Category: Infectious disease

Is everyone anxious? The mental toll of the pandemic.

The chart for the first patient of the morning states, “elevated blood pressure for two weeks.” As I enter the room, I see a frail, elderly woman perched gingerly in the chair. She has on large sunglasses and a fabric mask. She looks apprehensive, so I…

Charting in uncharted territory: Scribing during COVID-19

On Friday, March 27, 2020, California went on lockdown in the face of the COVID-19 pandemic. It changed every Californian’s life, including my own. As the newly appointed chief scribe, the possibility that I would be jobless by the time Monday ro…

Observations from “seeing” patients on the other side of the phone

Little did I know when I selected my sub-specialty during residency that 15 years later, we would be at the forefront of a pandemic. Over the last eight weeks, I have, just like many physicians trained in pulmonary and critical care medicine, spent cou…

What is routine? Preventative care in the age of COVID.

Since the arrival of COVID-19 in America, most health care systems have adopted a policy delaying non-essential or non-urgent procedures and appointments in the hopes of preserving PPE and minimizing interpersonal exposure. Despite resultant furloughs,…

Words of encouragement to physicians and trainees during the pandemic

As a fellow physician colleague, I felt compelled to address what medical personnel is experiencing in the COVID-19 pandemic. Needless to say, we’ve never been here before, and I would be remiss if I didn’t acknowledge the gravity of the si…

How the COVID-19 pandemic is traumatizing health care professionals

Many of us (especially psychiatrists and physician coaches) have been warning the medical profession at large for weeks now that we are headed for unprecedented numbers of physicians, nurses, other health care workers, and first responders suffering fr…

A chaplain’s reflections in long-term care in the early days of COVID-19

Astor lies in a reclining wheelchair, surrounded by community, gathered for morning prayer. A rosary,  woven between folded fingers rests upon her belly. Astor murmurs: “Help me. Help me. I am all alone.” Today, the last Friday in March, I am assisting…

After you finish reading articles on the internet, I will be here to treat you

With the rise of the internet, people started exploring ways to get medical advice online. The medical community was initially humored by this development, thinking it is a cute way for patients to look up their symptoms before coming to see us, their …

Why direct primary care is thriving in COVID-19

I grew up a New York Yankees baseball fan in the fifties and sixties. Among the many stars on the Yankees, none became more famous for one-liners and quips than #8, Yogi Berra.  Yogi’s famous reminder, “It ain’t over til it’s over,” seems so fitt…

I’m a physician during a pandemic. Please don’t ask me how I’m doing.

When I wear a mask over my face, I am protecting both of us. When I wear a mask over my feelings, I am protecting both of us, too. When you ask me, “How are you doing?” this is why I have no answer. Four days a week, I have a (currently mos…