Category: Infectious disease

The heart of America’s health care system is failing

AIn college, I learned about the Frank-Starling law of the heart. It is fascinating and demonstrates just one of the bewildering number of human physiologic responses needed to adapt to the demands we place upon our bodies every day. In brief, the Fran…

A few weeks into COVID-19: Alternating between sadness, fear, optimism, and anger

Fourteen days of social distancing have passed. Emotions are high all around. The wicked foreboding of the mysteriously menacing novel Coronavirus has spared no one. Everyone is scared. The cleaning staff, scrubbing, and wiping just one more time. The …

Within the COVID-19 tragedy, there are real people admirably grappling with their new realities

Arrival to isolation room 45: Recently diagnosed with COVID-19, brought in by ambulance for re-evaluation. I don my new uniform of colorful barriers: red-rimmed eye shield, green N-95, yellow gown, purple gloves. I carefully walk through two sets of do…

Virtual care for surgical subspecialties

As a 4th-year neurosurgery resident, I’ve tried to sink my heels into every aspect of neurosurgical care in order to harness the skills, the knowledge, and the confidence to know that I’ll be ready to provide exceptional care to my own patients at the …

Doctors in harm’s way: The stage was set for a PPE shortage long before COVID-19

When the COVID-19 pandemic is finally over, health care providers around the world will be asking themselves how we got here. Buying PPE off eBay. Soliciting the public to sew masks. While, as a country, we could have been better prepared, it would not…

Health care workers are precious jewels. Treat them as such.

An emergency room physician, who I interviewed recently, rented an Airbnb to protect his wife from the virus. He is now separated from his family, alone and fighting to keep safe in New York City, with limited resources and PPE  or personal protection …

I am a physician and I am not your enemy

When I was 18, I decided I wanted to be a doctor.  I wanted to help people.  I wanted to make things better for others.  So, I studied hard in college.  I couldn’t afford to pay for test prep classes for the medical school entrance exam, so I studied o…

Should physicians shy away from accepting their mortalities?

In between snippets of conversation exchanged with my husband about how the first day of remote learning went for our 9 year old and whether the latest nanny was likely to quit given health risks associated with working in a two-physician frontline wor…

Are Boston hospitals prioritizing money over the safety of their employees and patients?

Growing evidence suggests that the novel COVID-19 virus can be aerosolized.  To adequately protect employees, providers require not just “droplet,” but “airborne” precautions and the appropriate healthcare worker personal protective equipment (PPE). Ap…

We are not being too alarmist about COVID-19

I’ve been reading a lot of posts expressing disappointment with the way that COVID-19 has been covered in the media and worry about the economic consequences of prolonged social distancing. This is long, and you might not care, but here’s my perspectiv…