It began with a seemingly innocuous text from a friend of the family.
“Hi, Richard. I hope you’re well. I need to speak with you. Can I call you?”
The last time we spoke was at my brother’s long-postponed “celebration of life,” which we were able to hold a year after his passing finally. Our friend attended the wake, so feeling a sense of appreciation for his support during that time, I …
More than 1,100 in the U.S. are still dying every day from COVID-19. Every three days, we are losing more Americans than the number that died on 9/11. Just because we don’t see it sneaking up on our families does not mean the COVID terrorist is defeated. While deaths are mainly in 12 northern states, it is highly likely we will again experience a similar problem in Texas and across …
The holiday season was notorious for causing loneliness, sadness, anxiety, and a sense of loss even before adding the COVID-19 pandemic to the mix. The pandemic has only served to magnify many of these feelings, as gatherings with loved ones are postponed or canceled. The stress of getting everything done on time and navigating family dynamics can lead to struggles that can benefit from support and self-care. In 2021, support …
Smoking cigarettes is well known to cause heart disease, lung cancer, and premature death. In the face of these risks of death, quality of life issues that affect smokers are often overlooked. Although some quality of life issues such as cost, cravings, inconvenience, illness, and stigma are well known, some important effects are largely unknown to the public. For one, smoking is connected with a surprisingly large variety of pains.
Musings of a primary care triage nurse:
1. “Isolation means you aren’t around others. No, you shouldn’t be eating dinner with your family or watching TV with them.”
2. “You’ve been sick for the past week but didn’t get tested. Yes, COVID can just be symptoms like a cold or that sinus thing you get each year.”
3. “The majority of those that are hospitalized are unvaccinated. I know ‘someone’ told you that’s …
A few months back, I read about a two-year-old child with a terminal cardiac condition who has spent her life in a hospital bed attached to multiple devices that maintained her survival. At the staff’s request, the institution’s ethics committee reviewed the child’s history and prognosis and decided that the equipment could be disconnected. Her mother repeatedly blocked this option, insisting that the child, although frequently sedated, had a “bubbly …
Over the last several years, there has been an increasing recognition that burnout is rising exponentially among health care workers – and there has been a positive shift in the public understanding of burnout and other mental health issues in general. Unfortunately, the policy response from governments, health care institutions, and policy-makers has been woefully inadequate.
Instead of addressing the root causes of burnout and mental distress among our health care …
Diabetes is a complex yet common disease that impacts over 34 million Americans. Blood glucose is just the tip of the iceberg; related complications include neuropathy, eye disease, ketoacidosis, kidney disease, cardiovascular disease and more. In fact, it could be said that diabetes is a “whole body” disease, in the sense that it spirals out to cause devastating problems that impact many regions of the body, including …
When the COVID pandemic first reared its ugly head in 2020, I was mentally prepared (as much as any of us could be) for the patient care wave that was coming our way. What I was not prepared for was the mass of anti-science and anti-intellectual pushback that we have seen over the past one and a half, almost two years, in regard to the virus itself and the vaccine.
To …
I remember receiving the email, “Eating Disorder Panel Q & A.” My physician colleague had become very experienced at caring for eating disorder patients. She understood the importance of this work and how misinformed much of the health care community was on the topic.
She took it upon herself to set up a medical didactic session for the health care providers in our practice to provide us with additional education. The …
Make no mistake, the newest variant in the COVID-19 family is far more contagious than any of the others. Will it cause a drastic surge in the pandemic? Or could it have a mitigating influence?
First identified in South Africa on November 11, Omicron quickly became the dominant variant in that country. In October, Delta variants were found in 80 percent of all samples sequenced, while in November, 75 percent were …
Your toddler has had a cough and runny, stuffy nose on and off for months. They also attend daycare and have a sibling in preschool. You are worried about the symptoms. You are also exhausted because your child’s coughing and congestion is not letting either of you sleep at night. Does this sound familiar?
You ask yourself, “Is this normal?” and “What is wrong with my child?”
Well, to calm your fears, …
In September, the American Nurses Association asked the Department of Health and Human Services to declare the national nursing shortage as a national crisis. At the same time, the American Association of Critical Care Nurses found 66 percent of ICU nurses were considering leaving the profession. Talk to any hospital, and you’ll hear of high turnover and struggles to fill shifts. So far, the …
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Recently, while visiting with a colleague in our doctor’s lounge, I blurted out, “I’m tired of the dying.” He looked at me quizzically, “But you’re the hospice doctor.” True, death comes with my work, but the recent volume of and the loss of younger patients have been especially difficult. It reminds me of an earlier time we faced a new virus.
As we endure this pandemic well into its second year, …
Below is a story a patient shared with me about how he went from being against mask-wearing to wearing one every day.
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Last year, my mom died from stage 4 lung cancer. Before she passed, she received her transplant at this hospital, but it was too late for her.
Now, I am fighting cancer. Lymphoma. Stage 2 verging on Stage 3.
Before my diagnosis last summer, I never wore a mask. I walked …
There was a time, not long ago, when COVID-19 was one of the scariest things on earth. In the summer of 2020, scientists were stunned as infections climbed and deaths spiked. They couldn’t say (exactly) how the virus spread, how deadly it was or how to cure it. ICU beds were filling up while officials scrambled to retrofit local …
Covaxin, an inactivated SARS-CoV-2 vaccine and the only vaccine to have been proven effective against all variants including the Delta variant in a Phase III clinical study, deserves to be tested in clinical trials in the U.S. for potential CDC/FDA approval for use in the U.S.
As we are about to celebrate the one-year anniversary of the vaccine rollout against COVID-19, we would do well to remember that despite the progress …
A hundred years ago, women lived one year longer than men, but now they live five years longer than men. And things are getting worse. Currently, the lifespan of men in the U.S. is declining due to alcohol, opioids, and suicide. These trends need to change.
I take care of men. I’ve been a urologist for almost 25 years and have seen thousands of men as patients, many of whom have …
It is a seasonally cold fall evening in Long Island, NY, and I am standing in a field in the middle of what should be a darkened park. Still, I am truly amazed by how bright it is lit up by lanterns with different colors demarcating patients, families, and remembrances.
As an oncologist who treats blood cancers, this event, called Light the Night, sponsored by the Leukemia and Lymphoma Society, was …
Black men need to be comfortable saying that we can be scared sometimes, and to share our emotions without guilt or shame.
I say this as a Black man who has experienced vulnerability both as a family physician and as a patient. Over the last year, I’ve been challenged in unforeseen ways. In my professional life, I’ve cared for patients with COVID-19 and other chronic medical conditions, engaged as a clinician-educator …
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