"Over the last 100 years, the U.S. has had to respond to five avian flu pandemics. The most severe was the 1918 avian influenza infecting 1/3 of the world’s population and killing 650,000 Americans. It was also the last time wide-spread containment, mitigation, and isolation strategies were used in the…
"The unparalleled and pervasive nature of the evolving COVID-19 pandemic has touched all of us in some way. There is limited, albeit growing, research on the mental health effects of disasters. A recent review article pointed out the potentially negative consequences of prolonged quarantine, while other research from Wuhan, China,…
"Recent articles have accused some physicians of hoarding medications for themselves during our international medical crisis. Authors such as these should be ashamed of their coverage and wasted ability on sensationalism when they could be spending their time informing the public about the dangers of COVID-19 and the actions communities,…
"This pandemic presents a unique opportunity for senior anesthesiologists to see the benefit of accommodating the health care needs of our workforce. Just as I tried to avoid the teratogenic effects of certain cases when pregnant, we should consider the most effective ways to protect senior anesthesiologists from a life-threatening…
"Being present is a wonderful thing. It relieves stress caused by focusing on failures of the past and worries of the future. Both realms are unreachable, largely unchangeable. But at the same time, they both entice and tease our minds such that we often find ourselves everywhere, but at the…
"Recently, I realized that something needed to change in my family life. With three busy daughters at three different schools who participate in multiple activities along with my full-time job as an anesthesiologist, my life depended on accurate and concise communication. However, this was the third time in a week…
"All too often, physicians and other health care providers have tried to do the right things for our patients to ultimately have had our hand slapped. So pause for a second, get the questions answered, know what future implications are for today’s actions. Make the right choice for your patient,…
"Obesity is a topic that literally hits home for me. For the past two years, the website WalletHub has voted the McAllen-Edinburg-Mission TX metroplex as the 'fattest city in America.' As a health care provider, this is deeply disturbing because it puts my community at high risk for a wide…
"We are in the midst of a crisis in humanity. While we are still dealing with COVID pandemic and its deleterious health, economic and societal consequences, our troubling past of racism and inequality is rearing its ugly head. The senseless killings at the hands of police, the shameful subjugation of…
"With my passion for writing and connecting digitally with others in health care and the general public, this ‘downtime’ has allowed for an expansion of these interests. I’ve begun recording on my podcast, a multidisciplinary conversation between women who thrive in fields that traditionally they haven’t thought to be able…
"Physicians have struggled and sacrificed to develop the clinical judgment and skill needed to provide competent clinical care. They have undergone over a decade of schooling and training, taken on excessive student loan debt, worked backbreaking hours for low pay during residency, and risked their lives during the process. Yet…
"When the director of my general surgery program asked for a report on how the pandemic was affecting the residents, I queried my colleagues, promising anonymity to encourage candor. I received a wide variety of responses and reactions. Some are thriving; others are not. In the end, I cannot decide…
"I had been trained to be this way. No panic, just a calm journeyman’s approach to any affliction, like a mathematician working an equation. Years of preparation, acquiring a skill set, building up my vault, had readied me to stand in the lounge like a zebra. And so, I stared…
How do racial issues affect patients' physical and mental health, and how do we address them during regular visits? For those without the lived experience of the black community, how can we learn and educate ourselves? How are the current protests different from those in the past? In order for…
"Sitting in front of my laptop with both of us on the screen, I can maintain decent eye contact even if I look something up or type something into the medical record. The patient sees me as paying more attention than when I couldn’t effectively both maintain eye contact and…
Physicians are finding out that their jobs aren't as secure as they thought. Many have taken salary acts, are furloughed, or worse, laid off completely. It comes as a financial shock to many doctors. In this episode, gastroenterologist and certified financial coach Brent Lacey shares his tips and advice on…
"We desperately want to be part of it. For most of us, this pandemic has tapped at a foundational, altruistic urge to do our part. Our friends and loved ones are on the frontlines, their faces creased by masks worn all day, their eyes bloodshot, their foreheads grooved by too-tight…
"Few physicians feel properly prepared to face the fear caused by this pandemic. I certainly did not. However, we continue to show up every day for our colleagues and our patients. We continue to focus on our jobs and the things that we can do to help. Let’s not forget…
"Today, we got called on a patient in the ICU who recently had a new brain mass removed surgically. The specimen came back positive for an aggressive brain tumor known as glioblastoma multiforme. We discussed his diagnosis and prognosis with him at bedside alone, with his wife and daughter on…
"Come with me on this journey, this very ancient journey. To experience the age-old story of a very modern foe. This foe is invisible; it is neither living nor dead. You cannot smell it, and you cannot taste it. While it is not alive, it can become alive, with a…
"The events over the last couple of weeks have affected me deeply. Of course, I’m concerned about a novel virus that is infecting and killing people. But, I’m more distraught over the reaction of the people, the response of the state and federal governments, the blatant disregard of science/epidemiology, and…
"Most physicians have spent decades training for the day that they see their first patient or perform their first surgery. This extended time involved to become a physician does not leave a lot of spare time in college or medical school for most physicians to take any significant coursework in…
"Do all physicians and scientists not on the frontlines of this pandemic feel this, or is it unique to women? Women in medicine and science have long struggled with the sense of never having 'done enough' and have pushed themselves even harder to get the same recognition accorded our male…
"Here we are again, mourning the death of another black person at the hands of the people that are supposed to protect and defend our rights. Another casualty in the 400+ year struggle that we have had in this country to be granted the same right to liberty, the same…