Between Us and Catastrophe

Etymology: Remembering People Before They're Forgotten

I remember the day when it all became real, the day that everything stopped. It was the 13th of March 2020. It was like someone blew a horn in the city and everyone went home at once, streaming hurriedly down the sidewalks with vague and anxious plans to get inside and wait this out. I was across town and suddenly panicked that we'd need hand sanitizer and we didn't have any. I went to all the drug stores, wary of every person I saw, there was no hand sanitizer. Just empty shelves. At one I found a lone bottle of rubbing alcohol hidden behind some shampoo and bought that. I went home, anxious, looking at the shelves and wondering how long we could hold out, the future was so unknown but it seemed so desperate.

In the city you learn that other people are the answer to most of the questions and problems you have. You depend on them and because they're there you don't need to have all the things or all the skills, because someone else will fill that gap. We are as inter-dependent as the parts of a watch. And because of that, we can specialize, and expand and, as a society, we grow. I'm reminded of a scene in Plato's Republic where Socrates describes how simple life can be

Society arises out of the wants of man. His first want is food; his second a house; his third a coat. The sense of these needs and the possibility of satisfying them by exchange, draw individuals together on the same spot; and this is the beginning of a State, which we take the liberty to invent, although necessity is the real inventor. 1

Socrates describes a bucolic society where people plant their own corn, barter chickens and live simple rustic lives. What more could you want? Asks Socrates and then Glaucon says he wants a sofa. Oh! says Socrates, you want a sofa? Well, if you need sofas then things get more complicated you need all sorts of other things in order to create a society that can afford those sorts of luxuries, you need dancers and barbers and musicians and sculptors and, he says, you will need doctors, and nurses — to cure the disorders of which luxury is the source

And here we are in a society of infinite luxury. With not just sofas, but air conditioners, jet planes and limitless fried food. And here also now people had become the danger. If we all retreated to our houses how long would it take to run out of food? I dusted off my Skype account and retreated to my basement to find out but I quickly started to go stir crazy. I was anxious, like everybody was anxious. And it felt like one of those TV shows where a child has been kidnapped and the police mount a search party and tell the parents “go home and get some sleep, we’ll call you if we find anything.” Who can do that? I knew that intellectually in our well diversified society there were people who could fight the virus and people who couldn’t and I fell into the latter category, but the idea of sitting home and doing nothing seemed impossible.

Before my grandmother died, she gave me her photo albums and I sat with her and went through them. Folded into a page between images of long gone relatives standing in front of new cars and old dogs, were a book of ration coupons, half used, and a civil defense poster explaining what to do during an air-raid, signed by their block captain and civil defense officer with instructions that it must be posted in the home. I asked my grandmother about WWII and she had no specific memories. She remembered recycling aluminum from the backs of gum wrappers and a general sense of patriotism, but not a single specific memory. It seemed sad that the spaces in between these few photographs were empty. I started wondering about what would be left after this, our very own very unusual time.

My first thought was to create an oral history of doctors and nurses on the front lines to preserve their experiences, revelations, and day-to-day stories as we moved together through this. At some point we will look back at this as an important time, significant for a myriad of reasons, and we’ll want to know what it was like at the tip of the spear as well as what it was like in quarantine, rationing pasta and watching Netflix. We, as humans, have a seemingly unquenchable thirst for stories about heroes. Hollywood spends a great deal of time and effort recreating destruction, but we don’t seem to have the same propensity to tell stories about people who build and people who hold back chaos. This is a story about people. This is also a story about bearing witness. The United States has a famously short memory, a phenomenon recognized two centuries ago by De Toquiville, capitalized on in politics and entertainment, and exploited successfully by foreign governments. The Pandemic of 1918 was almost completely forgotten within two years of its conclusion and the concurrent war which took the lives of as many as twenty million people slid rapidly from the public consciousness.

As I started photographing doctors and nurses in early April of 2020 the city began to shut down in parts as though someone were in the basement of a large building flipping circuit breakers. But some things stayed on. Water kept coming from the faucets, the trash kept getting picked up, food kept appearing on shelves, and the mail kept arriving at the door. When most everything stops it becomes a lot easier to see what few people are actually keeping us all alive. As I began to meet more essential workers — delivery people, cashiers, plumbers, postal workers — I became more cautious about using the word “heroes” because it can suggest a shifting of responsibility. It’s easy in our minds to offer up the word hero in exchange for the ethical malaise we’d otherwise feel about sending someone else into the uncertain air of the grocery store to pick up our Wheat Chex cereal. There’s a desire to view the people who were going to put on their armor and enter into battle to protect us as people making a noble sacrifice: to those about to die, we salute you! But I realized quickly that wasn’t necessarily the case. Some people were indeed rushing forward to fight the virus, but other people were out there on the field of battle because we left them there and to say “hero” sounded like a shameful exchange. As though if we used that word then we could let terrible things happen to people, assured in the belief that they had been rewarded — by their heroism. Indeed, I heard a lot of push back from nurses in the early days too and quickly abandoned that word into the dust pile of “things we need to think about after this is all over”. Nikki, a nurse who spent the pandemic in an ICU said this:

The thing is, I think, that everyone has this “hero” mentality of healthcare workers and one of my friends said it best. And he said “Heroes don’t work here, regular people who care do.” And I think that’s so true. And no one goes into work thinking they’re a hero. I’m going into work and I’m doing my job and I’m taking care of people. The best I can. The same way I would pandemic or not, but I think the hero part about it is that other people kind of get to take a step back and not have to face the somber furnace of the situation that we’re in and that’s what I think people see as heroic is that we’re constantly being faced with things that the general public. Maybe doesn’t want to have to think about every day. I hope that at this point people realize the severity. But I think that what is happening is we’re just becoming more desensitized and I think that unless it is directly affected someone it’s very easy to detach yourself from it.

It became very easy for us to say that sanitation workers were heroes and applaud them as they drove down the street without pausing to think if they had a choice.

While nurses and doctors, and EMT’s to some extent, signed up for this — they work in places where blood-born pathogens spread through needle sticks or spray to the eyes and mouth and where people with infectious diseases like influenza and tuberculosis are treated — a lot of people now on the front lines didn’t get to make that decision and were never asked the questions that we ask doctors and nurses and soldiers and sailors: are you willing to risk your life and the lives of people you love for this job? Some people in the thick of this are economic hostages who are at risk because they cannot skip a rent payment or don’t have health insurance. And as jobs fold and people lose their employer-provided healthcare, their immediate options to pay the bills are a plethora of essential jobs that carry risk and offer no paid sick leave and everything gets worse. Our country is being hit by a medical emergency, to be sure, but that is sitting on top of an existing social emergency that has stratified risk.

So do thank the doctors and nurses you see and clap for them in the evenings. But be sure to tip your delivery person, thank your letter carrier, thank every FedEx driver who walks past your front stoop, and put your mind to thinking about how to make everyone’s lives better and more equitable, because this is a story about both heroes and about inequality.

My grandparents came through the crucible of WWII forever altered, and many people through 9/11, never able to find again the world as it was in August, 2001. I imagine we all too will be changed. The life of 2019 won’t be a place we go back to. It will only be a place that was. In years to come people not yet born will find our faded collections of hand-sewn masks in trunks and ask what we did and what it was like during this time. I’d like to be able to tell them. I’d like to be able to say “Here are the stories of the people who kept us alive.”

I photographed most people early in the morning on their way to work and from a distance of at least 10 feet. The essays are edited down from conversations with final corrections made by the subject.

Layers: Between you and the virus — Mask as Metaphor

There are generally only three ways that coronavirus can enter your body — through you eyes, nose or mouth and because of that Margaret was one of the only people I photographed who I actually saw. Because at the time it was new and novel I actually asked her if she’d bring a mask because I wanted to both capture the strangeness of what we were going through and reinforce the idea that what medical professionals were doing was dangerous work that requires its own special armor against armies of invisible invaders. Due to shortages of Personal Protective Equipment though Margaret didn’t actually have a mask. The hospital gave her one which she had to keep at work in a bag with her name on it. One of the things we talked about was that she’d always been told that masks aren’t reusable, and now she was being told to use the same one for a week or more. How safe was it? She didn’t know, nobody knew a lot of things. At this point her hospital hadn’t gotten their first COVID patient, but they were getting ready for it and Margaret volunteered to take care of the first patients when they came in because she lived alone and she figured she’d be less of a risk to others.

a nurse standing in a field of tall red plants. She is maskless and wearing hospital scrubs with a neutral expression on her face. Margaret was the first, and last, person I photographed without the physical barrier of a mask between us. As the pandemic proceeded, masks and the lack of masks became an everyday topic of concern for everyone. When I went to City Hall to photograph the Mayor my wife made me a mask out of a bandanna and two hair ties and I was terrified of being in a building, despite the fact that everybody was spaced so far apart.

When I started seeing them discarded on the ground, I thought “I’ll photograph masks. That will be my therapy. I’ll photograph masks, but only in the rain because somehow they look more interesting in the rain.” So whenever it rained, I grabbed my camera and went out on a long, circuitous route that passed by hospitals, nursing homes, and the public transportation areas near them, all the places that I’d learned it might be possible to find a discarded mask. I collaborated with a poet to make a collection of photos and poems about life during COVID. And I realized that the thing that really fascinated me about masks was not that they were hard to get, but that they were the barrier between us and this attacker. And one day, looking down at a mask in a puddle I realized that if they were working properly, there could be a coronavirus trapped in that un-woven extruded material. That one of the invisible enemy might be right there. Dead.

a macro photo of the inner fabric of a surgical mask.

A few months after that, masks were everywhere, almost overnight. Eventually surgical masks became the new mylar potato chip bag — discarded everywhere. Typically surgical masks consist of three layers: a non woven fabric, a melt-blown filter layer, and a soft non-woven fabric layer that goes next to your skin. I started collecting cast off masks and printing photos through their fabric layers. These layers halt some amount of airborne droplets and aerosolized virus particles. I was fascinated by the idea that the light might be passing through one or thousands of inactive virus collected in the folds. I realized that I could print the photographs of essential workers through the masks and it might be a portrait of a person and a ray of light imperceptibly deflected by a coronavirus lodged in its fabric.

a macro photo of the inner fabric of a surgical mask.

In the early days I noticed a class structure to masks, even among medical professionals where many healthcare workers want but can’t get the most effective n95 masks and workers in grocery stores are using cloth masks they made at home, while the most exclusive hospital workers performing the most dangerous tasks use PAPR, powered air purifying respirators, while fashion companies around the world roll out ornate designer masks.

Whenever I start doing something, I start doing it obsessively and this also happened with photographing masks. After a point it became difficult to leave a discarded mask on the ground, especially one that had obviously been in the elements for a while where they’d begin to merge with the environment and take on the stained, textured aspect that made them more interesting to print through. If I was traveling with someone, I’d make a mental note of its location and return later with gloves and a bag. I let bags of masks sit in the sun in the back yard for a week and then washed them in a bucket of soapy water, hung them on a line and sprayed them with the hose to get rid of the surface dirt — the leaves, cocoons, twigs, and other things that gather in storm drains. When they were relatively clean and completely dry, I’d start pulling them apart looking for interesting filters. These were photographed with a macro lens at high resolution and then preserved in acid-free bags. I noticed a lot of variation in the build quality of the masks, some came apart with a few pulls, others resisted disassembly and still others wilted in the rain and disintegrated like tissue paper.

a macro photo of the inner fabric of a surgical mask.

Each of these masks represents a person, a story, a life and I always thought, while I was handling them, about the person they protected. Who were they? What was their life like? How had COVID touched them? They were the shadows of the stories of COVID19. The masks had such a uniqueness to them I began to think of them as portraits too — perhaps portraits of inactive coronavirus but also portraits of people shown in the things they left behind.

a macro photo of the inner fabric of a surgical mask.

Our upstairs neighbor is an archaeologist and often we’ll find ourselves on the front steps or in the back yard talking about his work and I’m fascinated that, for the most part, we know a people by what they discard. “Midden”, in fact, is the word archaeologists use for a dump — a pile of detritus, usually accumulated over dozens, hundreds or even thousands of years. The layers of a midden are called the stratigraphy and there you can see the layers of civilization in their compressed trash and I realize that in a thousand years, archaeologists are going to find a blue non-woven fabric layer separating the time before from the time after like a thin line of icing in a wedding cake. Archaeologists have words for that too: terminus ante quem means “the limit before which” and terminus post quem, “limit after which” — the earliest possible date for an event. These derive from the Latin “terminus” meaning “boundary” and in the stratigraphy of the 21st century, that boundary of surgical masks is going to peg things above or below it as being either before or after the COVID-19 pandemic and grad students will write dissertations about it, and each one of those masks they pull up in a bucket of dirt will have belonged to a person, like one of us, who had a life in this time.

One of the things that I found fascinating about these masks is that this is something that no human being was ever supposed to see, and if I hadn’t ripped it apart and looked at it, this is a physical object that almost certainly no human eye ever would have seen. And they were all so unique and, even in their sameness, in their own way, beautiful. All the while wondering if any of them had stopped a coronavirus from getting from one person to another. So, in one of these photos, was a ray of light passing through this mask to my camera also hitting a dead coronavirus? Was I photographing the enemy somehow? I noticed that there was a huge disparity in the quality of masks. Some resisted disassembly, others seemed to be made out of little more than paper towels and rapidly disintegrated. I became like an obsessed collector, getting excited when I saw a new variety, a new shape, a new material. All the time, obsessing about photographing a coronavirus, I knew that there was another piece to the story — and that was the people. I thought back to my grandmother and I realized that in 40 years, kids are going to be rooting through trunks in attacks and they’ll find all of our fancy fashion masks and they’ll ask “What did you do during COVID?” And I wanted to have an answer. So I started looking for people who were fighting this battle on behalf of all of us.

After that photo of Margaret everybody had PPE and I realized that I had no idea what these people looked like because they, or I, were behind masks. So for every subsequent photo, I printed through the material of one of those surgical masks. So possibly in this photo there’s Sara, and there’s a Coronavirus. Some of the masks I printed through are more obvious than others. And this was all happening concurrently, I wasn’t collecting masks for two weeks and then shifting to front-line workers, I was actively pursuing both of these at the same time because I think with a lot of artistic projects, you just start a whole bunch of them and after a while some just bubble to the top as being the ones that it feels right to work on. I’ve always felt that if you just pick one thing you may find yourself six months into something that’s doomed but you’re doggedly pushing forward because you’ve already invested so much in it. In this case I felt like I was picking at this thing from two complimentary ends.

a macro photo of the inner fabric of a surgical mask printed on top of a photo of a nurse in full PPE.

Through all of this people told me things. They told me stuff they probably didn’t tell other people. A lot of them told me things their families didn’t want to hear about. Or that their colleagues already knew. I was worried that I might be re-traumatizing people, but a lot of them said it felt good to have a stranger to tell things to. I learned how difficult this job became. That it was a job people loved, that had gotten incredibly, and increasingly difficult. And I feel that photographers can do one of two things: You can tell your own story, or you can help someone else tell theirs. And both of these are valid choices, one’s not better than the other. But here, I just wanted to use the reach that I had to make these voices louder, to take these things that nurses, and doctors too, were telling me, a stranger, and share them. And in the first couple of months I was talking to people who seemed to be at a breaking point. And in hindsight, there was so much more breaking that was going to happen, and, I think, a lot of that happened because people, “my Facebook friends,” weren’t hearing these stories and they got tired of lockdown and they started going to parties and they started hanging out with friends and it just kept happening again. It was like I was talking to 40 Cassandra’s every few weeks who were telling me exactly what was going to happen and nobody was listening.

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Acknowledgments: I am grateful to the people who helped make this possible, not only the doctors and nurses, but influential people who believed in this project from the beginning and were eager to help me share the stories of those on the front lines: Mayor Jim Kenny, Linda Huss, Kelly Cofrancisco, Deana Gamble, and the Philadelphia Streets Department.

1 From the Project Gutenberg edition Plato’s Republic, Translated by Benjamin Jowett, quotes are from “Introduction and Analysis.”