The Helpers-a book review

Starting from the pandemic’s quiet beginning late in 2019 through the vaccine distribution in early 2021, the author unfolds how the pandemic impacted their lives, their families, and communities. Despite being front line workers, they suffered the same things others did-isolation, loss of jobs and income, demanding work schedules under pressure; and for some, infection, hospitalization, intubation, and death. From their stories, we watch their lives intertwine with each other and the virus that stalked their daily lives.

The Helpers

Profiles from the Front Lines of the Pandemic

by Kathy Gilsinan

The test of a whole person is whether you can keep showing up when you’ve lost faith entirely.

I thought The Helpers would be a feel-good story about the heroes of the SARS-CoV-2 pandemic. It is a story about the heroes of the pandemic, but it didn’t make me feel good. And, as I learned in the book, they don’t like to be called heroes.

(Note: I chose the photos in this post to illustrate the book’s message, they do not appear in the book, and are not affiliated with the author. There are affiliate links in this post, used to generate funds to pay expenses. )

a scientist in a lab working on covid antibodies
Centers for Disease Control and Prevention (CDC) scientist was preparing patients’ samples for SARS-CoV-2antibody testing. Serological testing is used to detect antibodies, which indicate past infection with the virus that causes COVID-19, and is important to the understanding of disease prevalence within a population. credit James Gathanay, public domain

I should have known that. As a primary care physician, I didn’t know I was an “essential worker” until the COVID-19 pandemic. Despite the so-called lockdown, I still went to my clinic every day, although we cared for some patients virtually. I didn’t feel like a hero, I was just doing my job. And so were they.

Published March 1, 2022, The Helpers tells the story of the SARS-CoV-2 pandemic through the eyes and hands of eight people who truly lived it on the front line, those whose “stubborn spirits” drove them to help others-

  • a son in a Vietnamese immigrant family, caregiver to two parents and brother to a physician who is trying to keep herself and her family well
  • a semi-retired divorced paramedic from Colorado who is devoted to his work, so much so that he and a co-worker drive across the country in an ambulance to volunteer to help with the pandemic in New York City
  • a Latina ICU nurse who lives with her extended family in a small apartment and fears she will bring the virus home to them; besides fighting the virus, she crusades for more of everything that she and the other nurses need-tests, ventilators, and especially PPE, which they now have to reuse
  • the CEO of a small ventilator manufacturing company in Seattle, whose company tries to increase production from hundreds a year to tens of thousands, by partnering with an unlikely source
  • a scientist who has been researching mRNA vaccines at Moderna for 10 years, developing a “vaccine in search of a virus” and thinks she has found it in SARS-CoV2
  • a biracial chef in Louisville Kentucky who finds herself jobless, so channels her knowledge into creating a neighborhood meal service for others who need help feeding their families
  • a young critical care physician, who wonders if, when, and how she will ration ventilators if necessary
  • and a funeral director, whose facility soon has more bodies than spaces to put them, and for the first time in his career must turn families away.
a stretcher pushed by two EMS personnel
photo by Daniel Sun, from LIGHTSTOCK.COM, affiliate

Listen to an excerpt from Audible

Starting from the pandemic’s quiet beginning late in 2019 through the vaccine distribution in early 2021, the author unfolds how the pandemic impacted their lives, their families, and communities. Despite being front line workers, they suffered the same things others did-isolation, loss of jobs and income, demanding work schedules under pressure; and for some, infection, hospitalization, intubation, and death. From their stories, we watch their lives intertwine with each other and the virus that stalked their daily lives.

Parallel with their stories, Ms. Gilsinan looks at the government response to the pandemic, a picture that is not flattering. She starkly points out the delays, misplaced priorities, and partisanship that made the response less successful than it could have been, and cost needless lives.

“even when their elected leadership and public institutions fail them; they chase down the resources to save lives while politicians bicker and buck-pass and evade responsibility.”

These patients’ samples were to be tested for SARS-CoV-2 antibodies, using the Centers for Disease Control and Prevention (CDC) serologic test. CDC/ James Gathany, PUBLIC DOMAIN

I said this book didn’t make me feel good, but it did make me proud- proud of the people this book introduced me too, and to all of us who faced this virus together. As Ms. Gilsinan wrote

“The Helpers isn’t a partisan morality tale. The virus further polarized a deeply politically divided country, but it didn’t care which side its victims fell on…and no one is worried about anyone’s party affiliation in the ICU or the food pantry. Even at our most divided, our country is so much bigger and better than our politics.”

The author of The Helpers

Kathy Gilsinan is a contributing writer at the Atlantic, where she has reported on national security and contributed to its extensive and acclaimed coronavirus coverage. She lives in St. Louis, Missouri.

The Helpers is available from Bookshop.org.

Bookshop.org is an online bookstore with a mission to financially support local, independent bookstores. They believe bookstores are essential to a healthy culture and they are dedicated to the common good. Bookshop.org donates a portion of every sale to independent bookstores.

exploring the HEART of health in a pandemic

As a NetGalley reviewer, I received a complimentary digital copy of this book and agreed to write a review.

I have been fully vaccinated for COVID based on my age and medical status, and I hope you are too, unless medically unwise.

Dr. Aletha inspecting her arm after a COVID-19 shot
Three days after my first vaccination the soreness in my arm was almost gone, and I had no redness or swelling. After the second shot, minimal soreness. No other side effects to report. I feel fortunate.

On a recent trip I happened upon a local art exhibit and found this interesting piece.

Dr. Aletha

Making a living in health care

Overall employment in healthcare occupations is projected to grow 13 percent from 2021 to 2031, much faster than the average for all occupations

Update September 19, 2022

I wrote this post several years ago in my early blogging days. I’ve updated it with recent statistics and added a link to a more recent article about healthcare workers. Thanks for visiting. 

The Helpers-a book review

Starting from the pandemic’s quiet beginning late in 2019 through the vaccine distribution in early 2021, the author unfolds how the pandemic impacted their lives, their families, and communities. Despite being front line workers, they suffered the same things others did-isolation, loss of jobs and income, demanding work schedules under pressure; and for some, infection,…

Keep reading

Healthcare job statistics

According to the Bureau of Labor statistics (U.S. Department of Labor)

  • Overall employment in healthcare occupations is projected to grow 13 percent from 2021 to 2031, much faster than the average for all occupations;
  • expected to result in about 2 million new jobs over the decade.
  • About 1.9 million openings each year, on average, are projected to come from growth and replacement needs.

The median annual wage for healthcare practitioners and technical occupations (such as registered nurses, physicians and surgeons, and dental hygienists) was $75,040 in May 2021, which was higher than the median annual wage for all occupations of $45,760;

healthcare support occupations (such as home health and personal care aides, occupational therapy assistants, and medical transcriptionists) had a median annual wage of $29,880 in May 2021, which was lower than the median annual wage for all occupations.

the original 2015 post

Previously I wrote about physician salaries after Medscape magazine reported the annual physician salary survey.  In it I explained  how doctors are paid and  where other  health care dollars  go. It became one of my most viewed posts.

 Physician jobs

Physicians are paid differently, like other professions.  Some physicians are employed by a corporate entity such as a hospital, others are self-employed, that is they own the practice. While some physicians  have a set annual salary, or hourly rate, other physician income is  based on how many patients they treat-office visits, surgeries, procedures, xray or lab consultations (which can be remote, so called telemedicine). Sometimes it might be a blend of the two.

non-physician clinical health professions

There are numerous non-physician clinical health professions-nursing, pharmacy, physical and occupational therapy, chiropractic, dentistry, optometry, audiology, dieticians, nutritionists,to name a few.

Support staff

Besides physicians are the support positions, those people in a hospital or clinic who don’t have medical training but whose work enables the rest of us to do our jobs.

These include maintenance, laundry, housekeeping, food services, security, transportation.

Technicology, administration, and finance

Nor does it include IT (information technology)  professionals; the use of  medical computer devices and  applications, called medical informatics, is now  a specialized profession.There are receptionists, customer service reps,human resources, billing and coding.

Other  occupations  directly or indirectly contribute to health care.

laboratory
Laboratory testing is vital to providing health care.
MRI machine
Diagnostic imaging- CAT, MRI and PET scanning have increased our ability to see inside the human body compared to plain x ray.

 

exploring the HEART of healthcare

 

Medical stethoscope and heart on a textured background

Dr Aletha

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