Dear Readers,
Wow. I wanted to read a memoir about someone who worked on the frontlines in the medical field during the Covid 19 pandemic. I received my wish in the form of the book, Every Minute Is a Day by Dr. Robert Meyer and Dan Koeppel. What did doctors think prior to the official announcement of a pandemic by the CDC? Did doctors think Covid 19 was just a case of the flu? How prepared were most hospitals for a pandemic? How did people in the medical field cope with the overwhelmingly stressful environment of a hospital flooded with Covid patients in their ER, ICU, etc?
Because I spend so much time as a patient interacting with various medical specialists, I was intrigued at what would happen if you risked high exposure to Covid 19 while simply attempting to help others and do your job? Dr. Meyer, who is an ER physician at Montefiore Medical Center in the Bronx, shares a diary he created during the pandemic and then sent to his cousin, Dan Koeppel (a journalist). I think keeping a journal during the Covid 19 pandemic was part therapy and part documentation for Dr. Meyer. Obviously, in January 2020 most people appeared to think Covid was centrally hitting China and could just cause flu-like symptoms. March 2020 arrived and Montefiore Medical Center's ER started seeing cases continue to climb each week particularly in the emergency room.
Clearly, Dr. Meyer quickly observed patients were lining the halls of the ER. The state of New York just stopped. Businesses shut down. Schools closed. People were asked to work remotely. The first Covid patients seen by Dr. Meyer appeared to have fevers and problems breathing. Next, patients started exhibiting vomiting and diarrhea. Interestingly, because oxygen levels in the body were lowered by Covid, people started exhibiting signs of cognitive confusion. Then patients started exhibiting signs of inflammation which led to all sorts of more extreme complications.
There never seemed to be enough personal protective equipment at the hospital so one staff member began a crowdsourcing campaign for PPE and the designated delivery address became Dr. Meyer's home basement. There were not enough ventilators for the number of patients needing them. ER physicians and ER staff appeared to cope via working diligently together and the hospital offered online therapy as well. Montefiore established a hospital diversion plan. whereby once it had all the patients it could handle, patients were then sent to other hospitals for treatment. Eventually, a triage tent was erected outside the ER to evaluate patients before they ever entered the doors of the hospital. Physicians were covered with protective gear so it was difficult interacting with patients. Finally, the hospital's morgue could no longer contain an additional deceased patient so refrigerated trucks were parked outside the hospital specifically for housing the deceased.
I can only imagine the trauma a person would endure witnessing everything Dr. Meyers did during the seven months of 2020 when he was writing to his cousin about what he was seeing and how he felt on a daily basis during the pandemic. The ER medical director at Montefiore had both her parents test positive for Covid and lost her dad to the virus. Dr. Meyer's mentor, Dr. John Gallagher, tested positive for Covid and wanted no one to visit his apartment for any reason because he was so ill. He later would test positive for Covid, be admitted to the Montefiore ICU, and undergo rehab following the entire ordeal. Physicians were having to apply for compassionate use of convalescent plasma and the antiviral drug, Remdesivir. Heartbreakingly, many physician requests for these treatments were denied which required them to use their connections in order to gain access to these treatments.
The most inspiring part of this book was Dr. Meyer's commitment to staying in the hospital and treating sick patients. Not only were medical personnel exposing themselves to Covid, but in some cases also their loved ones. Dr. Meyer remained committed to his Hippocratic Oath to protect patients from harm and injustice. His hospital ER was in the Bronx which contained large numbers of elderly residing in nursing homes. Some of those elderly battled Covid in an assisted living center while many others were sent to Montefiore Medical Center. Covid 19 disproportionately impacted African Americans and Hispanics to a great degree. Heartbreakingly, many people died without a loved one by their side. At times, I think most medical personnel during the pandemic questioned if they could remain in their profession and how long they could endure the relentless misery brought about by Covid 19.
Dan Koeppel, Dr. Meyer's cousin who was receiving Dr. Meyer's daily journal entries, has his own medical scare during the course of the book. Dr. Meyer assists his cousin in getting seen more quickly so a diagnosis and treatment plan could be enacted or else there very well could have been a more unfortunate outcome. The one question that kept circling in my head at the end of the book was what do those patients who do not have a Dr. Meyer readily available as our cousin do when we're told to wait weeks for a scan or test that if done sooner might mean the difference between life and death? This brought back my mantra: the squeaky wheel gets the grease. In other words, when it comes to your health or a loved one's health remember to ADVOCATE. Let your voice be heard.
And as Dan Koeppel cites toward the end of the book: grow and learn from hardship. Live in the moment. And after reading this book I would add: stay in the arena or keep pushing to help yourself and others when it comes to healthcare. Whether it's educating yourself about a disease, keeping medical records, getting vaccinated, eating, exercising, asking questions, or seeking a better provider. Do Not Give Up.
An excellent read that I highly recommend.
Best,
Grace (Amy)
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