Archive | April, 2020

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How Safe Will You Be? The Proper Use of Gloves and Masks

As a gastroenterologist, I have had to get up close and professional (sometimes much more up close and personal than any normal person would want to be) with a host of germ-laden material. Try giving someone a fecal transplant through a colonoscope. And, during the early phase of the AIDS epidemic, gastroenterologists were frequently the […]

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The Ritual of Medicine Is Threatened By the Rise of Telemedicine

Recently I saw an article describing the tension between a patient and her oncologist when considering a follow-up appointment during this coronavirus pandemic.  On the surface it posed simple questions. Should they meet and risk cross infection? Could they accomplish their goals through telemedicine? Below the surface it underscored the value of medical ritual and […]

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Doctor and patient on ventilator in China

Should the Elderly Decline Ventilators?

This post is going to be very grim. I hope you will take it as useful information and food for thought. Despite the call for more ventilators, these breathing machines are not a panacea for elderly patients.  As Coronavirus sweeps the country, and as governors beg for federal assistance, the reality of mechanical ventilation for […]

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