Finally, 2020 has offered some encouraging news, with Pfizer and Moderna publishing recent results that provide initial evidence of their vaccine’s ability to prevent COVID-19. With the recent promising results from both vaccine trials, it seems like only a matter of time before the FDA approves them. While some hurdles remain before the vaccine's distribution and availability to the general public, this news is a welcomed relief for many. However, ...

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As of November 2020, there are about 11.5 million confirmed cases of COVID-19 and 2,50,000 deaths from COVID-19 disease in the USA. Conspiracy theories thrive in times of great uncertainty, and the COVID-19 pandemic has proven to be a petri dish for them. Misinformation regarding the usage of masks, vaccine safety, and other pseudoscientific theories are thriving on the internet. Many doctors, nurses, and other health care ...

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Math was never my favorite subject. However, I was lucky to have good teachers who took the time to help me navigate through high school math and graduate with a final A grade. As I struggled with numbers and equations, calculus and fractions, I was told by one particular teacher to remember the five Ps of math: pen, pencil, paper, patience, and practice. As of writing this, more than 11 million ...

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With the surge of information surrounding COVID-19 released in the news this year, an interesting concern arose regarding ibuprofen's use in patients with COVID-19. In March of 2020, French authorities were the first to investigate anecdotal reports of severe COVID-19 infection in patients who had taken ibuprofen. The initial concern involved the ACE-2 receptor. The theoretical concern was that NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen might ...

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“Physician burnout” and “physician wellness” are now ubiquitous terms in the health care profession. For example, the ACGME’s common program requirements for residency now have an entire section dedicated to “well-being.” In addition to the numerous avenues currently available for physicians to improve their own wellness, I would also like to propose psychoanalysis as an option to consider by sharing my own journey as an analysand (person undergoing psychoanalysis) with ...

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Like most situations that physicians encounter in their work, end-of-life conversations are not easy and require preparation and training. Yet these patient discussions are among the most satisfying I’ve experienced in my career because they’ve made me feel that I’ve made a true difference, offering comfort and a certain level of control to patients and families who are enduring difficult decisions. Throughout my years as a practicing internist, I’ve had dozens ...

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I received so many messages from my last post, and I figured it would be useful to perhaps answer some of them for all to see.

Is it safe to see family over Thanksgiving?

Yes. If you live with them. That’s it. The only potentially safe alternative is requiring guests to self-quarantine at home for two weeks prior. Unfortunately, it’s already less ...

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“As you know, his condition has been worsening dramatically over the past week. He is unable to breathe without the non-rebreather since last night. Today may be a good time for a goodbye visit.” I told the family of my COVID-19 positive patient who was DNR/DNI (Do not resuscitate/do not intubate). In my second year of residency in obstetrics and gynecology, I thought that the days of caring for a male ...

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February 24, 1991, and I wait. I wait on the edge of my cot under the pitched canopy of my far-away canvas home; its sides pulsating from the ever-present wind; sand somehow traversing the walls, everything inside airbrushed a pastel tan; outside the surrounding Saudi Arabian desert limitless in all directions. The winds of war have been blowing, and the time has come. There are 10 of us ...

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As cases of COVID-19 sore around the nation, the days of New York as the epicenter of the pandemic have become a distant memory for this emergency room doctor. Did the government really once send us refrigerated trucks for our dead and a naval ship for our sick? Did we really sit masked, goggled, and wrapped in plastic while sweating out shift after shift surrounded by coughing, gasping coronavirus infected ...

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