The first time I saw a patient’s heart stop, I was a medical student and spent the night in the emergency department of a small local hospital. What does it mean when you are just a voice on the phone, or another person protected behind a mask and a surgical cap, behind a double door line? One barrier behind the other was erected to protect us, but also to inevitably separate us from reality and the devastation of the disease. They managed to place the patient in a device that performs chest compression so that the nurse could take medication and the breathing therapist could suck and adjust the breathing parameters. Kevin Fo Kevin® is a leading online platform where doctors, undergraduates, nurses, medical students and patients share their vision and tell their stories. What makes the patient real for us? Why is he or she so important to us that we care about them? Probably the same thing that makes death real for the family. During the internship, I remember a roommate who had at least 6’2″ and weighed over 220 pounds, whose heart massage was so strong that he almost always broke his ribs. It took about 40 minutes, long enough for she to have little chance of coming back, so long enough that even I, a doctoral student, stayed to help with the heart massage. Looking at the code, you can compare it with the evidence of human struggle, manifested in the show with the crushing of ribs, a kind of terrible piece of modern food. I know this: part of my brain is never fully convinced that another person is real, or as real as me, with so many oceandesires so much suffering, anger and despair. As an expert, I must admit that I called most of my patients from the security of my office and watched them through the windows of the intensive care unit. Their family was there too, ready to intervene while all this was happening; “their” daughter was crying, but she was also shouting to be encouraged by her mother. These thoughts arose when I observed the patient code during IAD-19. As a physician treating infectious diseases, I was safe above the glass barrier and stayed in the room with many other people. However, distance creates an emotional barrier that goes beyond the physical barrier, which makes it difficult to practice with empathy. Usually stable structure of sternum and ribs, cartilage and bones, injuries that move separately under the arms.