Bucks Montgomery Physician Fall 2020 - 8

FEATURE

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n any given day in the Emergency
Department, a mask-less patient
yelling from their stretcher would
be considered the norm. The fact they
were yelling was a good sign; their oxygen
saturation was reading near 99% and they
clearly weren't lacking in vital capacity.
However, these are not normal times given
there is a pandemic the likes of which
not seen in a hundred years. This patient's
symptoms were consistent with what we
know now to be the most indicative of
COVID-19: fever, dry cough, diarrhea, and
a loss of smell. After being swabbed for
COVID-19, they became irate when the
discharge paperwork - which consisted of
a work excuse note and instructions for
quarantine - lacked the singular reason
for a two-hour ED visit: a prescription
for Hydroxychloroquine (HCQ).

by Mark E. Pappadakis, D.O.

Attempts to explain why HCQ was not
indicated were met with a hefty dose of
profanity, a dash of threats, and a pinch of
racial slurs to the outrage cocktail the patient
was serving to everyone within earshot;
which happened to be the whole department.
To say the patient bought into the hype
of HCQ is an understatement. As
recommendations change seemingly daily,
papers are made public prior to peer review,
and the President offers up musings on
therapies and theories, U.S. physicians have
had an uphill battle since COVID-19 snuck
into our cities and infected our patients,
their families, and even ourselves. We've
been fighting a war on multiple fronts,
and when it seems like we make progress
in one area, we backslide in others.
Back in March when COVID-19 began

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BUCKS/MONTGOMERY PHYSICIAN

fall 2020



Bucks Montgomery Physician Fall 2020

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https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontPhysicianSummer2021
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontPhysicianSpring2021
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianWinter2021
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontFall2020
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontSummer2020
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontSpring2020
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianWinter2020
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianFall2019
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianSummer19
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianSpring2019
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianWinter2019
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianOctober2018
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysicianSummer2018
https://www.nxtbook.com/hoffmann/BucksMontgomeryPhysician/BucksMontgomeryPhysician
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