Health care workers’ lives are not expendable. Yet, we are being asked to battle a microscopic enemy with disgracefully inadequate personal protective equipment (PPE). We know that using PAPRs (powered air-purifying respirators) would be the best…
Category: Conditions
The ethical dilemma facing health care workers today
Health care workers will face some very difficult decisions in the days ahead. The decision: Am I willing to take care of coronavirus patients without proper protection? This is a very personal dilemma. Everyone who goes into any part of medicine is t…
COVID-19: 5 tips for psychiatrists
In February, I had my first patient ask about my thoughts on the coronavirus. At that time, I was aware of the coronavirus and cautiously optimistic about the situation. My advice to the patient was to have a healthy level of concern about the virus, g…
A guide for mental wellness while distancing: a psychiatrist’s perspective
One week ago, a mere glance at my phone between patients would have sufficiently caught me up on 30 minutes of disconnect from both social and mainstream media. Today, as I closed one virtual appointment and waited for my 9 o’clock follow-up to join me…
Would Medicare for all help us combat COVID-19?
In 2009, when more than $35 billion was invested in expanding national electronic health record (EHR) uptake, one of many advantages touted was its value as a tool for managing population health. This promise has failed to materialize due to a chaotic …
An interruption from an evangelist
Charles looks older than his sixty-one years; he is very thin and quite stooped, and his eyes are what I guess are described as “lazy.” One goes one way, and one another. He is badly in need of dental work. He has emphysema, though he conti…
I am a physician and I am not isolating emotionally
I am a physician, and I am not isolating. Like the Vietnam War defined my parents’ generation and World War 2 defined the generation before that, the COVID-19 pandemic will likely define mine. My father and grandfathers went to battle – I am now call…
Residency training in the time of COVID-19
A few days ago, a good friend revived an email thread that routinely circulated among our social cohort of 17 aspiring doctors during our final two years of medical school. The subject line read: qThurs HH. Translation: happy hour every Thursday. Back …
Coronavirus: the human factor in intensive care
The summer of 1979 is permanently etched into my memory. I walked into the intensive care unit as a newly minted intern. I walked over to ICU-Bed 1 to be introduced to my first patient, a frail teenaged boy who was tethered to a ventilator. “He is day …
Fear paralysis in the world of COVID-19
As the United States faces enormous issues regarding the COVID-19 outbreak which has now impacted all 50 states, I would like to refer to a quote from Franklin D. Roosevelt: “Let me assert my firm belief that the only thing we have to fear is fear itse…
