COVID

The impact of COVID-19 on human kindness

Physician

August 29, 2020

Human kindness is a trait that, though inherent within our genetic make-up, can also be a learned behavior.

The absence of human kindness is blatantly visible to others when a lack of compassion and/or empathy permeates within an interaction with another human being.

As our daily life responsibilities continue at a steady state: mundane things such as paying bills, holding down a job and successfully interacting with co-workers, our ability to respond …

How to be a transformational, supportive leader during COVID-19

Kara Arnold, PhD, MBA, Amanda Hancock, and Jennifer Dimoff, PhD, MBA

Conditions

August 28, 2020

The behavior of managers and supervisors in organizations affects the mental health of their employees. This is especially true during times of uncertainty, such as a global pandemic.

Does a leader’s health and well-being change how they lead?

Early evidence shows that when leaders are experiencing challenging conditions, they are more likely to become resource depleted and exhibit negative behaviors, such as passive leadership or abusive …

How masks are like your underwear

Rada Jones, MD

Physician

August 20, 2020

1. Both masks and underwear exist to contain badness. Neither works 100 percent, but they’ll curb the worst of the spill.
2. Don’t borrow someone else’s, no matter how cool they look.
3. Keep them on around strangers, unless you’ve both been tested.
4. Cotton breathes better than polyester.
5. If they don’t fit well, you’ll be chaffing.
6. Wear them both when you visit grandma.
7. They stink at the end of the day. They …

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How masks are like your underwear

Is upspeak really that bad for women in medicine?

Joan DelFattore, PhD

Physician

July 25, 2020

A few weeks ago, I was delighted when KevinMD accepted an opinion piece I’d submitted. But I withdrew it just before publication because, on reflection, I realized that I’d been wrong.

While sheltering in place during the COVID-19 pandemic, I’ve become an avid consumer of medical podcasts, such as those presented by JAMA and the New England Journal of Medicine. The opinion piece …

Living with extended family? Try these tips for better mental health.

Miles J. Varn, MD

Conditions

July 13, 2020

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 …

The emotional side of being a doctor during the COVID-19 pandemic

Jasminka Vukanovic-Criley, MD

Physician

July 5, 2020

It was a Thursday. It was supposed to be one of those “regular” evening shifts. Then, at 6:15 p.m., my first page went off: Bed 11, Mrs. R., Dr. H. needs to talk to you. The page came from the COVID section of the emergency department.

I immediately called back. It saddened me when I learned that our patient was a young woman health care worker in her early 50s. She …

A graduation speech to a residency class

Deborah Edberg, MD

Physician

July 4, 2020

I feet truly honored to have been asked to speak at your graduation and to have a chance to share on this day with all of you. We are experiencing a truly singular moment, and I imagine you are hoping that I might say something that would be comforting or inspiring, and I really can’t think what that could possibly be.

For the last half of your third year of residency, …

COVID-19 is a grim reminder of my roots

Josh Budhu, MD

Physician

July 4, 2020

Ever since the COVID-19 pandemic gripped New York City, I have come to dread calling home to my parents. Every conversation ultimately leads to the question: “Is everyone okay?” This is always followed by a pause as my parents consider how much to tell me. Over the past few months, I learned on an almost weekly basis of a new family member, family friend, or neighbor who was hospitalized, transferred …

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COVID-19 is a grim reminder of my roots

We should communicate like we are in a code blue

Adewale Ajumobi, MD, MBA

Physician

June 30, 2020

The alarm goes off! Code blue! Code blue! The code blue team rushes to the scene. The patient is unresponsive. There is no pulse. The leader of the code team looks at the monitor and takes charge. The patient is in ventricular fibrillation (cardiac arrest) and would very well flat-line if prompt action is not taken. The leader gives clear instructions: Start chest compression. Fred, you will handle the defibrillator. …

The superhero within during the time of COVID-19

Lauren Fine, MD and Vijay Rajput, MD

Physician

June 25, 2020

Over the past few months, my 6-year-old daughter and 3-year-old son have been confined almost entirely to our house and backyard to shelter them from the coronavirus pandemic. They know that “the virus” is dangerous and invisible. However, like superheroes facing adversity, they found their own escape from the confines of their world to their imaginary world of superheroes. During the day, my son insists on wearing a frayed and …

I am an ICU nurse. We are drowning.

Lauren Powers, RN, CCRN

Conditions

June 9, 2020

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 …

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I am an ICU nurse. We are drowning.

Health care workers in the time of COVID: reluctant superheroes?

Ankur Sharma, MD, MPH

Physician

June 7, 2020

Invisible and unassuming, the radioactive spider slowly descends from the ceiling, and before he knows it, Peter Parker’s life has changed forever. With that one bite, he is transformed from a normal man into a reluctant superhero. Only, that infamous spider is COVID-19, and Peter Parker is a health care worker during these troubled times.

It may surprise you to know that many of us in health care are uncomfortable being …

The new words from the coronavirus pandemic

Susan MacLellan-Tobert, MD

Conditions

May 28, 2020

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 …

Ventilator rationing is guided by rules that could worsen health inequities

Vishal S. Arora, MD

Conditions

May 28, 2020

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 …

5 reasons why your anesthesiologist is a medical ninja

Stephen Freiberg, MD

Physician

May 27, 2020

1. Anesthesiologists are your protector

Think about this: An anesthesiologist’s job is to protect you from the harm your surgeon is causing. Seriously. A surgeon’s job, at its very essence, is to damage your body. Now undeniably, it is with the intention of causing greater good and/or fixing something that is already broken. But in order for a surgeon to help a patient, they take a knife, saw, drill, or hammer, …

A physician wedding in the age of COVID

Toby Terwilliger, MD

Physician

May 23, 2020

April 2020 was to be a month of personal milestones. I would be traveling to Mexico with sixty closest friends and family to marry the woman of my dreams. Twelve days later, I would celebrate my thirtieth birthday. Suffice it to say, I was looking forward to April with the excited anticipation of a child on Christmas Eve.

But that was before COVID. Before all eyes were focused on the novel …

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A physician wedding in the age of COVID

Cause unknown: the burden of diagnosis

Lala Tanmoy Das

Conditions

May 22, 2020

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 …

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Cause unknown: the burden of diagnosis

Charting in uncharted territory: Scribing during COVID-19

Gazal Homayouni

Conditions

May 21, 2020

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 …

Words of encouragement to physicians and trainees during the pandemic

Candice Williams, MD

Physician

May 21, 2020

As a fellow physician colleague, I felt compelled to address what medical personnel is experiencing in the COVID-19 pandemic. Needless to say, we’ve never been here before, and I would be remiss if I didn’t acknowledge the gravity of the situation, its effects on trainees and attending physicians across the globe. While this is not a discussion about the virus, I urge you to please follow credible sources of information, …

COVID is not a great equalizer

Ritodhi Chatterjee

Policy

May 20, 2020

Some media outlets and public figures have heralded the ongoing pandemic as a great equalizer, referencing the pathogen’s indiscriminate spread and disregard for national borders and tax brackets.

The sobering mortality statistics, however, dispense any notion of an equal-opportunity crisis, revealing a familiar theme among public health challenges in America: significant racial disparities exist, and communities of color are disproportionately affected.

CDC data show that blacks account for 29% of confirmed infections …

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COVID is not a great equalizer