COVID inequities and how health care systems contribute to them are the focus of the latest selection in our BlackVoicesWTTW Book Club series. Read an excerpt from “The Emergency: A year of Healing and Heartbreak in a Chicago ER.”
The list of injuries and illnesses that present themselves in an emergency department on the South Side of Chicago is endless, from gunshot wounds and drug overdoses to young people suffering a stroke as a complication of COVID-19.COVID Tracking Project
“The best part about being an emergency medicine physician is this intimacy of strangers. People come to me and tell me stories that are secrets that they hold from those closest to them, and they share them because they want to get better, that they know something is going wrong and they want help,” Fisher said.
All of January and most of February elapsed before the first symptomatic patient arrived on the South Side, where I worked as an emergency room doctor at the University of Chicago. By then the coronavirus was dubbed COVID-19 and had infected people on every continent. At last, in late February, a febrile traveler named Terri came to us with a cough and a story. A flight attendant had coughed in her face on her way to Seattle, a city already besieged by the virus.
A week later, Americans awoke to a society unraveling in the wake of the monster’s cross-- country frenzy. As the infection spread, businesses reduced hours, then closed altogether and laid off workers. On March 9 the stock market crashed. Deaths mounted from one to tens to a hundred. I canceled my boys’ trip to Vegas for March Madness. Our country’s retreat progressed from there. An NBA player tested positive; the NBA abandoned its season; then all sports seasons were terminated.
COVID smashed through the South Side’s multigenerational homes. This is a neighborhood packed with people who didn’t have the sort of white-collar jobs that let you work from home—- with nothing but a frayed safety net to hold them if they fell, they had to risk their bodies just to keep from starving. And when they came home, they exposed the vulnerable elders who often lived with them.
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