As hospital numbers fall, fatigued staff get relief at last

MISSION, Kan. (AP) — When COVID-19 patients inundated St. Louis hospitals, respiratory therapists arriving for yet another grueling shift with a dwindling supply of ventilators would often glance at their assignments and cry, heading into the locker room to collect themselves.

“They were like, ‘Man, another 12 hours of this slog of these on-the-verge-of-death patients who could go at any moment.' And just knowing that they had to take care of them with that kind of stress in the back of their head,'” recalled Joe Kowalczyk, a respiratory therapist who sometimes works in a supervisory role.

Now the number of people hospitalized with COVID-19 in the U.S. has dropped by 80,000 in six weeks, and 17% of the nation’s adult population has gotten at least one dose of a vaccine, providing some relief to front-line workers like Kowalczyk. On his most recent shift at Mercy Hospital St. Louis, there were only about 20 coronavirus patients, down from as many as 100 at the peak of the winter surge.

“It is so weird to look back on it," he said. “Everyone was hitting their wit's end definitely toward the end just because we had been doing it for so long at the end of year."

The U.S. has seen a dramatic turnaround since December and January, when hospitals were teeming with patients after holiday gatherings and pandemic fatigue caused a surge in cases and deaths. Health officials acknowledge the improvement but point out that hospitalizations are still at about the same level as earlier peaks in April and July and right before the crisis worsened in November. Deaths are still persistently high, though much lower than the peak in early January, when they sometimes exceeded 4,000 per day.

Hospitalizations in Missouri were hovering around 3,000 a day during a stretch from late November into January but have since fallen...