Math was never my favorite subject. However, I was lucky to have good teachers who took the time to help me navigate through high school math and graduate with a final A grade. As I struggled with numbers and equations, calculus and fractions, I was to…
With the surge of information surrounding COVID-19 released in the news this year, an interesting concern arose regarding ibuprofen’s use in patients with COVID-19. In March of 2020, French authorities were the first to investigate anecdotal repo…
“Physician burnout” and “physician wellness” are now ubiquitous terms in the health care profession. For example, the ACGME’s common program requirements for residency now have an entire section dedicated to “well-being.” In addition to the numerous av…
Like most situations that physicians encounter in their work, end-of-life conversations are not easy and require preparation and training. Yet these patient discussions are among the most satisfying I’ve experienced in my career because they’ve made me…
I received so many messages from my last post, and I figured it would be useful to perhaps answer some of them for all to see. Is it safe to see family over Thanksgiving? Yes. If you live with them. That’s it. The only potentially safe alternative is r…
“As you know, his condition has been worsening dramatically over the past week. He is unable to breathe without the non-rebreather since last night. Today may be a good time for a goodbye visit.” I told the family of my COVID-19 positive patient who wa…
February 24, 1991, and I wait. I wait on the edge of my cot under the pitched canopy of my far-away canvas home; its sides pulsating from the ever-present wind; sand somehow traversing the walls, everything inside airbrushed a pastel tan; outside the s…
As cases of COVID-19 sore around the nation, the days of New York as the epicenter of the pandemic have become a distant memory for this emergency room doctor. Did the government really once send us refrigerated trucks for our dead and a naval ship for…
On November 9th, the governor of North Dakota, Doug Burgum, decided to allow hospital workers with COVID-19 to continue to come to work. He required that they be asymptomatic and that they only work on COVID-19 wards with COVID-19 patients. Given at-ca…
“Those who cannot remember the past are condemned to repeat it” is a quote by George Santayana. It rings true in so many facets of life and medicine. In my career in psychiatry, I have held fast to this treatise. Psychiatry, as a practice, has changed …
