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    The COVID-19 pandemic began in the US in February 2020, with the first patient admitted to Mount Sinai Hospital. This marked the start of immense challenges for healthcare professionals.

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    Area of Science:

    • Cardiology
    • Infectious Diseases
    • Public Health

    Background:

    • The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in early 2020 presented unprecedented challenges to healthcare systems globally.
    • New York City became an early epicenter of the COVID-19 pandemic in the United States.
    • The admission of the first COVID-19 patient to Mount Sinai Hospital marked a critical juncture.

    Purpose of the Study:

    • To document the initial impact of the COVID-19 pandemic on a major urban hospital.
    • To highlight the experiences of healthcare professionals, particularly in cardiology, during the early stages of the outbreak.
    • To provide a firsthand account of the "beginning of hell" as described by frontline clinicians.

    Main Methods:

    • Qualitative data collection through anecdotal evidence and personal accounts.
    • Focus on the experiences of Sean Pinney, Director of Advanced Heart Failure and Transplantation.
    • Observational narrative of the events unfolding at Mount Sinai Hospital in late February 2020.

    Main Results:

    • The arrival of the first COVID-19 patient overwhelmed hospital resources and staff.
    • Healthcare professionals faced immense psychological and operational stress.
    • The event signified the start of a prolonged and difficult period for the hospital and its staff.

    Conclusions:

    • The early days of the COVID-19 pandemic in New York City were characterized by shock and unpreparedness.
    • Frontline medical staff, including those in advanced heart failure, were immediately impacted by the crisis.
    • The experience underscored the need for rapid adaptation and resilience within healthcare institutions.