An infectious disease doctor answers your COVID-19 and coronavirus questions

Here are the stories you missed on KevinMD. Thank you for your continuing readership. ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ --------------------------------------------------------------- Here are the stories you missed on [KevinMD](. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [How can you improve communications to enhance the provider experience]( and pursue the quadruple aim? Explore how better communications can help make positive impacts on 3 important issues facing providers today. [Read now](. A well-constructed [infection control preparedness plan for coronavirus (COVID-19)]( is essential for facilities where patients receive care, such as physician offices, dental offices, long-term care facilities, and [ambulatory care centers](. [Struggling with too little time and too many responsibilities?]( This whitepaper offers critical strategies for alleviating burnout. It's time to [heal health care](. [We believe nothing can substitute experience](. MDforLives: a distinctive community of doctors. Register. Take surveys. Earn honorarium. [Create your MDforLives account in just 1 minute](. --------------------------------------------------------------- KevinMD Plus: Mar 9, 2020 [An infectious disease doctor answers your COVID-19 and coronavirus questions]( Being a specialist in infectious diseases right now is an interesting experience. Added to the usual challenges of our everyday practice — caring for people receiving transplants or chemotherapy, those with HIV, surgical infections, tropical diseases, and others — we now must manage a deluge of coronavirus-related questions from friends, family, and colleagues. Here are […] [How to prevent coronavirus: Your COVID-19 questions answered by a public health professional]( 1. What can I do to prevent becoming infected? When people are sick with a respiratory disease like COVID-19, they cough or sneeze particles into the air. If someone is coughing near you, the virus could easily land on your eyes, nose, or mouth. These particles travel only about six feet and fall out of […] [My first physician colleague who died by suicide]( I was busy running around the ER on a particularly busy shift when my phone buzzed, and a text message from Jane’s ex-boyfriend David popped up on the screen. I was surprised since I had not talked to him in over three years; therefore, I ignored it until I had a moment to myself an […] [A doctor’s COVID-19 advice to physician leaders]( I work as the medical director for a non-profit agency that serves people who are currently or formerly homeless. I am trained as a psychiatrist and have previously worked in local government. I live in the county in Washington State, where people have died from COVID-19. Here are my recommendations for other physician leaders in […] [The physician and the sacred art of medicine]( Corpses. A sea of corpses. The smell of death was unmistakable. Its pungent odor snaked around corridors and made its way to the basement, where we stood in line to go up to the anatomy lab for the first time. My heart was racing. All along the walls were jars of human remains—brains, fetuses, organs. […] [Seattle is at risk for explosive coronavirus growth]( The coronavirus outbreak in the Seattle area is at a critical juncture and could see explosive growth in cases much like Wuhan, China, if public officials don’t take immediate, forceful measures, according to a new analysis of genetic data. The author of the analysis, a computational biologist named Trevor Bedford, said there are likely already […] [Doctors: It’s OK to sometimes suck]( I’m here today to let you in on a little secret. It’s not something that I’m particularly proud of, and it’s work that I’m always trying to improve upon. But it’s true. And today you’re about to find out something I’m desperately trying to hide. So here it is. Yes, I’m a doctor. And yes, […] [Do patients addicted to drugs truly have capacity?]( Is it time to rethink how we determine the capacity of our patients who are addicted to drugs? I recently began debating this question after I took care of a young woman with endocarditis. She had a long history of IV drug abuse that had led to the development of endocarditis. She had been admitted […] [6 months of probation: Taking care of someone with alcohol-related liver disease]( “Are you my doctor?” Mary* asked me, as I, a resident physician, approached her bed. “Yes, I am one of the primary medical doctors taking care of you here,” I confirmed with my standard, pre-scripted introduction — with little appreciation of the implications of these words. Mary was a 30-something-year-old woman who transferred to our […] [Here’s why doctors are financially depressed]( Finances were reported as the second leading cause of physician depression for men and women in 2018. Doctors, like anyone else, face normal challenges that life throws at them. Additionally, they carry a huge weight on their shoulders as they go through rigorous training, are trained to put patients first, and are expected to increase […] [System failure: We need a reboot to better handle intersectionality]( In medical school, physicians learn how to diagnose and treat medical conditions. We learn about all the different presentations and revel in catching a complex or rare diagnosis. In essence, we learn to categorize disorders based on a cluster of symptoms and match them with appropriate treatment plans. Of course, you want this quality in […] [A great nurse shares their knowledge and does not judge]( As a new nurse, I was constantly overwhelmed. I had spent four years of my life learning how to become a nurse, and then here I was, being “a nurse” and wondering all the time whether I was even any good at it. My heart was in it. But every moment of every shift, I […] [COVID-19’s biggest threat is to the health of our economy]( “Made in China.” Words ubiquitous throughout the products we use every day and now, ironically, applicable to the virus that has laid siege around the world. Illness and death have spread across borders and continents, as well as fear and panic. Illness and death we can quantify in numbers, however, fear and panic are less […] [What coronavirus is teaching us about telehealth]( “Should I cancel my business trip?” That is not the kind of question that patients typically ask their doctors. For most people, that’s not even a question they can ask their doctors, at least, not without an appointment, a co-pay and an anxiety-inducing wait in a crowded doctor’s office. As U.S. cases of coronavirus rose […] [The casualties of the Iran missile attack: not your father’s concussion]( Recently, revelations indicated that the Iran missile strike on the U.S. base in Iraq actually did cause head injuries. So why did the U.S. initially claim no “casualties”? From the limited reports available, it appears that most of the soldiers’ symptoms were consistent with concussions. Let’s define terms: In the wars of the 20th century, […] [COVID-19 showcases the bravery of first responders]( When first responders answered roughly ten calls from a long-term care center in Kirkland, Washington, over the course of a week, they did not expect to become patients themselves. Entering the Life Care Center of Kirkland last month exposed them to the novel coronavirus that sickens people with an illness known as COVID-19. Because the […] [Resident adds Rorschach reads to radiology reports]( In the dark radiology reading rooms, only the gentle hum of the computers and the quiet chatter of residents dictating radiology reads break the silence. Among the computers sits Dr. Exner, a senior radiology resident at Hospital Woeisme. He has recently become known for a peculiar habit – he has begun adding Rorschach interpretations into […] [Is the conference cancelled? How coronavirus is upending the conference industry.]( Nearly 100,000 pop culture fans flocked to Emerald City Comic Con in Seattle last year, including many dressed as superheroes, aliens, and robots. But something scarier than a comic book villain is roiling the conference this year — the spread of the coronavirus. Ten people have died from novel coronavirus in King County, Washington, where […] [A dam about the burst: The job of “doctor” places too much stress on one person]( “I wish this were not the case, but I am concerned that your disease is getting worse, and your time may be very short.” “I know you are angry and upset at how you were treated — I will do my best to make sure that does not happen again.” “I am sorry, but I […] [MKSAP: 36-year-old man with abdominal cramping, diarrhea, malaise, and nausea]( Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He returned 2 weeks ago from a 7-day trip to Lima, Peru. On physical examination, temperature is 37.7 […] [What’s the future of the physician assistant?]( Currently, in America, there are only three legal groups of prescribers, the physicians (which include MDs, DOs, DPMs), the nurse practitioner (NPs), and the physician assistant (PAs). The first class of physician assistants, in 1965, was also the year of the first class of nurse practitioners. Today there are nearly 300,000 NPS In America and […] [Gun violence requires medical intervention]( 109. This is the number of people who died each day from firearms in the U.S. in 2017, the most recent year for which the CDC has published data. It is a staggering number, one that deeply damages the fabric of communities and tears families apart. What’s perhaps most disconcerting is that this number – […] [Can a rehabilitated sex-offender make positive change?]( Ed is not from Kentucky. I believe he told me he is from West Virginia and from a very low-income family. At about 15, he was hit by a car and paralyzed from the waist down. He’s now about 30. But for a guy in a wheelchair, he is nothing short of remarkable for what […] [Start a hospitalist program with these 6 steps]( Just to give you my background, I manage a large hospitalist program for a busy downtown community hospital that is part of a large health system consisting of a total of 29 acute care hospitals in the same geographical area. One of the reasons why our team was hired recently to manage this hospitalist program […] --------------------------------------------------------------- If a friend sent you this email and you want to subscribe, go to [KevinMD](. --------------------------------------------------------------- 345 Hudson Street New York NY 10014 USA [Unsubscribe]( | [Change Subscriber Options](