What It’s Like to Have an Emergency Operation During the COVID-19 Pandemic

Zion Hodgkin Assistant Editor

    With the entire state and most of the world on full lockdown, most people know the fear of being forced to leave their house for any reason. Even a quick trip to the grocery store or the gas station can be anxiety-inducing and sometimes cause full week of stress, overanalyzing symptoms, and self-diagnosing, especially for those with an autoimmune disease like I have, having been diagnosed with diabetes type 1 in my early twenties. Despite this, last week I had to go into a clinic every week day, and have someone stick their hands directly into my mouth.

    I had made an appointment over two months ago to get a tooth pulled. It was a lower molar, the furthest one back, and it had been causing me pain incrementally for about three months. We looked into having it filled, but the dentist said that it was too far gone, it would be safer at this point to just get it removed. They took an x-ray, and had me make an appointment with the Oral and Facial Surgery Clinic in Farmington. There was a pretty extensive waiting list and appointment was made for March 31st. As that date crept closer, the COVID-19 pandemic started to get worse, spreading rapidly across the world and closing businesses and schools across the country. A week before my scheduled visit, I still hadn’t heard anything from the clinic, so I decided to give them a call. I was met with an answering machine, freshly recorded, stating that the office was closed until further notice due to the pandemic. By this time, the pain in my mouth had become pretty terrible, and the thought of waiting weeks, or potentially months longer before I could do anything about it, sent me into a panic. 

    I called around to other dental clinics in the area, to see if there was anyone who could help me, and discovered that the Strong Area Dental Center, though not open to the general public, was still available to take people who needed emergency procedures. Luckily I fell into that category. I called on Thursday, April 2nd, and they were able to get me in later that same day. They took a look, noticed that there was some infection, pulled my tooth, and sent me home with a recommendation to take ibuprofen over the next week. The rest of that day and the day after went great. The pain had already lessened and I was incredibly grateful that I wouldn’t have to deal with the infection any longer.

    Then the weekend started. I woke up in the most pain I’ve ever experienced in my entire life. It was worse than the time I had jumped face first into the water at Mill Pond Park and broke my nose, worse than the time I had three wisdom teeth shatter when I was getting them removed. There was immense pain at the extraction site, but on top of that, I could feel a throbbing in my entire face. My top row of teeth also were really painful, swollen, and incredibly sensitive to the touch. 

    I immediately called the dental clinic to see if I could speak to an on-call worker, but nobody answered, and the answering machine relayed the fact that they were closed for the weekend. The next two days were absolute misery. Turns out the extraction site had turned into a dry socket, which happens when the blood clot that builds up to allow for healing becomes dislodged.

    On top of that, the oral trauma from the extraction had caused a horrific sinus infection, causing my sinus sacs to swell up, applying pressure to the top of my teeth and gums. I couldn’t eat, I couldn’t sleep, I couldn’t even watch TV because I was in so much pain. All I could do for 48 hours was stare at a wall in painful delirium, cry, and then stare at the wall again. I was begging the clock to tick faster, begging for sleep to pass some time, begging the sun to rise on Monday morning so I could call the dentist again.

    On Monday morning, I called Strong Area Dental Center as soon as they opened and they allowed me to come in immediately so they could take a look. I pulled on some rubber gloves and headed out, barely able to see the road through the blinding pain. Once I got there and got in the chair, the dentist checked and saw that I did, in fact, have a dry socket. Unfortunately, it wasn’t going to be an easy fix. They were going to have to apply a numbing medicinal salve to the area for the next five days. 

    As the world became continuously more terrifying, and stopping to get gas spelled out a potential death sentence for my weakened immune system, I had to drive two towns over each day that week, to sit in a waiting room with other potentially ill people, and have a dentist stick his hands in my mouth every single day. Throughout this, I did my best to avoid contact with anyone besides my dentist (though I was afraid of him as well to a certain extent), but traveling and being in a clinic made that damn near impossible.

    Now, a week after my last dentist appointment, my mouth is healing up nicely. My sinus infection on the other hand, has persisted, fluctuating from incredibly painful to relatively mild. All I’ve wanted to do is to finally stay at home, cut out the rest of the world and protect my weakened body.  Instead, I’ve had to consider calling up the doctors to start the whole process over again.

Maine Medical Center Staff Going the Extra Mile During Global Pandemic

Samantha Creech, Contributing Writer

    Maine Medical Center (MMC), the top-rated hospital in Maine located in Portland, is at the epicenter of the most coronavirus cases in the state and determined to give the best care to their patients during this crisis. MMC has thousands of staff members working around the clock for their COVID-19 patients. 

    Dr. August Valenti, epidemiologist and director of the Special Infectious Diseases Program at MMC, has been working tirelessly to prevent the spread of healthcare-associated infections and the spread of infectious diseases at the hospital. Valenti also works with public health agencies statewide and nationally to help identify and manage communicable diseases. 

    Valenti and his team at MMC are trained to care and manage patients with pathogens such as Ebola and COVID-19. “I am working with clinical and administrative leaders at [MMC] and its parent organization, MaineHealth, to develop policies and procedures related to protecting people who work and enter our hospitals from getting COVID-19,” said Valenti.

    Valenti has concerns during this ever-growing pandemic and even after things seem to return to normal. “My biggest worries are for victims of the disease and the healthcare workers who are on the frontlines of this epidemic. I want to keep them and their families safe,” he said. “I am also concerned that the virus will be with us for a long time until we have a vaccine or proven therapies and that even as things begin to return to normal, sporadic cases will cause additional outbreaks.”

    Valenti strongly believes in the importance of social distancing and other precautions needed in order to decrease coronavirus numbers. “There is no doubt that social distancing has mitigated community spread of the virus here in Maine,” he said. 

    Kristin Clark, a certified registered nurse anesthetist (CRNA), has had to change her role at MMC due to the suspension of all elective surgeries and procedures. Normally, Clark administers anesthesia for surgeries and other procedures, but due to surgery and procedures suspension, there’s not enough anesthesia work for the CRNA staff. “The [ICU has] more work than they can handle,” Clark said. “Our entire staff has been cross-trained to the ICU to help in the care of those patients, both COVID and otherwise.” 

    Marie Hodge, occupational therapist team leader, has continued her role in supervising her team and seeing patients. Since the overall volume of patients has decreased, she has also been focusing on the logistical work of COVID-19, which includes scheduling ICU training, giving medical staff personal protective equipment (PPE), and problem-solving issues involving workflow to COVID-19. “Usually we have ample time to prepare staff and plan for major changes, but changes occur here on a daily basis and we need to respond quickly,” said Hodge.

    Some of Hodge’s major concerns center around the wellbeing of her team and the other staff at MMC. “[Our staff] are stressed with the sheer [number] of changes to keep up on, the fear of contracting COVID-19 and they have personal stresses as well,” she said.

    Jennifer Cote, an occupational therapist at MMC, still works a lot with her patients despite the risks. Her role is to assure when a patient is discharged from MMC, that they can complete daily tasks on their own, and ensure they are cognitively intact. She primarily works in the ICU. 

    On a normal day, Cote spends a lot of her time with the patient’s and their families to go over after hospital care and guidance. Now, MMC does not allow any visitors so Cote and her colleagues have found difficulty in family teaching. They were given iPads to communicate with families, but it is not the same as in-person discussions. 

    Every day after work, Cote says she immediately showers and changes her clothes so she can remain healthy for her work. “My biggest worry is that I could bring this disease home to my family as a result of working here,” says Cote. “I can say that MMC is well-prepared and has all the appropriate PPE for staff. That gives me comfort.”

Difficult Decision-Making for International Students During the COVID-19 Pandemic

Andrea Swiedom Staff Reporter

    While domestic UMF students living on campus were able to easily relocate to Scott Hall, or make arrangements to return home in the midst of the COVID-19 pandemic, international students were forced with tough decisions on whether or not to remain in Farmington and how to get home should they decide to leave. These students had to grapple with the additional stress of navigating border policies, booking flights threatened by cancellation, and the potential of being quarantined upon arriving home.

    For 25-year-old French Teaching Assistant Enzo Boulay, the desire to remain in Maine and wait out the pandemic seemed like the most viable option, until March 19. “I had two choices. I could stay at my friend’s house in North Yarmouth or I could have stayed in Farmington,” Boulay said over video chat from his room in Le Mans, France.

    “They gave me a room in Scott, and my plan was to come sometimes to Farmington to work and stuff, but one week ago Lynne Eustis and Linda Beck, my advisor, told us, ‘You should leave now, I highly recommend that you leave now.’”

    Boulay made plans to return to UMF for the Fall 2020 semester and made his way back to what felt like a deserted country. “In Paris a lot of people have masks and in Levon I saw nobody. I just saw people in the train station, but in the streets there’s nobody.”

    French exchange student Jennifer Guisset received the same recommendation by Eustis and Beck, but ultimately made the decision to return to her hometown of Toulouse due to the pressure she was receiving from the French embassy. “I didn’t feel kicked out from Farmington. That was my choice, and I took one week and a half to make my decision,” Guisset said over a video chat while walking around her mother’s vacant flat. “I had a lot of support. Linda and Lynne were always there for us; they gave us the support we needed.”

    Meanwhile, Spanish Teaching Assistant Alba Fernandez had every intention of remaining in Farmington rather than returning to Argentina during the pandemic as she was already in the process of extending her visa for a summer teaching position with Upward Bound. When the announcement first broke about the UMaine system transferring the remainder of the semester to virtual courses, Fernandez was assured that she could continue her position as a TA online and continue to live on campus.

    But responses to the pandemic were changing on a daily basis for the UMaine system as well as immigration policies for the United States and Argentina, and on March 19 Fernandez was strongly urged to return home by her advisor.  

    “By that time, it was impossible. Flights were cancelled, airports were closed,” Fernandez said via video chat while sitting in the sun outside of Scott Hall. “It will be at least May until I am allowed to go back to Argentina because the government closed the borders, and even Argentina people are not allowed to get into the country. So basically, at the beginning it was my decision, but now I don’t have a choice.”

    Both Fernandez and Guisset had to take into consideration the health and safety of their families as well. Fernandez feared returning home because her mother already has a compromised immune system, and Guisset’s mother has cancer.

    “This is all about adaptation everywhere,” Guisset said, standing in a room full of half-packed boxes left behind by her mother. “I took the plane on Friday; I arrived on Saturday. I stayed at my friend’s house in Paris to rest a little and to let my mother quit her apartment and go to her family’s house.”

    Guisset will live alone in her mother’s flat to ensure her safety, but despite the isolation, she maintained a positive attitude. “When I was in medical school, I was always studying alone in my flat. So I am kind of used to this.”

    Boulay, who has been quarantining himself in his room for the recommended two week period, expressed less contentment with the situation. He had been watching television and playing video games to pass the time, but even after his two week quarantine he will have very little freedom. In France, people are only allowed out of their homes for one hour of exercise a day or to go to the grocery store.  

    “If we go out without a good reason we get fined 135 Euros,” Boulay said. After the third offense, the police have the right to arrest people for violating the safety precautions that France is enforcing nation-wide. 

    “The police are in my neighborhood, and they are always watching,” Guisset said. With movement so restricted in France, she is thankful for UMF’s quick response to convert all courses to online classes, knowing that this will add structure and routine to her days.  

    “I think Americans reacted very fast when faced with coronavirus. For example, in France they don’t have online classes,” Guisset said. “They don’t know how they are going to have graduation at this moment. They don’t have classes, they don’t have exams, they don’t have anything.”

    As courses resume online, Fernandez will be adjusting to virtual platforms to conduct her office hours and assist with Spanish courses while also consistently checking in with her family and friends in Argentina. “I think international people face an extra obstacle or challenge, which is processing this pandemic situation while so far away from home and from our people,” Fernandez said.

Resident Students Adjusting to a Desolate Campus

Andrea Swiedom Staff Reporter

    Less than 90 students now reside on UMF’s campus in Scott Hall after the university officially closed all other dorm residencies on March 19 in response to COVID-19. The students living in Scott must now adjust to a condensed version of UMF which consists of their residence hall and the Student Center. Previously, students were able to use the Fusion lab spaces, but as of Sunday evening, VP of Student Affairs, Christine Wilson, announced all campus labs will be closed until further notice as a precaution.

    Junior Khadija Tawane said over a video call that she is struggling to establish a healthy routine under the new restrictions. “They don’t have any activities in the dorms, and we are just in bed all day. My back hurts just from laying down all day and eating trash food!” she said.

    UMF has put a slew of safety measures in place to help prevent the spread of coronavirus on campus which has greatly impacted socialization. All students are living in their own rooms in Scott and bathrooms have been assigned to a maximum of three people.  

    “This just lessens the risk of bacteria and what not,” Community Assistant (CA) Kellsie Britton said during a video call interview. “There’s also a no guest policy. Anyone who does not live in Scott, even people who live in campus apartments, can’t visit.” Britton did add that students living in Scott can visit each other within the residence hall.

    Even the Beaver Lodge has new restrictions to minimize contact for employees and students.  No more than 10 people are allowed in the cafeteria and lounge area and students are now required to pre-order dinner. “They sanitize everything as soon as people are done,” Britton said.

    Students are also discouraged from traveling out of state or to any high-risk counties within Maine. “If they leave to go to a county that is high-risk like Cumberland then when they get back they are expected to go into a quarantine period which is in FAB,” Britton said. “They get their own suite and their own bathroom and they get food delivered to their door.”    

    Spanish Teaching Assistant Alba Fernandez is staying put in her dorm room with the exception of the occasional walk. “I am listening to music, watching the news, talking to people over the phone; that’s really important for me, talking to people,” Fernandez said during a video call on a sunny afternoon while she sat outside of Scott Hall.  

    Tawane and Fernandez keep each other company on campus, but Tawane does leave UMF regularly to work at Pinewood Terrace, an elderly home care center which has enacted similar safety precautions to UMF.  “At my workplace, no visitors are allowed,” Tawane said, who seemed confident to continue working during the pandemic. “I am healthy. I’m not going anywhere. I am just working.”

    Instead, Tawane was primarily concerned about adapting to virtual platforms for classes. “I have never done online classes and it’s just stressing me out, and I learn better in person,” Tawane said. “I am not good with technology, and I have never used the Zoom thing and one of my professors wants me to do a presentation through zoom.”

    For Fernandez, loneliness is more of an issue than the stress of adapting to online courses.  “Even though you are with people, you feel so lonely. We are all trying to process this situation so I feel like I cannot ask for help because we are all going through the same,” Fernandez said on a video call while sitting next to Tawane. “We all feel lonely and this is a huge mess in our lives.”

    As a CA, Britton is used to helping students cope with a variety of circumstances while living on campus, but now she has the added responsibility of deciphering the new waves of information that she receives on a daily basis regarding the coronavirus.

   “I have tried to be as informed as possible with the emails coming out. Any misconceptions coming out, I need to kind of correct those,” Britton said. “I think it’s very important to just be there and make sure that everyone’s feelings and thoughts are being heard which can take a toll on some of us.”

Letter to the Editor: A Student Dancer’s Grief

Dear Editor, 

   I write to you as a member and Co-Captain of the UMF Dance Team. The spread of the novel Coronavirus (COVID-19) has greatly affected many on our team. Every year, the team works hard to perform at TD Garden on the court of the Boston Celtics. This year our team would have danced to the song “Confident” by Demi Lovato. Our dance was fast, sassy, fun and well-rehearsed. We finished learning the dance a month in advance of the performance, but unfortunately we were never able to show our dance in the proper venue. Our season was over. At our last practice we filmed the dance and posted it to our Instagram page. 

   As a member of the UMF Dance Team, and one who, like the rest of the members, was looking forward to the chance to perform on the 360 degree stage, I am truly sad to see my team’s hard work lead to nothing more than a video. However, in light of these hard times I can’t help but think what an amazing season our team had. We may not have been able to perform at TD Garden, but we were able to perform on our home court, which is nothing to sneeze at. We can all smile when “Confident” by Demi Lovato comes on the radio, showing our bond to our team. While it may seem that our season and academic year has ended with a bang, in the form of a pandemic no less, you know what they say: “the show must go on.”

   As a team, we plan on hosting group dance sessions, so that even at home we all remain connected. We may even do group zoom yoga, which might help many to relax and destress in these very wonky times. Our team group chat is very much alive and healthy, filled with words of love and appreciation, not to mention all the lovely heart emojis. Even though the team is heartbroken over the cancellation of one of our most prized performances, we are all trying to remain positive, which is the most anyone can do right now. 

   Being able to remain positive and reminding yourself of all the love that your friends have and the love you hold for them is one way to help survive the new world that UMF has implemented. Trying to find ways to remain connected and in contact with others is a great idea when facing social isolation. Stay active, even if that means doing Zoom yoga. Hopefully we’ll laugh about this one day. 

   The UMF Dance Team, like many other teams and clubs on campus, have experienced cancellations due to COVID-19. Our team is trying to remain connected to each other. Staying positive will help us all to navigate these new and strange waters. 

Sincerely, 

Portia Hardy 

Co-Captain of the UMF Dance Team