It started with diarrhea.  Then fever before the patient sought care.  The infiltrates were impressive.  A dry cough with paroxysms that were sometimes uncontrollable.   The rapid test came back negative, as did the send out PCR.  The patient returned from international travel two days before admission.  My index of suspicion was extremely high.  Yes, please keep the patient on enhanced respiratory droplet precautions because her viral load in the nasopharynx ...

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The daily email update on COVID-19 affecting our hospital system is a glaring reflection of the health disparities amongst those in marginalized groups. The farther south you go, generally in San Diego, the higher the number of socioeconomically disadvantaged persons, and that tends to include a disproportionate number of persons of color.  These populations may be unable to physically distance due to living conditions and job conditions.  Perhaps there is ...

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The world is paused. But is it? Just because the world is experiencing a pandemic does not mean that the rest of the world’s ailments all of a sudden go away.  Their priority may fall in ranking, but they persist. Health and disease continue. I ate lunch and had severe abdominal pain shortly thereafter.  Perhaps a bout of bad acid reflux, I thought, but the pain persisted into dinner, and when ...

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