Ni-Cheng Liang, MD
Physician
"Then why did this patient come to the hospital? You haven't done anything to help this patient," the attending physician said angrily during our morning rounds, upset that the patient had not met their urination output goals during treatment for…
“Then why did this patient come to the hospital? You haven’t done anything to help this patient,” the attending physician said angrily during our morning rounds, upset that the patient had not met their urination output goals during treatment for heart failure exacerbation.
A hot flush crept up my face. Tightness clenching my chest and stomach. What was this feeling I felt? Shame. The entire team attended morning rounds — the …
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Shame can no longer be accepted as a rite of passage in medicine
Physician
I'm angry. The sound cut out again, for the fifth time in the last hour. "Why can't I get through one telemedicine visit without some technical problem?" I ask myself. I can feel the chest discomfort, my shoulders tense, I…
I’m angry. The sound cut out again, for the fifth time in the last hour. “Why can’t I get through one telemedicine visit without some technical problem?” I ask myself. I can feel the chest discomfort, my shoulders tense, I start to flush, tell-tale signs of frustration and anger bubbling up. I did not go to medical school to become tech support. After 12 patients, it’s finally time for lunch. …
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Telemedicine exhaustion is real
Physician
July 1 is a day that marks the new era when student truly becomes doctor, where hundreds of residency programs start day one of the three-year or longer residency, a life-changing rite of passage. Where the initial hours start the…
July 1 is a day that marks the new era when student truly becomes doctor, where hundreds of residency programs start day one of the three-year or longer residency, a life-changing rite of passage. Where the initial hours start the tens of thousands of hours of experiential full immersion training. Looking back, intern year was one of the hardest years of my training and definitely one of the hardest years …
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Reflections from a former intern
Physician
The “model minority” is a term that denotes Asians in the U.S. East Asians, in particular, have been the target of xenophobic hate crimes and microaggressions since the outset of COVID-19. When a former presidential administration used hate and fear…
The “model minority” is a term that denotes Asians in the U.S. East Asians, in particular, have been the target of xenophobic hate crimes and microaggressions since the outset of COVID-19. When a former presidential administration used hate and fear to garner power, it does not surprise me, that Sinophobia runs rampant during these times. The NYPD reported a 1,900 percent increase in Asian-American hate crimes in 2020. As an …
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Anti-Asian racism magnified during COVID-19
Conditions and Diseases
It started with diarrhea. Then fever before the patient sought care. The infiltrates were impressive. A dry cough with paroxysms that were sometimes uncontrollable. The rapid test came back negative, as did the send out PCR. The patient returned from…
It started with diarrhea. Then fever before the patient sought care. The infiltrates were impressive. A dry cough with paroxysms that were sometimes uncontrollable. The rapid test came back negative, as did the send out PCR. The patient returned from international travel two days before admission. My index of suspicion was extremely high. Yes, please keep the patient on enhanced respiratory droplet precautions because her viral load in the nasopharynx …
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A physician waits in uncertainty
Health Policy
The daily email update on COVID-19 affecting our hospital system is a glaring reflection of the health disparities amongst those in marginalized groups. The farther south you go, generally in San Diego, the higher the number of socioeconomically disadvantaged persons,…
The daily email update on COVID-19 affecting our hospital system is a glaring reflection of the health disparities amongst those in marginalized groups. The farther south you go, generally in San Diego, the higher the number of socioeconomically disadvantaged persons, and that tends to include a disproportionate number of persons of color. These populations may be unable to physically distance due to living conditions and job conditions. Perhaps there is …
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COVID-19 becomes a magnifying glass for health disparities
Conditions and Diseases
The world is paused. But is it? Just because the world is experiencing a pandemic does not mean that the rest of the world’s ailments all of a sudden go away. Their priority may fall in ranking, but they persist.…
The world is paused. But is it? Just because the world is experiencing a pandemic does not mean that the rest of the world’s ailments all of a sudden go away. Their priority may fall in ranking, but they persist. Health and disease continue.
I ate lunch and had severe abdominal pain shortly thereafter. Perhaps a bout of bad acid reflux, I thought, but the pain persisted into dinner, and when …
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Undergoing an appendectomy in a pandemic
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