Medical
The patient who gave me back my humanity
His breathing was rapid and shallow; O2 in place, his eyes stared at the ceiling of the hospital room. He was a soldier in his late 20s, his once strong body now emaciated, a shell of its former self. His arms rested on top of the bedsheet, bluish nodular lesions of Kaposi’s sarcoma landscaping them…
Read MoreFalse certainty and blanket statements: Not even the WHO is immune
The World Health Organization (WHO) says there is currently “no evidence” showing that people who have recovered from the coronavirus are not at risk of becoming infected again. “Some governments have suggested that the detection of antibodies to the SARS-CoV-2, the virus that causes COVID-19, could serve as the basis for an ‘immunity passport’ or…
Read MoreWhy are medical students non-essential?
Amid the COVID-19 pandemic, medical education is receiving unprecedented attention. By and large, the focus has been on the immediate problem of what to do with medical students. The answer has hinged on medical students being designated as “non-essential” to patient care, and has (for the most part) entailed avoiding clinical activities. A long-term problem…
Read MorePhysician risk during COVID-19: reflections from the AIDS epidemic
A guest column by the American College of Physicians, exclusive to KevinMD. If nothing else, the ongoing COVID-19 pandemic has brought crystal clarity to something that all physicians are aware of but don’t often think about – that because we deal closely with communicable diseases, physicians (along with other health care workers) are clearly at…
Read MoreRebuilding a post-coronavirus culture of medicine
In a previous article, I have described the physician burnout epidemic as a raging river whose features included safety nets designed to catch people before “going over the falls,” the need to teach individual survival skills (e.g., resilience), evaluating your raft and river guide for safety (employers and their leadership), and so on: The “rapid” pace…
Read MoreAre sugar substitutes too sweet to be true?
About 40% of adults use low-calorie sweeteners, and most of those people do so at least once daily. While these sugar substitutes are most commonly consumed in beverages, they’re also eaten in foods and used in place of sugar to stir into coffee or sprinkle over cereal. The presence of such sweeteners in our foods…
Read MorePlease don’t call me a hero. This is what nurses have always done.
Before becoming a certified registered nurse anesthetist (CRNA), I was a surgical intensive care unit (SICU) nurse for decades. During that time, I often saw patients during their greatest time of need – trauma victims, transplant recipients, patients with brain tumors, ruptured aortas, and septic shock. I thought I had seen it all, but working…
Read MoreA neurosurgeon on call with coronavirus
Last weekend, my partner witnessed some of the pandemic’s collateral damage in an upsurge of violent deaths via car wrecks and shootings. A patient of mine, chief of the local SWAT team, had predicted as much: he gave people two weeks at home before they started acting out. I expected a similar weekend and was…
Read MorePractice social distancing because the lives of your health care workers matter
I was in medical school when the world saw the news of the Zika and Ebola viruses, but never have I seen mass hysteria to this level for COVID-19. No longer is coronavirus what is depicted in a copy of First Aid for the USMLE Step 1, where it says coronavirus is a cause for…
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