fostering the humanistic practice of medicine publishing personal accounts of illness and healing encouraging health care advocacy

No Visitors Allowed

His voice was serious and stern. “You can’t visit, mom,” my son said. “I’m a vector.” In fact, he’s a doctor working at a big-city hospital, and while not on the immediate front lines in terms of direct contact with COVID-19 patients, he is very involved in the logistics related to the ventilators in the ICUs. Walking the common halls and entering the secure isolation areas daily puts him at risk not only for contracting the virus himself but also for transmitting it unknowingly. He could be asymptomatic but test positive for the virus. He absolutely would not consider putting his seventy-year-old parents in danger.

So… no visiting. Not him, not his wife, not his two teenaged children.

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The Precariousness of Life

I was in the shower this morning. (I have a big event today: going to the grocery drive-thru while they put some items into the trunk so I can drive home, sanitize everything and finally have some ice cream! Anyway, I digress.) In the shower I was singing the song from Jesus Christ Superstar, “Could We Start Again, Please?”
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Learning Empathy

I met Marv in 1990, when I began teaching at a Michigan public middle school. We shared many of the same eighth-grade students–in my Language Arts classes and his American History ones. We also retired around the same time, in the early 2000s. Marv, however, developed advanced multiple sclerosis, leaving this once active man–who had coached sports and taught driver’s education–wheelchair-bound. For the past two years, he has been confined to his apartment. During my frequent phone calls with him, I have told him that I understand how isolated he feels and I have encouraged him to make the most of each day.
But COVID-19 has taught me that I’ve been a liar.
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An Editor’s Invitation: COVID-19, Chapter 2

This month’s More Voices theme is COVID-19, Chapter 2. Coronavirus is still very much with us, affecting us in ways we couldn’t have imagined a few months ago.
I’ve been doing telemedicine these past weeks. I’ve had the privilege of accompanying, by phone, a number of my patients who’ve been doing battle with the virus at home–and to everyone’s great relief, most of them have done well.
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Answering the Call

When the pandemic first arrived in the U.S., I felt a familiar pull. Public health emergency? Epidemiology? I’d worked for decades as an infectious diseases doctor. This was right up my alley: Sign me up!

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Paying My Debt to Ireland

After completing my master’s at the University of Toronto in 2019, I decided to travel to Ireland, as it’s my second home and has made me what I am today–a pediatrician. Shortly after my arrival, the COVID-19 pandemic hit.
The Medical Council of Ireland contacted all registered doctors in the country and asked us to join the fight during the crisis. The hashtag “#oncallforireland” began to trend on social media. It was the time to pay back my debt to Ireland. I answered the call and joined Children’s Health Ireland as a pediatrician.
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Being Human

I work as an ambulance paramedic. Nowadays, on every call that meets the criteria for COVID-19, my colleagues and I wear masks, gloves, eye shields and gowns. We stand six feet away from our patients as we interrogate them about the presence of fever, cough, body aches, or breathing problems. 

Our overall 9-1-1 volume is down, as people stay home instead of driving drunk, as they decide to stay away from hospitals, as most of them (minus the over-advertised outliers) shelter in place. But I notice more secondary symptoms: domestic abuse, assault, anxiety, mental illness, loss of sobriety.

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Racked with Guilt

“Don’t you even think of going out in this,” my former colleagues warn me. They’re on the front lines, truly seeing the effects of COVID. I retired from my medical practice five years ago when I developed some serious illnesses.
For people like me, this new coronavirus presents a unique threat. I’m used to protecting myself from infection. But this one is different. If I get COVID-19, there’s a high likelihood that I’d die.
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Best Dog in the World

Gavin Tarzan Walker is the best dog in the world. But aren’t they all?
I met Gavin in Alaska, in prison. I was working as a physician assistant in a women’s prison where inmates worked with a professional dog trainer and were paired with shelter dogs to prepare them for adoption. The dogs live 24/7 with the inmates, who provide them with training and companionship for eight weeks.
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To Be (Alone) or Not To Be …

I got home this morning after my third 24-hour shift this week covering labor and delivery and newborns for our family medicine service, tired from only three to four hours of sleep. I put on my face mask in the car, came through the front door, where my husband had left a thermos of coffee, ignored the whines of our puppy who wanted to greet me, and went directly to our bedroom, where I have been self-isolating at home for six days now.

I had changed out of my scrubs at the hospital, but I now threw all my clothes straight into the wash and took an immediate shower. My husband left breakfast for me by the bedroom door. We texted our check-ins about work (from me) and the kids (from him) and about how much we miss physical contact.

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Wartime Efforts

I’m a rising fourth-year medical student and currently in limbo. Clinical rotations have suspended until further notice. But I want to help, even if only in small ways.
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The Cystic Fibrosis Clinic

There were happy tears in the clinic that day. Our patient, Jane Doe, was finally approved to take the new cystic fibrosis medication. As the air went in through her nose, the stark realization set in that she had never until this point been able to take a truly deep breath.

But just when she thought her days of lung problems were behind her, a public health emergency for COVID-19 was declared.

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