Wednesday 8 July 2020

The reckoning

‘I recognise your eyes’

From behind layers of PPE, the staff of University College Hospital in London are caring for thousands

By Tom Pilston

On a hot day in late spring, London’s University College Hospital is taking a deep breath. It is struggling through Covid-19 and is hastily taking stock, learning lessons from its successes and also counting its dead – those it could not save, both patients and staff. Like all hospitals, it is also bracing itself for the next big onslaught.

The diverse collection of professionals that make up its staff is buoyed by the public’s response, still running on adrenaline, but now also in a reflective mood. Dealing with Covid-19 has left some professionally invigorated and inspired. But, for others, working alongside constant death for weeks on end has been a deeply troubling experience. As one staff nurse said to me while having her photograph taken, “I still see the dead.”

As a photographer you get to see, in many troubled parts of the world, just what battling through trauma does to the human face and particularly to the eyes of those living through such an experience. Here was a conflict of a different kind, right on my doorstep; in fact, all around me. We were all coming out of our homes every Thursday night to applaud these people we felt were our heroes. I wanted to meet them, to look into their eyes, to see who they really were and express what this experience has meant to them.

From the cleaners and doctors, the nurses and porters, to the CEO and chief nurse, they are all essential to the running of this amazing place. You take one cog out of this machine and it stops working.

“Humbled, exhausted – but fulfilled.”

Nathasha Chu physiotherapist

 


“This is busy, demanding and you have to be on the ball. But seeing a patient who you thought was in trouble walk out of the ward, that gives you great pride.”

Anthony Smith patient support assistant

 


“I am asthmatic and, walking in on the first day, I was so scared. I am more confident now.”

Ivan Santos staff nurse

 


“So happy to see people going home.”

Winnie Mbujenzi senior nursing assistant

 


“The pandemic has been tough – for the hospital and, of course, for our patients and their families – but, in some ways, it’s also been exciting and rewarding. All my career, I’ve rarely seen such leaps in medical care, particularly when it comes to treating people online – or ‘telemedicine’, as we call it.”

Adam Cureton-Griffiths staff nurse

 


“I can’t sleep. What if I catch it and bring it home? [My family] say ‘don’t go,’ but I have to go. We argue, and I am in tears on the bus. My best friend died of Covid-19 in three days.”

Josie Ednalig caterer

 


“We found that many of our Covid-19 patients deteriorated faster than we could keep up with, and this was before we necessarily understood just how quickly the disease could affect them. I distinctly remember one woman who looked terrified, and it’s because she knew she was about to die. What still upsets me is how little time we had to make her comfortable.”

Lisa Forrest deputy sister

 


“So stressful, but I’m playing my part.”

Kwame Agyemang security guard

 


“One Covid-19 patient stays in my mind. I was able to care for and stay with her until she died. She was 68 and we were her family. Helping her husband was so hard. This has made me more resilient but, at the same time, more compassionate to my ‘patient family’. Britain seems more compassionate. Oh, and I love The Clap!”

Robyn Charles staff nurse

 


“I’m no hero. I’m someone who’s lucky enough to work in the best profession there is for me.”

Christian Hasford consultant physician

 


“It’s been hard, but we have all worked hard together.”

Estela Tabon cleaner

 


“Many patients have had tracheotomies. I give them a voice, a means to communicate. On waking from sedation, we asked one patient what he would like to drink first and he whispered, ‘organic, M&S lemonade, please’. Always sticks in my mind.”

Rebecca Kimber highly specialist speech and language therapist

 


“On my first shift in critical care, I looked after a patient whose wife was with him. Afterwards, when she took off her PPE, my hair stood on end – I recognised her as the wife of a dear friend from years ago who was now lying in the ward we had just left. Holding on to my emotions until I got home, I couldn’t stop crying.”

Nito Polenio cardiac nurse practitioner

 


“I feel emotional about my patients. I am strong at hiding my feelings from colleagues and family, but sometimes in the shower, at home, that’s when I cry. In normal times, I like doing patients’ hair, helping them shower, cutting their nails. Because of Covid-19 this wasn’t possible. But I tried to keep them comfortable, to moisturise their skin, to cry with them and to give their hand a little squeeze. I know I did the best I could for them all.”

Sandra Downer nursing assistant

 


“Enjoy every day. Life is nothing; it can end so easily. Be kind and generous.”

Admira Conteh administrator

 


“Small things are important. A patient said, while looking at me in my PPE, ‘I recognise your eyes’.”

Kat Postigo physiotherapist

 


“I was so stressed to begin with. Now, I’m ok. It’s good to be appreciated.”

Nadine France cleaner

 


“Just now, my patient walked out of critical care to his physio. I was with his daughter; we watched him walk and his face turned to us – a great moment.”

Izzy Brown oncology research nurse redeployed to a Covid-19 ward

 


“A phone call on Friday afternoon, and, nine days later, the unit was up and running. A universe away from our previous work.”

Rónan Astin consultant in respiratory and ventilation medicine, who helped set up a high dependency unit for Covid-19 patients

 


“When you are able to make a human corridor of applause for a patient who was supposed to die, it is something special. As one walked out, I couldn’t help thinking, ‘has her son put the dinner on?’”

Martelle Henry nurse educator

 


“Things that would normally take five years have been done overnight. All staff have shown such innovation.”

Sarah Evans deputy divisional manager

 


“At the start of the pandemic, UCL took the decision to release all their clinical staff from academic and research responsibilities, in order to staff hospitals. This is all about teamwork, putting others first and doing the right thing. It is a vocation.”

Professor David Lomas head of the UCL Medical School and UCLH consultant

 


“The public reaction to the NHS was amazing. Sometimes you forget, and we needed that pat on the back. I want this to have a legacy.”

Esther King clinical nurse specialist

 


“I said no to staying at home. I’m feeling good helping those that need it.”

James Burton porter who suffers from asthma

 


“People are dying with no build up to death, no ability to have conversations and to say goodbye when they go into critical care. Even as a hardened professional, this has been difficult.”

Dr Jane Neerkin palliative care consultant

 


“15 months ago, I was a teacher. It’s tough now, but I’m so glad I changed.”

Beverley Edo-Ukeh staff nurse

“In all my years of nursing, I have never felt so scared. There were parallel feelings of fear and duty. But I was so glad to be in the NHS for this experience. And to be among the fantastic medical minds at UCLH.”

Francis Quinon deputy clinical operations manager

 


“It’s hard living among the dead on a daily basis.”

Maria Helena Rodrigues nursing assistant

 


“I’m so happy to be here, even with Covid-19 about. I get true energy and happiness from my work, which I transfer to my family when I go home.”

Haydar Altun porter

 


“UCLH has pulled people together into a family. At the peak, it was fight or flight. We dealt with it.”

Victoria Banerjee deputy sister

 


“Now it is calmer, but when I walk through the wards I still see the faces of the patients from the peak. Some made it; others didn’t. I have flashbacks.”

Su Silwal trainee nursing associate

 


“We are usually separate. Now we are all together, even though we’re doing different jobs and going opposite ways – and it works.”

Ruby Medina senior staff nurse

 


“It is hard not to be able to be close to patients. We only have our eyes.”

Chera-fay Boult nurse

 


“At the start, I was frantic. Two weeks in, and so many dying. It was all in my mind. I was scared at home. I checked in for extra shifts so I could check my oxygen levels. Eventually, I did get symptoms, but I’m okay now – happy to be at work and at home.”

Martina Gallagher staff nurse

 


“I passed it on to my family. I felt so guilty.”

Uma Bhatta deputy sister who contracted Covid-19

 


“I led the strategic incident management meetings, so I was painfully aware of the impact the virus was having on our patients, their families and our staff. But seeing the impact close up was very different. When I went to the wards to check in on our staff, I felt it – the temperature, the anxiety and the sights. Some patients were nursed in a prone position, face down to help their breathing. The inability to see their faces affected me greatly. I was angry with this virus, and could feel the weight of the concern and loss we bore on behalf of their families who were absent.”

Flo Panel-Coates chief nurse

 


“In the beginning, it was hard. We were watching Italy – where I’m from – and knew what came next. But we could prepare. We worked through history and it changed our lives.”

Simone Cattarin charge nurse

 


“I saw people dying almost every day. It has changed me. I am stronger, I am no longer scared of Covid-19.”

Eligiji Susinskierie patient support assistant

 


“Taking patients to the morgue changed how I look at life. It is precious and fragile – make the most of it.”

Gloria Serwaa staff nurse

 


“I am humbled by the whole experience. How people adapt. The most powerful thing is the patients.”

Kim Robinson matron

 


“I lost a friend and a family member to Covid-19. It is heavy, but you have to keep going. I wouldn’t do anything else.”

Ister Iman senior staff nurse

 


“In our PPE, we must have looked like aliens to our patients. That was tough.”

Samuel Moulding junior doctor

 


“Fear, uncertainty, teamwork and collaboration.”

Arianna Mariella senior staff nurse

 


“I am scared, but I try to keep on working.”

Patricia Serwaah cleaner

 


“It’s important for everyone to do their job.”

Sonia Tanimu caterer

 


“I am humbled. No matter who you are, you are affected by this disease. I am missing my cancer patients.”

Sophie Canty oncology nurse redeployed to a Covid-19 ward

 


“When Covid-19 hit it awoke our compassion. We had become a bit desensitised.”

Peace Obuekwe staff nurse

 

Portraits by Tom Pilston for Tortoise Media.

Interserve is UCLH’s facilities management partner, meaning that the porters, caterers, cleaners and patient support assistants pictured above are all Interserve employees. UCLH is extremely grateful to them and to all its partners.

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