'Everybody says it’s a war zone. It really is. It’s horrible.'
The ICU team resuscitates a patient with cardiac arrest on Monday, March 30. Photo: Patrick Schnell, M.D. As the COVID-19 crisis continues to unfold, the medical staff at Mount Sinai Brooklyn is providing regular dispatches about their daily experience fighting the virus. Today we spoke to photographer Patrick Schnell, who is documenting the hospital for New York. Schnell is a pediatrician who worked in hospitals for 14 years before taking a job in drug safety in 2006.
Michael Cooke, RN, in his first day at the Brooklyn Mount Sinai ICU where he is helping out due to staff shortages, can be seen caring for an intubated patient in the ICU. Photo: Patrick Schnell, M.D. How does it feel being trained as a doctor but not being out in the field at a time like this? You hear this story in the news, everybody’s sick, everyone’s on the ventilator, everybody’s dying. And it’s hard to understand until you’re there and you see it. Watching CNN is not going to transmit that message. Today [Tuesday, March 31, the day after these photos were taken], I was there for maybe five hours. In that time, five patients died. It was like clockwork: boom, boom, the next one, boom, dead. It’s unbelievable.
This patient had to hang out for quite a while in the ER on the stretcher like everyone else. I asked him if it would be okay if I took these photos of him and he said yes and signed a consent form. I don’t really take pictures of them because neither a magazine nor Mount Sinai would ever publish the face of a patient [without consent] — that’s against regulations. In the process of taking photos, you still have to be respectful of the patients that are potentially in the photograph. But my challenge is basically just to keep any identifying features out of the frame.
Preparing to reposition an intubated ICU patient with severe respiratory compromise. Photo: Patrick Schnell, M.D. Here they’re just trying to sort out all the tubing that he has; they need to be rearranged properly so that if you turn the patient 180 degrees around from the back to the belly, that these lines don’t get yanked out of the patient.
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