Keith's story
Keith Johnson’s course through COVID-19 included two hospitalizations, one of which left the 67-year-old fighting for his life.
The married father of three and grandfather of 10 began feeling ill with the virus’ telltale symptoms, including shortness of breath and fatigue. Two weeks later, his wife drove Keith to the emergency room. Admitted to intensive care, he remained there for a week before returning home on portable oxygen.
Keith hoped to turn the corner, but instead he grew worse. Struggling to breathe again, his wife drove him back to the local hospital. When it was clear his needs outstripped their services, he was transferred by ambulance to Ascension St. Thomas West.
As quickly as Keith’s second bout took hold, COVID’s grip released as quickly. He spent three days in intensive care being treated with high-flow oxygen, powerful antivirals and steroids.
Three days later, he was stable enough for doctors to recommend Select Specialty Hospital – Nashville West for extended recovery. The hospital, which had opened just a week before, is located on the sixth floor of Ascension St. Thomas West.
Keith and his family chose Nashville West because his pulmonologist could continue to monitor his case.
He arrived hoping to return to the independent life he enjoyed before COVID-19, including planting a garden and family trips.
An interdisciplinary team of nurses, therapists, dietitians, pharmacists and other clinical professionals created a plan to get Keith home.
Respiratory therapists coached him on breathing and chest exercises to increase lung function, as well as techniques to conserve energy.
One of Keith’s favorite activities was using an incentive spirometer. The plastic, tubular device challenges patients to use their breath to push a ball higher. Each time he did, Keith said, it was proof he was getting better.
Physical and occupational therapists focused on mobility, helping Keith, who could already move in bed, grow strong enough to manage transfers between it and a chair.
“The team was extremely encouraging,” Keith said. “I was up and working with them multiple times per day.”
Meanwhile, occupational therapists concentrated on refining skills through gripping and grasping activities, such as picking up nuts and bolts.
Nurses kept him comfortable, administered medication and regularly checked his skin for pressure injuries. They also coordinated with pharmacists to drop back medication and switch from intravenous to oral doses when the time was appropriate to safely do so.
Throughout his stay, Keith’s family visited. His wife was a constant presence and ready to learn all she could about keeping him safe at home, something that Keith said he made him love her even more – if that was possible.
After just a week, he was ready to go home. Upon discharge, Keith said, “Select Specialty Hospital took care to another level.”
He also shared some advice for others facing recovery: “Trust the doctors and the nurses. Rely on their knowledge and experience.”