One Person at a Time

I have a soft spot for public health. True, I’ve been a family physician for 32 years, and have touched many people’s lives, but decisions made by public health practitioners have an outsized impact on health.

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Trust in Public Health

WND recently published my op-ed designed to highlight the benefits of trusted doctors and faith-based organizations communicating on public health issues. I also noted what I considered to be several significant failures of government public health messaging.

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The World in Need

When John Donne wrote “No Man Is an Island,” he was lying on his sickbed, thinking, perhaps, it would be his deathbed. When he heard the church bells tolling for a person recently deceased, it got him thinking. His life­—everyone’s life—was diminished by the death of that unknown person. We are all connected.

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On Faith and Fear

During a recent urgent care shift, a young welder presented with a metal foreign body in his eye. If you work in emergency medicine, urgent care or ophthalmology, or if you weld yourself, you are already aware of this occupational hazard. I was not aware of it prior to starting work in urgent care, but I must admit that it makes any dreams I may have had of learning to weld, thereby empowering myself to do more of my own home repairs, much less attractive. Tiny hot flecks of metal landing on the human cornea quickly embed themselves and become difficult to remove. Left there for a few days, they begin to rust, leaving a small rust ring on the cornea after the metal itself is removed—a rust ring which then has to be removed with a tiny drill called an eye burr.

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COVID-19 Fact or Fiction?

A growing proliferation of blog posts, podcasts and online videos presenting confusing information regarding COVID-19 has increased over recent months. Many of these controversies are propagated by physicians speaking to large church audiences. In this blog post, I will address the most common disputes.

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Navigating Vaccine Ethics

CMDA Senior Vice President for Bioethics and Public Policy Dr. Jeff Barrows and I recently wrote a piece for The Public Discourse, “Is Receiving the Pfizer-BioNTech COVID-19 Vaccine Ethical?” that suggested principles to consider as we navigate ethical issues related to COVID-19 vaccines. I’ve included brief highlights below; more from the original article and also new observations will be published in an upcoming edition of CMDA Today (previously known as Today’s Christian Doctor).

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Our Duty to COVID-19 Patients

You see a 68-year-old male with diabetes and hypertension in the office for coughing, body aches and recent loss of taste and smell, whose symptoms started about three days ago. His pulse oximetry is 95 percent, and the lungs are clear. A COVID-19 test is run and comes back positive. He asks what can be done to decrease his risk for going to the hospital or even death. Unfortunately, you tell him, there are no easily accessible outpatient treatments for COVID-19, and you recommend he use over-the-counter treatments to help his symptoms and to let you know if he is getting significantly short of breath. There are times like this when we in the primary care realm can feel helpless or like there’s not much we have to offer for patients. But is this truly the case for COVID-19?

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First Do No Harm

I got to hear Philip Yancey, one of my long-standing heroes of faith, speak in person a few weeks ago. My college-age daughter and I attended a conference (which, lest you are concerned, was sparsely attended, socially distanced and masked) where he spoke to a group of about 100 people. The minute I received the invitation, I knew I was going to attend if humanly possible. I am a huge fan of Philip Yancey, have read all his books and find him to be one of the most simultaneously encouraging and convicting Christian authors out there. I certainly was not going to miss the chance to hear him speak in person in a small group! I spent the intervening weeks in eager anticipation.

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A Plea to Our Churches

The daily rendering of the news informs us that the rate of COVID-19 infections is skyrocketing. The time it takes for the U.S. to accumulate one million cases has dropped from 44 days to just seven days. The pandemic has not only arrived; it is hitting with hurricane force and has reached a crisis point.

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Ethical Science at Warp Speed

COVID-19 has brought many challenges to us all—medical, ethical, societal. It has also intensified and sharpened the focus of some ongoing bioethical challenges, especially regarding fetal tissue research and the related topic of abortion-derived cell lines and vaccine production. We looked at both of these issues in the spring of 2020, early in the COVID-19 pandemic. Time for some updates, new information and analysis.

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Overcoming the Bombardment of COVID-19

Carpet bombing, also known as saturation bombing, is a large area bombardment done in a progressive manner to inflict damage in every part of a selected area of land. The phrase evokes the image of explosions completely covering an area, in the same way a carpet covers a floor.

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A Vaccine Trial is Not a Trial: What Participating Looks Like

I love vaccines. To those of you who have read my other articles on the subject (available here and here), this comes as no surprise. But, you may rightly say, “love” is an awfully strong word. Shouldn’t I only love people, not things?

I love vaccines because I love people. Millions of people are alive today only because they were vaccinated. Who are these people? Nobody knows, because the vaccine kept them from getting sick and dying. One of them could very well be me. Or you.

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Heroes, Wistfulness, Roles and Faithfulness

The viral attack hit especially in the major metropolitan epicenters, and many doctors, nurses, respiratory therapists and other healthcare professionals stayed at work in the trenches, came out of retirement or traveled long distances to volunteer their services to aid those in distress.

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Responding to Anti-Christian Animus Revealed in the Pandemic

In New York City, pronouncements against the volunteer work of the Christian relief group Samaritan’s Purse revealed venomous anti-Christian attitudes. Because Samaritan’s Purse, led by Franklin Graham, the son of the late evangelist Billy Graham, adheres to a biblical view of marriage, some New Yorkers would have had the group kicked out of the city rather than allowed to help save lives.

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Thinking of Ultimate Things

After 10 weeks of avoiding people, I realize how much I miss them. People, that is. I always thought I disliked crowds, but now I find myself missing crowds also. People bring me pleasure. People are precious.

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The Polarizing Pandemic

We are living in a highly polarized society. Disagreeing opinions have very little overlap, making compromise difficult. People talk more than they hear, and they hear more than they listen. People rally and argue and protest, but they rarely build bridges across the divides. Political candidates represent the extreme ends of their party’s platform, and those in the middle are accused of being weak on issues. Opinions on social media are strongly worded and leave no room for useful discussion. Family members have broken fellowship over the Trump v. Clinton election. Friendships are strained over differing definitions of social distancing. The world we live in is broken, and people are afraid. Fear, in fact, is the most insidious form of brokenness. It penetrates the very marrow of our character and changes our motivations. The values and ideals we hold dear are corrupted by fear such that we no longer act based on what we believe, but rather out of avoidance of what we fear.

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Faith in Times of Uncertainty

COVID-19 has upended our routines, but the spirit-filled life remains as accessible as ever. I am, by God’s grace, optimistic. Ask the people who know me best, and they’d all agree I tend to find the sunniest take on nearly everything, sometimes to the point of annoyance.

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Immunizing Conscience

Ethical considerations should have a priority place in science and medicine. Promoting sound bioethics promotes confidence in doctors and scientists and their work, among peers, the public and policymakers. This is certainly seen in the recent ethically-guided decisions around federal funding of research with fetal tissue from elective abortions. Ethical guardrails help focus precious research funds on projects with best chance of success and benefit for all. Even in a crisis such as the current COVID-19 pandemic, illumination of the ethical vs. unethical proposals can educate and serve to focus attention and resources on the paths that will benefit all.

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A Touch of Compassion

Emergency appointments are a big part of our duties and schedules at Christ Community Health Center where I work in Memphis, Tennessee. We have a walk-in day once a week at four out of our five clinics, and we also take several walk-ins on other days at each of our clinics. So, transitioning to only emergencies did not feel too weird, it just made our schedules lighter. During this pandemic, I’m thankful we as dentists can provide much-needed emergency services to treat pain, keep people out of the emergency room or give someone a quick-fix to hold them off until they can have more work done.

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COVID-19 Ramblings and Reflections

The world is caught up in the COVID-19 pandemic. This virus has changed our lives, and it will continue to change the lives of people all over the world for years to come. Schools, churches, businesses, restaurants, sporting events and entire countries are closed or are placed under lockdown. Shelter-in-place, an old term, unknown to most, is now widely used, and it affects, by some estimates, more than half the country. At any hour of the day or night, one can find the most up-to-date tallies for morbidity and mortality in the U.S. and around the world. This led me to three observations.

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CPR in the Times of COVID-19

Cardiopulmonary resuscitation (CPR) is universally applied in cardiac standstill, unless a physician order is given to Do Not Resuscitate (DNR). CPR is the only procedure that can be performed without a physician order; a nurse cannot give aspirin, start an IV or feed a patient without an order. However, CPR is the automatic default when the heart stops. This universal application has created several ethical issues, and the current pandemic now has us questioning if CPR should be the automatic default.

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A Healthy Fear

“The Lord is my light and my salvation—whom shall I fear? The Lord is the stronghold of my life—of whom shall I be afraid?” (Psalm 27:1-2, NIV 1984).

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Coronavirus Response Reveals Character of Governments

American novelist James Lane Allen wrote, “Adversity does not build character; it reveals it.” The response by the governments of countries around the world to the COVID-19 Coronavirus is revealing the fundamental character of those governments.

As the U.S., state and local governments and healthcare professionals labor tirelessly in compassionate and effective efforts to protect American citizens from the spreading COVID-19 Coronavirus, governments in certain countries instead are reportedly exposing persecuted religious groups to the threat.

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In the Midst of Uncertainty

It happened so quickly, it seems. One moment it was business as usual: reviewing lab cases, getting ready for boards, opening our practice doors for patients to arrive, joking with staff and colleagues throughout the day and planning to attend the next mission trip, church service, conference, wedding or other event. It feels as if we all became affected at the same time. In an instant those jokes were replaced by concern as dental boards were put on hold, our office closed to routine dental care, we became unemployed or we put some of our staff on unemployment to keep the practice afloat in the midst of uncertainty. Our plans got cancelled one by one, our normal way of life crumbled. It’s now challenging to find one broadcast, social media post, YouTube video, email or conversation that does not mention “virus,” “pandemic” or “COVID-19”.

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Anxious? Me, Too. How To Lean On God When Feelings Don’t Cooperate

I’ve been a family doctor in the same location for 30 years, so many of my patients have been with me a decade…or two…or three. Following people through their life stages has been a joy. We’ve grown older together. I’ve been acutely aware of this in the last two weeks as I’ve called patients to reschedule them. I’ve wanted to call them myself to make sure they don’t need anything, because I’d rather they avoid any medical facility for the next six months.

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A Guide in the Middle of COVID-19

My 21-year-old son attends university in Scotland. Scotland is a beautiful country filled with some of the loveliest people I have met in my travels. They are warm, friendly and willing to help a stranger, even if you can’t always understand what they are saying to you. Those thick Scottish brogues can be difficult! Just sayin’.

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