Behind every patient is a powerful story

A few years back, I took care of a frail elderly gentleman who, accompanied by his wife, had come to the ER with an elbow injury after tripping over a curb in front of a local restaurant. They had been traveling from Buffalo to Cleveland and had stopped for a quick bite and a bathroom…

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Moonlight, medicine, and clarity

I wake when the sky begins to darken. As the sun buries itself beneath the horizon, the hospital beckons. Nights bring a kind of calm. I find that wakefulness, while others sleep, grants me something sacred — time, untouched. Circadian rhythms align us with light: The sun guides us through our days, the moon lulls…

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It’s still true: Not all the news about COVID-19 is bad

I thought the pandemic would be over by now. And I’m not alone; there were sophisticated models predicting a dramatic drop in the number of infections by the summer. And while there was understandable worry about the second wave, re-infection, and the coming flu season, there was good reason to believe we’d have the worst…

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Pandemic parenting during medical school

By all appearances, I was just another sweaty-palmed medical student taking the first neuroanatomy exam of the semester. The stakes are high with every step toward becoming a doctor, but they were even higher for me that day. Failing the test would mean withdrawing for the semester, effectively delaying my education by a year. Such…

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How the STI epidemic can inform policy solutions for the COVID-19 pandemic

As the burden of the novel coronavirus (COVID-19) plateaus into a perpetual state of public health emergency for 2020, examining the United States’ forgotten epidemic of sexually transmitted infections (STIs) offers insight to a COVID-19 solution. STIs are the long-neglected contagious disease that echo many of the same socioeconomic, political, racial, and structural problems feeding…

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COVID-19 amplifies health disparities [PODCAST]

“The daily email update on COVID-19 affecting our hospital system is a glaring reflection of the health disparities amongst those in marginalized groups. The farther south you go, generally in San Diego, the higher the number of socioeconomically disadvantaged persons, and that tends to include a disproportionate number of persons of color.  These populations may…

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Insecurity and shame at work

She had me in her terrifying grip, and I was paralyzed.  Stuck to my chair, my heart racing, instantly isolated in my desperate confusion.  I heard ordinary sounds like two nurses chatting, papers shuffling, and a telephone ring, but they seemed distant, happening in some safe place far away beyond the dark tunnel I was…

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Recognize the Trump that lies within each of us and try to heal him

“If only there were evil people somewhere insidiously committing evil deeds, and it were necessary only to separate them from the rest of us and destroy them. But the line dividing good and evil cuts through the heart of every human being. And who is willing to destroy a piece of his own heart?” –…

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