Category: Conditions

People with COVID-19 who live in highly polluted areas are more likely to die

The COVID-19 pandemic has shone a spotlight on the health inequities many Americans face because of where they live and the air they breathe. We are seeing what I have long seen in my allergy practice—many of my patients live in communities with unheal…

Let’s assume you have coronavirus

There are now 16 states (as of the end of June) that require people to wear face coverings when out in public. But we need to acknowledge it: many Americans really don’t want to. Our president and vice-president don’t wear masks, even thoug…

When a diagnosis leads to sadness instead of triumph

He did a double-take as we passed on our small town sidewalk the other day. “Hey Doc, I didn’t recognize you dressed like that, without your …”, he gestured to where my tie or stethoscope would have been. I was wearing a cafe-au-lait colored T-shirt an…

Should you get a COVID-19 antibody test?

Antibody testing, also called serological testing, can be used to determine whether an individual is currently infected with COVID-19 or has previously been infected with COVID-19 and recovered. Unlike the molecular testing (PCR tests), which detects t…

The social worker and a patient who lost her son

Debby Ann has a pit bull, and I remembered that when she called me recently.  It had belonged to her son, who is now deceased.  He was murdered.  She wants to meet me for lunch. Debby Ann is a pretty lady, at least she was the last time I saw her. We w…

Safe restaurant practices as crisis therapy: lessons from a bartender

With a leftover airline credit to spend, I recently decided to take a quick trip down to southern California and make one of my routine treks along Interstate 5 from San Diego to Orange County. I wanted to see how the area was dealing with the pandemic…

How can we stop the spread of coronavirus?

I have chronic lymphocytic leukemia, and I do not want anyone to infect me. Because of my leukemia, I have low immunoglobulin levels, so I am extremely cautious. If I were to become infected, it would mean that I did something to put myself in danger. …

Is COVID-19 contraction risk lower in ER than in routine activities?

With COVID-19 continuing to spread, some might assume that the one place to avoid is a hospital emergency room. After all, the space is filled with health care providers who work in close contact with sick people. This assumption could be harmful to a …

The story of an Indian doctor with vitiligo

“Alright, sir, that’s the plan, and we will take good care of you.   What questions do you have for me?” I asked after discussing the patient’s condition and hospital course.  The patient looked satisfied and nodded as if he understood the plan, and as…

A new ICU reality that may not disappear soon

Barriers. Barriers of yellow tape and plastic mark our makeshift rooms. Red zippers define the “ENTER” and “EXIT.” In the middle is a window of still clearer plastic, partially obscured by taped ECGs. Barriers are put up to keep us safe, but they can d…