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.
It started as the “Chinese virus.” Then the “kung flu.” Then came the boycotts of Chinatowns, the rise in harassment, assaults, and murders. The recognition of hate and discrimination against Asian Americans was long overdue. However, anti-Asian racism doesn’t just manifest in hate speech or violence; it has undermined the U.S. COVID-19 policy response.
In 2020, American media narratives frequently painted Asian nations’ success in controlling COVID-19 as the result of …
It’s a standard instruction during safety demonstrations on airplanes: “In the event of a sudden loss in cabin pressure, an oxygen mask will drop down in front of you. Put your mask on before helping others.”
But why is that? Wouldn’t it make more sense to help those who are most vulnerable?
The answer has to do with the way our bodies react to a lack of oxygen.
I was at my gym last night. Billy Joel’s ballad about trust was the metronome to my squats. Though vaccinated and boosted, I was wearing my mask. I know the latest evidence about vaccines and natural immunity, the dramatic transmissibility but mild virulence of the latest Omicron variant.
So my mask was only for optics. Someone might recognize me as a doctor in the local hospital where masking is still mandated. …
In the early days of the COVID-19 pandemic, governments and communities had to take rapid and decisive action to protect their citizens against this novel virus. While it was yet unclear how dangerous the COVID-19 infection may be to children, their teachers, and their families, governments quickly shut down schools and activities to slow the spread among the population at large.
Before the pandemic, childhood obesity was already a crisis with …
Tuesday night, March 29 into March 30, I started to feel that sensation I associate with the start of a cold. It was a feeling in the back of my throat that’s almost hard to describe. I haven’t had that sensation in years. Because I have been wearing an N95 mask every time I come into contact with people outside of my inner circle, I hadn’t had any sort of …
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 …
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 …
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 …
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 …
“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 …
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, …
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.
“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 …
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 …
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 …
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 …
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 …
“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 …
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.
