A Los Angeles response to the pandemic

Introduction We are doctors. We were trained to heal, to bring relief, and on occasion, to guide patients and families through end-of-life challenges. Unfortunately, with the emergence of the COVID-19 pandemic, places such as Italy have had to suffer from needing to make life-and-death decisions for patients simply due to insufficient resources. In Los Angeles,…

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The triple aim revised: financial shock, burnout, and imposter syndrome

The pandemic has revised the triple aim framework of health care. The simultaneous triple pursuit of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care is currently not possible. With widespread forced lockdowns, we are unable to provide the optimal patient care experience, the…

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Get your affairs in order, COVID-19 won’t wait

The scourge of COVID-19 is spreading. Thousands of Americans are dying. What can you do to help? Yes, practice social distancing, wash your hands, and donate masks to local hospitals. Also, talk to your loved ones about advance care planning. What is advance care planning? Advance care planning means contemplating and deciding the type of…

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Going to McDonald’s in the coronavirus era

In the coronavirus era, I go most days to our neighborhood McDonald’s, where I purchase a cup of coffee and take it outside to a patio area where I sit and eat peanut butter crackers which I carry with me. Today as I stood in a short line inside the facility, with persons standing the…

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How cell phones can help lead us out of the COVID-19 pandemic

As most of America approaches the one-month mark since shelter-in-place orders began, there is increasing talk of “plateauing” and debate of strategies for resuming “normal” life. Unfortunately, we continue to find ourselves without a clear path out of this unprecedented pandemic.  Now more than ever, in the setting of an infectious disease crisis, health care…

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U=U: Ending stigma and empowering people living with HIV

Today, about 1.1 million people in the US are living with HIV (human immunodeficiency virus). Every year, almost 40,000 people are diagnosed with HIV. A diagnosis of HIV was once presumed to be fatal, and many lived in fear of transmitting the virus to others. This contributed to decades of stigma for those living with…

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