The Atlantic

Headlines Don’t Capture the Horror We Saw

I chronicled what COVID-19 did to a hospital. America must not let down its guard.
Source: John Moore / Getty

You likely know that the number of patients hospitalized with COVID-19 is surging across the country. But headlines from distant states do not capture the horror of a hospital without enough intensive-care beds. I was an anesthesiology resident in a large academic medical center at the peak of the pandemic in New York City this spring.

During a time when journalists had little access to what was happening inside New York hospitals, I wrote regular email updates to friends and family. These messages—edited for length and clarity below—showcase the frightening reality of what care looks like in an overwhelmed hospital. (Where I describe individual cases in significant detail, I’ve obtained the consent of the patient or family in question.) The emails relate the experiences of health-care workers, and young doctors in particular: the anxiety, the fear, the overwhelming responsibility, and the ethical burden of hard decisions. Even after the pandemic is over, the weight of these experiences will remain with us for a lifetime.  

[Read: ‘No one is listening to us’]

These messages form a chronicle of what COVID-19 has already done in America and a reminder of what it could do again this winter.

Thursday, March 26

A senior anesthesiology resident holds the stat intubation pager, which goes off when a patient anywhere in the hospital needs a breathing tube right away. My co-residents and I first

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