COVID

Essential clinician commentary on COVID-19 coronavirus from the KevinMD community.

Balancing care during COVID

Conditions
February 22, 2022

I started this commentary when the initial COVID spike involving the mass hospitalization of unvaccinated individuals occurred, and non-COVID patients requiring hospitalization were turned away because no beds, especially in intensive care, were available.

Some patients traveled hours to find vacant beds, and a few even died! I put the draft aside as COVID declined and hospital beds became available.

Then, Omicron joined Delta, and cases climbed once again. Hospital beds refilled …

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A milligram of understanding for the vaccine-hesitant [PODCAST]

Podcast
February 21, 2022
YouTube video

“The starting point is to do our best to approach discussing COVID and vaccination with the appropriate type of empathy and understanding.

To understand that our patients don’t have access to the same level of data and research that we do, and even if they did, they might not understand …

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Are we opening everything too quickly?

Policy
February 21, 2022

In “Open Everything” published in The Atlantic on February 9th, 2022, Yascha Mounk discusses his arguments for lifting any remaining COVID-19 restrictions to “shake off the pandemic malaise.” He asserts that we are “in danger of prolonging the status quo more than is justifiable” and that “the time to end pandemic restrictions is now.” The broad strokes that Mounk makes are diametrically opposed to …

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Viral nomenclature or a sign of our times?

Conditions
February 21, 2022

As Pandora’s box of coronavirus opened in 2020, it engulfed our planet into an abysmal nightmare. As darkness fell, those of us in medicine sought refuge under a lamp called “knowledge” that sparked its flame from scientific evidence. But what if medicine and life itself were being written in real-time on a clean slate?

From the get-go, the medical world switched up its protective parental gear.

Moral responsibility got perceived as heroism. …

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A physician’s top 10 fears

Physician
February 20, 2022

I recently had a good (albeit unexpected) cry and figured out that I have been in an unremitting fear cycle for about two-plus years. When the COVID pandemic first shut things down across the United States, my family and I had just started a much-anticipated ski vacation. On the way to the resort, we heard that Vail and other Colorado resorts had just shut down. When we checked into our …

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How to fix the CDC [PODCAST]

Podcast
February 18, 2022
YouTube video

“A resurgent CDC is necessary to recapture the vitality of U.S. medical science. A scientific researcher alone cannot do this work. This will also require heavy managerial work and restructuring and charting a different course altogether. CDC will need a double-headed leader approach, one excelling in scientific expertise and …

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A message to new health care professionals

Conditions
February 17, 2022

The health care environment you are about to enter is very different from the one that existed when you entered school. The COVID pandemic has changed us all, but we, the health care providers, have taken one of the biggest hits.

We are exhausted physically, mentally, emotionally, and professionally. Even before the pandemic, we were often short-staffed and now those of us that are left are thankful for any staff, and …

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Dog poop, the social contract, and pandemic behaviors

Physician
February 13, 2022

Dogs have been part of my extended family for most of my sixty-plus years. With a dog comes poop.

It doesn’t really matter on a farm, but in the city, there is an expectation, a social contract of sorts. In the public parks and boulevards, the dog owner is expected to scoop the poop.

While some dog walkers dutifully pick up their dog’s poop, others don’t bother, and before I know it, …

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Why is the world’s first universal coronavirus vaccine not in the FDA’s toolbox?

Conditions
February 11, 2022

Success in any project is based on using the right tool for the job. No tool would be more effective in the campaign against COVID than Covaxin, which has shown its value in India and other markets during recent months. 

While mRNA vaccines were a promising option in the early stages of the pandemic, a study released by the CDC on January 19, 2022 showed that in two of the most …

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Reflections of a critical care doctor after 2 years of COVID

Physician
February 11, 2022

COVID has been with us for two years. I have written my reflection during the pandemic periodically to vent, share and disseminate information. But I have felt at a loss for words in the last few months. I am exhausted, emotionally drained and bereft.

Critical care docs are resilient. We train to serve the sickest patients. We are used to making decisions in split seconds. Lives depend on us, and we …

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The CDC’s continuing failures: Is there a way out?

Physician
February 7, 2022

Centers for Disease Control and Prevention (CDC) director Dr. Rochelle Walensky is in the eye of a storm after a controversial new guideline from CDC regarding the isolation of COVID-19 patients. The recent CDC directive suggested that everyone stay home for five days after a positive test regardless of vaccination status. If there are no symptoms or the symptoms are resolving after five days, you can leave …

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What really happens when the unvaccinated get sick with COVID

Conditions
February 6, 2022

“My body, my rights.”

“My body is a temple.”

“I don’t want poison going into my body.”

” I’ve done my research.”

And they refuse to wear masks; they refuse to social distance. They refuse COVID vaccinations and the booster. Essentially, they spit in the face of the population that trusts in science and medical research.

The disrespect and disregard for scientists, medical doctors, RNs and respiratory therapists are astonishing.

Their support groups tout ivermectin, hydroxychloroquine …

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What does it even mean to work through the unimaginable?

Physician
February 5, 2022

When the Delta variant hit Mississippi, the Morbidity and Mortality Weekly Report (MMWR) published alarming statistics for maternal and perinatal deaths. Pregnant women were dying at three times the pre-COVID baseline rate. These young, healthy women would rapidly deteriorate in a matter of days, with three weeks as the average time to death. And those were just the moms. Fetuses under 20 weeks gestation aren’t counted in the mortality rate …

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Inside the race to conquer the COVID-19 pandemic

Conditions
February 5, 2022

An excerpt from The Vaccine: Inside the Race to Conquer the COVID-19 Pandemic. Copyright © 2022 by the author and reprinted by permission of St. Martin’s Publishing Group.

For the first time in weeks, Uğur Şahin’s calendar was clear. It was a Friday morning and the two-bedroom apartment he shared with his wife, Özlem Türeci, and their teenage daughter was unusually …

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Changing the game plan: COVID’s second half

Conditions
February 1, 2022

Recently, I was on several calls concerning the precipitous rise of COVID-19 cases and the burden to the health care system. There’s no doubt that we are at a point where challenges become crisis, and crisis becomes collapse. The constant influx of “breaking news” into our psyche has blunted any ability to decipher the nuances of this escalation.

But as this is not our first go-round, most stakeholders have already exhausted …

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Here’s what it takes to do good science under pressure

Conditions
January 28, 2022

How can you know that science done quickly during a crisis is good science?

This question has taken on new relevance with the COVID-19 vaccine rollout. Researchers developed vaccines in under a year — easily breaking the previous record of four years. But that pace of development may be part of the reason about 1 in 7 unvaccinated adults in the U.S. say Read more…

We need each other, as COVID pulls us apart

Physician
January 27, 2022

As a family medicine physician, I am not sure about a whole lot as we turn into the third year of pandemic living. I can’t give you a decent prognosis of where Omicron is going to take us or how many it will take from us. I am not even sure of the public health approach at this moment where COVID seems to outsmart us repeatedly. (A reminder that this …

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Don’t look in. What you will see is uncomfortable.

Physician
January 26, 2022

Don’t look in: No, this isn’t a typo, it’s the sentiment many of my colleagues and I feel right about now. After a long stretch of shifts over New Year’s, I needed a mental break, so I logged into my trusty Netflix account and front and center was Don’t Look Up, the Leonardo DiCaprio dark satire about a comet hurtling towards earth (spoiler alert) and humanities failed efforts to take …

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