"In honor of one of the great classic novels, Go the F**k to Sleep, I would like to present to you my literary work: Stay the F@$k at Home. To the healthy 20 year old who asks, “Why should I stay the F@$k at home, COVID-19 is not going to…
"Although technology and disruptive innovation theoretically diminish systemic barriers and geographic isolation, in practice, they frequently widen chasms in access for vulnerable populations. The reality is telemedicine disproportionately caters to younger, wealthier, and more educated patients. Hospital systems need to ensure every patient has access to remote health care services,…
"Is it possible to have it all? Can you have a job that you love, helping people and using your brain and hands all at the same time; plus, a family, with a spouse and children, that you are always there for? Is it possible to have a balance between…
"With COVID-19 raging through the nation, and limited supply of PPE at hospitals, doctors and other critical care personnel are at high risk due to their increased and daily exposure to the virus. For health care workers, the need to plan for a possible worst-case outcome for themselves and their…
"We are blessed to work in a clinic that has a very large immigrant population. Over the years, we have cared for those who speak over 80+ languages with an even higher number of unique countries and regions represented. Arabic and Spanish are our two most commonly spoken non-English languages.…
"Building great tech for doctors is no different from ventilator technology. In some scenarios, you will want to talk to the EMR like you talk to Siri, rather than poring over a screen littered with boxes and lists. In other cases, you will want elegant graphs intuitively laid out to…
"We all knew this pandemic was going to change how we practiced medicine, but I, personally, was not prepared for how much it would challenge the ‘work-life balance’ that I have spent years carefully maneuvering. Female physicians are often hesitant to express individual needs for fear of being viewed as…
"COVID-19 has given all of us the opportunity to live in extremely challenging times. We can choose to run away from this challenge or decide to acknowledge it as part of our journey to grow and transform. So, will you face your habitual reactions, biases, and unpleasant emotions and turn…
"I know I am not alone in my thoughts; I am just echoing sentiments of other female physicians. We are mothers, wives, patient advocates, and educators. And we’re all suddenly finding ourselves in unchartered waters. In weathering this pandemic, I’ve taken time to reflect. I wish I could say I…
"Through my coaching of girl’s basketball in California’s Central Valley, my daughter and I were fortunate enough to know Kobe as a mentor and coach, and a person who inspired my daughter to be the best through hard work, dedication, and passion. While Kobe will live on as one of…
"It is time to stop being spectators. We are at a critical turning point in our fight against this disease, and our actions now will determine whether we stay on the sidelines, or put an effective end to the scourge of the disease. If we want to avoid a deadlier…
"We need to stay healthy for our patients, but also for ourselves and our families. We need to mobilize the faction not just with regard to this pandemic, but by anticipating the arrival of others. So how do we advocate for ourselves? A great way to start is continuing our…
"Physicians are trained to do what is best for their patients and to do no harm. Independent practices have sat quietly watching, feeling hopeless as our communities cannot access the care they need, shamefully shutting our doors to spend hours on the phone with insurers. But no more. We can…
"We care for patients suffering from addictions every shift and are often the only care providers they can turn to. Despite our best efforts, we are often forced to watch as these patients continually succumb to their addiction, sacrificing their bodies as collateral damage in the battle. What frustrates me…
"While preparing to assist our patients in the emergency rooms and dedicated COVID-19 wards, our clinic continues to triage patient concerns, creates new care plans, and provides a necessary layer of support, reassurance, and education in a chaotic and stressful time. Like all of you, my colleagues and I look…
"I initially fell into the dangerous grief and shame spiral. I shoved these feelings of loss deep down and let shame bubble up. How could I legitimize my feelings when people are dying? However, I have been working through the idea that comparative pain and its conflicting feelings do not…
"I propose Zooming while driving be added to the DSM criteria for ADHD. I have gotten a new glimpse into the world of some of my patients. One patient even mentioned it’s hard for them to come to appointments, even with transportation, and we were able for the first time…
"I wrote a 55-word story in solidarity with my medical students and colleagues I had invited to share their lived experiences during COVID-19 on our Stories in Medicine blog. I wrote out of a need to “unmask” the guilt and angst of some of my colleagues and myself who, though…
"With COVID-19, we have both the unique opportunity and need to deregulate buprenorphine prescriptions. The Substance Abuse and Mental Health Services Administration (SAHMSA) recently updated guidelines for buprenorphine prescriptions. There are new provisions for telephonic initiation of buprenorphine and scripts up to 28 days for stable patients. Unfortunately, this does…
"Children are being encouraged to take on the superhero persona and help protect others. They do this in true average-person-as-the-superhero style by wearing a facemask alone, without any superhero powers or words. Just as wearing a facemask in public has been the norm for years in many Asian countries, it…
"We are health care workers. We are doctors, advanced care practitioners, nurses, pharmacists, social workers, and so much more. We are on the frontlines. We are our parents’ children, and we are parents to our young children. For the first time, we are at an extremely high risk of being…
"It’s maddening to see the differences in health outcomes between the rich and the poor. Even more unsettling is reflecting upon the psychological pain accumulated when living in a fad-obsessed materialistic comparison-creating society, the postponed dreams, and the day to day compromise that those with less have to endure –…
Since the coronavirus outbreak, reports of anxiety have increased, especially among physicians. Physicians face numerous stressors, including fears of contracting the coronavirus, concerns about potentially infecting loved ones, PPE shortages, testing delays, and frequently making quick decisions with limited information. Common symptoms of anxiety are increased worrying about one’s self…
"As the COVID-19 pandemic unfolds day by day at an exponential rate, we as doctors have been called to duty in unprecedented ways. Speak with any physician in the last few weeks, and you will be hard-pressed to find one who didn’t feel an intrinsic obligation- indeed, wish- to rise…