Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Your only option is to stay home

Maryam Ghiassi, MD
Conditions
March 26, 2020
Share
Tweet
Share

This is the first time in modern history that humanity is facing a common adversary. As much as Uncle Harry might want to blame the Chinese for this misgiving, it will not change our predicament. The fact is that this time around, our enemy is stealthy, small, and everywhere. We can’t dehumanize, shoot it down, hate it, or send our drones to take care of it. When the enemy finds you, it can drown you on dry land. Drowning is silent but darn painful. Gasping for air on dry land while feeling completely underwater is terrifying. Victims might be silent, but their eyes are anything but. We don’t have any proven ways to treat the disease. We can offer oxygen and ventilation support to alleviate your symptoms, enroll you in one of the many clinical trials, and hope your body can fight it off. This scenario is an option as long as our supplies last.

With the rate the enemy is advancing, we will be out of supplies within a month. At that point, you will receive “comfort care,” which used to be an option a patient can choose at the end of their life, when no more drastic measures are taken. We would manage your pain, offer you oxygen for comfort, make sure your end of life anxiety is taken care of and that you are surrounded by your loved ones. Except for this time, there will be no choice. Comfort care will be your only option if you don’t meet the criteria for more drastic measures. Your comfort care option will also be paired down since we can’t allow visitors, and we will be too busy tending to other patients to be able to sit with you and hold your hand. Dying is a lonely affair, even in the best of times. These, my friends, will not be the best of times.

Don’t panic; odds are still in your favor. Eighty percent of people will have mild disease and will not need to step foot in a hospital. However, for the 20 percent, the situation will play out very differently depending on how we act today. I am far from a doom and gloom kind of person, but I plan and make contingencies for my contingency plan. There is no point in crying over spilled milk. What we should have, could have, ought to have done has now passed. We can only look ahead and do what we can now to make it better.

This is a great time to be an introvert, or practice being one for a long time. Exercise, read, watch a movie, become a baker, and sell cookies, train your dog to grab you a beer. The only acceptable reasons to go outside are: 1) Your dog has to go; 2) You need to buy essentials and there is no delivery (color sprinkles for your cake does not count as an essential); and, 3) You desperately need medical attention. This is a great time to make use of your FaceTime, Instagram, and Facebook. Meanwhile, wash your hands when you touch any surface that is not yours. This is our only way to fight it now.

I am hoping there will be a defense production act, and companies will gear up fast enough to meet demand. The hospitals are making room and allocating scarce resources. We are holding onto our only N95s for dear life. We are all in this together, and this will pass. Things will get worse before they get better. Whatever you do now will affect what options you will have in the next three weeks, and having options is what people before us have died for. I want to protect your rights but cannot do it if you don’t stay home.  Stay home. Stay away.

Meet you on the other side.

Maryam Ghiassi is an ophthalmology resident.

Image credit: Shutterstock.com 

Prev

A pathway for the inevitable and imminent need to unite the world

March 26, 2020 Kevin 3
…
Next

Thoughts from the COVID-19 front lines

March 26, 2020 Kevin 0
…

Tagged as: COVID, Infectious Disease

Post navigation

< Previous Post
A pathway for the inevitable and imminent need to unite the world
Next Post >
Thoughts from the COVID-19 front lines

ADVERTISEMENT

Related Posts

  • How to choose the right rehab option after a hospital stay

    Edward Hoffer, MD
  • Forget what you’ve heard. Direct primary care is here to stay.

    Trevin Cardon
  • Is Descovy really the better option?

    Frank F. Zhou
  • Burnout might not be an option for tomorrow’s physicians

    Auston Stiefer
  • The burden of essential business: How independent pharmacies are struggling to stay open

    Palak Patel
  • How President Biden’s quest for a public option mirrors LBJ’s passage of Medicare and Medicaid 

    Jonathan Staloff, MD

More in Conditions

  • Coconut oil’s role in Alzheimer’s and depression

    Marc Arginteanu, MD
  • Ancient health secrets for modern life

    Larry Kaskel, MD
  • How the internet broke the doctor-parent trust

    Wendy L. Hunter, MD
  • Mpox isn’t over: A silent epidemic is growing

    Melvin Sanicas, MD
  • How your family system secretly shapes your health

    Su Yeong Kim, PhD
  • The human case for preserving the nipple after mastectomy

    Thomas Amburn, MD
  • Most Popular

  • Past Week

    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • From nurse practitioner to leader in quality improvement [PODCAST]

      The Podcast by KevinMD | Podcast
    • The crushing bureaucracy that’s driving independent physicians to extinction

      Scott Tzorfas, MD | Physician
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
  • Recent Posts

    • Creating safe, authentic group experiences

      Diane W. Shannon, MD, MPH | Physician
    • The diseconomics of scale: How Indian pharma’s race to scale backfires on U.S. patients

      Adwait Chafale | Meds
    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • From nurse practitioner to leader in quality improvement [PODCAST]

      The Podcast by KevinMD | Podcast
    • The crushing bureaucracy that’s driving independent physicians to extinction

      Scott Tzorfas, MD | Physician
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
  • Recent Posts

    • Creating safe, authentic group experiences

      Diane W. Shannon, MD, MPH | Physician
    • The diseconomics of scale: How Indian pharma’s race to scale backfires on U.S. patients

      Adwait Chafale | Meds
    • Healing from medical training by learning to trust your body again [PODCAST]

      The Podcast by KevinMD | Podcast
    • How tragedy shaped a medical career

      Ronald L. Lindsay, MD | Physician
    • A doctor’s guide to preparing for your death

      Joseph Pepe, MD | Physician
    • Coconut oil’s role in Alzheimer’s and depression

      Marc Arginteanu, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Your only option is to stay home
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...