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'Directing Fish-Out-of-Water Physicians': What We Heard This Week

Three raised hands holding blank bubble captions.

Three raised hands holding blank bubble captions.

"You have an attending physician who knows what she's doing directing fish-out-of-water physicians who have been conscripted into service beyond their specialties." -- Scott Weavil, JD, on redeployment terms being written into physicians' contracts during COVID-19.

"We're used to dealing with horrific situations and we're used to dealing with death. But now it's coming at an accelerated rate." -- Vincent Variale, president of the Uniformed EMS Union Local 3261 in New York, on the impact of the COVID-19 crisis on EMS workers.

"When you pay doctors for performance, you have to be able to measure how sick their patients are, because a hospital or doctor with sicker patients is going to have worse performance and you don't want to penalize them for that." -- Kenton Johnston, PhD, of St. Louis University, discussing the idea of incorporating a "frailty index" into Medicare pay.

"I find it very hard to justify firing anybody who is trying to tell stories for the right reasons." -- Nisha Mehta, MD, a radiologist in Charlotte, on providers who face punishment for publicly discussing PPE shortages at their hospitals.

"The more you take it, the more you lose respiratory reserves, and you may not be able to fight this infection." -- Samer Narouze, MD, PhD, of Western Reserve Hospital in Ohio, discussing opioid treatment for chronic pain during the COVID-19 pandemic.

"With the flu, you're down for the count but it's relatively short-lived. You feel horrendous, but then you're fine in most cases. With COVID, the symptoms are extremely intermittent, and when they're present, they're debilitating." -- Sapna Kudchadkar, MD, PhD, a pediatric ICU specialist at Johns Hopkins University in Baltimore who recently recovered from COVID-19.

"We can beat this thing back ... If testing starts with first responders, then moves to healthcare providers, and then the rest of the community, Mayor Brainard's vision will make Carmel's line flat." -- Zak Khan, a Carmel, Indiana entrepreneur who pitched a plan for testing first responders, and other city employees in the community.

Last Updated April 10, 2020

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Wednesday, 27 May 2020

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