Physicians, nurses, residents, and students writing on KevinMD during and after the COVID-19 pandemic, most of it in real time between March 2020 and 2022: the first weeks and the shortages, the surge, redeployment, schools and masks, the vaccine's arrival and the people who refused it, and what the years did to the people who worked through them. This archive is a primary record of what clinicians wrote as it happened, and more of it was written anonymously than any other subject on the site. For that record organized as a timeline, with the disagreements recorded as physicians made them, see COVID-19: what physicians wrote as it happened. For what physicians said about burnout in those years and since, see Physician burnout: what physicians say, in their own words.
I need to start this blog by saying that these times do try us. I completely understand this as I continue to care for others in what is rapidly becoming the most tenacious public health disaster of my nearly 40 years in nursing.
Last week, as I searched the aisles of the local grocery store looking for tasty, nutritious items to pack for lunches, I happened across a man wearing a …
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Use a little compassion: How we treat and support each other is important
I am definitely getting my daughter vaccinated, and I acknowledge a minimal risk. Here is my reasoning, and perhaps this can help your family decide to get the vaccine for the kids in your family, too.
Coronavirus is going to be with us for a long time — years, decades, probably for the rest of our lives like influenza. It is even widespread in deer now, another reservoir …
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Why you should vaccinate your kids
Go to the store, support small businesses … But my children are not vaccinated.
Go out to eat; buy local … But my children are not vaccinated.
Go back to work; go travel… But my children are not vaccinated.
Come celebrate, please enjoy … But my children are not vaccinated.
Kids need people; they need play … But my children are not vaccinated.
Kids need sports and activities … But my children are not vaccinated.
Kids …
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But my children are not vaccinated
I’m a doctor passionate about public health and public policy born and raised in Wisconsin and educated at the Medical College of Wisconsin (the same institute that bestowed Mr. Rodgers an honorary degree in 2018). I’m also a Packers shareholder, as is my father, a practicing physician in the state. I cheered you on for your 2011 Super Bowl win from my college dorm freshman year and even had an …
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To Aaron Rodgers, from a physician and Packers fan
Lurking in the shadows, it creeps in.
Spreading itself across the world.
Creeping into all recesses of human civilization,
like a slug oozing slime as it moves slowly and surely.
A microscopic, spikey ball of evil engineered for killing.
Attacking its prey without warning.
Attaching itself, drawing lifeblood for its existence.
A parasite of sorts, devoid of a conscience.
It matters not if victims are young, old, healthy, infirmed, rich, poor.
Existence is at risk and all are fair …
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Is misinformation deadlier than the virus?
In this small town I live in, a funeral procession is a big deal. The hearse is followed by several black cars turning into an array of family and friends cars. All of them roll slowly and sadly to the final destination.
I knew all about this funeral.
A bright, college-educated woman. Six months pregnant. She had immense faith in God. God granted immunity from COVID. God would protect her from COVID. …
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A pregnant mother dies of COVID
The day that my 82-year-old mother was scheduled to receive her first COVID vaccine, she was admitted to the intensive care unit, critically ill with COVID pneumonia.
It was late January. My siblings and I hadn’t heard from our mother in a few days, and we were worried because she lived alone. Joanie was a democrat and a CNN junkie, who was sure to be watching as the Trumps helicoptered from …
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COVID ravaged my mother’s body
At the very start of the pandemic last year, I met with a couple of patients in the office while we wore masks. Based on that limited experience, I quickly concluded that seeing each other’s faces was of paramount importance, even if over video. That, plus the infection risk, led me to close my office to in-person appointments. For more than a year, I exclusively conducted …
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Which is better: Psychotherapy using video or in-person while wearing masks?
We have been walking down a long hallway for many, many months. We left the room we resided in pre-COVID, but we have not yet found a room to rest. We are in the liminal space of COVID. This is unsettling and unnerving — liminal space often is.
Liminal space in architecture is the area between discrete, functional spaces, a way of passage, but not the place where beds are placed, …
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Crossing the liminal space of the pandemic
In March 1630, John Winthrop delivered the treatise “A Model of Christian Charity” at Holyrood Church in Southampton, England, prior to leading the first settlers of the Massachusetts Bay colony on their to journey to the New World. In his address, he referred to the new community they would found as a city upon a hill with the eyes of all people upon them. This reference to a portion of …
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The dimming of the shining city
“They are firing me for not getting the COVID vaccine. I can make more money working at Michael’s than I do at this job. I was only doing this because I like to help people. But this is it for me. I’m quitting. I’ll miss the patients, but I cannot be forced into doing something that I don’t believe in.”
The patient care tech said to me after putting my patient …
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Does pro-vaccine always have to be pro-mandate?
“Do you get compassion fatigue when you take care of smokers or patients with obesity or diabetes?”
This was in reply to an article on compassion fatigue I had posted on my Facebook page. The article was written by an exhausted physician caring for unvaccinated COVID-19 patients. My initial reaction was, “Of course not. That’s my job!” But it made me think, why was it that caring for unvaccinated patients seemed …
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Compassion fatigue and the unvaccinated
This morning, while scrolling through social media, I encountered a resounding theme. Multiple physicians posting about being challenged, disrespected, and made to feel worthless by the very people they were trying to help: their patients. Being brought to tears by the disrespect of the patient’s family members. Physician expertise blatantly questioned. Advice ignored.
Patients telling doctors – to their faces – that they “don’t like their tone” and then telling nurses …
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Honor your oath. Set boundaries. Demand respect.
With the recent onset of the Delta variant rendering havoc on an already strained economy and weary population post- the rabid COVID-19 surge, there is much debate on effective policies that negate the harmful outcomes of viral acquisition. The B.1.617.2 Delta variant originated in India and is among the most easily transmissible form of the novel SAR-CoV-2 pathogen, apart from the Alpha-Britain isolated, Beta-South Africa isolated, and Gamma-Brazil isolated forms. …
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Looking at the studies behind masks
According to the WHO, 10 to 20 percent of COVID-19 patients experience lingering symptoms for several months following infection. What we know as long COVID is now termed post-COVID condition as of October 6. Post COVID-19 condition occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually three months from the onset of COVID-19, with symptoms that last for at least two months and cannot be …
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A COVID long-hauler shares her story
Sometimes I really look forward to something new. An alien race arriving on earth would be a nice start. I think we could all use a change in the news cycle. Because I am very tired of thinking about, talking about, and especially treating COVID-19.
In all of my years of medical practice, I have never seen anything that taxed the system and caused so much mayhem, while simultaneously producing such …
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Trapped in a cauldron of suffering, medical staff are weary
According to the Smithsonian Magazine, diamonds are formed deep within the earth, about one hundred miles down in the upper mantle. As you might imagine, it is quite hot in that part of the planet, and there is a tremendous amount of pressure bearing down in that location. The brutal combination of pressure and heat is what it takes to form diamond crystals.
Now, we can’t actually travel there or even …
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Clinicians are diamonds in the rough
When medical historians write about the coronavirus pandemic, they’ll likely focus on the slow U.S. response and failures of leadership that led to a tragically high death toll. But that will be only part of the story.
From the wreckage and devastation will emerge something few contemporary observers would expect: a brighter future for American health care.
Five technologies, all previously underappreciated and underutilized, will help …
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5 technologies that will transform medicine post-COVID
Guess what, everyone, I am a health care hero. I have been applauded by strangers. The Blue Angels flew over the hospital once in the pitch of COVID to salute us. I once sifted through a giant box of free chapsticks delivered to the hospital basement and grabbed one for my colleagues.
First of all, let me clarify: There is no such thing as a “hero.” It’s a social construct laypeople …
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Being a health care hero means we get free ChapStick
