Skip to main content

COVID-19 - Lessons for the Next Pandemic


The first case of COVID-19 in the United States was reported on January 20th.   Of course, this is akin to finding one termite in your garage and thinking that there are no others.  Of course, by January 20th there were an unknown number of infected Americans who were silently and efficiently transmitting the virus to others. 

It’s easy to say now what we all should have done then. 

The rapidity of the explosion of worldwide infections has been staggering and humbling.  Compare the known infections and mortality in America today with the state of affairs on January 20th, only 3 months ago. 

Just prior to posting this, the known number of U.S. fatalities to COVID-19 is 150,000.
For some perspective, our country lost over 58,000 individuals in the Vietnam War, but this horrible tragedy was the result of 8 bloody years, not just several months. 

The current diabolical enemy is a merciless adversary.  Like a terrorist, it scares those who have not been infected.  It makes us hide and hunker down.  It kills enough people to make us all feel vulnerable.  And, it has cratered our economy so deeply that it makes the post 9/11 economic damage seem like a modest downturn.


A deadly and invisible enemy.


But we will get through it. I was proud that it seemed that the country had largely come together to get to the other side.  For the first few months, we listened to our public health experts and sacrificed.  We were willing to participate in something that is so much bigger than ourselves.

But as time went on the public's patience waned.  Businesses demanded to be set free.  Masks became a divisive political issue.  Governors opened up their states with the hope of pulling an inside straight.  Many of them were forced to admit defeat and ordered an economic retreat.  And many Americans simply ignored the public health recommendations and filled up beaches and bars putting all of us at greater risk. 

Perhaps, when the next pandemic descends upon us, and it will, we will all recognize that immediate containment and contact tracing is a better pathway than delay followed by collective mitigation.  Will we have the discipline and trust in our leaders to fall in line?   How many shutdowns can the country and the world endure?

I hope and pray that the current experience has been so frightening and traumatic that we will do the right thing when COVID-22 or COVID-24 attacks.   And hopefully, the world’s scientists are learning now how to better design therapeutics and effective vaccines, which may ultimately be our most potent two-pronged weapons against invisible enemies that do not even exist today.

Comments

Popular posts from this blog

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

The VIP Syndrome Threatens Doctors' Health

Over the years, I have treated various medical professionals from physicians to nurses to veterinarians to optometrists and to occasional medical residents in training. Are these folks different from other patients?  Are there specific challenges treating folks who have a deep knowledge of the medical profession?   Are their unique risks to be wary of when the patient is a medical professional? First, it’s still a running joke in the profession that if a medical student develops an ordinary symptom, then he worries that he has a horrible disease.  This is because the student’s experience in the hospital and the required reading are predominantly devoted to serious illnesses.  So, if the student develops some constipation, for example, he may fear that he has a bowel blockage, similar to one of his patients on the ward.. More experienced medical professionals may also bring above average anxiety to the office visit.  Physicians, after all, are members of...

Electronic Medical Records vs Physicians: Not a Fair Fight!

Each work day, I enter the chamber of horrors also known as the electronic medical record (EMR).  I’ve endured several versions of this torture over the years, monstrosities that were designed more to appeal to the needs of billers and coders than physicians. Make sense? I will admit that my current EMR, called Epic, is more physician-friendly than prior competitors, but it remains a formidable adversary.  And it’s not a fair fight.  You might be a great chess player, but odds are that you will not vanquish a computer adversary armed with artificial intelligence. I have a competitive advantage over many other physician contestants in the battle of Man vs Machine.   I can type well and can do so while maintaining eye contact with the patient.   You must think I am a magician or a savant.   While this may be true, the birth of my advanced digital skills started decades ago.   (As an aside, digital competence is essential for gastroenterologists.) Durin...