remdesivir, and something else that ends with -integra. They are doing clinical studies, right here, right with this very doctor and the 5 others on all of these. None of these experimental drugs are ready for humans in his, and the others on his teams opinions. He feels that the US and many countries are searching for an answer, ready to cling to anything that succeeds even if it only works 10% of the time. You rarely hear about the 90% that die fast, or have terrible other complications. If we were to change Patrick to a private hospital and had a spare $ 200,000 USD or more as required to add to the mix to try an experimental drug…and would sign copious waivers, he would use it.  But he said if it was his body…or his wife’s body, he would NEVER ever want Andy thing he has seen so far in these clinical trials, …never would want something that is such a gamble to be used. As a matter of fact, he said if he had covid 19, he would want to be in exactly Patricks position…not in a private hospital, but in Groote Schuur..it’s where the best results from Coronavirus are coming from. The top doctors are at that hospital…the care is around the clock not just by weekday except in case of extreme emergency, as it would be in the private hospital. There is MUCH more Covid19 experience at Groote Schuur than any other hospital becuase it houses the best medical school in the country and its extremely academic…hence no experimental drugs are tolerated, high standards are followed, by the book, and there are so many eyes because of the round the clock care, that any problems that develop are going to be dealt with much much faster. He says in the USA you may be talked in to one of these experimental drugs but he could never ever do that to himself or to his family. He also pointed out that we are VERY VERY lucky to be here in S Africa. He went to school in Columbia, and has a lot of doctor friends there now and they talk a lot between them about what is happening. In New York if you are over 65…it’s a hard and fast NO VENTILATORS SPARED for you. Patrick would be so out of luck if I had managed to fly him there. He says in South Africa, they absolutely base the choices on baseline. Whoever has the best baseline gets the ventilator, gets the machine. If Patrick has both a ventilator and a full time dialysis machine allocated to him…he says he has made a very high grade of baseline health.

Also…as he talks with family,he has a pretty good summary of what he tells them. Days 1-7 of when hard cold symptoms begin..this is when you are gonna land in the hospital if you are gonna land in the hospital…and you may just need a couple of days on a ventilator, or you may die very fast and suddenly before anyone has a chance to stabilize you. Or you may take some bad turns and things may get more serious. Days 7-14 of symptoms…this is the time that it is “as rocky as hell”. Your boat could overturn with an hours notice and your a goner. He tells his families that it doesn’t matter what the blood tests show, what any of the numbers show, or what he thinks about any of the numbers…you are in severe danger territory during days 7-14 if you are in the hospital still. If you are gonna die on this ventilator…it’s gonna be between days 7 and 14. Days 14-21 is when the virus has self eliminated..it can’t just keep growing and enveloping the body…it’s gonna be dead in this period and things are going to very very slowly get better. If you have made it to this stage, your doctor and nurse and family can breathe a very long sigh of relief. You are probably gonna survive this disease! The one exception to this is at day 14 if you find yourself in a very bad spiral down…then it’s probably not gonna turn around.You are gonna die fast if you are in a downwards spiral at this time. I’m not sure if that’s the whole day 14-21…or the beginning of it or what..it’s the one point that now as I write this, sort of gets past me. But Patrick’s not in a fast downward spiral right now. He’s already down pretty far though…so hopefully it’s the spiral that’s significant and not the “down”. But my general feeling is that with today’s minor little improvememts, as opposed  to a very bad spiral down…that we are almost OK to have hope now.

Patrick had his first hardcore, for sure symptoms on May 12. I think it’s reality he may have felt it coming before then…maybe even as early as May 8 but that is speculation on my part. He went in on May 15…so it seems her went in on the day 7-14 mark..or slightly before it…so he was in the big danger period for the whole 1st week to 10 days at the hospital. Like the whole time he has been there. Imagine his boat was about to sink without much notice. God. But NOW, we are without a doubt at Day 15, possibly as late as Day 18. If we are at Day 18, I’m slightly worried because the last few days have certainly been a downward spiral. But today, if day 15…was a step up finally. Anyways, it seems we should go up from here.

So…the next thing we spoke about is the virus itself. After approximately 14 days in the body..the virus can no longer survive. It can’t do any more ravaging…it’s about dead. Antibodies or no antibodies, which he is said to have the antibodies now…the virus can not go on…it has done What it’s going to do. Hopefully the surrounding organs have been supported well enough to start working on their own again. That is ALL that South Africa at this point feels should be done…monitor and support the surrounding organs so they can come out the other side OK, which is exactly what has been done for all of Patrick’s organs in the last 12 days….so fingers crossed they managed to do it well enough. He said that’s the big huge challenge is being able to protect those organs from the virus.

Oh and the other thing he stressed…South Africa has lost NOBODY who had a good baseline…not even 1 exception to that rule. The people who have good health going in, even if they get extremely critical during the virus, they don’t lose them…they may struggle maintaining their bodies and there may be lasting problems after the illness ends…but no one has died. Truly, only those with co-morbidities have died. Every critical case they have had with no co-morbidites have survived. And many with co-morbidities have survived too.

It was really really good to talk to this Doctor… You hear the stats of what’s happening in the rest of the world. But what’s happening here in South Africa…has been a mystery I have been struggling with. I’m times like this I have found google is NOT my friend…just leading me in to despair really…So being able to talk this doctor just filled in so many blanks for me! Thank you Wendy for arranging such a gratifying conversation with someone who really knows about this coronavirus disease and it’s treatment in South Africa!

If you want to help, drop me a note of encouragement…to keep thinking positive…to remember to eat…or to support us using the GoFundMe site…here is the info: Go Fund Me

Paypal:Rebecca.childress at yahoo.com

Replacing Anchor Chain, Anchor Windlass, and Chain Locker Modifications

 

 

 

Cruising with a Cat onboard…the other side of the story…

 

Predictwind & The Stormy Weather of Cape of Good Hope/Cape Aghullas!

This was Rebecca’s most feared Sail to date…the stormy weather going around Cape of Good Hope and Cape Aghullas! And she was right…we experienced every kind of weather on this passage including a huge electrical storm where we still wonder why we were not struck by lightning! Luckily Predictwind gave us great forecasts through the Idirium GO, right on the Raymarine Chartplotter so we knew what weather was coming before it came! Patrick is t one to use an IPad, but having the wind and currents right on the Raymarine Axiom Pro chartplotter…well he couldn’t avoid looking at the weather forecasts when I downloaded them!
One thing we forgot to mention on the video, is that a Predictwind Offshore DID warn us of a stormy night ahead with its CAPE forecast. There was about a 4 hour period on the Cape forecast on Predictwind that there was a pretty big chance for squalls. Oops…forgot to tell the captain…I was psychologically prepped for bad weather, but he wasn’t. But the smart captain that he is…obviously he saw the dark clouds ahead, turned on the radar, and could see it coming, and got down sails ahead of Time! A perfect example of the bad communication at sea that we have sometimes. It’s not just on land girls…and it’s not always the captain!  The wind and waves were not so bad, but those lightning strikes were pretty darn impressive!
I am glad to have the Cape of Storms behind us, and all beautiful fair weather sailing up ahead…Ha-Ha who am I fooling!
We also forgot to mention we have an “ion dissipator” at the highest point on our mast. Can that be why we did not get struck by lightning? No idea…Probably not.

 






Using Our Electronics -From Predictwind to our Raymarine Chartplotter to our Monitor Wind Vane to Sail the Wild Coast of South Africa!

A Tour of our Valiant 40. The Bluewater Sailboat. What do we like about it? What would we change?

Preventing a Lightning strike on a sailboat : Lightning Protection

Options for Heating a Boat -Why we Chose a Cubic Mini Wood Stove

We will be cruising in some cold weather destinations next year, and we need to stay warm on Brick House!

So hot…we are in T shirts…🥵

So we started researching options for how to heat a boat last year. Here are the options we looked at, and why we ruled out each one systematically, for heating the boat for cruising in cold weather, full time.

Here is the video…information below is supplementary to the video…

1. Espar diesel – electric heater Details Here

A. Brick House used to have a forced hot air system…Webasto, Wallis, Espar, or a Chinese diesel heater…all the same principal with different qualities and options.My memory of this system is one of strong diesel fumes, and dry air you didn’t want to be near.

B. Though friends rave about this easy push button system… but when I ask them to demonstrate the system…”well…it’s broken right now…I need to send it in for repair”. This wasn’t just once…but every system I asked to see on each cruising boat that had one. These systems are NOT something you can repair on your boat…they usually require sending them in for servicing. This Is NOT something we can do where we will be sailing!

C. Installation requires Routing diesel around the boat, electric pumps, exhaust systems out the side of the boat, big air duct pipes…and other things we were not fond of doing to have heat for 6 months or a year.

D. The last reason we chose not to use this system was the consumption of not just diesel, but also of electricity. Brick House has a great battery system, but not a huge capacity. We did not want to be reliant on electricity to run our heat. The electrical consumption of a forced hot air heating system is not insignificant.

2.Propane Heater…like a Dickinson Marine Propane Heater. More Details

A. We immediately dismissed a propane heater for the boat. We very well know the pain of moist heat. Moisture is a byproduct of burning propane. Condensation will be everywhere, even worse than with a quartz heater. Dampness on a boat is not a good recipe for staying warm aboard. We needed a dry heat.

B. Consumption. To heat a boat for 6 months, would require a minimum of 12 big bottles of propane on deck. This is not practical. And if you add the electricity assist for better heat dispersion…more electricity consumed too.

C

We did consider the P12000 propane heater that Dickinson Marine makes, because that particular design has a sealed combustion in it, and hence would not be a wet heat. To get the capacity I felt we needed for heating the boat, we would have had to do the bigger model, the P12000, which comfortably heats a 12 x 12 foot area…which is really only about half the area we would like to have heated. The main problem I have with this unit, is the propane we would need to carry onboard to run it, even if just at night. It’s says you get about 80-100 hours out of one 20 pound bottle. If we ran it just 1/3 of the day…and that’s darn conservative, we would get about 10-12 days out of each bottle. Half that if we ran it much of the day, and just let it go off at night. ..would lead to using one bottle per week. Plus it needs electricity for the fan…
If we cruised in remote areas for 6 months, assuming we found one place to fill our propane bottles exactly halfway through , we would have to carry 12 20 pound bottles of propane. We just couldn’t see carrying that much weight and bulk onboard Brick House.

3. Pellet Stove. Tempting…but…One on Amazon

A. Monthly maintenance required involving a vacuum cleaner. We don’t have this capability to vacuum a stove monthly.

B. Most importantly, a pellet stove requires electricity. We just don’t want to depend on electricity to stay warm.

C. Storage of wood pellets. We would need many big bags of pellets. It’s very possible to buy them in major population areas, and they are cheap, but we will only be in a very major population center once or twice in 6 months…so we would need to stock up on many bags, and keep the bags dry.

4. A Drip Diesel/Alcohol stove heater, like a Refleks heater. At least this doesn’t need electricity so it was a strong consideration. But…

A. Diesel Routing…diesel dependance again. We don’t want to store or route diesel all over the boat. We don’t want a diesel tank inside. We will have all we can do to carry enough diesel to motor around the fjords of Chile..we don’t want to also have to be carrying 100 gallons of fuel for a stove to stay warm, never mind alcohol for the lighting of the Refleks.

B Difficulty of Use. I’m sure we could get the hang of it, but people do report difficulty getting this kind of unit to start, and heat properly.

5.Hydronic heater. Basically baseboard heaters filled with hot water…similar to the waste when your engine runs, but a unit to make the water heat in tubes that run to critical spaces on your boat. We liked this compact unit, but…

A. We did not have space to run hot water pipes all over the boat.

B. Very expensive system. We aren’t even sure we will be in this area for 6 months yet. We may just go through as fast as we can depending on how we are feeling. We didn’t want to spend thousands for this adventure.

6. A small woodstove. Some economical models, some very expensive unit too though, and not dependent on Electricity at all. Endless supply of easy and even free fuel. But… (Video comes out today: The Video)

https://youtu.be/PuUYSUITc_A

A. Most are too big for our space. Luckily, Cubic Mini had 2 versions that would fit easily though. Information, Installation instructions, and Videos

Grizzly Model

Cub Model

B. Gathering of wood, and keeping it dry will prove to be challenging. But other fuels may be found in one or two areas hundreds upon hundreds of miles apart, often to windward, and must be carried in bulk. Wood on the other hand can be found everywhere, in small doses. It will give us something to do together on the beaches and wooded anchorages we anchor at along the way, as well as a bit of exercise and purpose to our walks.

C. We will still have to do some maintenance…cleaning the flue periodically. But at least we are capable of doing this and it requires no power to do so…just a strong arm and a brush.

D.Tending of the Fire presents hot ashes and embers. We will need to be careful to not let anything come out of stove while opening the door. We purposely got an oversized platform to put it on, with a drawer that extends outwards for this very reason. We will still need to be very careful while using the stove.

7.Electric Heater

We do not have enough power to run a quart heater full time on Brick House. But until we leave the dock in Uruguay we will have and use one!