Case Study Follow-Up

Last week I wrote a blog post about how misogyny is alive and well in the medical profession and society as a large. My post was viewed >47,000 times and shared 152 times. (I tried to post as much as IG would allow but it’s incomplete here. Link to full post in bio.)
There has been much discussion on this topic and I have had several days to think over this issue.
The first rebuttal I’ve heard is that, well, the company apologized so they should be forgiven.
Let me ask you this. If I were in a relationship with an abusive partner, would you tell me to forgive and forget? If I were in an abusive workplace, would you tell me to give grace? Sure, forgiveness is a tool that we can use to set ourselves free. But should you forget someone’s colors after they’ve shown them to you?
Some of you are probably thinking “well was that really abuse?” The answer is YES. Being demeaned and the subject of a “joke” based on your gender and credentials is abuse. The partner who tells you that you’re too…

Misogyny: A Case Study

CC: female physician wearing scrubs #wearfigsHPI:Released ad for their scrubs x 1 dayPortrayed female physician as (in no particular order):                Dumb                Very very young                White female                Waif thin                Wearing stereotypical bubble gum Barbie pink scrubs                Reading “Medical Terminology for Dummies” upside down                Video ad with a couple of close-up shots of said female’s posterior and pelvis                ID badge identifies this person as a “DO” physician           Scrub company owned by femalesPMHx:In 2015, there were 859,848 total active physician across all specialties. 292,003 were women = 34% of the physician workforce.-à‪‬In 2019, male physicians still outnumber female doctors, 64% to 36%.-à…

Ask What You Can Do For Your Country

Hey, you. Yes, you. 
You who think wearing a mask doesn’t apply to you.
You who states you have a medical condition by which wearing a mask threatens your life.
And you who thinks wearing a mask is “political.”
Let’s get clear on some facts.
Surgeons have been wearing masks since 1937 and anesthesiologists have been wearing masks since 1957. Eighty plus years of mask-wearing and to date, no surgeon or anesthesiologist has been reported dead from wearing masks during hours and hours of surgery. Also to date, none of the hundreds of thousands nurses and physicians wearing masks caring for patients in Covid19 units have died from wearing masks.
The brain has receptors to detect carbon dioxide and oxygen levels and automatically compensates if it detects abnormal levels. You probably don’t even realize it. It’s why you can’t hold your breath as long as you want no matter what. It’s why you start breathing harder if you’re at a higher altitude. These mechanisms are protective.
If you really truly…

The Backbone of Medicine

The practice of Medicine requires the practice of human connection. 
Our medical practices certainly have changed in light of Coronavirus. Office appointments have changed to telephone appointments. Certainly the majority of communication is nonverbal. Telephone appointments create limitations in the sense of no eye contact, no face reading and no body language.
So I practice the best I can. I make small talk. I ask the person on the other end *who* they are, what they do, how they’re coping with the current situation.
People have generally been a little less chatty than usual since Covid19. Once in a while, someone bites and we segway into their past life, their hobbies, the bowling league and their spouse. 
I cherish these conversations. 
These conversations are a window into the other person’s life and, by default, a window into their health.
These conversations are also a reminder to me that I am human too. And it’s great to connect with other humans.
I have my theories about the future …

This Is Not an America Problem

Coronavirus doesn’t discriminate against gender, ethnicity or socioeconomic status. And yes, this is America, and America currently has the highest count of Covid19 infections and deaths.

This is not an America problem. This is an all of humanity problem. Other countries have implemented mask-wearing too 😷

At present time in the USA, we have more infected people than we have ICU beds. By not wearing a mask, you are saying that your individual right to choose to wear one is greater than the risk of anyone else’s life. If you feel that is patriotic and helps you sleep at night, that is your choice and your responsibility to bear.

But please don’t show up to the hospital demanding full care when you’ve refused to follow simple preventative measures.

There are people displaced from their homes, unemployed, sick, dying, etc. It’s a privilege that wearing a mask is the biggest discomfort in our lives right now.

Happy Memorial Day — let’s remember everyone who gave their lives for us and ha…

SSD in the time of AD

I have been socially distancing since March 15th. I have gone to work and I have come home. I have gone to the market every couple weeks. Our 2-week vacation was canceled and I returned to work.
Initially I struggled with the emotional roller coaster of the sick patients, the shelter in place and the general uncertainty of what’s to come. Then a beautiful thing happened. 
I found calm.
You see, my BC (before Covid19) life was so hectic. I would wake up bleary-eyed after hitting snooze once or twice. I would rush to get ready in the AM. I would scarf down breakfast. I would speed off to work in start and stop traffic. I would plow through a morning session of patients. Nonstop reading charts on the computer and talking to patients and families all day long with multiple interruptions from nurses and pharmacy. I spent lunch trying to catch up on charts or inbox or attend meetings. I would scarf down food in ten minutes. Then return for an afternoon session of clinic with the same limitatio…

Gratitude in Crisis

It’s been a whirlwind of emotions the last few weeks. I started in the hospital when our cases were starting to creep up. 
The fear.  The anguish.  The uncertainty.  The anger. The sadness.
The crazy dreams. The donning.  The doffing.  The decontamination process. 
The week I was on Hospitalist, I signed 3 death certificates (nonCovid) and I sent 2 patients to ICU (1 Covid). Needless to say, I came home every night feeling sad and powerless, knowing this Covid19 beast has us pretty defenseless. 
We are trying some therapies but nothing is showing dramatic or rapid improvement enough to gain FDA approval.
The patient I sent to ICU stayed there for over two weeks and finally was released. I had a telephone follow-up appointment with her. She was extremely thankful to me and the rest of the hospital staff. She choked up and started crying and naturally I started crying too. Relieved she lived to tell the tale. Scared for how many will not make it. Grateful to be appreciated.
As we settl…