Doctors In Training Learn Hard Lessons During The Pandemic

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Doctors In Training Learn Hard Lessons During The Pandemic
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There are some 130,000 medical residents in the U.S., and many are pulling long shifts in emergency departments and ICUs treating patients infected with the coronavirus.

Dr. Max Lazarus, a medical resident at a hospital on Long Island, N.Y., is one of some 130,000 medical residents in the U.S., many of whom have found themselves on the front lines of the COVID-19 pandemic.Dr. Max Lazarus, a medical resident at a hospital on Long Island, N.Y., is one of some 130,000 medical residents in the U.S., many of whom have found themselves on the front lines of the COVID-19 pandemic.In the U.S.

Lin already knew how to manage a patient on a ventilator, when to adjust the settings, what to do if the person's kidneys needed help."Every person that rolled in: tubed, unstable, respiratory failure, COVID ... anyone, young, old," he says."It was just a deluge." Day after day, Lin had the unsettling experience of leaving the hospital unsure of whether his efforts to help patients actually made a difference."It has just been incredibly disheartening," he says.

The pace is different too. She can't rush to a patient's bedside without first putting on layers of protective gear:"That immediacy is such a part and parcel of ICU care, typically."Before working in the ICU with COVID-19 patients, Brucato made sure to remind her husband of her own medical wishes. "Now is the time that we most need those protections," says Plasencia, a resident at a hospital in Brooklyn, N.Y."Because residents are really at the forefront doing so much of this work, they are in very large numbers becoming ill."

Khan is a psychiatry resident in his first year, known as an internship, at Yale New Haven Hospital. Suddenly his rotation coincided with a surge of COVID-19 patients. Khan is much more comfortable working with coronavirus-infected patients since those early days of the pandemic in Connecticut. But he recognizes the psychological toll of caring for these sick patients, often being the only connection between them and their families.

For many residents, the legacy of the coronavirus may be the emotional weight of so much unmitigated loss.

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