We are in a bizarre state of limbo within the crisis. We feel hopelessly behind, yet still attempt courageous efforts to be preemptive. My residency program, for example, had a fantasy of identifying which services were essential and which were not, staffing physicians appropriately, and staggering work hours to minimize exposure and allow others to be available for back-up when some inevitably fall victim to either quarantine or the virus …
Our goal in medical school is to learn how to preserve the quality of life. Yet, in order to better understand human life, we are immediately faced with death by means of anatomy lab.
From week one, we are tasked with removing the skin and fat from a cadaver’s thorax — desensitizing ourselves to death enough so we may cope with dissecting someone’s beloved mother or adored husband. It’s difficult not …
How death is a blessing and a burden
I am a middle-aged gastroenterologist almost 15 years out of training. I have a chronic medical disease and had a bout with lymphoma two years ago, both of which require me to stay indefinitely on immunosuppressive drugs.
I am certainly not the only health care worker who is scared. Most winters that I will contract the flu or another illness from patients who want their screening colonoscopies performed while sick, from …
Why this immunocompromised doctor wants you to stay home
Medicine is a difficult calling. You already know the sacrifices. As an undergraduate, you gave up time with friends and family so you could be accepted into medical school — where you worked even harder.
You understand that the practice of medicine requires you to take responsibility for the care of others … and the emotional toll that comes with it.
In this profession, it’s easy to feel like you’re alone. Our …
Be the physician who supports other doctors
The coronavirus (COVID-19) is the single-most important topic on the minds of Americans, and it remains the subject of regular updates from health officials. And yet, despite the abundance of scientific facts and guidance surrounding the disease, misinformation abounds as confusion persists.
Avoiding many of the worst consequences and doomsday predictions will depend, in part, …
7 dangerous myths about the COVID-19 coronavirus pandemic
Early data from China and Italy shows that the outbreak disproportionately kills older adults. The rapid spread of these infections in the United States has triggered informal and formal efforts to protect frail and vulnerable populations like those in nursing homes.
Informal recommendations like social distancing have greatly changed the day-to-day lives of most Americans but have played a lesser role for those living in long-term care. …
COVID-19 policy amendments put nursing home residents at risk
Grocery store shelves are empty. People are fighting over toilet paper rolls. It’s beginning to look a little like Armageddon.
You’ve seen the photos, heard the stories, watched the news coverage. COVID-19 is real. It’s real, and the incredible infectivity of it is scary.
I’m in medicine. COVID-19 is one of the reasons I went into medicine. Not because of …
Practice social distancing so we can #flattenthecurve
Much is written about the advantages for primary care physicians and patients of working within a retainer model, direct primary care, concierge-type care model. Little is written about the downside or disadvantages. It is time to shine a light on the benefits and challenges of concierge and standard models through an experienced lens, particularly as drivers of burnout and the primary care shortage loom so large. The phase of a …
A physician leaves concierge medicine after 13 years
I am a pediatrician. Daily I see kids with fevers and coughs who test negative for influenza. Some have pneumonia. I am not able to test them for SARS-CoV2, so I encourage them to self-quarantine. If I find nothing else, I tell them they have a viral illness. They ask me if it’s “the coronavirus,” and I tell them that, contrary to what they are hearing from our government officials …
A letter to politicians: Doctors without PPE is deplorable and must be fixed
This breath is a gift …
This moment is a gift …
This life is a gift …
As with every other person, I am struggling to comprehend the staggering effects that COVID-19 has had on our society in such a short time. Gone are the carefree smiles, the uncomplicated daily lives, and the thought that we and our families are immune to unexpected death. Instead, we are witnessing a collapse in society …
Corona together: Say “I love you” a little bit more to those you love
For most of us, we have never experienced a pandemic as unique and widespread as COVID-19 during our lifetimes. There is ample data suggesting that the novel coronavirus is not only more infectious (R-naught 2-3) but also associated with increased severity of disease (average case fatality rate of 2.3 percent) than the seasonal flu. We are slowly understanding how intelligent and damaging this virus …
Please protect all health care workers: Make PPE a priority
If you follow me for any time, you know that I’m about physicians owning their value, recognizing their strengths, and balancing their lives. I was doing that before it became popular to talk about.
While it has a catchy ring to it, what you don’t know is that it was not always that way for me. And no one knew. It was one of the ways that I struggled in medicine.
There …
Physicians need to step into their calling, even if it’s not directly in medicine
In a time where everyone is looking for answers, I see a lot of health care workers, pundits, sports figures, and talking heads presenting a lot of in-flux data as immutable fact. I’ve seen phrases like “If you go outside, you’ll kill your grandma,” and “Going out to get groceries makes you part of the problem.” I wish people, including my own colleagues and fellow front line health care employees, …
The importance of staying humble in a pandemic
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I’m not gonna lie. It’s scary as hell to be a doctor right now. In Italy, which is our projected immediate future, up to 10 percent of infected people are health care workers. Health care workers are also more likely to experience severe and critical diseases. There’s not a great explanation for why this is, other than just higher risk from repeated exposure over and over to infected persons. When …
It’s scary as hell to be a doctor right now
My grandfather was a dedicated physician. To me, he was the caring, attentive doctor depicted in the classic Norman Rockwell paintings. He was a brilliant and religious man of few but powerful words who didn’t greet his patients with a handshake, but yet he was loved by so many. He also happens to be the person who taught me as a young child why cheerios float, how lifesavers …
How a pandemic may kill the handshake
For weeks, the news has been all about COVID-19 and its impact beyond Wuhan, where it emerged. Just two days ago, in fact, the first case reports surfaced in the county where I live. Overnight, preparations have leapt a notch. Many will work from home. Students will learn online. Even the gym where I climb with my son e-mailed regarding steps to minimize transmission. Like most of you, however, by …
4 injuries all physicians face
March 15, 2020. The luke-warm water burns my hands for a few seconds; maybe this is how a snowman feels as it disintegrates on the first day of spring. Soon, my fingers loosen, but the sensation is fleeting. I dry my hands, put on another pair of gloves, then clean the stethoscope I’ve been using for the last several patients. I’ve been told that these are single-use, that I should …
On the front lines of a COVID-19 assessment clinic
Earlier this morning, I received an email regarding a “quarantine party.” The event description read: “We are young people who don’t take this BS quarantine seriously. Let’s crowd in this condo and have a good time. I promise, you won’t get sick.” I am 21 years old, healthy, and, subsequently, very unlikely to succumb to the coronavirus. I could party. I could attend that event and laugh in the face …
COVID-19: You may be bored, but others are scared
The elevator area on the ground floor of our hospital is split. As you enter, the common elevators are on the left, and to the right is a set of double doors, with a sign posted reading, “AUTHORIZED PERSONNEL ONLY.” And behind those doors are the employee elevators, elevators for hospital beds, and large elevators where we can run a code while traveling up or down.
The employee elevators are private, …
Riding the hospital common elevator
The physician workforce is one of the most valuable resources of any hospital, and in the midst of the COVID-19 outbreak, we need to do everything possible to ensure that physicians stay healthy. Like other hospital epidemiologists, I spend a lot of time thinking about practical ways to reduce the risk of infection. So to that end, I want to offer some suggestions for reducing your risk of acquiring COVID-19 …
How to avoid COVID-19 infection at work: tips from an infectious disease physician
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