Category: Infectious disease

I am a critical care physician. These are the patients in the ICU.

I am a critical care physician. I am at the frontlines of this pandemic, in a state of “war” against an unseen enemy that has brought unimaginable destruction in its path. I arrive at work at 7 a.m. for my shift. I am in a state of hypervig…

A physician waits in uncertainty

It started with diarrhea.  Then fever before the patient sought care.  The infiltrates were impressive.  A dry cough with paroxysms that were sometimes uncontrollable.   The rapid test came back negative, as did the send out PCR.  The patient returned …

COVID-19 is a war on two fronts [PODCAST]

“I’m exhausted. As the pandemic rages on, the mental toll of dealing with COVID-19 has started to wear on me. As a practicing hospitalist in the Midwest impacted by one of the many hotspots caused by the meatpacking industry, I have spent a fair …

Life in the emergency department during COVID: a rural physician’s perspective

“Do you think we should prepare a will?” I vividly remember saying these words to my wife, also a physician, as we drastically saw COVID cases rise in early March 2020. Just months ago, we heard about the novel coronavirus now known as SARS-CoV-2 but d…

Artificial intelligence, COVID-19, and the future of pandemics

Artificial intelligence (AI) has proven of value in the COVID-19 pandemic and shows promise for mitigating future health care crises. During the pandemic’s first wave in New York, for example, Mount Sinai Health System used an algorithm to help identif…

Choose respect over fear

My son is a cub scout, and I am a den leader. Recently our den met outside and practiced putting up tents and learned how to build a fire. With efforts to stay distanced, every scout made his own s’more, and we had such a fun time. One highlight of the…

Don’t let a negative COVID-19 test ruin your Thanksgiving

Mirroring the national surge of COVID-19 infections, this past week, I received a barrage of requests from patients seeking pre-travel COVID-19 tests. Despite urgent pleas from the CDC not to travel this holiday season, Americans seem hellbent on celeb…

Parenting in a pandemic: Making the best decisions for your family [PODCAST]

“You have made difficult choices about your family’s health and safety already. Pediatricians help parents make these kinds of decisions all the time. The shared- decision model for practicing medicine encourages doctors like me to help provide i…

An apology to frontline health care workers

Our country seems to be spiraling out of control. The unending political discord post-election continues to divide our citizenry. The Presidential election is over, accept the results, and move on. There are much more serious issues to have our full at…

A physician’s COVID role reversal

I asked nurses, technicians and secretaries where it was: the iPad for patients who wanted to speak to their loved ones. COVID didn’t allow visitors. A few days into our peak, it was likely this patient had COVID. They were gasping for air, but could s…