Nestled near LaGuardia Airport in Queens, New York, is Elmhurst Hospital Center, which serves millions in the world's most diverse zip code. One year ago, the facility was dubbed "coronavirus ground zero" by one emergency room physician -- being the hardest-hit hospital not only in New York City, but in the country.
Elmhurst had a patient roster that was over 230% capacity during the last week of February and the first week of March of 2020. Nearly all of those patients were critically ill with COVID-19. Within those walls, essential workers were overwhelmed with treating these patients. Staff witnessed extensive devastation as well as hundreds of lives lost.
March 2021 marks the anniversary of the pandemic overtaking Elmhurst Hospital. Now, the hospital's essential workers are reflecting on last spring’s trauma.
"It was almost like a war," said Dr. Joseph Lieber, a board-certified nephrologist and director of the Department of Medicine at Elmhurst Hospital Center. Lieber, who has worked at the hospital during tragedies including 9/11, Hurricane Sandy and the 2003 New York City blackout, said those other horrific tragedies paled in comparison to the early COVID-19 pandemic.
"A lot of these events were quick and heavy-hit and then it kind of eases off; here it's a heavy-hit and it doesn't stop," said Lieber, who worked every day at Elmhurst straight from the month of March until June.
But over the course of the year since the pandemic first struck, the hospital, through better testing, knowledge about the disease and vaccination, has been able to turn the corner.
At the beginning of the pandemic, the number of deaths from COVID-19 were too vast to keep up with, to the point that refrigerated trailer trucks had to store the bodies of the victims next to the hospital.
"The worst thing I remember seeing was going to the emergency room and seeing bodies ... in a huge storage area ... they were waiting for trucks to come in to then store the bodies," said Lieber. "We had two large trailers of bodies waiting to be claimed and processed."
On one day in March of last year, Elmhurst had 14 COVID-related deaths in a 24-hour period. The morgue was full, families of the victims couldn't be with their loved ones.
"It was very emotional, very difficult," said Ivan Torres, a social worker at Elmhurst. Normally, he would be able to interact in-person with the families; however, since families were restricted from the hospital as a safety precaution, he had to speak to his patients and their families on the phone, often unable to provide good news.
Torres himself suffered from COVID-19 last March, requiring him to miss work and isolate at home for three weeks with his fiancée, who was then pregnant with their twin boys. While she did not contract COVID-19 and Ivan recovered, he said those weeks were the hardest they both had to face.
"One day I had a bad fever, and I couldn't get out of bed, I couldn't move. I just had to whisper to my fiancée, 'can you go get me the Tylenol?'" Torres tearfully recalled. "That was the hardest part because I was afraid to go to sleep because I literally thought I wouldn't wake up."
As the pandemic continued, many other Elmhurst staff contracted COVID-19 from working with patients on the front lines. Unfortunately, several of those staff members succumbed to the disease.
"These people we see every day and these people are family to us," said Paula Clarke, the evening administrator on duty at Elmhurst. "So, when this virus took them in that way, it was a shock to us."
Clarke recalled moments during the initial peak of sitting alone in her car to prep herself for the start of another grueling night shift.
"I was sitting in the parking lot for an hour sometimes because I was fearful. I didn't know what to expect," she said. "How am I going to FaceTime with a family member who's about to lose a loved one?"
'Each month got better'
During the initial months of the pandemic, Elmhurst staff experienced unimaginable devastation. But as the year went on, the number of COVID cases and deaths related to COVID began declining at the hospital with increases in COVID testing and new protocols made in anticipation of surges in cases.
"Each month got better in terms of how the staff adapted to what we were really experiencing," said Clarke. "It got better not in the sense that patients weren't coming in sick, we felt like we finally had a grip of what our role was."
The past year of non-stop work plus being away from family and friends had lasting effects on the Elmhurst staff -- emotional and mental. "It has some remnants of PTSD in the sense that when someone gets brought in with COVID, you start to get nervous, not for yourself but for the patient because you really don't know how the patient is going to regress with the disease," said Torres.
The staff at Elmhurst Hospital Center have seen the darkest days of the pandemic. More work still needs to be done and the hospital has not returned to its pre-pandemic routine.
Yet, with the administration of COVID vaccines to the staff and some patients late last year, the mood now circulating through Elmhurst has become one of positivity and hope. "I feel very confident with the rollout of the vaccines," Torres said. "I feel confident we are going to get a really good handle on it and we will be able to protect everybody more than before."
"I learned that people are stronger than they give themselves credit for," said Torres, now a father of healthy twin boys. "We as humans can come together to help each other."
Alexis E. Carrington, MD, is a dermatology resident at George Washington University and a contributor to the ABC News Medical Unit. She completed her internal medicine preliminary year between July 2019 - July 2020 at Elmhurst Hospital. ABC News medical correspondent, Darien Sutton, MD, MBA, also contributed to this article.