She was naked in her seclusion room — a padded cell — with her gown on the floor and drenched in her urine. I was her nurse. I gave her lithium. She put the pill in her mouth and then spit it at me in my face. Then her tirade began: “I’m Je…
Category: Conditions
COVID illuminates silent fear
It’s scary. Like 9/11, we have a new reference point touching everyone on the planet: life before COVID-19 and life after. Regardless if you get it or don’t, the unknowns and secondary consequences are scary. Life before COVID was scary, to…
COVID is not women expected when they were expecting
Reproductive psychiatry, also known as perinatal psychiatry or maternal mental health, focuses on mental health concerns in pregnancy (also including planning and IVF), delivery, postpartum, and parenting. As a reproductive psychiatrist, I try to imagi…
Second victim syndrome in the time of COVID-19
Every physician I know has a story about an unanticipated patient event. A story that was traumatic at the time and easy to now recall in fine detail. A story that was so impactful that it still haunts them. When a patient suffers an adverse event, …
Mask up like you buckle up
In this world of misinformation, fear, social media overload, and mistrust, seek counsel from your health care provider. Over the course of the COVID-19 pandemic, I have witnessed the bravery of my colleagues on the front lines treating patients and pu…
After 3 straight weeks in the NICU, a neonatologist’s take on the pandemic
We are tired, overwhelmed, very committed, missing our families, and carrying each patient with us as we try to deliver excellent care in a very disorienting time. We worry about the health of our families and friends and community as well as our own h…
The unseen debt of the pandemic
Some images stick in the mind as unreal and incandescent things, despite their lived experience. My mind holds onto the gray-haired woman, stooped from age and wearing the hospital-issue facemask, standing alone with her hands clasped tightly behind he…
A social worker’s sickest patient
Mary is a woman of sixty years. She is obese. Originally from rural Alabama, she told me her aunt and uncle raised her, and they were bootleggers, making their own liquor. By age fifteen, she was drinking this homemade hooch. She never told me how…
COVID-19 through the eyes of my kids
Living the surreal experience of the COVID-19 pandemic challenges us on multiple levels. As a physician, I feel the responsibility to understand the magnitude of the situation and implement the best measures to protect my patients, trainees, my family,…
Mental health care is the not so silent collateral damage of COVID-19
Our country, and the world, is beyond exhausted by COVID-19 and the utter chaos and destruction of lives it has caused. All people, including physicians, are being pushed beyond capacity. What do we mean, collateral damage? Originally related to war: t…
