Ray Pfeifer and Luis Alvarez’s names are on the federal 9/11 laws that establishes advantages for first responders. Each males fought to make Congress go it whereas they had been dying of most cancers — they usually had one other factor in widespread. Despite all of it, they had been content material.
“I’m the luckiest man alive,” Pfeifer, a former New York Metropolis firefighter, instructed me in 2017, nearly two months earlier than he died of most cancers linked to his time working within the ruins of the World Commerce Heart. It was one thing he stated typically.
“I like doing this,” retired NYC police Detective Luis Alvarez instructed me 19 days earlier than he died, the night time earlier than he testified to Congress in 2019 with Jon Stewart to assist win passage of the laws that may come to bear his and Pfeifer’s names. A number of months earlier, simply after his 63rd chemotherapy therapy, he’d referred to as himself “blessed.”
Having run right into a poisonous scene of chaos and destruction, as New York Metropolis firefighters and cops did on Sept. 11, 2001, and getting sick due to it, could not look like a recipe for any kind of happiness.
However a brand new report launched by the New York Metropolis Fireplace Division finds that Alvarez and Pfeifer usually are not uncommon instances. Certainly, ever since 2006, when medical doctors and researchers within the division’s World Commerce Heart Well being Program started detailed monitoring of the psychological well being standing of its responders, they discovered a exceptional truth — that whilst 9/11 responders’ self-reported bodily well being has declined over time, they’ve persistently reported their psychological health-related high quality of life as higher than that of common Individuals.
In accordance with the extensive report on how members of the FDNY World Commerce Heart Well being Program have fared prior to now 20 years, about three-quarters of greater than 15,000 Fireplace Division responders are actually struggling at the least one 9/11-related ailment, together with 3,097 instances of most cancers. Remarkably, even these with most cancers reported their psychological health-related high quality of life as higher than common.
“What we’re seeing is a whole turnaround, the place the psychological well being end result, regardless of the diseases happening, is a optimistic one,” stated Dr. David Prezant, chief medical officer of the FDNY and director of its Commerce Heart program.
Precisely why a gaggle of individuals would possibly expertise bettering outlooks on life whilst they’re more and more combating well being issues is tough to say definitively.
Alvarez’s brother, Phil, stated he couldn’t communicate for others however thought that, in his brother’s case, it had so much to do with a way of service, and that he was in a position to preserve serving to folks whilst he ailed.

“The one time I noticed him hold his head was in the direction of the tip,” Phil Alvarez stated. “I stated to him, ‘Hey, brother, you understand that is going south on us, don’t you?’ And he stated, ‘Yeah, I do know.’ And that was it. No complaints, not like ‘F–okay, it received me,’ not like, ‘I misplaced.’ It was simply, ‘Yeah, I do know.’ And earlier than that, you by no means heard him complain. By no means. It was at all times about others, and I believe that’s what retains you alive.”
George Bonanno, a professor of medical psychology at Columbia College who simply released a book referred to as “The Finish of Trauma: How the New Science of Resilience Is Altering How We Assume About PTSD,” stated that rising analysis suggests there will be one thing of a hero or survivor impact, which might buoy an individual’s spirits. “The struggling has a cause, it has a goal, and your ache is within the context of you probably did one thing exceptional,” Bonanno stated. “As a result of struggling isn’t straightforward, and if it’s simply plain previous struggling as a result of ‘Too dangerous you bought this factor and no person else has it’ — that’s actually onerous to cope with. As a result of it feels unfair. So as an alternative of being unfair, [for] firefighters, they did it deliberately — they willfully went in there.”
The sense of satisfaction first responders can take from their actions is one issue behind this discovering, agreed Prezant.
“They know that the place they’re at present from a well being perspective is as a result of they stepped up and helped their co-workers, New Yorkers, this nation, cope with the most important assault on civilians ever in trendy historical past. They had been there that day,” Prezant stated. “And once you ask our guys and gals, fireplace and EMS, would they’ve modified a single factor that they did that day, I’ve by no means heard a single one say in any other case.”

He and Bonanno additionally pointed to the assist networks first responders have, particularly within the Fireplace Division, the place the well being program Prezant runs gives look after each bodily and psychological well being issues.
Prezant, who survived the collapse of the south tower as a result of he received blown beneath a pedestrian bridge that didn’t utterly collapse, stated he knew that day his members would want a long-term dedication to their well being.
“You view the longer term in another way, particularly when you understand that you haven’t been deserted,” Prezant stated.
Pfeifer and Alvarez typically talked about ensuring others had assist to stay with the residual results of that traumatic interval. When Alvarez described himself as blessed, he stated his principal issues in touring to the Capitol between his chemo therapies had been to ensure individuals who didn’t have metropolis pensions could be taken care of, and that guys like him would search therapy and medical monitoring sooner.
Maybe simply as essential for individuals who watched so lots of their brethren die on 9/11 was appreciating the possibility to see their very own households thrive.
“I’m the luckiest man alive,” Pfeifer stated once more throughout a 2017 go to to Arlington Nationwide Cemetery. “Knock wooden. 9/11 occurs. I’m imagined to work. I lived. Why? As a result of I switched my tour. So, then a pair years later, I get most cancers. So what? You understand, I had time with my children, to observe my children develop up.”
Equally, Alvarez stored making the journeys to Washington despite the fact that it exhausted him as a result of, he stated, “it’s like my legacy. I would like my children to know that Dad did every thing he may to assist.”
Bonanno stated that the analysis for his guide included interviews with most of the individuals who fled the burning twin towers, and almost each individual he interviewed talked of the firefighters going up the steps whereas they went down, reassuring evacuees alongside the way in which.
“It’s an iconic story, and this may go down in historical past, actually, and to be a part of it’s, I believe, a exceptional factor,” Bonanno stated.
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