As an oncologist, perhaps the hardest part I play is as witness. I am there to give a diagnosis that, more often than not, will alter someone’s life forever. For some, I see resignation—a sense that they’ve known something was wrong and that it’s what they thought they had. For others, I see an almost …
It seems that adults need to be reminded and educated of the dangers life-threatening food allergies possess. If you think taunting people that have life-threatening food allergies occur only with very young children, you would be sadly mistaken. Case in point, comedian Jimmy Fallon’s in his recent sketch “Masculine Man Masks Commercial” states that his character’s masks “don’t have to make you look like a big sissy with a shellfish …
As a result of the COVID-19 pandemic, the structure of many people’s households has changed dramatically. Young adults who were away at college had to return home when schools closed, and many will still be at home this fall as schools continue to limit on-campus classes. Some people chose to move in with family after job loss strained their finances. And some families chose to temporarily move older relatives out …
Growing up in Puerto Rico, “babas” (bottles: biberón/botellas) and “bobos” (pacifiers: chupetes/chupón) were very common among the families and children of the island. I still remember our Abuelita giving us milk in our “babas,” so my younger sister and I were sure to fall asleep better. From the time of our births, to when my sister was three years old, the “bobo” was also consistently being used in our home.
Now, …
“Alright, sir, that’s the plan, and we will take good care of you. What questions do you have for me?” I asked after discussing the patient’s condition and hospital course. The patient looked satisfied and nodded as if he understood the plan, and asked: “Well, one question, where are you from?” I immediately let out an internal sigh, knowing where this conversation was going and replied, “Well sir, I was …
Work is a necessary part of life. More than simply a means to a paycheck, work gives individuals a sense of dignity and accomplishment. Feeling as though one is participating in meaningful work, whether it is contributing to a massive project or an individual artistic pursuit, allows one to feel as though they have a purpose.
While this urge to create or work appears to be a universal human trait, the …
Opiates relieve pain and can transport people to their apparent happy place. So does marijuana. Lyrica, the seizure-turned-pain medication, caused enough of a buzz in early study participants that it became a controlled substance. The anesthetic ketamine is now used for treatment-resistant depression.
Years ago, we had to be very specific about the location and classification of our patients’ pain. When pain then became a self-reported vital sign and chronic opioid …
In 2014, an emergency medicine resident opened a personal email and was shocked to see it briefly mention the death of another resident physician from a different training program. Unofficial group chats ensued amongst her co-residents, discussing the vague email. Suspicion arose that the resident has died of suicide. His particular death was never addressed outright in a formal or public manner at the hospital, department, or residency level. All …
I have a major issue with MAC.
To be more specific, I have a major issue with how we communicate the concept of MAC to our patients, anesthesia care team members, and proceduralist colleagues.
MAC stands for “monitored anesthesia care,” and we tend to throw it around and use it interchangeably with a lot of other terms:
The fact is, these entities are not …
I am an ICU nurse. I love what I do; It’s not just a career: It’s who I am. No other job could offer me the intimate opportunity to support and guide a total stranger through the worst (and occasionally best) days of their life. Nowhere else would I leave feeling humbled by what I do every day. Nothing compares to that. Simply put: You don’t find that sense of …
“Three Fleet enemas?” I ask the nurse. She isn’t much interested in a conversation with me about anything. She is busy.
“This man, so far as I understand it, does not have a colon.”
It looks to me like they want to reconnect his colon,” she says as if I hadn’t said what I just said.
“I am not a doctor,” I remind her, “but I don’t see how that is possible. Too …
“Howard wants to go to the hospital. He knows he isn’t doing that great. He says he is having homicidal thoughts.” This from my supervisor, Linda.
Homicidal thoughts on the part of any client get our attention, especially so with Howard, because years before, he killed a man with a gun. I believe it was in a fight.
“He wants you to take him to the hospital, Ray.”
“Sure,” I say. “You think …
With any new illness comes metaphor. It is humanity’s attempt to incorporate the mystery of disease into our own stories. We like to personify illness, give it human characteristics as a way of visualizing it. We name its actions to help lessen its unpredictability. Tuberculosis consumed. Syphilis punished. AIDS invaded. Cancer grows. COVID-19 quarantines separate and spread fear.
How long does it take for a disease or illness to become a …
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Imagine there are two individuals who have been admitted to a hospital due to COVID-19, and both desperately need ventilators. One is a 60-year-old with a heart condition, and another is a 63-year-old with chronic kidney disease. Because of resource constraints, you have to decide which patient will be able to receive a ventilator. Both patients’ families are looking to you to help their loved one through this illness. With …
Around three weeks ago, my 72-year-old patient, Mr. J., woke up feeling severely short of breath. He felt unusually tired, noticed a dry cough, and felt achy in his arms and legs. Suspicious of COVID-19, he and his wife called an ambulance and went to the nearest New York City emergency room.
At first, the doctors too thought it was COVID-19. However, a chest X-ray, CT scan, and a series of …
On Friday, March 27, 2020, California went on lockdown in the face of the COVID-19 pandemic. It changed every Californian’s life, including my own. As the newly appointed chief scribe, the possibility that I would be jobless by the time Monday rolled around, was the last of my worries. What would happen to the patients who depended on our care? Or the physicians, nurses, and administrators that kept the center …
An excerpt from The View From The Wrong Side Of The Day: A Story About Nursing, PTSD And Other Shenanigans.
I’m not exactly sure when things first started to get bad for me. Thinking back, it was all rather like the analogy of the frog in the …
We can’t un-bungle our nation’s COVID-19 response. Political leaders acted too slowly; health agencies committed unforced errors with testing kits and, amid the confusion, an information fog settled over the land.
Americans remain afraid, perplexed, and …
Drinking the Kool-Aid
Across the USA recently, demonstrators wielding, “Stop the madness! It is just a cold virus!” and “Let me work” signs, chanting “Freedom now” and “Fire Fauci,” dangerously demanded an end to social distancing and stay-at-home orders.
In Italy, we would assume such demonstrations were fomented by the Mafia. In America, the provocateurs are right-wing extremists, Read more…
The last couple of months in a world with COVID-19 have felt absurd, incomprehensible, like something out of a movie. Most of us hunker down in our homes and wear masks whenever we’re out. Those who work in patient care settings try to limit risk, both of becoming infected, or perhaps worse, unknowingly infecting others. How can this really be happening? Everything seems to have changed overnight. The paranoia, fear, …
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