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HHC TODAY - September 2011



A high school student, a day care teacher, a paralegal, a financial services worker, and a commuter all share the common link of living with 9/11 related health conditions. Under the watchful treatment of the medical and mental health experts at the HHC World Trade Center Environmental Health Center, they seek to improve their health, manage their illness and move on. These are some of their stories.
Patient Minerva Toro with Dr. Meredith Turetz , a pulmonologist at the WTC clinic
The High School Student
Lila Nordstrom
Lila Nordstrom was a senior at Stuyvesant High School on Chambers Street and was sitting in a classroom on the 10th floor when the first plane hit the World Trade Center.

“I had my back to the window. We heard a huge explosion. I turned around and saw a huge fireball.” Still the students stayed in the classroom. Nordstrom remembers it was an architecture class. “My teacher taught until the first tower fell.” Soon after, school was dismissed.

“The second tower fell as I stepped out the front door,” Nordstrom recalled. She ran north along the Hudson River just steps ahead of the dust cloud, eventually running into a teacher and other Stuyvesant students. She heard a rumor that another plane was headed for the Empire State Building on 34th Street, near her home, so she walked with a friend all the way to the girl’s home in Astoria, Queens, and contacted her parents from there.

Stuyvesant High School reopened a month later. Every day trucks rolled past the school carting away the debris from Ground Zero. The air was heavy with dust and smoke from the fires that burned until December. Nordstrom’s asthma , which had subsided significantly years earlier, flared up, and for the first time, her parents allowed her to stay home from school because of her chronic illness. In the ensuing years she has developed acid reflux disease, even though she is only 27. She says several of her Stuyvesant classmates are also sick.

Last year she began treatment at the World Trade Center Environmental Health Center. A freelance writer for the internet and television in Los Angeles, she comes back to New York periodically for treatment. “With the World Trade Center doctors you don’t have to explain why you think you’re illness is related to 9/11. They get it,” she said.

Nordstrom started the website StuyHealth.org, as well as Facebook and Twitter pages, to raise awareness among Stuyvesant alumni and other students who were in Lower Manhattan on 9/11 and immediately afterward. An advocate for the monitoring and treatment of the children and teenagers of 9/11, she is working with the HHC doctors on outreach to help connect with other young people who may have health conditions related to 9/11 and urge them to get care.

The Daycare Teacher
Minerva Toro, a daycare teacher at 5 World Trade Center, was standing in the classroom with her 2-year-old students when the building started shaking so hard that she almost lost her balance. She looked at the five other teachers. “We said, ‘Let’s get out of here,’ ” Toro recalled. When they got outside with their students – 31 infants and toddlers – they realized a plane had hit one of the Twin Towers.

Minerva Toro

Police officers told them to head north, and Toro suggested they go to her mother’s house in Alphabet City. They had reached Trinity Church when the second plane hit. They broke up into two groups. Toro’s group was outside a supermarket on Fulton Street when they heard a rumbling sound and saw an ominous cloud several stories high headed their way.

“It’s like the devil trying to grab you and pull you in,” Toro said. Thinking quickly, the teachers loaded the toddlers into grocery carts and carried the babies as they ran away from the cloud of dust and debris. They pushed the children for almost three miles to St. Emeric’s Church, near Toro’s mother’s house. The other group ended up at St. Clare’s Hospital.

Although her co-workers dubbed her Moses, Toro says she has never been the same. She had asthma before 9/11, but it was under control and she was able to jog and stay active. On 9/11, she ended up covered in dust and debris, and her asthma was exacerbated. A lifelong patient at Bellevue Hospital, she began getting care at the WTC clinic in 2008.

In addition to asthma, Toro has been diagnosed with gastroesophageal reflux disease (GERD) and post traumatic stress disorder (PTSD). She moved to the Bronx to get away from the World Trade Center site and no longer takes the train. She got a job at another daycare center but she couldn’t handle the fire drills. “I would get frantic. I just wanted to run.”

She said she appreciates the coordinated medical and mental health care she receives at the WTC clinic. “I just want to get better. I want to be like the old Minerva,” she said.

The Paralegal
Margrily Garcia
Margrily Garcia, known as Maggie, was a paralegal at a firm on Broad Street in Lower Manhattan on September 11. She and her colleagues huddled in their office building as the south tower and then the north tower collapsed.

Police officers told them to put wet paper towels over their faces as they evacuated the building, but it was no use. “I was covered in dust and soot from head to feet,” Garcia said.

A week later, she returned to her job in Lower Manhattan. Within a few weeks she had developed a persistent cough, even though she rarely had been sick before the attacks. Her health deteriorated so badly that she was forced to move in with her mother. Her primary care doctor diagnosed bronchitis and asthma but she didn’t respond well to the medications.

Finally at her family's urging she called the WTC Environmental Health Center at Bellevue Hospital in September 2006. Her condition was severe. “They diagnosed me with both chronic asthma and sarcoidosis, a kind of scarring that can affect many different organs in the human body.” Sarcoidosis is common among firefighters who responded to 9/11 and is usually found in the lungs. But in Garcia’s case the scarring was in her heart.

She had surgery to have a pacemaker installed and then two more surgeries to make adjustments. She also had sinus surgery, not uncommon for many 9-11 patients because of the irritants they breathed in. She now returns about every three months for a checkup. Her visits to the ER have dropped off considerably.

Garcia testified at congressional hearings and met privately with members of Congress and their staff in Washington to urge that the James Zadroga 9/11 Health and Compensation Act include people like her, people who lived, worked or went to school in Lower Manhattan.

Now married, she and her husband plan to have a baby, even though hers will be a high-risk pregnancy. “I have to keep going, otherwise I’ll drive myself crazy. I just keep moving on,” she said.

The Financial Services Worker 

Most people associate whiplash with car accidents. But Florence Jones got hers when United Airlines Flight 175 crashed into the south tower of the World Trade Center on September 11, 2001. She worked on the 77th floor, and the impact threw her against the wall where she hit her head, hard. Jones and her colleagues at the financial services firm where she worked decided to evacuate, breathing in smoke and fumes and hearing screams as they went down the stairs. Forty minutes later, Jones emerged from the south tower onto the plaza. Debris fell into her eyes.

She headed east to Downtown Hospital where she was given oxygen because she couldn’t breathe. She walked uptown to a friend’s apartment and called her family. With her eyes burning, she went to Saint Vincent’s Hospital to get them washed out. To this day, she has to wear shaded lenses because bright lights seem to pierce her skull. Eventually diagnosed with post traumatic stress disorder (PTSD) she’s been in therapy ever since.

Although she hadn’t been sick very often before the 2001 terrorist attacks, Jones began to suffer from frequent colds and a persistent cough. Just climbing the stairs could wind her.

In 2008, Jones’ primary care doctor recommended she seek care at the HHC 9/11 health center. After a complete work-up, she was diagnosed with asthma and gastroesophageal reflux disease (GERD). Although steroids have helped control her asthma, she still endures coughing fits. She has worked up to 20 minutes of aerobic exercise a couple of times a week ,but she’s had to curtail the yard work she used to enjoy so much at her home on Long Island.

She’s determined to help other 9/11 survivors. “A lot of them don’t recognize that their wheezing and coughing might have something to do with being down there. That’s why it’s so important that the WTC Environmental Health Center exists. The doctors there know what’s going on because they’ve seen it so many times.”

The Suburban Commuter 

Jack Lim evacuated from his office at the New York State Insurance Fund in lower Manhattan shortly after the north tower fell. He walked to Grand Central Station along with thousands of other suburban commuters fleeing the area.

After arriving at his home in Cortlandt Manor, New York, he took a shower to wash off the dust that still clung to his skin, then made a few phone calls. He was worried about his firefighter friend Billy Casey. Sadly, Lim learned Casey was among those who had perished.

Lim, a New York State Public Employees Federation AFL-CIO shop steward, briefly returned to work as part of a skeleton crew the following week. Within a few days, he was temporarily transferred to the Fund’s office in White Plains for two weeks, then returned downtown for good. In 2007 he developed a dry cough that wouldn’t go away. Jack’s primary care physician prescribed antibiotics. When that didn’t help, he referred Jack to an ear, nose, and throat specialist. That physician suspected gastroesophageal reflux disorder, or GERD, but the results of an endoscopy were inconclusive. Finally, a lung specialist diagnosed Jack with pulmonary fibrosis, telling him that it appeared he had the condition, which deprives a person’s lungs of sufficient oxygen, for some time. The news shocked Jack because he never smoked and had always been active in sports.

He signed up for a clinical research program at Bellevue Hospital Center run by doctors from New York University Hospital. While at Bellevue one day, he picked up a brochure about the WTC Environmental Health Center, which has a clinic on the second floor. He enrolled in the program immediately. He appreciates the coordinated care he receives at the clinic, where doctors understand his illness’ link to 9/11.

In 2008, Lim completed the New York City Marathon accompanied by his son to raise donations for the Pulmonary Fibrosis Foundation and to give hope to others living with pulmonary fibrosis.

September 2011

Personal Stories of Care and Recovery


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