Heroes
Are Human: Lessons in Resilience, Courage, and Wisdom from the COVID Front
Lines. By Bob Delaney with Dave
Scheiber. City Point Press. $26.99.
A better title for this exploration of the lives and turmoil of
healthcare workers during the COVID pandemic would have been “Heroes Are Human,
Too,” because that would emphasize the idea that in addition to being widely
described as heroic in stories and on signage, the people slogging through the
pandemic were and are also human
beings with human fears, frailties and susceptibility to burnout and
post-traumatic stress (or, more accurately, during-trauma
stress).
This is a book best read by not starting at the beginning: skip the
self-serving Preface and most of the first chapter, in which Bob Delaney talks
mainly about himself, his background, his career, his previous books, the
various well-known people with whom he is acquainted, and so forth. The
self-aggrandizement is quite unnecessary, because the value of this book lies
not in who Delaney is but in who the people are whose stories the book tells –
and, even more than who they are, what they are in the face of COVID-19
and what they were able to do, indeed needed
to do, to help everyone around them get through one of the toughest times in
anyone’s memory.
In some ways, a book, any book, is not the best way to communicate what
Delaney and Dave Scheiber seek to put across in Heroes Are Human. It is a matter of timing: one of the many
frustrations of dealing with COVID-19 has been the rapid changing of the
infectious landscape and the sociopolitical currents swirling around it.
Delaney’s Preface to the book is dated February 2022, which seems like a date
in ancient history from the vantage point of more than a year later. The “COVID
Front Lines” of this book’s subtitle are former
front lines, with the disease itself and society’s response to it having
metamorphosed in numerous ways since the book was written.
What readers can take from the book, then, has to be information and
emotion that are applicable beyond the specific pandemic times during which the
work was created and that have something worthwhile to communicate no matter
what stage of the pandemic we may be in – even if it has been reclassified as
no longer a pandemic (whether for justifiable or unjustifiable reasons). The
overarching theme here – that healthcare workers wound up with symptoms of
post-traumatic stress because of the enormous difficulties of coping with
patients in a poorly understood environment of never-ending crisis – is not
especially valuable, having been explored and discussed many times and in many
places. What elements are useful in
this book are the personal stories that thoroughly humanize the bland
statistics so often used to describe the widespread depredations of COVID-19 –
along with some of the prescriptive material that Delaney, who himself has
suffered from post-traumatic stress, offers to pandemic survivors (whether
healthcare workers or not: in a sense, every
reader of this book is a pandemic survivor).
The many first-person stories in the book are moving, and some are
eye-opening. One COVID survivor writes of his “near-death experience” and the
“vivid, lingering recollection of a certain sound that played inside my head”
after his recovery – eventually learning that it was “the alarm for a
ventilator, a signal to nurses that there was some kind of problem with the
equipment,” and that the sound had somehow seeped into his unconscious mind
while he was comatose. Then he mentions another remembered sound, “of a
soothing, gentle voice directed at me following the haunting tone” – the voice
of nurses caring for him and keeping him alive. That sort of first-hand
experience is itself haunting in its description and is sure to make readers
lucky enough to have escaped severe COVID all the more grateful for their own
health and for the people who would have been there for them if needed.
The book abounds in stories like this, and not only from patients. For
example, one intensive-care-unit nurse manager, after noting that “the
situation was new and frightening for all of us,” produces some details that
are truly harrowing: “I’ll never forget walking into my COVID ICU and seeing
every single patient intubated – something I had never seen before in my
career. I spoke to some of the other nurses, who had been in the profession for
decades, and they had never seen anything like it either.” In fact – and many
professionals involved in COVID care would say this – “I felt as if I never
stopped working throughout the entire pandemic.”
More than working, the healthcare professionals never stopped caring, nor did they stop worrying about
their own health, the health of their colleagues, and the health of their
families – indeed, many lost family members during the pandemic, if not to
COVID, then to the isolation and overwhelming loneliness that struck so deeply
into so many lives and that will have repercussions for years, if not decades. The
experiences are seared into memories: “We had to bag bodies right in front of
patients, awake, aware, and scared…How devastating for the patients who saw
this, as it was for us. It was unbearable, but we had to bear it.”
So what made all this, any of this, bearable? What did healthcare
workers on the front lines do? What could
they do? This is where the prescriptive part of Heroes Are Human comes in. Drawing on his own experiences and a
number of self-care programs for people confronting trauma, Delaney gives
various recommendations for coping strategies, ranging from mindfulness to
engagement with nature – and focusing in particular on reflection. At the end of each chapter, a page called “Reflection
Direction” makes specific recommendations either as a general approach or based
on that chapter’s content. These ideas are many and varied: Create a
“reflection blog…to document your emotional, physical, and cognitive state.”
Practice gratitude to obtain “higher levels of resiliency.” Understand
“compassion fatigue” and find ways to have compassion for yourself, not only
for others. “Reflect on the role love has in healing.” Think of and learn to
practice “the Six C’s of Leadership,” which are “character, competence,
courage, communication, commitment, and caring.” There are many more
suggestions, not all of them applicable to every situation or every person, but
all of them food for thought and all having the potential to help readers
better cope with trauma in their own lives while becoming more appreciative of
the enormous sacrifices that healthcare workers have been making to keep COVID
patients alive and restore as many as possible to health and well-being. The
reality is that heroes – real ones, not the chiseled absurdities of comics and
cartoons – really are human as well as
heroic. No real person can be a hero all the time, even though that is more or
less what the COVID pandemic has demanded of many healthcare workers – some of
whom have paid a tremendous price for trying to live up to the ultimately
unattainable heroic ideal. Yes, Heroes
Are Human suffers from some flaws in presentation, emphasis and
(inevitably) timeliness, as the fallout from the COVID pandemic continues to
accumulate. But the book enviably shows just how much healthcare workers have
gone through, how much they still go
through, what the effects of the pandemic are on them and on those they care
for, and what every reader can do to develop a greater level of resiliency to
become better able to cope with the next
overwhelming systemic shock that is sure to come from somewhere, somehow, at
some time.