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

Life in the emergency department during COVID: a rural physician’s perspective

Andrew Tisser, DO
Conditions
November 26, 2020
Share
Tweet
Share

“Do you think we should prepare a will?” I vividly remember saying these words to my wife, also a physician, as we drastically saw COVID cases rise in early March 2020. Just months ago, we heard about the novel coronavirus now known as SARS-CoV-2 but did not grasp the world-changing consequences it would have. Living in Western New York, we were not immediately hit with a surge of cases like our colleagues in New York City, but we could read the writing on the wall.

As the terrifying news continued to come out of NYC, the then epicenter of the pandemic, we knew we needed to prepare for the coming surge. I started searching the internet looking for personal respirators and other protective equipment needed in the coming days to months. I bought what I could as many around the country were acting similarly. I had many discussions with my wife and elderly in-laws that live with us… would I need to quarantine myself to a part of the house? Would changing before entering and showering be good enough? I knew that I could never forgive myself should I infect and potentially kill my family members. We had plans, and those plans had plans. To sum up how I felt during those early days: I was terrified.

As the days continued and my organization prepared for the worst, I also had to deal with my job’s administrative part. As the director of an urgent care, where we expected many patients to be funneled, there were countless meetings, strategy calls, etc. The guidance was ever-evolving as we continued to learn from our struggling colleagues downstate. I must say that I am grateful and thankful for the pre-planning and guidance from my organization… many friends across the country were not being treated as well. The one other question always in our minds as our EDs remained empty, “Where are the rest of the patients?”. Heart attacks and strokes do not cease in a pandemic. Are all these people quietly suffering and dying at home because they are too afraid to come to the hospital?

The days became weeks and then months, and this new reality became the routine. Countless different gowns and masks were used as the country continued to lack proper protective equipment. The protocols improved, the workflow, while still challenging slowly got better. Still in my mind with every patient I saw was, “Could this be the patient that gives me COVID?” Another disturbing trend was starting to emerge: the distrust and animosity toward the medical profession. Gone from heroes to patients saying, “I hope you all are telling the truth, I hope you are right about this.” How hurtful it was to hear this sentiment from the patients we gave up so much to treat.

I am grateful that I work in a small rural hospital that is like a family. I am grateful that my organization has done everything in its power to protect us… but I hope we can do better. I hope medical workers have enough left within them to give their all for the coming months. Now we are in November with cases on the rise throughout the country: I hope we are more prepared. As the medical community, we do everything we can to protect our patients, our loved ones, and ourselves. Life in the emergency department during COVID has been some of the most emotionally and physically taxing of my career, but I remain optimistic that there is hope.

Andrew Tisser is an emergency physician.

Image credit: Shutterstock.com

Prev

To MBA or not to MBA as an MD: a physician's journey

November 26, 2020 Kevin 0
…
Next

COVID-19 is a war on two fronts [PODCAST]

November 26, 2020 Kevin 0
…

Tagged as: COVID, Infectious Disease

Post navigation

< Previous Post
To MBA or not to MBA as an MD: a physician's journey
Next Post >
COVID-19 is a war on two fronts [PODCAST]

ADVERTISEMENT

Related Posts

  • Solving the problem of non-emergent care in the emergency department

    Michael Kirsch, MD
  • Violence in the emergency department puts patients and physicians at risk

    Vidor E. Friedman, MD
  • Solving the low-acuity emergency department problem

    Dillon Mercado
  • A place for music in the emergency department

    Thomas Scary
  • Here’s the secret to emergency department efficiency

    Phillip Stephens, DHSc, PA-C
  • Why Department of Homeland Security leadership is vital for battling the COVID-19 pandemic

    Teshamae Monteith, MD

More in Conditions

  • Facing terminal cancer as a doctor and mother

    Kelly Curtin-Hallinan, DO
  • Why doctors must stop ignoring unintentional weight loss in patients with obesity

    Samantha Malley, FNP-C
  • Why hospitals are quietly capping top doctors’ pay

    Dennis Hursh, Esq
  • Why point-of-care ultrasound belongs in emergency department triage

    Resa E. Lewiss, MD and Courtney M. Smalley, MD
  • Why PSA levels alone shouldn’t define your prostate cancer risk

    Martina Ambardjieva, MD, PhD
  • Reframing chronic pain and dignity: What a pain clinic teaches us about MAiD and chronic suffering

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

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 2 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

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [PODCAST]

      The Podcast by KevinMD | Podcast

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

Life in the emergency department during COVID: a rural physician’s perspective
2 comments

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

Loading Comments...