Category: Conditions

After COVID-19, can we really stomach the minutiae that comes with the next Joint Commission review?

I’ve always been fascinated with dystopian novels and zombie movies.  When the apocalypse comes, we stop sweating the small stuff.  Important tasks like sculpting our abs or finding the perfect area rug suddenly take a back seat to the new primary dire…

It is OK to be scared, but it is not OK to let our own anxieties harm our patients

“Our current guidelines from the hospital and our national societies are if the patient is not at risk for a major cardiac event in the next week we should defer surgery.”  The words hang in the now virtual air of the hospital’s weekly multidisciplinar…

Physicians on the frontline don’t have the luxury of fear

“Benadryl barely helped me sleep last night,” I groan to my partner. My eyes bloodshot, my head pounding as I recount the number of days I have needed to take a sleep aid this week. He hands me my lunch bag and locks the door to walk with me to work. T…

Immigrant and minority physicians at the frontline of pandemics

“I could hear the breathing from the door without my stethoscope. Do you know what it sounds like? It’s like the sound of broken glass rubbing against itself.” An ICU nurse sat across from me, the emotional baggage visible on her eyelids as she stood s…

Sex-shaming and sexual physical distancing in the COVID-19 era

We need to talk about sex. Yes, sex. And we need to do it now in the context of all this physical distancing. Recently, hook-up/dating apps all over (e.g., Grindr, Hinge, Tinder) have been using PSA banners and announcements that encourage people to st…

A more scientific jump-start to the economy

In March and April 2020, the United States federal government threw billions of dollars at new programs designed to keep the economy going strong for a few additional months. They have a litany of acronyms for these programs, including the PPP, SBA, an…

Addressing the emotional burden of COVID-19

A few weeks ago, I met Mr. T, a 96-year-old man admitted to the hospital from a nursing home. With numerous chronic medical problems and another hospitalization preceding his nursing home stay, Mr. T had been clear about his wishes. After spending a fe…

COVID-19 is an opportunity to change the culture of death

The doom, gloom, and uncertainty surrounding the ongoing COVID-19 pandemic can be overwhelming, even for an emergency department physician such as myself. The heaviness of the situation largely stems from the deadly nature of the virus, our relatively …

Are COVID-19 lockdowns legal or not?

The COVID-19 pandemic has raised many questions about how to constitutionally handle a public health crisis on both the state and national levels. Many wonder if a national lockdown can be put in place — a new dilemma that has little legal precedent to…

Preventing COVID-19 transmission and the art and science of barriers

“Good fences make good neighbors” is a memorable and salient line from Robert Frost’s poem, “Mending Walls.” While the context of its meaning is a plea for the importance of privacy, it is a useful phrase for the COVID-19 …