COVID
Essential clinician commentary on COVID-19 coronavirus from the KevinMD community.
Healing from the pandemic: a journey to recovery
While it appears we are on the downhill slope of COVID-19’s integration into everyday life, burnout rates are rising, and organizational trust is taking a nose-dive. Aren’t we supposed to be in the post-disaster recovery phase? What is the bottleneck holding us back from moving toward our new horizon? On the surface, issues like operating losses, staffing shortages, and scarcity of supplies appear to be a few of the big …
The vaccination dilemma: Protecting patient rights or caregiver freedom?
Recently, I heard a news report regarding several state attorneys general suing the federal government to eliminate the requirement that health care providers be immunized against COVID. They argued that as fully immunized individuals still contract COVID, and that allowing unimmunized people to be rehired would relieve provider shortage, the regulation was unhelpful.
Initially, I agreed, as rehiring these individuals would generate some relief for those staff members who have worked …
Gratitude takes practice. How come health care workers aren’t better at it?
Like interest rates and food prices, burnout among health care providers continues to rise.
From my perch—as a hospitalist in a large tertiary hospital—the sheer terror of the early days of the COVID pandemic has been replaced by a grinding fatigue fueled by staffing shortages across the entire health care system.
Patients and their families are burned out too, frustrated by delays and shortcomings in care that inevitably arise in an overworked …
Why are doctors sued and politicians aren’t?
During the COVID pandemic health care workers needed to work tirelessly to correct the false information that politicians easily spread through the country. The President made claims that the virus was not real, that physicians were getting financial kickbacks from using COVID on death certificates, and that health care workers were benefiting from the pandemic. Physicians, nurses, and staff needed to talk to patients about COVID, and it really took …
Mostly miserables: a physician-mother’s struggle during COVID-19
It was the year 2020 — the month of March. The world shifted on its axis in ways we could not imagine. The job of a physician-mother is one of never-ending tightrope walking while juggling batons on fire and crystal figurines, all while herding cats.
You see, the physician and mother are so intertwined in our being, one cannot leave either role for the other at their respective doorway. There is …
Against all odds: How two cities tackled the COVID-19 crisis
An excerpt from On Medicine as Colonialism.
In Central Falls, Rhode Island, where I work, the COVID-19 pandemic hit hard. People who live in Central Falls, the smallest and poorest city in Rhode Island, live in densely packed houses, often eight or ten people to a two-bedroom apartment, sharing one bathroom …
The isolation of the COVID ICU: the need for patient advocates
The COVID ICU is abuzz with monitors beeping and doctors and nurses rushing from bed to bed to care for critically ill patients, most on ventilators. The machines – dialysis, vents, pumps – sound off their rhythmic repetitions; breaths are pushed in and pulled out, and meds are dripped. Only the patients themselves are silent. We know this, and we hear this, but we are not there. It’s thhe height …
Saying goodbye: the tragic impact of COVID-19 on families
“No, no, no! I’m having a nightmare!” She shrieked through the phone. I couldn’t bear to hear it as words fell clumsily out of my mouth. “Your husband couldn’t breathe on his own. We had to put him on a ventilator. I’m so sorry.”
I was apologizing already. I’m sure she knew that it wasn’t a good sign when a physician opened with an apology. “What does that mean?” she stuttered. …
Care aides in long-term care were traumatized during COVID-19
The COVID-19 pandemic wreaked havoc on long-term care in Canada. During the first two waves in 2020, over 80 percent of all Canadian COVID-19 deaths happened in long-term care homes. While vaccination and policy changes have helped to reduce the number of deaths, long-term care homes are still experiencing COVID-19 outbreaks and severe staffing shortages.
The people who provide front-line care to our most vulnerable seniors in long-term care have experienced …
When contentment falls short
Sliding toward another solstice, I feel myself yearning. I want the daylight to stay a little longer, soft like this, gentle warmth and lovely shadows, lazy breezes, the illusion of contentment.
But I am not content. Or perhaps I am, but whereas I once thought contentment was the goal, the sentiment makes me uneasy now.
“Nothing gold can stay,” Robert Frost wrote. To stay content would be to embrace the shift in …
Lessons from employer-mandated COVID leave
I saw two positive lines on the home test kit. My body felt like I had been beaten with a jackhammer and the buzzing in my head reminded me of a hangover, the likes of which I had not seen for at least 20 years. Somehow, I organized my thoughts enough to call employee health and then updated the primary care clinic where I work as a physician. Clinic …
A physician in denial after being diagnosed with COVID-19
Over the last three years, we have faced the original COVID-19, followed by Omicron, Delta, and monkeypox.
It is apropos that on the third anniversary of COVID-19, we are facing the tripledemic of COVID, influenza, and RSV.
After almost three years of not getting COVID-19, I started believing that my childhood fantasies about me being superman were true and that my immune system was superpowered with bullet-proof antibodies that would keep me …
For me, COVID has a face
I’ve moved recently, and in the process of moving, invariably, one discovers old items. This had gotten shelved in the fracas of those years, work changed overnight, changing employers, moving. However, in a discussion with a close friend today, this resurfaced as she’s grappling with patients and family who are not seeing what she’s seeing.
Summer 2020
It’s another Sunday night family dinner. Conversation centers around catching up on the latest family …
The scientific race to defeat a deadly virus
An interview with David Quamman, author of Breathless: The Scientific Race to Defeat a Deadly Virus.
Rosenberg: After the publication of your 2012 book Spillover, in which the scientists you interviewed talked about expecting the “next big one,” I was surprised more people didn’t say, “Quammen told us so.”
Quammen: Actually, in Jan 2020 [as COVID-19 hit], I immediately got calls asking me how “I knew” this was going to …
Advice from a pediatrician during the viral surge
As is the case throughout the country, central Ohio is in the midst of a viral surge with an unusually high number of ill children for this time of the year, leading to long delays in our urgent cares and emergency departments, in our primary care offices, and with over capacity inpatient units. It’s an extremely busy time for all of us and honestly makes for tiring and stressful days. …
Coronavirus and the duty to treat
For the first time since graduation from medical school, stirred by the courage of my colleagues in the ICUs and emergency rooms during the COVID pandemic, I looked back at the Hippocratic oath to reassess its charge to physicians. My wife and I, both doctors, studied and trained for a long time, and we considered the years spent and the effort put forth to be a calculated sacrifice. But amidst …
Pediatrician and pharmacist agree: Children should be vaccinated against COVID-19
With COVID-19 vaccines now widely available for children six months and older, we join pediatricians and pharmacists across the country and urge parents to vaccinate their young children against COVID-19 as soon as possible.
Schools are open and more activities are moving indoors with the cooler weather, so now is the time to ensure your child’s vaccines are up to date. Vaccinated children are much less likely to be infected than …
Exploring the critical gaps in Canada’s health workforce planning [PODCAST]
The resilience of children throughout the pandemic isn’t what you think
“Don’t forget your masks!”
This phrase has been the daily refrain in my household for my children for the past two years. Masking became as natural as wearing a coat in the winter, and going without a mask would have seemed as strange as going to school barefoot.
The new school year has just started for us; my five-year-old had her first day of kindergarten, and my seven-year-old started second …
Past Week
Past 6 Months
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Medical gaslighting: a growing challenge in today’s medical landscape
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Balancing opioid medication in chronic pain
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I want to be a doctor who can provide care for women: What states must I rule out for my medical education?
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Mourning the silent epidemic: the physician suicide crisis and suggestions for change
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Reigniting after burnout: 3 physician stories
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Misunderstandings about opioid use disorder
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Recent Posts
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5 things to know about weight from a bariatric surgeon
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Out-of-office infusions in oncology care [PODCAST]
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Past Week
Past 6 Months
-
Medical gaslighting: a growing challenge in today’s medical landscape
-
Balancing opioid medication in chronic pain
-
I want to be a doctor who can provide care for women: What states must I rule out for my medical education?
-
Mourning the silent epidemic: the physician suicide crisis and suggestions for change
-
Reigniting after burnout: 3 physician stories
-
Misunderstandings about opioid use disorder
-
Recent Posts
-
5 things to know about weight from a bariatric surgeon
-
Out-of-office infusions in oncology care [PODCAST]
-
The power of business knowledge for medical professionals
-
Using the language of art to create work-life balance
-
Levamisole is good for your dog, but bad for your cocaine
-
Physician autonomy and patient interactions in corporate health care
-
