'It's pretty terrifying': COVID-19 threatens N.S. woman's lung transplant

A Nova Scotia respirologist is worried some of her patients could become casualties of COVID-19 even if they don't catch the virus, as hospitalscancel elective surgeries to free up beds and isolate staff.

Nearly alllung transplant patients from the Atlantic region go to Toronto General Hospital for the surgery, but it has temporarily paused lung transplant activities.

Dr. Meredith Chiasson, who from her office in Halifax looks after potential lung transplant candidatesfrom across the Maritimes, said she has one patient in particular who started deterioratingrecently.

"Within days of seeing this patient, everything got shut down," she said. "Toronto is not doing any transplant surgeries. Once they start doing surgeries again, I'm not sure this patient will still be with us."

Another one of Chiasson'spatients, Karen Spencer, wassupposed to go to Toronto in April for an assessment that would determine when she's officially put on the transplant list.

The 54-year-old has idiopathic pulmonary fibrosisand depends on oxygen. A year ago, she caught a superbug and learned a transplant would be her only option.

"It's pretty terrifying, I'm pretty scared," Spencer said of the novel coronavirus. "I'm scared I'll catch it and this time it will kill me."

Spencer learned Tuesday that her trip to Toronto General Hospital was off.

Spencer'sspecialists have found a way to keep her case moving forward. She said they plan to have virtual appointments andspeakto her over the phone or by video chat to do her assessment. She'll also have a procedure done at the QEIIhospital in Halifax in the coming weeks.

She saidthe pandemic is taking a toll on her mental health.

"Thankfully, I've got my family that keeps me in good spirits and friends too," she said. "There's times though that I don't have a good spirit. I think about 'What if?' and I've got to learn not to think that way."

The virus is creating a whole new set of hurdles onan already difficult situation.

Her workouts at the hospital have stopped, and she can only go outside to walk under specific weather conditions.

A benefit show that was supposed to help cover her expenses was cancelled. Her family created a GoFundMe campaign to see if that might help.

"But with the economy right now, I don't expect anybody to donate right now ... and I just pray to god that something happens good between now and then."

Not only that, if Spencer does get approval to go to Toronto, she'llhave to fly and she's worried about potentialexposure to COVID-19.

It's a nerve-wracking time for Spencer's family, many of whom are high risk with respiratory problems.

One of her nieces has cystic fibrosis. Another niece, Natasha Vaughan, has scarring on her lungs from blood clots.

Each branch of the family is now isolating in their homes, cut off from one another.

Vaughan hopes people realize that families like theirs are the ones medical experts are referring to when they tell everyone to stay home.

'Her life is hanging in a balance right now'

She said the sooner people listen, the sooner her aunt can get to Toronto and wait for her transplant.

"Basically, her life is hanging in a balance right now because we don't know what's going to happen," said Vaughan.

Vaughan also has a message to those who are practising social distancing.

"We can't thank you enough," she said."You are potentially saving our lives. My sister's life. My aunt's life."

Meanwhile, Chiasson said patients need to be prepared for long wait times when the risk of the virus ends.She uses the example of an echocardiogram, a heart test,where the wait for non-urgent cases has until now been a year.

"That list, that was already a year, is just going to balloon up to at least a year an a half or two years," she said. "It's going to take a while for us to clean this up."

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