In the aftermath of COVID-19, plaintiff attorneys will have a field day

Before COVID-19, the health care system was plagued by another epidemic: malpractice lawsuits.  Much is expected of doctors, and disappointments have consequences. Lawsuits are too often a consequence. Under normal conditions, there are 46,000 malpractice claims per year.  One-hundred percent begin with the allegation of medical negligence.  Seventy-three percent end deciding there is none. In these 33,800 cases are no…

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What John Snow and cholera tell us about the COVID pandemic

It’s hard to imagine that someone could die from diarrhea. If you live in America today, you’ve likely never heard of anyone with cholera, and certainly never of anyone dying from diarrhea. Yet, in the middle of the nineteenth century, it was fairly commonplace. Medicine just wasn’t advanced at the time. Amputating limbs of fully-conscious…

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To improve care, health systems must adopt diversity and inclusion

The current economic crisis caused by COVID-19 has led the nation’s unemployment rate to rise to 14.7%, a figure that likely understates the damage. Even more troubling are the unemployment numbers for women and minorities: 16.2% for the former, 16.7% for blacks, and 18.9% for Latinx (compared to 14.2% for white workers). There are plenty…

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Connecting through PPE: patient communication during COVID-19

Communication is the cornerstone of patient care. Patients trust healthcare workers with whom they connect. In the current era of COVID-19, connecting with patients and their families is both critical and yet more difficult than ever before. We draw from our experiences as internal medicine residents to outline the current landscape and provide tips on…

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Are physicians martyrs or models?

This concept comes up in Glennon Doyle’s new #1 best-selling book, Untamed. In this memoir, she looks at her unhappy marriage through the eyes of her daughter. She has been staying in the marriage for her children, believing that getting a divorce would be bad for her kids. As she is combing her daughter’s hair,…

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Why your sleep and wake cycles affect your mood

It’s no accident that most people tend to sleep at night and are awake during the day. Our sleep-wake cycle is determined by our circadian rhythm, the body’s internal clock. Like old-time clocks, this internal clock needs to be reset every day, and is adjusted by first exposure to light in the morning. How does…

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Celebrate health care workers by not suing them

In New York City, each evening at 7 p.m., the sound of people banging on pots and pans can be heard from apartment buildings within an earshot of hospitals all over the city. The cacophonous clanging is a salute to the beleaguered health care workers who are changing shifts on the asphalt down below. The…

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Take a moment to pause and step outside of yourself

When I was a child, I used to sometimes close my eyes and try to convince myself that I was someplace else. I would lie on the carpet of our living room, block out the sights and sounds and smells around me, and imagine that I was lying on the floor of my grandmother’s flat…

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Medical care is being rationed, but not be in the way you think

As the pandemic loomed, there was widespread concern about running out of crucial medical resources, such as mechanical ventilators. We watched as the crisis escalated in Italy and elsewhere, where hospitals seemed overwhelmed. We prepared for the surge. Hospitals, industry, and government clamored to secure both ventilators and other valuable resources such as personal protective…

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