Above all else, do no harm. This is a basic tenet of a physician’s oath, but this oath does not always align with the religious and cultural beliefs of each patient. In cases where beliefs of faith, salvation or religion play a major factor in a patient’s desire to commit suicide, it can be difficult to draw the line between the traditional ethical guidelines of patient autonomy and non-maleficence.
In my home city of Washington, D.C., citizens have taken the changes brought on by COVID-19 very seriously; social distancing, masking and frequent hand hygiene are now routine. These days, I am startled when I see the bottom half of someone’s face out in public. Our homes have become our sanctuaries. In the hospital, however, much of our work continues unabated. Orders are written, notes are signed, lab work is drawn, imaging is performed. Housestaff are on the front lines with nurses, respiratory therapists and patient care technicians taking care of the sickest patients day-in, day-out.
Earlier in February of this year, before COVID-19’s onslaught in London, UK, I was covering service on a respiratory ward when a young medical student made herself known to the physician’s office. “Could I borrow your stethoscope? I’m here to practice my respiratory examinations.”
When the pandemic hit, many psychiatry departments across the United States had to rapidly adapt and respond in innovative ways to serve the needs of their patient population. After an initial struggle, many found a platform best-suited for this need and transitioned to telepsychiatry as a way to see and treat patients.
I first met Ruth in the emergency department when I was a third-year medical student on my psychiatry rotation. She was an “elderly female with psychosis — medical workup negative.” My resident had received a page with a request for her admission and sent me to the ED to speak with her first.
I am a 25-year-old resident physician of anesthesiology /
My sister and I are bonded by genetics, anatomy and biology /
I am a senior in high school at age 18. / My sister and I are bonded by love and everything in between.
For the first time in history, a pandemic has shut down the entire globe. COVID-19 has affected our lives in many ways, including significantly impacting health care services. Many people, sensing an unseen danger looming in the air, have become increasingly afraid to visit their primary care physicians, and we are now discovering the catastrophic consequences of this delay.
I constantly have to deal with racism and homophobia. In Boston. In America. When I leave work and go home, I have to prepare to deal with the same prejudices the following day. Why would I ever go out of my way to read such stories in my spare time, as I recover from the day behind me?
This elderly yet jolly gentleman answers our unending questions about his physical health, but it is his question to us that makes me pause. Do I have time for a poem? This busy clinic day, I stop reflecting on why his heart stopped beating and instead what motivates his heart to beat in the first place.
No one had told her how difficult the fight after COVID would be. Of course, few in her community had lived to tell the tale. And then again, precious few people had expected her to survive at the ripe old age of 86.
“Hello? Can you hear me?” Tightly holding the phone, I heard only an old man’s distant yelling and the shattering of dishes being thrown against the wall.
My husband Tom isn’t afraid of anything; strapping on a bulletproof vest every day for work will do that to a man. Tom wasn’t scared until I couldn’t breathe.
Amanda Stahl Piraino, DO (1 Posts)
Resident Physician Contributing Writer
Bryn Mawr Family Practice
Dr. Amanda Stahl Piraino grew up in Scranton, Pennsylvania, and graduated from the University of Scranton with her undergraduate degree in Philosophy and Biology. She earned her medical degree from the Philadelphia College of Osteopathic Medicine. Dr. Stahl Piraino chose family medicine because “it is a dedication to walking with our patients when they struggle to stand: to walk with them on good and bad days, to fight for their well-being when they cannot fight for themselves, and to hear their hopes, dreams, and fears when others find it hard to listen.” She is interested in preventative care for all ages and osteopathic manipulative medicine. She enjoys Disney trips with her husband, cooking, and walking their German Shepherd, Stella.