Moving into the pandemic’s third year, as many settle into the notorious “new normal” of COVID, the challenge now is avoiding complacency and keeping attention and vaccination rates high enough to maintain protection against the still-evolving virus.
Six months after approving a first vaccine booster, the FDA has now authorized a second booster dose for older and immunocompromised people at greater risk of serious illness. With new variants …
A small piece of lint is tickling my nose as I am desperately trying not to sneeze into the tight-fitting mask on my face. I know that I will not be able to adjust the mask as my gloves are sterile, and I am standing suspended over a patient’s body with my gloves patinaed with small drips of blood mixed with an antiseptic. The procedure is challenging as the patient …
Looking across the glass door: a COVID-19 vigil
These last two years have been extremely challenging for most health care professionals. Watching society challenge essential health and science principles that we have known to be fact has been difficult to bear. Being villainized, health care workers went from being hailed “health care heroes” to being the target of hate, violence, and disregard.
These past few years have been a year of reckoning in many ways. The COVID-19 pandemic has …
We are the voice of reason, the scientific experts, and the advocates for our patients
In the coming months, no one can predict with certainty what will happen with the war in Ukraine. But there’s one thing we do know for sure. The United States will soon reach an unthinkable milestone: One million Americans will have died of COVID-19. Over the last month, while many people were celebrating the rollback of mask mandates and other pandemic restrictions, over 1,000 Americans continued to quietly succumb to …
We’re losing the war. No, not that one.
FDA and Health Canada recently approved Paxlovid as an oral treatment option for mild-to-moderate COVID-19 who are at high risk of progression to severe COVID-19. It is a combination drug containing nirmatrelvir/ritonavir. Nirmatrelvir works by binding to SARS-CoV-2 3CL protease to ultimately stop viral replication. Ritonavir does not have any antiviral activity against COVID-19 but increases concentrations of nirmatrelvir by decreasing its metabolism by CYP3A4 enzyme. Ritonavir is …
Before taking Paxlovid, consider these drug interactions
“With government and industry working hand in hand, we can develop and stockpile monoclonal antibody therapeutics in anticipation of variants to come. We need to be thinking several moves ahead to keep ahead of variants so that stockpiles of therapies do not become obsolete as they have now. Our …
To treat future COVID variants, we need more than vaccines [PODCAST]
Since the beginning of COVID-19, we have recognized the truth of philosopher George Santayana’s oft-quoted 1905 writing — “Those who cannot remember the past are condemned to repeat it” — and looked for lessons from the 1918 Spanish flu, the deadliest pandemic of the 20th century. Much was different, yet so much the same. There was no testing, treatments, or ability to prevent the virus then beyond shutdowns, masking, distancing, …
Looking back on 2 years of uncertainty, adversity and more than a few silver linings
“You were doing it wrong.”
The patient in my pulmonary clinic for follow-up after her discharge from a hospitalization in January of this year for COVID-19 pneumonia was explaining why she would not reconsider getting vaccinated despite her recent illness.
I told her I had been seeing people die from this disease for the last two years; I wanted to prevent others from suffering from severe illness and death—like her.
“People were dying …
What’s wrong? Patients use disinformation to blame doctors.
“I thought of her with each miscarriage I saw in COVID+ mothers, and during each delivery of premature rupture of membranes due to infection. I thought of her every time I gave steroids, increased the oxygen flow for someone struggling to breathe, or held the hand of someone before their …
COVID and obstetrics: a physician shares her story [PODCAST]
The world is constantly trying to keep up with the latest COVID-19 variant – from Alpha to Omicron and now Omicron’s cousin BA.2, we have seen how contagious and virulent these variants can be. Viruses are wily adversaries, and they mutate both to avoid detection and to defeat the body’s immune responses from vaccines and previous infections.
Even if vaccines continue to be effective at preventing severe illness and death from …
To treat future COVID variants, we need more than vaccines
An interview with Rich DiPentima, MPH, former chief of communicable disease epidemiology at the New Hampshire Division of Public Health.
Rosenberg: As the former chief of communicable disease epidemiology at the New Hampshire Division of Public Health and deputy public health director in Manchester, NH, you wrote an op-ed a few months ago that compared COVID-19 with previous pandemics. Can you elaborate?
Dipentima: With smallpox, the only reservoir was …
An epidemiologist talks about the “next” COVID-19 pandemic
The COVID-19 pandemic has been raging in the United States for over two years. Health care workers across the country have been chronically pushed to their limits as we navigate difficult situations on a daily basis. The advent of the COVID-19 vaccine, although a powerful tool in our crusade against the pandemic, has created a new branch of emotions for health care workers towards unvaccinated patients or those with vaccine …
How to cope with pandemic fatigue
Before COVID-19, meal planning and grocery shopping were the most time-consuming tasks of my life as a physician and mother of three young children. Now, meal planning is an indulgence compared to “COVID contingency planning” — the taxing brainwork of imagining multiple possible scenarios and following them through to the end with every iteration and its possible consequence accounted for. Add to this the need to insert updated but easy-to-misinterpret …
Am I a doctor or a contingency plan?
“The Tuskegee Syphilis Study is widely acknowledged as a violation of ethics today, but the social conditions of the time allowed the grave injustices to happen in plain sight. In the 1930s, social Darwinism emerged as justification for racist practices. The perceived inevitability of African Americans’ natural “extinction” was …
A nuanced look at the Tuskegee syphilis study [PODCAST]
One year ago, the FDA granted emergency use authorization of mRNA COVID-19 vaccines in the U.S., and nearly 549 million total vaccine doses have been given since. These vaccines have been safe, effective methods in preventing infection and death from COVID-19.
Vaccine recipients had a lower overall risk of death from non-COVID-19 disease compared to unvaccinated counterparts.
Among available vaccines, …
People over profit: Pfizer and Moderna must share vaccine technology
The COVID-19 pandemic helped bring out people’s true colors. After two years of the unrelenting pressures of the pandemic, people’s true colors came out, and I will be frank about this truth. As physicians, we often put our patient’s comfort before ours, but at what point does one have to stop and reflect on this. As physicians, we are often put on a pedestal and have unrealistic expectations. We want …
Society has unrealistic expectations of physicians
Health care is now at a crossroads.
We’ve been hearing that phrase more often recently, but what does that mean? Being at a crossroads signifies that now is the time to make a decision that will affect the future in substantial and irrevocable ways.
Why is health care at a crossroads now? Americans are getting sicker as every year passes: “A 2007 study reported that seven chronic diseases have a total impact on …
Individualism vs. the common good: It is time for the pendulum to swing back
It starts with an invocation. A prayer. A plea for redemption. This is how the Sabbath Town Halls, Sufi Naqshbandi, and Bahá’í community gatherings begin and end.
Around the world, communities of faith are much more than a sanctuary. They provide a space for healing and hope. As religious exemptions, hesitation, and resistance for vaccinations and public health policies have taken on a new fervor, the critical role of faith-based institutions in supporting …
How faith-based dialogue can support vaccine acceptance
On December 14th, 2021, hospital CEOs met under the guise of The Transformative CEO Healthcare Summit to brainstorm novel ideas in health care and to create “a new world ecosystem.” Themes included how to utilize medical data, how technology can transform health care and expanding at-home delivery systems of care.
Leaders in health care met just weeks before hospital admissions skyrocketed to an all-time high of Read more…
Are hospital CEOs responding to the realities of health care?
I am so tired. Not in the usual “hard day at work,” but in a “deep-in-my-soul” tired. I am exhausted.
I am heading into my third year as system medical director, where I lead a system-wide palliative medicine program in rural health.
As in many rural systems, we have issues with broad geographic spread coupled with lower population density and limited resources.
But for those of us working in rural health, there is …
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