I am elderly now, and as a lad, I was raised a Roman Catholic.  That often involved going to confession. I wondered if confession was still done, part of the faith.  You can see how out of touch I am.  I am here to report confession is alive and flourishing in the church.  In the city where I live, confession is now offered (probably entirely) outside the church itself.  It is ...

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"It is time to stop being spectators. We are at a critical turning point in our fight against this disease, and our actions now will determine whether we stay on the sidelines, or put an effective end to the scourge of the disease.  If we want to avoid a deadlier and costlier battle for the years to come, students, and the ...

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More than six months into the COVID-19 pandemic and with social distancing measures in full swing, virtually every facet of life in America has been affected, with medical education being no exception. Medical students have been forced to reschedule USMLE/COMLEX board exams and cancel entire rotations. Residents have been re-deployed to work in COVID-19 ICUs. And of course, the annual residency application and recruitment season have ...

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My face shield whistled with noise as it brushed against my thin yellow gown. Bright monitors surrounded me, chirping like cardinals in the summer. A slow exhale felt comfortably warm against my N-95 mask. Treading down the river of COVID-19 patients as a second-year infectious disease fellow, I knew this was exactly where I needed to be. Even beneath these protective barriers, I could look left, right, and ...

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It is hard to envision that this is an election year. With a paucity of campaign ads and the presidential nominees locked up for quite a while, I didn't even know that the Democratic convention was going on until I saw a report about it after the fact.

With election day now on the horizon, I reflect on the common mantra used almost every time an incumbent ...

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We all know by now that the COVID-19 pandemic has changed our world altogether. There is no question that stressors in our lives are more than ever before. This year's Fall will be the most dangerous of Falls. So what does it mean for the physicians? How do we keep ourselves going when all we feel is a sense of isolation and burn out? And what about childcare? Who gets ...

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The FDA plays a critical role in our nation’s response to the COVID-19 pandemic. It helps decide which medicines are safe and effective to treat the disease. It evaluates the accuracy and reliability of laboratory tests. And it will play a central role in assessing potential vaccines. But will the FDA bureaucracy move with the kind of speed necessary to deal with such a crisis? Some critics are concerned it will ...

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In 2019, the Premier Lacrosse League (PLL) entered the world’s stage, taking with it more than 100 of the greatest pro lacrosse players in the world from the Major League Lacrosse. The new league launched a tour-based model, offered higher player compensation, player equity, health insurance, and a major media rights deal with NBC Sports Group. In the months prior to the inaugural game at Gillette Stadium, I was brought on as the ...

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Seven weeks before President Trump declared COVID-19 a federal emergency heralding the economic lockdown, Jesse's customers began cutting their orders. Jesse sells garments and cotton, imported predominantly from India, to wholesalers and retailers, big and small, in malls across the North East corridor.  His business had a good January. December was like any December. But February was different.  His customers, reassuring him that it wasn't personal, were predicting ...

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1. Both masks and underwear exist to contain badness. Neither works 100 percent, but they’ll curb the worst of the spill. 2. Don’t borrow someone else’s, no matter how cool they look. 3. Keep them on around strangers, unless you’ve both been tested. 4. Cotton breathes better than polyester. 5. If they don’t fit well, you’ll be chaffing. 6. Wear them both when you visit grandma. 7. They stink at the end of the day. They ...

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According to Dr. Anthony Fauci, the nation’s top infectious disease expert, a coronavirus vaccine could be ready for distribution within months. “We feel cautiously optimistic that we will have a vaccine by the end of this year, and as we go into 2021,” he told lawmakers on July 31, adding, “the plans ...

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As the world becomes more interconnected, one of the upsides is the ability to share our journey as medical students with other medical students across the world. The International Medical School Conference on COVID-19 held by the International Medical Association of Keio University School of Medicine was attended by medical students from the United States, Japan, Brazil, China, Italy, Korea, and Thailand. Through presentations by representatives from each country and ...

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Julian (his real name) has been extremely careful for many months, working from home, foregoing seeing friends, and avoiding stores. But his new puppy Rufus requires “socialization,” so by his own admission, he is being less careful as he/the dog interact with humans and other canines. In a completely anecdotal and unscientific manner (and in definitive contrast to the methodology of my training), I have been polling friends, family members, and ...

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COVID-19 has wreaked havoc on every aspect of life. With over 5 million cases and 167 thousand deaths in the United States, COVID-19 has caused the nation to shut down. During the pandemic, social distancing and masks have been crucial in controlling the spread of virus. However, with the reopening of the states, social distancing and masks are not the only factors to consider, especially with talks about children going ...

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The last thing Jessica said to John, her fiancé of 10 years, was, “I love you” before he drove to work. Hours later, after suddenly experiencing a cardiac arrest at the office, he was in an ICU bed attached to a ventilator. He was pale and unresponsive, on multiple medications to artificially augment his blood pressure, hooked up to a machine that did the work of his kidneys, and cooled ...

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One of the most harrowing challenges of COVID-19 has been the "no visitors" policy virtually all institutions were forced to implement. In order to protect our patients, our staff, our communities, we've had to put these visitor limitations into place until the tide turns. Not too long ago, I woke to my husband lying stiffly on his back, declaring, "I think I need to go to the emergency room." He'd mentioned ...

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  "With COVID-19, we have both the unique opportunity and need to deregulate buprenorphine prescriptions. The Substance Abuse and Mental Health Services Administration (SAHMSA) recently updated guidelines for buprenorphine prescriptions. There are new provisions for telephonic initiation of buprenorphine and scripts up to 28 days for stable patients. Unfortunately, this does not circumvent the major issue: redeployed providers will not be able ...

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It started mid-March with the sensation that I had cut one of my knuckles. Within two weeks, several fingers were swollen like sausages, and my fingertips had developed painful, burning spots. Soon thereafter, my husband noted one red, swollen toe. We are both emergency physicians, but we could not understand what was causing the symptoms, and it was not until a month later that we started to see 
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"Children are being encouraged to take on the superhero persona and help protect others.  They do this in true average-person-as-the-superhero style by wearing a facemask alone, without any superhero powers or words.  Just as wearing a facemask in public has been the norm for years in many Asian countries, it may become the norm worldwide.  For this to happen, we need ...

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A tale of two pandemics: Around the time of the coronavirus outbreak, 2019 also marked a full century since the death of Sir William Osler, who revolutionized medical training. Despite some lingering debate over whether Dr. Osler’s pneumonia-related death should be counted among the 50 million lost to the 1918 influenza pandemic, his notes suggest that he believed the flu precipitated his demise. As a chaplain who teaches medical humanities and ...

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