Category: Infectious disease

COVID-19 will expose EMTALA and the physician shortage

Coronavirus, a.k.a. COVID-19, is lurking on the edges of the United States.  What it will do here has yet to be seen.  I was initially very concerned since I work on the front lines in community emergency medicine.  For the last week or so, I have felt…

As the coronavirus spreads, should unvaccinated people be allowed to fly?

As the coronavirus spreads, the nation’s leading health official told a Senate committee on Feb. 25 that “we cannot hermetically seal off the United States to a virus.” The comments from Alex Azar II, head of Health and Human Services, heightened conce…

The problems with testing for novel coronavirus

Just weeks into the federal government’s efforts to contain the novel coronavirus, a new California case has exposed weaknesses in the testing procedures that could be masking more widespread reach of the disease. A woman in Solano County, California, …

How businesses are handling COVID-19

Chances are, if you work for a large company, you received an email like one sent to Volkswagen employees Monday: Coronavirus concerns mean some limits on business travel, everyone should remember to “wash your hands frequently” and stay home if sick. …

Doctors: Take a sick day

Every winter, flu season descends upon the hospital. The most consistent reaction among any of our physicians — trainee and attending alike — who succumb to this nasty virus is one of guilt. Even the thought of “calling out sick” leads to s…

Doctors: Take a sick day

Every winter, flu season descends upon the hospital. The most consistent reaction among any of our physicians — trainee and attending alike — who succumb to this nasty virus is one of guilt. Even the thought of “calling out sick” leads to s…

Antibiotic resistance is the climate change of medicine

Imagine a looming global crisis that threatens the health of countless people, confounding scientists and governments with its sheer magnitude and complexity and growing at a pace that will quickly exceed our ability to reverse course. Sounds a little …

How to help your patients understand antibiotic stewardship

Antibiotics are ubiquitous in today’s society. Prescriptions for these bacterial killers have become so prevalent that a wonder drug cure phenomenon for any illness has become the cultural norm. The evidence is overwhelming that antibiotics are far too…

Please stop the over-diagnosis of UTIs

I admitted an elderly woman to the hospital recently.  The previous week, she had presented to the emergency department (ED) with chest pain and shortness of breath.  For some unknown reason, a urinalysis was obtained and was found to be abnormal.  The…

Doctors shouldn’t feel guilty about sick days

It’s 2 a.m. And I’m in the emergency room. There are beads of sweat dripping from my forehead. One of my nurses comments that I just don’t look quite right. I can feel the urge to vomit and know where the nearest trash can is at all t…