Featured Post from Georgia Southern University

#Expert Perspective: A tale of two cities: How one respiratory therapist combated COVID-19 — and his own fears — in Savannah and Boston

Jun 9, 2020

4 min

Barry Joyner

 

When the first cases of the novel coronavirus arrived in Chatham County, Georgia, Rafael Agosto, who has been a respiratory therapist at St. Joseph’s/Candler Hospital in Savannah for 17 years, had to recalibrate his approach to lung care. 


“Initially, it was kind of wild because we didn’t know what to expect and how to manage any of these patients,” said Agosto. “What are we looking for, and how do we treat this?”


The primary role of a respiratory therapist is to assist patients who have trouble breathing by administering oxygen, managing ventilators and measuring lung function, among other methods. COVID-19 symptoms include fatigue, fever, cough and shortness of breath, and at the onset, Agosto and his colleagues raced to stabilize patients who tested positive for the precarious disease.


“We were trying to keep them oxygenated,” he said. “It was sort of like pneumonia, but we wouldn’t treat it like a normal pneumonia because it’s like a deadly pneumonia. Patients were declining very fast so you didn’t have time like you normally would with other patients. And they were of all ages. That’s what was so scary.”


While grappling with patient care, Agosto and his co-workers were also dealing with fear for their own safety with exposure to the virus in such close proximity.


St. Joseph’s/Candler, Agosto’s employer since he graduated with a B.S. in respiratory care from Georgia Southern University’s Armstrong Campus in 2003, made it a priority to outfit the health care workers with proper personal protection equipment (PPE), Agosto said.


“That was scary but they made sure we had what we needed,” he explained. “Safety was the number one key. So the proper PPE, it was everything. We had all of it. A face shield, goggles, scrub cap and masks. They were not comfortable at all. At least here when I wore them I had downtime, but in Boston, holy moly, my face was bruised.”


Agosto registered for a four-week rotation with a crisis nurse staffing company that placed him at Good Samaritan Medical Center in Brockton, Massachusetts, a suburb of Boston. COVID-19-related deaths in Massachusetts were outpaced only by New York and California, and Brockton was the second hardest-hit community in the state.


“The reason I went was the opportunity to help patients, number one, and to learn how they were managing their ventilator patients there so it could help here,” he explained.  


On April 19, Agosto reported to the facility, suited up for his first 12-hour shift.


“I was in complete shock when I got in there,” Agosto said. “The ICU was full. Every single floor was possible for COVID.”


The hospital averaged 80 to 90 cases throughout his stay, and the intensive care unit remained full. Days were hectic and taxing; lunch was an afterthought. His focus was on keeping patients off of ventilators, as global reports show that more than half of ventilated coronavirus patients don’t survive.


Yet, “it started becoming hard to get them off ventilators,” and his group often didn’t have a choice but to put patients on 100% oxygen.


Stress didn’t let up, but Agosto found moments of solace in interactions with patients.  


“I would walk into patients’ rooms and they all kept telling me the same thing — they’re scared,” he said. “Because they don’t know anything. It’s like a ghost town because the nurses are running around. Patients felt they weren’t being seen much.”


In response, Agosto offered his undivided attention. 


“That’s one thing that made me feel really good,” Agosto continued. “Just to sit there and talk with them for a few minutes. Or just listening to them. That’s what we’re here for, and they were appreciative.”


Agosto returned to Savannah healthy and with a new oxygen delivery device to share with his co-workers at St. Joseph’s/Candler. His manager ordered the devices to serve local patients. 


“The most important thing I took out of this is that it’s serious, and people are doing everything they can,” Agosto said. “They’re putting their lives in jeopardy for the patients, and I’m glad I had the opportunity to do that.” 


The accomplishment of his goals in a time of crisis and his continued dedication as a respiratory therapist leave Agosto fulfilled.


“I didn’t get sick,” he said. “I helped as much as I possibly could. I did what I wanted to achieve. I’m so happy and blessed because I still love my job.”

 



If you’re a journalist covering COVID-19 and how Georgia Southern University is helping mitigate the spread of this virus – then let us help.


Barry Joyner, Ph.D., is the dean of Georgia Southern University’s Waters College of Health Professions - simply click on his icon to arrange an interview today. 

Connect with:
Barry Joyner

Barry Joyner

Dean and Professor of Exercise Science

Barry Joyner is an expert in physical activity, exercise science, teaching/learning, and outcome assessment.

Outcome AssessmentExercise SciencePhysical Activity
Powered by

You might also like...

Check out some other posts from Georgia Southern University

2 min

Georgia Southern professor re-elected to board of world’s largest scientific society

Professor of chemistry and chair of the Department of Biochemistry, Chemistry and Physics Will Lynch, Ph.D., has been re-elected to the American Chemical Society’s (ACS) board of directors. This marks his second three-year term on the board. With ACS serving as the largest science organization in the world, Lynch says the society’s work impacts lives every day. “We support the scientific enterprise by advocating for everything from research funding to laboratory safety,” said Lynch. “That work strengthens scientific integrity that ACS champions and ultimately shows up in the things that people rely on daily. Bottled water, medicines, cellphones and computer screens all come from chemistry. Many people do not realize how deeply science shapes their world.” With a budget of nearly $900 million and a global community of over 200,000, planning is essential to the success of ACS. Lynch is proud to have chaired the committee that created the society’s next five-year strategic plan. He hopes that his work will continue to put the society’s vast resources to use helping advocate for scientists around the world. “My focus now is implementing ACS’ strategic plan, which envisions a world built on science and setting up the indicators to measure our success,” said Lynch. “We want to make sure we support chemists whether they are in academia, industry, government labs or retired.” Serving in a leadership role for a world-renowned scientific organization is part of Lynch’s calling to help others. He began his service with ACS over 40 years ago when he volunteered at a regional meeting while pursuing his bachelor’s degree. He started making connections immediately and grew his professional network from the local to the national level. Forming friendships in the scientific community and witnessing the ways their work changed lives inspired Lynch to continue to grow his own knowledge so he could do more for others. “Getting to do research as an undergraduate pulled me in, and I knew that chemistry was where I could make a difference. I realized I had a path to help society through science and I never looked back.” Looking to know more about Georgia Southern University or connect with Will Lynch? Simply contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.

3 min

Georgia Southern University computer science professor awarded NSF grant to advance protein imaging research

Proteins, often called the building blocks of life, play a central role in drug development. When scientists develop new treatments, they must understand how drugs interact with proteins involved in disease mechanisms and with proteins in the human body that influence drug response. Scientists commonly use cryo-electron microscopy (cryo-EM) 3D imaging data to study proteins. While recent advances have enabled higher-resolution images that are easier to analyze, medium-resolution images—which are more difficult to interpret—are still the most common for larger protein complexes. Salim Sazzed, Ph.D., an assistant professor in the computer science department of Georgia Southern University’s Allen E. Paulson College of Engineering and Computing, has been awarded a two-year National Science Foundation grant of about $175,000 to lead a groundbreaking project to develop novel Artificial Intelligence (AI) techniques for determining protein secondary structures from medium-resolution cryo-electron microscopy (cryo-EM) images. Improved modeling from medium-resolution images will help researchers study more proteins efficiently, giving new insights into diseases and potentially guiding the development of new treatments and future drugs. At its core, this research will combine biology and machine learning to study protein structures. The multidisciplinary approach and potential impacts on public health are what most excite Sazzed. “The impetus behind this research is the positive impact on public health and possibly contributing to the biomedical workforce,” he said. “Seeing biology and computer science combine for that kind of impact is incredibly moving.” As the Principal Investigator (PI) for the project, Sazzed will use his expertise in deep learning computer models to focus on a major challenge in structural biology: identifying the two main secondary structures of proteins—the alpha helix and the beta sheet. These structures are critical for a protein’s overall shape and function, but in medium-resolution cryo-EM images they often appear indistinct or lack clear detail, making them particularly difficult to analyze. Sazzed’s research will focus on two main goals. First, he will quantify the variability of alpha helices and beta sheets in medium-resolution images, comparing them to idealized structures. Second, by integrating this structural variability with the image data in a deep learning model, he will aim to generate more precise and accurate representations of protein secondary structures. “When we feed this information into a deep learning model along with the image data, the model should be able to determine protein secondary structures more precisely,” Sazzed elaborated. Sazzed believes students will greatly benefit from this multi-disciplinary approach. In addition to a Ph.D. student, several undergraduate students will be directly engaged in the research. A full-day workshop will also be organized, allowing Georgia Southern students from diverse disciplines to participate. This initiative will build on Georgia Southern’s strong tradition of involving undergraduates in research and will support the University’s recent focus on biomedical and health sciences. “There are many different knowledge areas coming together in this work,” Sazzed said. “It involves computer science, biology, chemistry, and even public health. I look forward to students following the research and exploring these different fields themselves.” Allen E. Paulson College of Engineering & Computing Interim Associate Dean of Research, Masoud Davari, Ph.D., echoes this sentiment and emphasizes its importance to the University’s research profile. “Sazzed’s interdisciplinary research, which bridges the gap between biology and computer science, will foster multidisciplinary research in our college—as it is cutting-edge and potentially groundbreaking in drug development to impact people’s lives nationally and globally,” Davari said. “It’s also well aligned with the college’s strategic research plan—as we make the move to R1 status to be aligned with ‘Soaring to R1,’ which is among the transformational initiatives for the University.” Looking to know more about Georgia Southern University or connect with Salim Sazzed — simply contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.

2 min

Georgia Southern Associate Dean Nandi A. Marshall, DrPH, named president of the American Public Health Association

Nandi A. Marshall, DrPH, professor and associate dean for Georgia Southern University’s Jiann-Ping Hsu College of Public Health, has been named president of the American Public Health Association (APHA), the nation’s oldest and largest organization of public health professionals. Marshall began her presidential term on Nov. 5, following a year as president-elect. She will serve a three-year term on APHA’s executive board, including her current presidential year and a subsequent year as immediate past president. With more than two decades of experience in community-engaged public health, Marshall is widely recognized for her leadership in advancing maternal and child health equity, and for her dedication to preparing the next generation of the public health workforce. She holds a bachelor’s in religious studies from Spelman College, a master’s in public health from East Stroudsburg University and a Doctor of Public Health from Georgia Southern. “Dr. Marshall’s appointment to lead APHA is a tremendous national recognition of her contribution to public health — and a reflection of Georgia Southern’s growing impact on the global public health landscape,” said Avinandan Mukherjee, Ph.D., provost and executive vice president for Academic Affairs. “Her commitment to community partnership, workforce development and health equity exemplifies the values we strive to instill in every graduate of our distinctive public health college.” Marshall’s work has centered on bridging lived experience and scientific research to drive equitable health outcomes. “I’m deeply honored to serve as APHA president,” Marshall said. “Public health calls us to listen to communities, honor their wisdom and work together to build the equitable systems that recognize health as a human right. Equity is not an outcome — it’s a commitment. And I’m grateful to continue this work with purpose, courage and love alongside partners across the country.” Founded in 1872, APHA represents more than 25,000 members nationwide, serving as a convener, catalyst and advocate for equitable health and well-being for all. The association connects practitioners, researchers, educators and policymakers to advance evidence-based public health initiatives. Looking to know more about Georgia Southern University or connect with Dr. Marshall — simply contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.

View all posts
Powered by