Medical
Why direct primary care is thriving in COVID-19
I grew up a New York Yankees baseball fan in the fifties and sixties. Among the many stars on the Yankees, none became more famous for one-liners and quips than #8, Yogi Berra. Yogi’s famous reminder, “It ain’t over til it’s over,” seems so fitting today as we await some sort of resolution to the…
Read MoreI’m a physician during a pandemic. Please don’t ask me how I’m doing.
When I wear a mask over my face, I am protecting both of us. When I wear a mask over my feelings, I am protecting both of us, too. When you ask me, “How are you doing?” this is why I have no answer. Four days a week, I have a (currently mostly virtual) primary…
Read MoreIn this pandemic, the reality is bigger than any headline
In January, we learned of an emerging threat in China, a variant of the frightening SARS virus, but worse—more infectious. Since then, we learned China, the first to both see and successfully manage its outbreak, seriously under-detected the disease. According to a widely circulated computer model study, true cases were probably around seven times greater…
Read MoreDeath is not giving up hope
Death. Mortality. End of Life. Something inevitable, yet rarely discussed and a source of intense discomfort for most. When mentioned, it is considered inauspicious and rude in many cultures. Death is an integral part of the workday for a critical care physician like me. But it was never a topic of discussion in medical school…
Read MoreCOVID is not a great equalizer
Some media outlets and public figures have heralded the ongoing pandemic as a great equalizer, referencing the pathogen’s indiscriminate spread and disregard for national borders and tax brackets. The sobering mortality statistics, however, dispense any notion of an equal-opportunity crisis, revealing a familiar theme among public health challenges in America: significant racial disparities exist, and…
Read MoreA social worker remembers a fire chief
I remember Jake Mattolli as a pioneer in heart surgery. He certainly didn’t wish to be one. I believe he had a valve replacement, and it was done in the early ’60s. I remember the Boston surgeon termed the operation a success, but as Jake’s lungs gave out on the table, he, the patient, died.…
Read MoreI have been thinking a lot about Dr. Lorna Breen
Dr. Lorna Breen, an ER physician in New York City, killed herself after working the front lines in the pandemic. Her death has created a call to action. The headlines read that healthcare workers are suffering; they are heroes; they need support. Dr. Lorna Breen was 49 years old. I am 49 years old. I…
Read MoreSome healthcare can safely wait (and some can’t)
Among the many remarkable things that have happened since the COVID-19 pandemic began is that a lot of our usual medical care has simply stopped. According to a recent study, routine testing for cervical cancer, cholesterol, and blood sugar is down nearly 70% across the country. Elective surgeries, routine physical examinations, and other screening tests…
Read MoreThe safe return to elective surgeries during the COVID-19 pandemic is vital for the economic viability of health systems
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. It is the ultimate irony that health care professionals on the front lines of the COVID-19 pandemic are among the highest risk, not only for exposure to the deadly virus, but economically. Whether they are inundated with COVID-19 patients or still awaiting the surge,…
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