Coronavirus patients got an classical music concert

Coronavirus patients got an classical music concert

Doctor Brings Classical Music to Coronavirus Patients


An I.C.U. doctor felt despair at how little could be done for the sick. Soon, she had musicians playing over the phone in hospital rooms.VideotranscripttranscriptConcert for One: I.C.U. Doctor Brings Classical Music to Coronavirus Patients Dr. Rachel Easterwood, a professionally trained musician-turned-physician, has found a unique way to help her patients with Covid-19 — live classical music concerts.“To be in one of the coronavirus patients’ shoes, to me, seems horrifying.

They have an illness that we don’t fully understand yet. They’re alone. They’re short of breath. I can only imagine how scary it must be. That’s part of the reason why we’re just trying to do everything we can to support the patients both medically and, I guess, spiritually.

This strange overlap just happened between my two different lives of music and medicine. And they’ve come together in some unexpected and beautiful way. Hi, Andrew. How are you?” “Hey, Rachel. I’m fine. How are you doing?” “Great, nice to see you. There are very few things in this world where you can kind of transcend time and your place. And I definitely know that music is one of those things. It adds a level of humanity to a situation that I think this virus has taken away.

FaceTime concerts for Coronavirus patients

The atmosphere on the shifts where I’m working, it’s impossible to describe. We’ve been seeing a lot of difficult deaths. And that’s throughout New York City. I think a lot of doctors that I’ve talked to have expressed the same sentiment, that we aren’t helping enough. There’s a pianist, a violist and a cellist that are in the same place. And there’s a cellist on the West Coast. And they actually already had sort of a project going on where they play for more vulnerable populations, and were very interested in helping with the patients that I was seeing.”

“I just had this phone call with Rachel.” “She mentioned that wouldn’t it be incredible if the coronavirus patients who were more isolated from their family and friends than ever could experience this.” “FaceTime concerts for COVID patients.” “And it suddenly clicked that we could provide that.” [phone ringing] “Hey, Rachel.” “Hey, guys. Thank you so much. How are you?” “We get a call from Rachel on FaceTime.” “I’m going to put the phone down on the table, and then you guys can go, OK?” “OK.” “OK, great. Thank you.” “Thank you.”

“And she says, OK guys, you’re on. And just, we play.” “It’s not silence on the other side of the call. It’s a lot of noise. It’s a lot of beeping from the machines. Typically you can hear the ventilator breathing for the patient.” [beeping] “It takes us, in a way, like, boom, we’re right in the front lines.” “This is how we can hold their hands right now.

It’s through music.” “Every time we get off the phone, there’s a bit of a different atmosphere in this house.” “I started off studying to be a classical musician. So to be able to bring music into the hospital, I really never thought that would happen. The first concert was for a patient that had really no ability to interact. We had talked to the family.

And I was standing there next to this coronavirus patient. It was so surreal, but I just felt like at that moment in time in my life, that everything I had had up until that point had led me to that. And I think everybody was really feeling their own mortality.

And I thought to myself at that time, if I don’t make it through this, then I’ve done what I’m supposed to do.” “I have a couple, a couple songs that I chose that I just think are really beautiful on the cello. I hope you enjoy.” “Thank you.” “At my hospital, we’re all a family. And I think that it actually helps not only the patients, but also the morale of the doctors and nurses. [cello playing] We hope that this music for patients brings them a sense of comfort that’s definitely lacking.

I hope these concerts can ease the pain a bit, and I hope that it can give them hope.”Dr. Rachel Easterwood, a professionally trained musician-turned-physician, has found a unique way to help her patients with coronavirus — live classical music credit…Noah chaotic emergency rooms and intensive care units around New York City, coronavirus patients struggle to survive in isolation, with masked doctors and nurses keeping their distance and family visits barred.

Alarms, monitors and overhead announcements blare incessantly.But at NewYork-Presbyterian Allen Hospital in Manhattan, the music of Bach, Brahms and even the Beatles has begun wafting through patient rooms, played by accomplished performers — recently out-of-work chamber music players; winners of international competitions and prizes; teachers at prestigious music schools.

They perform from California, Kentucky, Maine, Virginia, Massachusetts and New York, where they are sheltered in place. The music plays through an iPhone or iPad placed at the bedside of patients who indicated they wanted to hear a performance, using FaceTime’s audio-only feature to protect their privacy

.“I’m hoping to offer a brief moment of comfort or distraction or beauty,” said Michelle Ross, a violinist in Manhattan who has performed for the patients.At the Allen Hospital, which is at the northern tip of Manhattan and serves a community that is largely low income and minority, the toll of coronavirus cases has been particularly devastating.

Last week, a top emergency room physician at Allen died by suicide, putting a spotlight on the struggles at the small hospital.At times, the 200-bed hospital has had as many as 170 coronavirus patients; by early April, there were 59 patient deaths, The New York Times has reported.It was around that time that the concert idea blossomed.

Dr. Rachel Easterwood, who works the night shift in the I.C.U., had despaired at how little could be done for some patients. “I just felt desperate actually, and helpless,” she said. “People are dying left and right.” image Dr. Rachel Easterwood outside NewYork-Presbyterian Allen Hospital in the Inwood neighborhood of Manhattan.

Credit…Desiree Rios for The New York TimesOne evening off, she listened to a cellist friend in California play Bach for her over FaceTime. Dr. Easterwood, 35, who played clarinet professionally before going to medical school, found the music comforting.“Man, I wish we could do that in the hospital,” she told her friend, as he recalled the conversation. At that moment, the idea about playing for patients clicked.

The cellist, Andrew Janss, and another friend, Molly Carr, a violist, began recruiting other musicians.Some of the patients were on regular floors, awake and able to communicate. Others, in I.C.U. beds, were on ventilators and heavily sedated.

In those cases, Dr. Easterwood said, she called families to obtain permission for a performance to be played. She hoped even those patients might be comforted in some way.She soon expanded the concerts to harried staff members who were being challenged like never before, exposing themselves to health risks, living apart from families and sharing the sadness of patient deaths.

On one shift, workers gathered at a nursing station near midnight to hear Mr. Janss play a cello solo.“We clapped for him and we asked for one more song,” said Anna Kosmider, a physician assistant. “It’s hard to find those moments of happiness at work.”Dr. Easterwood also found solace in Mr. Janss’s performance.

“It was comforting to me,” she said, “because I, as a doctor, was hurting.”Last Monday, hours after news of the death of their physician-colleague, a short concert was arranged for members of the Allen emergency room staff. More than a dozen employees crowded in a break room to hear Mr. Janss play selections from Bach, Edith Piaf, Saint-Saëns and Elton John. The performance was subdued and somber.

Dr. Easterwood, a 2006 graduate of the Manhattan School of Music, obtained her medical degree in 2014 at Columbia University College of Physicians and Surgeons. She completed a residency in internal medicine and became an attending physician at Allen last year.She said she always assumed music would be a part of her life — she keeps her clarinet — but there was little time to play as she began her medical career.“I mean, music takes an enormous amount of dedication, but medicine takes way more,” she said.

ImageThe pianist Henrique Einsemann’s playlist for patients at NewYork-Presbyterian Allen Hospital.Credit…Henrique Eisenmann in April, she was working night shifts covering the intensive care unit at Allen.“That’s the most difficult of all the shifts,” said her supervisor, Dr. Zorica Stojanovic, medical director for Allen’s hospitalist physicians, “because everyone is most of the time walking the fine line between life and death.”

On April 2, Dr. Easterwood had her serendipitous conversation with Mr. Janss.The concert idea was a natural for him and Ms. Carr, the violist, who together recruited the musicians. They co-direct Project: Music Heals Us, a nonprofit Ms. Carr founded that organizes free classical concerts in nursing homes, hospices, prisons, homeless shelters and refugee centers.

The pandemic had brought its work to a halt, and its stable of freelance musicians also were having performances canceled. (To support the musicians, the group said it had decided to pay them $100 apiece for any three-hour period they are on call to perform the coronavirus concerts.)Dr. Easterwood emailed her supervisor, Dr. Stojanovic, seeking her approval.

Dr. Stojanovic did not hesitate, saying in an interview that the idea was a wonderful one given the calamitous times. “What can disrupt this pattern of despair is the music,” she said.On April 7, Mr. Janss, in his apartment in Oakland, Calif., played the first concert — a 15-minute cello set that began with Bach.

Later that day, a trio in Kentucky played for 75 minutes for another patient. The musicians included Ms. Carr, who teaches at the Juilliard School and Bard College; her husband, the cellist Oded Hadar; and Anna Petrova, who teaches piano at the University of Louisville.




(All three were quarantined at Ms. Petrova’s home while Mr. Hadar recovered from coronavirus symptoms.)Ms. Petrova also played Chopin briefly for another patient who responded over the phone, “‘I love music. Thank you. You made my day,’” Ms. Carr recalled.

Performances followed on nights when Dr. Easterwood could find time. For the musicians, who typically feed off live audience reaction, playing on the phone for heavily sedated patients on ventilators amid the sounds of beeping monitors could be surreal.“You’re playing basically into a void,” Mr. Janss said.The musicians have drawn from their own playlists that include Schubert, Schumann, Beethoven and Rachmaninoff, as well as George Gershwin and Andrew Lloyd Webber.

They have played “All My Loving” and “Something” by the Beatles, and a viola-and-cello arrangement of “Over the Rainbow.”Miki-Sophia Cloud, a violinist in Boston, said she played Bach for a patient who wanted to hear something relaxing.

She could hear the patient coughing, and she took out her viola, which has a lower range of notes.“I just played the low strings in a very calming, steady, slow rhythm for about 30 minutes,” she said. Perhaps no composer’s work has been played more often for the coronavirus patients than Bach, Dr. Easterwood said, describing his music as soothing, uplifting and “kind of a melancholy that people appreciate.”

Some of the musicians said they found playing for the patients deeply emotional, and they have cried while performing.The music has also stirred emotion in patients.Dr. Easterwood said she left her phone by one older patient’s bedside and returned after the performance to find the patient smiling.

“I realized I had never seen a patient smile this entire time,” she said.By April 16, about a dozen concerts had been held for patients and staff members, Dr. Easterwood said. But that day, she began to feel ill, experiencing virus symptoms. She was tested, and went home. The test came back negative.

Until she could return to work, two other physicians — Ricky Regalbuto at Allen and Mike Robbins, an emergency department doctor at Columbia University Irving Medical Center — volunteered to arrange performances at each hospital. Dr. Robbins said one patient’s face just “lit up” when he offered a concert.

Minutes into the performance, though, the music was ended when the patient had to be intubated, he recalled.The patient’s “last minutes of consciousness were embraced with beautiful music,” Dr. Robbins texted the musicians later.Last Monday, Dr. Easterwood returned to the night shift at Allen, where she arranged two 45-minute concerts for patients on ventilators, each by the pianist Henrique Eisenmann in Brooklyn.

Dr. Easterwood said this week that she hoped to continue the performances for patients and the staff.“We go into this profession to help people,” she said. “And this music had the ability to at least help a little bit.”Joseph Goldstein contributed reporting.

What should I do if I feel sick?
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

When will this end?
This is a difficult question, because a lot depends on how well the virus is contained. A better question might be: “How will we know when to reopen the country?” In an American Enterprise Institute report, Scott Gottlieb, Caitlin Rivers, Mark B. McClellan, Lauren Silvis and Crystal Watson staked out four goal posts for recovery: Hospitals in the state must be able to safely treat all patients requiring hospitalization, without resorting to crisis standards of care; the state needs to be able to at least test everyone who has symptoms; the state is able to conduct monitoring of confirmed cases and contacts; and there must be a sustained reduction in cases for at least 14 days.

How can I help?
The Times Neediest Cases Fund has started a special campaign to help those who have been affected, which accepts donations here. Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities. More than 30,000 coronavirus-related GoFundMe fund-raisers have started in the past few weeks. (The sheer number of fund-raisers means more of them are likely to fail to meet their goal, though.)

Should I wear a mask?
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

How do I get tested?
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.

How does coronavirus spread?
It seems to spread very easily from person to person, especially in homes, hospitals and other confined spaces. The pathogen can be carried on tiny respiratory droplets that fall as they are coughed or sneezed out. It may also be transmitted when we touch a contaminated surface and then touch our face.

Is there a vaccine yet?
No. Clinical trials are underway in the United States, China and Europe. But American officials and pharmaceutical executives have said that a vaccine remains at least 12 to 18 months away.

What makes this outbreak so different?
Unlike the flu, there is no known treatment or vaccine, and little is known about this particular virus so far. It seems to be more lethal than the flu, but the numbers are still uncertain. And it hits the elderly and those with underlying conditions — not just those with respiratory diseases — particularly hard.

What if somebody in my family gets sick?
If the family member doesn’t need hospitalization and can be cared for at home, you should help him or her with basic needs and monitor the symptoms, while also keeping as much distance as possible, according to guidelines issued by the C.D.C. If there’s space, the sick family member should stay in a separate room and use a separate bathroom. If masks are available, both the sick person and the caregiver should wear them when the caregiver enters the room. Make sure not to share any dishes or other household items and to regularly clean surfaces like counters, doorknobs, toilets and tables. Don’t forget to wash your hands frequently.

Should I stock up on groceries?
Plan two weeks of meals if possible. But people should not hoard food or supplies. Despite the empty shelves, the supply chain remains strong. And remember to wipe the handle of the grocery cart with a disinfecting wipe and wash your hands as soon as you get home.

Can I go to the park?
Yes, but make sure you keep six feet of distance between you and people who don’t live in your home. Even if you just hang out in a park, rather than go for a jog or a walk, getting some fresh air, and hopefully sunshine, is a good idea.

Should I pull my money from the markets?
That’s not a good idea. Even if you’re retired, having a balanced portfolio of stocks and bonds so that your money keeps up with inflation, or even grows, makes sense. But retirees may want to think about having enough cash set aside for a year’s worth of living expenses and big payments needed over the next five years.

What should I do with my 401(k)?
Watching your balance go up and down can be scary. You may be wondering if you should decrease your contributions — don’t! If your employer matches any part of your contributions, make sure you’re at least saving as much as you can to get that “free money.”

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