The Pandemic Of Dogma Within The Pandemic Of COVID-19

The Pandemic Of Dogma Within The Pandemic Of COVID-19

Our generation of physicians prides itself on the practice of evidence-based medicine. Ideally, this means making medical decisions based on peer-reviewed clinical studies and randomized, controlled clinical trials. It means getting away from the “this-is-the-way-you-do-it-because-this-is-the-way-we’ve-always-done-it” approach to medicine to ensure that patients get the best known treatment for any given medical condition. But what happens […]

Re-Using N-95 Masks In The Time Of COVID-19

Re-Using N-95 Masks In The Time Of COVID-19

The geniuses at Battelle have done it again. This time, they have invented a process for sterilizing and re-using N-95 masks using vaporized hydrogen peroxide. Battelle Memorial Institute is a non-profit scientific research and development institute here in Columbus, Ohio that is located about 3 blocks from the OSU hospital. Researchers at Battelle were the […]

Preparing For ICU Surge Capacity In The Time Of COVID

Preparing For ICU Surge Capacity In The Time Of COVID

The COVID-19 pandemic has created enormous demand on the world’s intensive care units. As of today, Central Ohio is still in the very early stages of the outbreak whereas countries such as Italy, Spain, China, and Iran have had large numbers of patients. About 10% of those infected eventually need admission to an intensive care […]

The Cocaine Mule

The Cocaine Mule

This morning, I was contacted by the emergency department. We had a patient who came in with severe agitated delirium to the point that no combination of sedative and anti-psychotic medications could control him and keep him from harming himself or ER staff members. Ultimately, he had to be intubated and placed on continuous IV sedatives. It reminded […]

An Epidemic Of Endocarditis

An Epidemic Of Endocarditis

Last week, I was called about triaging a patient to the intensive care unit. A 38-year-old woman had come to a rural Ohio hospital emergency department with sepsis and chest x-ray changes that looked like septic emboli. She uses intravenous heroin. The opioid epidemic in the U.S. has primarily received a lot of press because […]