For over a year, I have watched and witnessed the multitude of ways that COVID has ignited crisis after crisis in our country and across the world. At first, the crisis of the unknown and the ill-prepared – we as health care professionals did not know what we were dealing with, nor did we even have the resources to battle it as we watched other areas of the world helpless …
The next impending health crisis for families
I am a palliative care physician in a hospital in our nation’s capital region. Like most urban hospitals, ours has been hit particularly hard by the COVID-19 pandemic. My colleagues and I are exhausted and emotionally devastated. We are not alone. Yesterday I learned a friend of mine from medical school, a selfless and compassion-driven emergency medicine physician in Los Angeles, died by suicide. Before the pandemic, between 300 to …
A plea for help from the front lines of the COVID-19 pandemic
The term “mRNA lipid nanoparticle” has become common of late, given the use of Pfizer/BioNTech’s and Moderna’s COVID-19 vaccines make of nanoparticles to carry mRNA into cells. Once inside a cell, the mRNA instructs the cell to make pieces of the proteins that make up the SARS-CoV-2 virus, a process called “translation.” In so doing, our cells trigger an immune response, developing antibodies that will enable the immune system to …
Using nano “couriers” to deliver PKD drugs to just the right address
United States health officials have lifted the 10-day pause of the Johnson & Johnson (J&J) COVID vaccine. This pause dealt a devastating blow to the nationwide vaccination effort. The seven-day moving average of vaccinations in the U.S. peaked right before the pause, and has been trending downward. Fear of developing blood clots is adding to vaccine hesitancy. Moving forward, …
Social math is key to J&J vaccine hesitancy
You have seen those harrowing pictures. Patients dying outside the hospitals while waiting for a bed. People on oxygen masks gasping for air-sharing beds. Dead bodies piling up in morgues. Overstretched crematoriums and burial grounds. COVID-19 hit India very hard in April 2021. This is the second wave of disease in the country. They largely escaped the first wave and were confident by the end of 2020 that they had …
The COVID-19 tragedy in India: a caution to other countries
I feel privileged to have received both of my COVID-19 vaccine doses. Although, despite the COVID-19 pandemic killing over 562,000 Americans, 37% are hesitant about receiving this vaccine themselves. The World Health Organization defines vaccine hesitancy as a “delay in acceptance or refusal of vaccines despite availability of vaccine services” and in 2019, named vaccine hesitancy as one of the top 10 …
A pediatrician’s approach to vaccine hesitancy in a pandemic
“Nowadays, I go on long walks through the city alone. I make dinner for one. When I go on bike rides, it’s a solo activity. I find comfort in myself, slowing down and making every small occasion a simple, peaceful one. I have a stronger sense of self, and through that, I …
Falling in love during a pandemic: a medical scribe’s story [PODCAST]
During this pandemic, do we blame people for acquiring COVID or do we empathize?
I wonder this as I read a message from my senior, who mentions that people are suffering or in isolation due to COVID because of their own negligence.
My mind reflects back on all the dying doctors who caught the infection while treating the virus. And then, there was the ophthalmologist in Wuhan who diagnosed the virus, the …
I’m a doctor who had COVID. Did I deserve this? Does anyone?
I’ve been limiting my COVID-19 related engagement with social media because this has been a rough year. I like being a resource for my loved ones about COVID-19 stuff, but it feels never-ending.
A friend of mine asked me to weigh in on a letter sent to our local school board. It claimed that masks in school were a direct assault on human rights. This letter listed …
I may be damaging my brain this year, but it’s not from masks
On a recent call with a small health organization in rural Uganda, I asked the director about the C-section rate in the community. In some private maternity centers, this procedure is performed far more often than one might expect. I’ve learned that while this practice may be financially motivated, the extra fees also pay for staff and encourage doctors to maintain practices in these remote areas. This, in turn, keeps …
Don’t push harsh health care realities under the rug
Reading this title, you’re probably shaking your head in disbelief, disgruntlement, or more than likely a passionate mixture of the two. And for good reason: It’s no secret that seniors are extremely vulnerable to COVID-19, especially when considering that they are drastically more likely to require hospitalization and even die if they do contract the virus. Further, if you’re among those registered for a COVID-19 vaccine appointment, you’ve probably sat …
Why we should prioritize vaccinating young adults. Now.
COVID-19 is the first-ever “politicized pandemic” in human history. COVID-19 happened in an era of widespread social media which helped the general population to understand the disease better and faster. However, the public also formulated an opinion about it. The problem was that their opinions were distilled by the information they were exposed to. And a large chunk of the information available was not scrutinized or scientifically proven.
This is a …
Does your reaction to COVID reveal your political leaning?
So many of us keep looking around and thinking, what now? Meaning now that “it’s” over, what is next. Are we supposed to go back to that life from before? Is that what is happening? Isn’t that what we are seeing on social media and in the lay press. The return to normalcy. The “freedom” to get our lives back. The right to our liberties and pursuit of happiness.
But what …
We don’t have to leave medicine to heal
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Joseph B. Fraiman is an emergency medicine physician currently practicing at Thibodaux Regional Medical Center and three other regional hospitals in Louisiana. This interview, conducted by journalist Martha Rosenberg, has been edited for clarity and length.
Rosenberg: Working at ERs in Louisiana hospitals that serve bayou communities, how seriously were you affected by COVID-19?
Fraiman: When COVID-19 began, as the only physician overnight, I was pronouncing or intubating patients two or three …
Research and censorship in an uncertain time
We stood at the bedside. Our eyes met through plastic goggles and face shields. Wordlessly, we acknowledged a palpable shift. We three pediatric emergency physicians staffed our New York City ER that late fall day, caring for the third teen in a row echoing the same sentiments: I feel exhausted, hopeless, alone.
COVID-19 is wreaking havoc on the lives of children and teens in ways we are just now starting to comprehend.
Reflecting on March …
Dying of loneliness: the COVID-19 epidemic in children and adolescents
A couple of weeks ago, I received a text from my aunt that included a link to a physician-created YouTube video about the COVID vaccine. The creator has built her fame and fortune as an anti-vaccination proponent. Knowing that her videos are rubbish, I ignored the text.
A couple of days ago, I received the same text message, this time with my aunt imploring me to “PLEASE READ!” I went back …
How to stop the anti-science charlatans
I remember the time (about one year ago) when I could only provide one COVID test for patients walking into urgent care: the PCR or polymerase chain reaction.
Back then, patients had no choice other than to get a nasal swab that was uncomfortable, irritating, and tended to bring them to tears. Now, there are many different types of COVID tests available, but you should be well-informed about what each test …
How to know which COVID test is right for you
COVID-19 has changed nearly every aspect of society as we know it, and doctors in hospitals across America are at the forefront of those changes. As a pediatric infectious diseases doctor who also writes curriculum to help the next generation of doctors prepare for their medical exams, I’ve seen firsthand how this current pandemic is changing our roles with patients, shifting what families and communities expect from us, and expediting …
3 lessons I’ve learned as a doctor during the pandemic
We recently received the news that a patient had died during the night from mysterious clots related to the Oxford-AstraZeneca vaccine (OAZv). This tragic news came shortly after the U.K. revised its vaccination policy to restrict the use of the OAZv in younger adults and many countries paused the rollout of the Johnson & Johnson vaccine, concerned over its link to rare …
Fear of vaccines grows with the need for medical ethics
In the “before times,” most Americans went about their lives relatively unpreoccupied with death. In fact, one CBS News poll found only 14 percent of Americans spent “a lot of time” thinking about their own mortality.
What a difference a pandemic makes. With every masked trip to the grocery store, every passerby who coughs too close and every “doom scroll” through …
Doctors can’t cope with the anguish of COVID-19 casualties
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