I checked this out as an ebook, forgetting the focus of the book - a Bronx ER doctor's experience with covid during the opening 6 months of the pandemic. (I'd put it on my Goodreads to-read health/medicine shelf and when requesting books from Libby, I just looked at the title of this on my shelf and not the description as well) I almost returned the ebook, unread, because I thought "oh man, too soon. Not ready to be immersed in that." However, I decided to read the first few pages and I was hooked. Ended up reading it in about a day, just devoured it.
Meyer is my age - mid fifties - but he is more responsible and smart and focused than I could ever be. Wow, to even choose to be an ER doctor, my heart rate is spiking just thinking about it lol. I thought it interesting to learn that many ER are very athletic and very much extreme sports types. It ties in with their job choice, for sure. That sort of adrenaline junkie who is so naturally laid back that they are less affected by fear and stress; it takes a lot to get them anxious and upset. Meyer is a real "roll with the punches" sort of guy so when the pandemic situation starts stressing him out, you know it's really really bad.
Living in NYC during this time period, I kept thinking about what I was doing and feeling during the time Meyer & his hospital were struggling to treat the wave of sick people flooding the ER. Maybe I was more drawn to the book because I lived through it as well? I mean, obviously not to the extent the overwhelmed hospital workers lived through it. Still, it was a surreal and scary time. The streets were deserted like a zombie movie. Driving through Times Square in the middle of the day and it being totally empty - very creepy! One day out my bedroom window I could see 4 ambulances in front of different apartment buildings, all picking up covid patients. A woman on my block died and it took about 12 hours for the coroner's van to pick up the body, there was such a huge backlog of dead people. Reading about Meyers seeing a line of ambulances as far as the eye could see, waiting to drop people off at the emergency room was very powerful and disturbing. Running out of room in the morgue, the refrigerator trucks for all the extra dead people, having to bury people in mass graves without funerals.....people in other parts of the country did not experience such devastating events.
Getting a bird's eye view of the situation in the ER, where no one was except for staff and the sick(family were not allowed in) fascinated me. No one had ever gone through anything like this. They were having to make it up as they went along. No one knew what was happening, the situation changed by the hour. No one knew how easily it was transmitted. Staff ran out of PPE, out of vital meds, out of beds, out of stretchers, out of body bags....it was a complete shitshow. Yet the staff kept coming to work. They kept trying. They didn't give up. It brought tears to my eyes, how difficult it was for them.
I'm probably convincing people not to read this, it is sounding so heavy. It is a heavy topic, obviously. But the way the book is written, the way it is structured and plotted, it was almost like the book equivalent of an excellent action movie. Very fast paced, very "what is going to happen next?!" vibe. I highly recommend at least trying to read the book. Maybe it will be too soon for you or maybe you will find yourself gripped the way I was.
Thank God for people like Robert Meyer and those who work with him. It is good to know that there are smart, concerned, diligent, and determined people out there who will help you when you are sick. Some jerks out there have given doctors, nurses, etc a hard time for not being perfect and infallible, for making mistakes, for patients dying. I'd like to see those jerks hiding behind their keyboards go to an ER and do what those ER doctors and nurses do. It's such a demanding and strenuous job! I am so impressed and thankful for them.
Some of the many quotes that stood out to me:
In 1989, NY State limited ER doctors to a maximum of 24 hours per shift and 80 hour workweeks. (OMG working literally twice as much as people with normal easier jobs. When was the last time you were at your job for a solid 24 hours, working?)
He's short of breath, but not too bad. He looks over his shoulder and I hear him say very clearly, "Oh . This is where they take you to die." He starts to say the Our Father, which isn't a surprise:a large number of our patients are deeply religious. What surprises me is that a handful of other sick people join him.
The single day number of covid patient hospital admissions peaked in the Bronx at 1,754 on March 30. On March 8, there were 3 covid patients admitted. (that gives you an idea of what an insane avalanche it was for the ER. It 22 days they went from 3 to 1,754.)
One thing everyone who comes down to the ER from another hospital department has in common is the look on their face when they see the crowding and the suffering for the first time. They are stunned. They all say "I knew it was bad, but I had no idea how bad." And for a moment, they're afraid, and you can see that too. But the next thing they say is: "Show me what I need to do."
"I learned that bravery doesn't mean you are fearless. Bravery is when you are scared and yet you get up and do what you need to do. I try to be brave every day. We've been preparing for this our whole lives. If we don't show up, who's going to take care of all the sick people?" (his boss talking - she had both her elderly parents in the ICU, sick with covid. She kept working even though she was so so worried about her mom & dad)
It's quiet. I let my body descend to the curb. It's not long before the tears begin to flow. There in my scrubs, sitting on the curb, I'm inconsolable. That's when I notice that a UPS driver has pulled up and he gets out of his truck and he sits down next to me. "Look at my truck" he says, pointing toward the open tailgate after I tell him that an ambulance has just driven off with my friend. "I'm finishing my route, and not one of those packages are getting delivered." It turns out that the driver has half a dozen nursing homes on his route. "All these boxes. All those people died alone. There was nobody to say goodbye to them." Then he says "I've got my story and you've got yours. An we both just have to keep going."
We resorted to mass graves. Think about that: mass graves in 21st century America. On Hart Island, where before covid about a dozen bodies were buried each week, more and more workers were needed as the number of interments went up. 50, 80, 100 people were buried every few days, anonymous and alone.
This is a quote Dr Meyer had on his bedroom wall growing up. From Theodore Roosevelt -
It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deed could have done them better. The credit belongs to the man actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming.