Infectious Disease

Why psychological explanations for long COVID are dangerous

Conditions
September 16, 2022

Patients with myalgic encephalomyelitis (ME) and their allies will rally in DC, London, and Edinburgh this September to “demand bold, urgent governmental action” for the millions of people living with ME, long COVID, and other infection-associated, chronic diseases.

As researchers continue to find many similarities between ME and long COVID, the history of ME offers crucial lessons for approaching long COVID and some pathways toward more effective …

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The impact of a single COVID infection

Conditions
September 12, 2022

This piece started out focusing on the impact of colds on our lives, particularly if COVID is now “just a cold.”

But now it’s personal.

My husband and I escaped COVID until now by being very careful until we got vaccinated. Once vaccinated, we focused on living our lives safely – no eating at indoor restaurants (there are plenty of outdoor venues to choose from), masking indoors and testing when gathering with …

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Monkeypox: Should the hospitality and transportation industries worry?

Conditions
September 1, 2022

The monkeypox outbreak continues to accelerate worldwide; by some counts, the U.S. now harbors the most significant number of currently known cases. Pathways for the initial spread beyond endemic areas for this current worldwide outbreak are thus far unclear but may be at least in part related to international infected passenger travel. Now, with elevating case counts, there remains an increased risk of infected persons spreading disease …

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Monkeypox and the prolonged COVID pandemic could seal the fate of the health care system

Physician
August 8, 2022

I understand it’s been over two years since the World Health Organization announced the coronavirus pandemic, and we are tired.

I speak for the thousands of health care workers and frontline workers: We are exhausted, we feel taken for granted, and for many of us, we are leaving the industry. In some cases, we went from health care heroes being villanized as if we somehow benefited from the pandemic. So many …

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Teen dies when blood culture protocol botched: What can we learn from this tragedy?

Conditions
July 25, 2022

It’s 4 a.m. when a 17-year-old awakens at home with severe left shoulder pain that his worried parents call 911. By the time he reaches the emergency room (ER), he has pain all the way to his wrist.

“Any recent injuries?” asks the doctor.

“Yeah, about three days ago, I was lifting about 200 pounds at the gym and noticed that my shoulder was really sore.”

When questioned further, he admits that he’d …

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Monkeypox: Have we learned anything?

Conditions
July 10, 2022

Perhaps I am being pessimistic, with a “glass half full attitude,” but please hear me out. I am optimistic, but I am also realistic, and I pay attention to trends and behaviors in people. When monkeypox was first mentioned in the Canadian media, it was seen as low risk for spread. I laughed and groaned simultaneously. I remember those exact words when public health officials first acknowledged COVID. The concerns …

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Get ready for a COVID culture shock

Physician
June 27, 2022

A friend called me for medical advice two weeks ago. He’s single, in his 30s and generally healthy, but he’d developed a dry cough with mild congestion. After a self-administered COVID-19 test turned up negative results, he remained suspicious he could be infected.

He was set to fly west in a couple of days for a conference and dreaded the thought of infecting other passengers. I recommended a PCR test if …

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Chronicles of my COVID isolation 

Physician
June 18, 2022

Day 1. I spent Thursday, my day off, golfing. Friday, I was scheduled to see patients and do surgery on the non-English-speaking mother of a patient I delivered a long time ago (who I didn’t really remember). She remembered me, though, and brought her mother from an hour away to see me. But as I coughed and felt slightly feverish, I realized that I had not felt well …

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3 decades in medicine: new name(s), same me

Physician
June 12, 2022

Many women change their last names after marriage, after a divorce, or just because. During my 30-year career in medicine, I have had three last names. Yes, not a typo, three!

I got married for the first time during my internal medicine residency. I didn’t change my name and was “Mrs. Married Name” to friends and family and “Dr. Maiden Name” at work. I grew as a physician, conducted research, and …

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Distrust in science is a cancer to public safety

Conditions
June 7, 2022

When a congressional candidate was recently cheered on after demanding the execution of Dr. Anthony S. Fauci, it was another reminder that civil discourse and trust in science are continuing to dwindle.

A controversial household name in the sciences, Dr. Fauci was the first scientist to make the cover of Time Magazine in its 100-year history. Well-established scientists can easily recognize Fauci’s important contributions to …

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What you need to know about monkeypox

Conditions
June 4, 2022

Recently, several European countries have reported outbreaks of monkeypox following the first case (index case) reported in the United Kingdom on May 7, 2022, linked to a traveler from Nigeria. Monkeypox belongs to a family of other pox-like viruses and is a rare viral disease characterized by flu-like symptoms and a blistering rash that typically begins on the face and spreads to other areas of the body. …

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Doctors as organizational stewards

Physician
May 31, 2022

COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that devastates our population with few good treatments overwhelms health care.

Medical workers come to the rescue, as we always do, though at a personal and communal price. Somebody else keeps our food available, allows our …

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Combating antimicrobial resistance during COVID: What clinicians need to know

Conditions
May 28, 2022

While the world has spent the last two years laser-focused on the COVID pandemic, another public health threat is still lurking in the shadows: the rise of antibiotic-resistant bacteria. Antimicrobial resistance (AMR) has been recognized since the early 1900s, yet rigorous research over the past decade has illuminated the magnitude of the threat and its implications for future infection control. More than 35 thousand patients die from antibacterial resistance every …

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Reflecting on my experience as a teenage health care worker during the COVID-19 pandemic

Education
May 24, 2022

During the midst of the COVID-19 pandemic (April 2021), I became a high-school pharmacy technician. My senior year of high school ended in gray scrubs, gloves, and a mask. While I knew I was signing up for long hours of selling medication and administering COVID tests, I was not prepared for what else I would learn.

On my first day on the job, a couple approached me and asked …

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Naming the anti-Asian racism of U.S. COVID-19 policy

Conditions
May 14, 2022

It started as the “Chinese virus.” Then the “kung flu.” Then came the boycotts of Chinatowns, the rise in harassment, assaults, and murders. The recognition of hate and discrimination against Asian Americans was long overdue. However, anti-Asian racism doesn’t just manifest in hate speech or violence; it has undermined the U.S. COVID-19 policy response.

In 2020, American media narratives frequently painted Asian nations’ success in controlling COVID-19 as the result of …

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The connection between oral health and overall health

Conditions
May 7, 2022

Guess what? The mouth is attached to the rest of the body. And though dentistry and medicine are typically separated from the very beginning of professional training, they are irrevocably linked for patients and have an impact on each other. Here’s some foundational knowledge that will help set the stage for discussing the connection between overall health and oral health: Our mouths are teeming with bacteria – mostly the good, …

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What does living with COVID really mean?

Conditions
May 7, 2022

It’s a standard instruction during safety demonstrations on airplanes: “In the event of a sudden loss in cabin pressure, an oxygen mask will drop down in front of you. Put your mask on before helping others.”

But why is that? Wouldn’t it make more sense to help those who are most vulnerable?

The answer has to do with the way our bodies react to a lack of oxygen.

When cabin pressure drops, the …

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