Last night, a cable news host raised an anguished alarm about the crisis of the pandemic in America’s nursing homes.   It resonated.  As a physician, I have worked in those places across the U.S.  From the pastoral rural to the gritty inner city.  Faces of people and scenes inside those walls flashed before my eyes. Caregivers. They are the ones who ride the buses and subways or drive their decades-old vehicles ...

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On a Sunday, it started with a text to an old residency buddy. It started with a text to an old colleague. It started with a text to a current work friend. How are you? Thinking about you. How are you handling this volatile time? Are you ready to jump in where needed? Then came the responses. Quickly. Maybe quickly because we were all stuck at home. It was a ...

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With clinician burnout, depression, resilience and joy in practice so prominent in the primary care literature lately, I have been reflecting on my own career, and the times I experienced the most joy professionally. Looking back, I think it was the years I worked with Chris (not her real name). Chris, a home health nurse, was at first simply a bubbly voice on the other end of the phone. She had ...

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