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

Why do I laugh during a pandemic?

Kelly Lisciandro, DO
Physician
January 10, 2021
Share
Tweet
Share

I just started laughing. It was early on Monday morning during our COVID surge. I couldn’t help myself. Phones were not on yet, but I already had triage COVID calls.  “Put on your roller skates” was all I was thinking. I questioned my laughter.

The day and a life of a primary care physician during COVID. Not a fun one by any means. Certainly not one to laugh at. But, if we don’t laugh, we would cry. Everyone knows that cliche. Our days never end. We don’t leave. The EMR has made sure of that. The nurses and staff are expected to smile and be respectful. They have, in fact, been so amazing during this pandemic. They have shown up every day with smiles on their faces.

But why was I laughing? What are we supposed to feel and act like every day? What is the expectation? Functioning on fumes. No sleep. No energy. Endless work. Down doctors and nurses because they volunteered to work inpatient in the overflowing hospitals. Praying for their safety and holding our heads up. As if we are the epitome of strength. As if nothing touches us. Because we are doctors.

We are the pillars of strength during this pandemic. No matter what is thrown at us. No matter what is going on in our personal lives. No matter how many death and dying stories we hear from our patients, family, and friends. We are expected to be strong. We are expected to be superheroes. Endless energy. Emotional, mental, and physical. All expectations that have been unsaid but, now, there was no wavering.

Telemedicine has become a new norm.  With the shortage of doctors and nurses in our area, we have become responsible for chief complaints, medication reconciliation, and all patient complaints during that call. It is grueling. It was bad enough when patients used to say they had been having chest pain at the end of their visit with our hand on the door. Telemedicine has brought the proverbial chest pain to a whole new level.

Thank goodness we can order COVID testing now. We have daily huddles with the administration for policies and procedures. We were doing this in March. Now, it is even more crucial. We are running out of all our resources. Patients are not listening. They don’t understand anything about this virus or the reason why we do what we do. The policies and procedures are our saving grace. But the energy expenditure in explaining this in every call is exhausting. Businesses making patients be tested and be negative before going back to work. I could scream. Who is making their policies? Because it makes no sense, and I can’t repeat it anymore.

But March was different. It was just the beginning. It was overwhelming because we didn’t know anything yet. Thank goodness for our direction every day. It would make your head spin since it was something different every day. But it worked. At least here in New York State.  We flattened the curve. We were successful. Our community came together, listened, and fought the spread. We all credited that to our administrators and medical professionals, making the decisions that needed to be made. The hard decisions. The patients did what they were told, and it worked.

Why am I not laughing?

Because our careers as physicians are behind us. We have jobs now. Just like everyone else who has retained employment during COVID. Feeling blessed that we have jobs and paychecks, but our jobs are so hard. Our voices are no longer heard. We are not the voices of expertise anymore. That was stripped of us. Perhaps with the blink of an eye or the words of one,  we have become obsolete in this battle. We are here to take care of you when you get sick, but you have no respect for our opinion. You have no respect for the fact that we endure death and dying. We endure the emotional and mental health effects it has on our patients. We try to protect and support our own. Because no one else is going to do it. We will have to pick up the pieces on our own. For me, I have to decide where I go after this is over.

Our voices are not heard. I have heard and watched doctors on Tik Toc trying to change behavior. I am with them. We are grasping at every platform we can to plea to the public to stop the virus’s spread. Grasping at any way to be heard.

Impending doom is upon us. I don’t understand where that went awry. We knew that if we flattened the curve that the lack of excessive death and disease would be the outcome. Instead of that being the motivation to continue with our measures, our community and country decided that the virus was not that bad. That not enough people were not dying from it. Most would recover, and it was like the flu. What a horrible change in thought pattern. This is not influenza. And, life lost has been so fast. Influenza has been insidious for years. Who started that rumor. I am not laughing at that.

I don’t laugh at night. I don’t have to put that face on at home. I am alone a lot, but even with my son, I can cry now. With COVID, it is different. He knows the stress of this. He has taken it seriously.

I cry myself to sleep. I do so because I know that there is so much suffering in the world today. All of the complications of COVID. Job loss, businesses lost, livelihood lost, and loved ones lost. I know that the suffering around this pandemic is so much more than the death and dying we are dealing with in the hospitals. I know that people are losing homes and cannot feed their children.

I don’t laugh much. But, I laugh when I have to and know that I have to exude strength. As a medical profession, we have to. We don’t have a choice.

ADVERTISEMENT

Kelly Lisciandro is an internal medicine physician.

Image credit: Shutterstock.com

Prev

How transparent were the COVID vaccine trials?

January 10, 2021 Kevin 1
…
Next

Democracy and the health of a nation 

January 10, 2021 Kevin 0
…

Tagged as: COVID, Infectious Disease

Post navigation

< Previous Post
How transparent were the COVID vaccine trials?
Next Post >
Democracy and the health of a nation 

ADVERTISEMENT

More by Kelly Lisciandro, DO

  • COVID: I can see the suffering in your eyes

    Kelly Lisciandro, DO
  • I lost my father during the global pandemic

    Kelly Lisciandro, DO
  • Alone in the hospital in the midst of a global pandemic

    Kelly Lisciandro, DO

Related Posts

  • How the COVID-19 pandemic highlights the need for social media training in medical education 

    Oscar Chen, Sera Choi, and Clara Seong
  • Why this physician marched during a pandemic

    Raj Sundar, MD
  • The social determinants of health during the COVID-19 pandemic

    Heather Thompson Buum, MD
  • A response to unemployment during the COVID pandemic: Medicare for all   

    Mallika Sabharwal, MD
  • The pandemic has only further strengthened my passion to become a physician

    Karan Patel
  • Malpractice claims from the COVID-19 pandemic: more questions than answers

    Robert E. White, Jr. & The Doctors Company

More in Physician

  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Why doctors are reclaiming control from burnout culture

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • International doctors blocked by visa delays as U.S. faces physician shortage

    Arthur Lazarus, MD, MBA
  • How I redesigned my life as a physician without abandoning medicine

    Ben Reinking, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [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 3 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

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [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

Why do I laugh during a pandemic?
3 comments

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

Loading Comments...