An excerpt from It’s All In The Delivery: Improving Healthcare Starting With A Single Conversation. On that night when the desperate call came to pick up the critically ill baby with MAS, I felt very fortunate that Dr. Cunningham was my supervisor. When I arrived at the hospital ...

Read more...

“Chinese virus.” The term shocked me the first time I heard it, and since then, racial slurs and hate crimes against Asian Americans have broken out across the country. Dr. Clara Lee, a pediatrician in New Jersey, recalls, “At the grocery store, I got strange, accusatory looks; for wearing a mask or for being Asian?” Says Dr. Richard Chung, a pediatrician ...

Read more...

The recent pandemic has confined people all over the world to the indoors to try to keep the virus from spreading. Older adults have been the most commonly affected age group with the virus, but more recently, a strange presentation of COVID-19 has been seen in children. New York City first reported 15 similar cases that occurred between April 16 and May 4 for the first time in the United States. ...

Read more...

Recently, I was part of a virtual panel discussing ways to help kids and teens manage their digital technology use. The audience, parents from around the world, felt blind-sided about how all of this extra time at home has led to significant increases in screen use for most people. On top of everything else, this pandemic has dumped on our personal and professional lives as physicians, many of us are also ...

Read more...

I am a graduating fourth-year medical student and new internal medicine resident — one of many newly minted physicians that will be thrown into the frontline to take care of COVID-19 patients in a little over a month. It's a strange time to be graduating – we have spent years training to get to this point, yet celebrating is the last thing on our minds as we gear up for ...

Read more...

When the COVID-19 pandemic hit, it revealed a troubling paradox in Vermont's healthscape. Monopoly-creating laws and regulations (like the Affordable Care Act and the Certificate of Need program) have artificially reduced the state’s health facilities and resources. Vermonters must contend with fewer hospitals and ambulatory surgical centers, and reduced access to medical imaging technology. On the one hand, ...

Read more...

"I used to only have to deal with him touching me after school — now it's all the time." "She's doing drugs more because she lost her job last week; she started hitting me again." As a pediatrician-in-training, I've been concerned about my patients' safety with schools closed, jobs lost, and family stress at all-time highs. As a Crisis Counselor, receiving these messages on recent shifts confirmed my fears that ...

Read more...

Abraham Verghese’s must-read book, Cutting for Stone, addresses powerfully the human side of medicine. It is a poignant reminder of the sacredness within medicine created by the unique bond that is the doctor-patient relationship. We are allowed into that most intimate space, the life of a person at their most vulnerable and frightened time. In the book, a prominent surgeon reads a letter to the house staff from a grieving mother. ...

Read more...

Anguish festers, not having being caring doing enough Not enough to salve the suffering, Like a medic behind the front lines, Arbitrary lines, enemy lines too - Synesthete to unseen struggles, Bearing witness to uncertainty. Loss. Sheltered and “safe,” guilt echoes with every knock. Overwhelmed, retreating, But oh please, not too far. Beyond walls, masks, lines, There is sacred work to do. I wrote this 55-word story in solidarity with my medical students and colleagues ...

Read more...

On April 29th Anthony Fauci announced the National Institute of Allergy and Infectious Diseases, an institute he runs, had completed a study of the antiviral remdesivir for COVID-19. The drug reduced time to recovery from 15 to 11 days, he said, a breakthrough proving "a drug can block this virus." Now people are clamoring for $1,000-a-pill remdesivir. While the results were preliminary, unpublished, and unconfirmed by ...

Read more...

I pull my car into the garage and exhale wearily.  I’ve just finished rounds at the hospital, including PUIs for COVID-19.  I’m lucky.  I get a new N95 every day, but still, I’ve seen the steady reports of diligent physicians getting infected, so I know I must be careful.  I strip off my scrubs in the garage and put them straight into the washer. I go straight to the shower, ...

Read more...

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 ...

Read more...

As I sit through another meeting discussing our facility’s preparedness for COVID-19, my mind circles back to my infant at home. Husband and I are both frontline physicians, fully aware we may need to take on more shifts and responsibilities. Do I have a COVID-19 preparedness plan for my family? What will I do if our baby’s caretaker doesn’t want to expose herself to our ‘high-risk’ home? Why isn’t anyone ...

Read more...

Many radiologists choose the specialty because they don’t like interacting with sick people. As a highly sensitive person, I went into radiology to distance myself from patient suffering, as a means of self-protection. Radiology has allowed me to compartmentalize, sort of. It allowed me to have three healthy babies: one in residency, one at the end of fellowship, and one two years into private practice. I went back to work after ...

Read more...

In the 1800s, smallpox ravaged the world.  Fortunately, a vaccine had been developed that could protect individuals.  This vaccine left a scar at the site of injection and identified the individuals as “immune.”

As we look towards the future of the COVID-19 pandemic, unless the virus burns out or an effective therapeutic intervention becomes available, the only way out of our current situation will be immunity – ...

Read more...

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 ...

Read more...

Many years ago, I was given a literary award from the Mary Roberts Rinehart Foundation.  It was for $175 and was an encouragement to finish an American Indian novel I was then writing. "Not enough to quit your job," I remember was a line from the letter I received from the foundation's rep, Barbara. And from thereafter, Barbara and I kept in touch for many years.   Mostly we wrote letters, and ...

Read more...

It’s simple: we need more physicians in media and politics. COVID-19 has proven to be a crash course in the practical application of microbiological, pathophysiological, clinical, statistical, and ethical principles. As a newly graduated MD preparing to enter residency, I spend my mornings filtering through recent journal correspondence, case reports, observational studies, and randomized control trials in order to form and refine a professional opinion on this dynamic and challenging ...

Read more...

A call to arms The thought never crossed my mind that as an ophthalmology resident, I would play a direct role in treating patients with this novel virus. The rapidity with which the virus had spread would become a poignant reminder of the lethality of pandemics. In a few short weeks of the first COVID patient arriving in NYC, increasing social distancing measures were taken as the city’s hospitals became overwhelmed. ...

Read more...

COVID-19 is taking a toll on my mental well-being in a way I had not expected. I have a rather high distress tolerance. I am a pediatric emergency psychiatrist. Now I am a wounded healer battling anxiety and fears from the constant unknown taking place inside my body. In early March, before New York State went on pause, I woke up to an intense headache, followed by malaise, chills, throat soreness, ...

Read more...

1676 Pages

Most Popular

✓ Join 150,000+ subscribers
✓ Get KevinMD's most popular stories