Category: KevinMD

Back to school in the pandemic era

As of May 17, 2020, there are approximately 1.5 million documented cases of COVID-19 in the United States. Of those infected, 90,000 have died. The current population of the United States is estimated to be 331 million. This means COVID-19 infections h…

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…

Remember the art of medicine during virtual visits

The COVID-19 crisis has forced upon us the rapid adoption of telemedicine with all its advantages and flaws. It has certainly allowed physicians to evaluate patients safely and to assess them while continuing to allow them to physically distance.  It m…

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…

Calm in the face of the hideous reality of death

An excerpt from Fragile: Beauty in Chaos, Grace in Tragedy, and the Hope That Lives in Between. I remember standing motionless in the doctors’ lounge, staring at my hands. Things had changed. I was someone different, someone my family and friends might…

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…