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Future

Reflections from the Precipice

November 23, 2020 by Inside Press

On Climbing the COVID Mountain: A Heartfelt and Fact-Based Plea by an Emergency Room Doctor

By Dr. Evan Cohen

As an emergency physician, a husband and a father of two young children, I spend a lot of time thinking about Covid. Where we have been and where we are going. I find that despite all the destruction and pain that we have endured, the future is still ours to create.

Here, on the precipice of the Covid mountain I realize that I’ve gone through all of the stages of pandemic grief. In February and early March it was shock and disbelief. I did not think that Covid-19 would be so bad; it was being overblown by the media. Like Ebola, Bird Flu and SARS, it was happening far away and would not affect me. When it reached our shores and my community in New York, I felt certain that we could briefly quarantine our way out of the mess. As April rolled around, I was angry that so many people were dying. Selfishly, I was even more angry about the sacrifices that my family and I had to make. No more weekend date nights or get-togethers with friends, no vacations, no school or playdates for my children and there were no more escapes to the arcades and indoor playgrounds on those painful rainy days.  

Dr. Evan Cohen and his family

I stopped at the guilt stage during a frightening two weeks when my parents developed Covid. My father recovered very quickly, but as my mother’s illness lingered, I kept seeing her face superimposed onto my patients in the emergency department. I was constantly thinking about the possibility of someone so important to me lying in a hospital bed alone and with no effective treatments available. The worst part as a son and emergency doctor was that there was nothing that I could do other than call her every few hours to make sure her breathing wasn’t labored. After that experience, the Covid-related depression was almost a relief. It didn’t matter much that I am trained to recognize the risk factors for depression and get people help when they need it. I could only feel positive for so long while thinking about all that had been taken away from me, there was no end in sight. I remember leaving an interview I gave on Covid-related depression and feeling so hypocritical telling people how to try and battle the same gloom that I was feeling.

What kept me going during that time was the incredible support that I and my colleagues received from our community. As an ER doctor, I feel like I’ve been trained to deal with anything and anybody that comes through my doors. Having trained in Camden, New Jersey and worked all over the east coast of this country, nothing could shake or surprise me and I was proud of that. Many times, I was so good at separating emotion from reality that I forgot the value of my work. As a heartfelt reminder, our staff received countless letters of gratitude and witnessed several “drive-by” parades organized by the community. The hospital played “Fight Song” on the loudspeaker every time a Covid patient was discharged, a moment that always sent a shiver down my spine! I pray that every health care worker felt as appreciated as I did during those months.    

The summer offered me a much needed respite and life almost felt normal. My mood was tied to the case count and as cases trended down in my community, I was able to spend time with my extended family, take my children to the playground and pool club. I would go days at a time without seeing a Covid patient at work.  Now, with the summer in the rear view mirror and the weather getting too cold to play outside, I’ve reached the acceptance phase, although I’ve had to go through many of these painful phases again on my way here.  

I accept that Covid is real and won’t disappear if we just wish hard enough. I accept that many more people will get sick and die and I accept that there will be sacrifices this winter. I also accept that myself contracting Covid is not inevitable and that I have some control over how things work out.  

Nationwide, we are seeing the exponential spread of this illness come back with a vengeance.  As case counts reach a critical level, the internal calculus we have been doing has changed.  Chances are that any time there is any gathering of more than just a few people, there will be someone in the crowd with Covid. We are back to all Covid all the time. The biggest public health threat, hospital overcrowding, is happening again.  

I appreciate that it seems like fewer people are dying and going on ventilators compared to last spring. The best explanation I can come up with for this is complex but I think is partially related to the amazing work of the scientific community in narrowing down and creating effective therapeutics. Dedicated scientists were able to figure out in short order that hydroxychloroquine, early ventilator use and azithromycin were out and remdesivir, steroids, and blood thinners were in. I feel optimistic about the new arrival of monoclonal antibodies. Despite all of these drugs, the most important factor that I see is the availability of nurses and other health care workers to be adequately staffed to care for the large numbers of Covid patients in the hospitals. This just cannot be overstated for any medical condition that requires a high intensity of care! For anyone that has recovered from surgery or serious illness, you know how important it is to take your medications on time, eat nutritious foods, be clean, communicate with loved ones and be able to walk. One of my health care heroes, a nurse colleague, donated countless hours last spring cleaning soiled patients and feeding them. those being the most essential tools in her toolkit. Those simple but crucial things just can’t happen without adequate staffing in hospitals.  

Now, from standing on what I hope is the precipice, I see two futures. In one dark world, we have not learned from the mistakes of the past. Our Ids control our superego and we do what feels good. After all, it feels good to eat in a restaurant, to hang out with our friends, and to see our families. In this future, I see our schools closing down and my five-year-old son unable to sit still for Zoom kindergarten. I see my three-year-old daughter deprived of seeing her best friend and unable to get the amazing nurturing experience and growth she has been given this year at her nursery school. I see the death tolls rolling up. I see my colleagues in medicine going back into that dark place of last spring. In the other (brighter) future, I see us all banding back together the way we did in April. We can be supportive of each other during this time and simply do better at keeping the virus at bay.  I do not accept that we have given our best effort at controlling this pandemic.    

I believe that to act with conviction, you must first understand your WHY. My WHY with Covid is mainly driven by fear. I have a fear of my friends and family getting sick, of my children not being able to go to school, overcrowded hospitals and of coming down with a debilitating case of Covid just days before I was scheduled to receive the vaccine. I will never claim that my Covid behavior is perfect, but any sacrifices that I make are with those visions in mind. I know that everyone has different motivations in their lives; nevertheless I hope and believe that many of our WHYs are aligned.  

Whatever your goals and motivations, we have a path forward in this together. And, thanks to the knowledge we have now in terms of mask wearing and physical distancing, we can do better. On the other side of this peak will be hundreds of millions of miraculous life-saving vaccines. Out of this tragedy, it’s possible that the Covid vaccines will offer the most impactful gift that the house of medicine has ever given to humanity. 

As the winter rolls in and we get an influx of young adults home from college and a line-up of holidays that traditionally foster large gatherings, all that I ask is for all of us to realize what is at stake and how close we are to being on the other side of this mountain. I hope to see all of you when we get there.

Dr. Evan Cohen is originally from Rockland County, New York and obtained a B.S degree from Syracuse University. He obtained his medical degree from SUNY Upstate Medical University in Syracuse New York and completed an emergency medicine residency at Cooper University Hospital in Camden New Jersey. Currently, he is serving as a medical director and practicing emergency physician in Orange County New York. He lives with his wife and two children in Chappaqua, New York.

 

Filed Under: Surviving COVID-19 Tagged With: COVID-19, Covid-related depression, emergency, Emergency Department, Emergency Physician, Family, Future, hospital overcrowding, Mask Wearing, pain, Physical Distancing, precipice, Surviving Covid, vaccine

Neighbors Helping Neighbors

February 22, 2020 by Stacey Pfeffer

I’ve been thinking about Mrs. Dobrowski a lot as I work on this issue of the magazine. A widow, she lived across the street from us at my childhood home in Queens. On sunny days, she’d sit on the porch in her housedress reading the newspaper. On cloudy days, she watched TV. If I peered out through my window, I could make out the glare of the TV, bunny ear antennae perched on top. She would feed the neighborhood stray cats too and leave out a bowl of milk for them.

Later as I became a latchkey kid when my mom returned to work, my mom asked her to keep an eye out for me to make sure I was safely inside after school. She did. I could see her looking out her window as she took this duty very seriously. In return, my dad helped her shovel her walkway when it snowed or other simple home maintenance problems. In essence, she was a good neighbor and we looked out for each other. Mrs. Dobrowski walked that delicate balance of being friendly and helpful without ever being intrusive or nosy.

A central focus of this issue was what makes your neighborhood special? Our talented writer Christine Pasqueralle interviewed several families from various sections of town and the bottom line is that our neighborhoods are special because of the people who live in them who foster a sense of community. We plan on continuing this in future issues so be on the lookout for it and perhaps you’ll spot a neighbor or two.

Several area residents are also profiled in this issue. From the residents lovingly planting beautiful native gardens to increase pollination in our community to volunteers spending countless hours accompanying their therapy dogs to help out senior citizens or stressed out students, I’d be thrilled to have any of these residents as neighbors. And don’t forget to check out the story about the Horace Greeley Scholarship Fund, a true community effort that assists Greeley students in paying for college. As a recipient of the scholarship said, “I thought college wasn’t even an option for me. (The fund) really gave me more than money–they gave me hope.” That’s the true essence of neighbors helping neighbors.

Warmly,

P.S. I’d be remiss if I didn’t give a shout out to local nonprofit (914) Cares for organizing the inaugural Westchester Poverty Symposium held last month that I attended. The half-day symposium put a spotlight on poverty in Westchester County and explored strategies and partnerships to disrupt the cycle of poverty that exists throughout. Again, another prime example of neighbors helping neighbors.

Filed Under: In the Know Tagged With: community, Friendly, Future, Helping, Horace Greeley Scholarship Fund, in the know, Latchkey, Neighborhoods, Neighbors Helping

Byram Schools Enter the Future

December 1, 2016 by Matt Smith

The future is looking bright for members of the Byram Hills School District. The District’s Building Technology Coordinators (Rekha Singh, Al Lovelace, Dawn Seines, and Joanna Nash), along with Byram Hills Director of Technology Dr. Andrew Taylor, are rolling out a series of educational developments in the coming years, hoping to boost their science and technology footprint. These advancements include a STEAM (Science, Technology, Engineering, Art, Math) education initiative that employs coding, robotics, and 3D modeling to encourage interactive, hands-on learning, as well as a classroom re-purposing to allow for technological advancements to be utilized throughout the school day.

schooldistrict_4

The robotics element is one of the most innovative in recent years. “Our goal at Byram Hills is to develop the leaders of tomorrow,” Dr. Taylor explains, “and to do that we need to develop students that can think creatively, work collaboratively, and communicate effectively.” Hence, their plan. The middle school classrooms, which will use this approach, the BOT Spot (Best of Tech Spot), the most, will incorporate an interactive projector, which casts images onto the floor, set up as challenges for the robot to complete. The task is then to program the robot to complete the challenge set forth for the student. For example, if the floor projects a set of apple trees, “one challenge could be for the robot to water the apple trees,” Taylor explains. “[The students] will program the robot to go up and down the rows on the board, and water each one.” Other challenges include creating a robot that will turn lights on and off, or one that will pick something up and carry it to a student. “It’s all about problem solving,” Taylor comments, “[and] coming up with a scenario and designing and programming a robot to help solve the problem.” Taylor points out that both elements of coding and robotics are part of a major update to the Middle School Technology Curriculum.

Robot. Photos by Matt Smith
Robot. Photos by Matt Smith

Fueled by a transition to using cloud-based, wireless Google ChromeBook computers for teaching purposes in 2014 –“we didn’t really need these computer labs anymore, and we wanted to think of new ways of using them,” notes Taylor–the room’s repurposing equips each classroom with a state-of-the-art projector called Span by Nureva, which casts images onto a large whiteboard, up to 40 feet in length, for students to embellish and interact with. The technology is such that large groups of students can add to the board simply by walking up to it and drawing on it with their finger. With the drag of one’s pinky, the board can shift and expand, allowing for multiple users to work on one problem, or in one area, simultaneously. Additionally, given that the content is online, it can also be viewed or edited on any projector or device in the classroom.

Through the genius of technology, too, those students still seated while others are up working at the board will also be able to contribute to the lesson through a software connection in their ChromeBooks–which Taylor can only see as an invaluable advantage. “If I have a typical interactive whiteboard in a classroom, I can have a couple students up there, but the rest of the class is kind of passive. With this new [advancement], I can have 30 students up at the board and have students contributing [to the lesson] from their seats. It’s great.”

He adds that these new developments may also encourage new teaching styles, noting that teachers are devising creative ways to utilize the boards while giving their lessons.

With this technology, “we’re looking to create more interactive lessons and games that engage and involve students,” comments Taylor, on the subject. “With such large boards, we can empower students to be active learners in the classroom. [It’s about] making learning fun.”

While this initiative brings about exciting changes that are no doubt cause for celebration, Taylor’s fully aware that it’s not all without its fair share of challenges: “We’re shifting the education [model] and changing the structural strategies,” he says of the initiatives. “Moving to a new model of learning is difficult, and takes time. It’s not going to happen overnight.” Taylor also acknowledges “not all of this type of technology is made for schools–some are made for homes–so there’s [also] some adjustment we have make in that regard as well.”

Dr. Andrew Taylor demonstrates the new technology.
Dr. Andrew Taylor demonstrates the new technology.

But all in all, he’s ready to enact the new system. “We’re doing things that haven’t been done in schools ever before,” he says, with a smile, extending his thanks to the Byram Hills Education Foundation for all their financial support: “We couldn’t have done it without them.” Additionally, on the subject of next steps, Taylor mentions “Phase 2,” which involves bringing this new technology into the three on-campus libraries, as well as building an additional classroom, deemed Hub21, to allow these connections to be accessed from a central location. “We are combining research-based learning strategies with modern technology…some of it will work, and some of it may not,” Taylor says, summarizing his objectives. “But we’re thoughtful in our planning and excited about where we’re headed…and where the future will take us.”

The Byram Hills Central School District is located at 10 MacDonald Avenue in Armonk. For more information, visit www.bryamhills.org

Matt Smith is a writer and regular contributor to The Inside Press. For further information or inquiry, please visit www.mattsmiththeatre.com.

Filed Under: Armonk Cover Stories Tagged With: Byram Hills, Future, robot, technology

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