Category: Hospital-Based Medicine

COVID-19: a medical resident’s tale of sign-outs and ID bands

Two-paged signouts This was the picture of the unusually higher than normal patient load we have in the wards. The hospital looked grim and eerie. Gone were the days when we would start with morning report and see plastered smiles on colleagues’ faces,…

Parenting as an ICU physician

COVID-19 has upended the medical community. Nowhere more so than in the intensive care unit. Life as an intensivist with two young children and a working spouse is never dull. I liken it to tight-rope walking with a pole for balance. I wake up every mo…

Can we help residents feel happier about taking call for free?

“I stayed up all night, and for what, $10 a consult?” A clearly exhausted and exasperated colleague and friend said to me one morning after his very busy call shift. As a chief resident, one of my roles is to manage the call duty schedule. As such, I f…

A flurry of emotions as internal medicine residency comes to an end

As I come to the end of my internal medicine residency, I cannot help but experience a flurry of emotions. I am sure many of you, like myself, are feeling a whole host of sensations: relief at the fact that you have now completed over 23 years of educa…

Ventilator rationing is guided by rules that could worsen health inequities

Imagine there are two individuals who have been admitted to a hospital due to COVID-19, and both desperately need ventilators. One is a 60-year-old with a heart condition, and another is a 63-year-old with chronic kidney disease. Because of resource co…

An internal moral and ethical conflict doctors face every day during this pandemic

One of the most memorable milestones in my life was my journey to becoming a doctor. A path that I look upon so fondly as it marks a time that molded much of who I am today. Charles Dickens describes my experience perfectly, “It was the best of times, …

Opening America: Should we really have to choose between economic revival and human life?

Let me tell you a story about Francisco, a recent patient under my care in one of New York City’s hardest-hit hospitals. Suffering from severe COVID pneumonia, he gasped for air as I tried to exude empathy underneath the cold appearance of my head-to-t…

Reflecting on Elmhurst Hospital: past, present, and future

Elmhurst 2014 I first arrived at Elmhurst Hospital in Queens, NY, in the summer of 2014 as a medical student on my surgery rotation. We would take occasional night shifts as part of the trauma team. It was the first time I held a pager. Code yellow mea…

I’m ready for the change COVID-19 will bring

I am a graduating fourth-year medical student and new internal medicine resident — one of many newly minted physicians that will be thrown into the frontline to take care of COVID-19 patients in a little over a month. It’s a strange time to be gr…

A physician wedding in the age of COVID

April 2020 was to be a month of personal milestones. I would be traveling to Mexico with sixty closest friends and family to marry the woman of my dreams. Twelve days later, I would celebrate my thirtieth birthday. Suffice it to say, I was looking forw…