Category: Conditions

The vaccines brought a feeling of hope, but the distribution reality is quickly shattering that

I am angry and frustrated, and these feelings mixed with exasperation have led me to write this. In the U.S., we failed to contain the virus like New Zealand; we failed to mitigate it like Singapore; we failed to test for it like South Korea. We maybe …

Another stab in the back for primary care during pandemic

I am on the primary care front lines in this pandemic.  I help to do COVID testing for our community of patients 5 days a week.  I don and sweat in my PPE during these appointments and during preventative and sick visit appointments.  And up til now, t…

Correctional facilities are not prioritized for COVID vaccines

Given the COVID-19 pandemic’s ongoing course, it is important to prioritize offering our still limited vaccine supply to individuals with the highest risk of exposure to, and negative outcomes from infection with the virus. While each state is al…

#ThisIsOurShot to end the pandemic

If 2020 was the year of the coronavirus pandemic, 2021 has got to be the year of vaccinations. The miracle of modern science, generous funding, and expedited research have led to us having at least three available vaccines to fight against the COVID-19…

The blunt truth on why stopping COVID is impossible

COVID-19 has turned the world on its head. A major problem we have faced since the beginning is that it had already been spreading like wildfire for a few months since the end of 2019 — before most of the world realized that it was time to take action …

Is there hope for COVID with home visits?

Health care has been hanging by a thread for some time — in our community and across the nation. The COVID-19 pandemic exposed weaknesses inherent in an underfunded public health system, a monopolized hospital, and a fractured medical supply chain. At …

Can we do better when delivering bad news in trauma?

On a recent trauma call, we had a busy night, culminating in a horrific motorcycle trauma that came in early in the morning. The patient had devastating injuries and ended up dying. The detectives finally tracked down the patient’s family. I cleaned my…

The COVID-19 vaccine won’t solve major substance use disorder treatment gaps

As if COVID-19 weren’t bad enough during the pandemic, another public health crisis – substance use disorder (SUD) – has gone from bad to worse, while access to behavioral health services is shrinking. As of September, more than half (52%) of community…

Alone in the hospital in the midst of a global pandemic

I have never felt so alone. I was lying in bed with severe abdominal pain. Pain I never had before. Well, at least not for a reason. As I lay there, I kept thinking, what if I die while I wait until morning. It was the middle of the night. I had not fe…

Genital shrinkage is real. And so is the distress it causes.

“How can I help you, sir?” I asked because it was clear he wanted help. I could sense the man’s distress over the phone. His voice cracked just a little, and he cleared his throat frequently. I hadn’t met him, and so had no image of him in my mind, but…