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Voices of ID

The Voices of ID section of CID features narrative stories from members of the infectious diseases community, focused on how the authors’ work in ID impacts their life, their family, and their friends. Voices of ID highlights personal stories told in authors’ personal voices. Learn more about how to submit for “Voices of ID” here.

The Voices of ID section launched in 2023 with a special collection intended to help the ID community process the impacts of COVID-19. The CID editors sought out narratives from a wide range of contributors, including trainees and senior professionals, academics and private practice providers, clinicians, and researchers. These moving accounts provided a mosaic of the different ways we experienced the pandemic and remind us why so many of us have made a home within the ID community—a group full of thoughtful and brilliant people who are passionate about making this world a better place. Read an introduction to the Voices of ID: COVID-19 collection by Paul Sax, MD, and Sara Bares, MD. All papers from that original collection and subsequent Voices of ID contributions can be found below.

The Sanctity of Trying
Leah Froehle
“What's the magic number to transfuse?” “Under 7,” I say, without skipping a beat. “Why is his hemoglobin so low again?” “I don’t know,” I reply, this time slower. “Neither do I,” my attending admits. “Order a unit of blood.” Within 30 minutes, the patient is transfused. He is a young man who ...
Beyond Burnout: The Power of Purpose, Partnership, and Serving Others
Mary Lou Manning and others
Burnout and work-related stress are increasingly recognized as significant threats to the healthcare workforce, impacting both the quantity and quality of care. With more than 140 years of collective nursing experience, most of which has been dedicated to infection prevention and control (IPC), we ...
Fevering
Sarah Calvert
“All the noise, noise, noise, noise!” cries the Grinch (and my mind) as I leave the hospital. A carousel of unfinalized cultures, uncleared bloodstreams, and undulating ANCs (absolute neutrophil counts) revolves in my mind. A screeching, high-pitched jingle blares. My mind is fevering. Like some ...
Why I Did Not Become a Cardiologist
Julia Fischer
College students, with their whole lives ahead of them, are not meant to die. Yet, in 2015, while I was a student at the University of Oregon, an outbreak of Neisseria meningitidis serotype B shattered that assumption. The Centers for Disease Control and Prevention (CDC) and healthcare ...
Bookends
Susan Swindells
In 2015, I was invited to join the Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents, and my being a member of that panel led to an invitation to the NIH coronavirus disease 2019 (COVID-19) treatment guidelines panel in March 2020. Joining the ...
A Different (My) Side of the Opioid and Drug Crisis
Aldo Barajas-Ochoa
First is the quick, default answer: “We did not see them that often.” While I remember reading about intravenous drug use during my nonclinical years in medical school in Mexico, I rarely saw these patients while in training. During my pregraduate internship (the fifth year of medical school in ...
Maintenance of Certification: Is a Knowledge-Based Assessment Really Necessary?
Allan R Tunkel
On 1 November 2023, I took the 10-year recertification examination in infectious diseases (ID) from the American Board of Internal Medicine (ABIM). This is the fourth time I have taken the exam—first for my initial certification and then every 10 years thereafter. I opted for the 10-year ...
On the Joy of Science and Medicine
Jay V Solnick
But trying is not enough. And there are new challenges faced by young physician-scientists, making it even more important to make careful decisions. Choose your research mentor carefully and do not restrict yourself to physicians in infectious diseases. For that matter, don’t restrict yourself to ...
Start Swinging
Wendy Stead
So I reach into the thorny morass of emotions that I’m feeling in this moment and I choose rage; not as a daily state of being or a wild inside fastball hurled during a moment of frustration, but rage as a way of saying that I’m not giving up, that I have hope for something better. For those of us ...
The Arrivals Gate at Heathrow Airport
Darcy Wooten
There's a great opening from Richard Curtis' 2003 film Love Actually (arguably one of the best Rom Coms of all time): I believe that in medical training, we (consciously or subconsciously) incorporate aspects of our teachers into our unique professional identities. I remember rotating on the ...
Firsts
Simone Blaser
In my second week of infectious disease fellowship, I handed a young man a death sentence. He had come into the hospital because he was having trouble breathing. When he arrived, his oxygen levels were dangerously low, and his chest X-ray looked like a layer of white netting had been placed over ...
Reflections on COVID-19: Solitude and Isolation
Richard P Wenzel
I have argued that solitude—a keen state of self-awareness—can lead to an enhanced sense of the physical and emotional stakes of pandemics. We might then be better able to orchestrate a more comprehensive response to the immediate and longer-term challenges. Solitude is not the purview only of ...
Put the Fluoroquinolone Down and No One Gets Hurt
Emily L Heil
Hospitals have distinct cultures that shape decision making. Stewards have to navigate complex social dynamics in their daily work, including institutional hierarchies, gender bias, and particularly as a pharmacist, interprofessional communications with asymmetry in authority [ 6 , 7 ]. Effective ...
Infection Control and Prevention During the COVID-19 Pandemic
Vivek Jain
In January 2020, it was clear we would soon begin seeing patients with what we called at the time the novel coronavirus infection. My infection control and -prevention team began to meet with leaders of our medical center and heads of the many operational units at San Francisco General Hospital. We ...
The Belt Parkway
Catherine Diamond
Then, my father was in the hospital, on oxygen, but the hospital didn’t permit visitors. He had a flip phone and was hard of hearing. He didn’t always answer when his phone rang. They kept moving him from room to room, so when you called, it was hit or miss. He might be in a different room or bed, ...
When Someone Should Do Something About This: How a Cryptococcal Clinical Trialist Became Involved With the COVID-19 Pandemic
David R Boulware
Having run multiple investigator-initiated US Food and Drug Administration (FDA) investigational new drug (IND) trials in resource-limited settings, we knew what needed to be done to launch a clinical trial. In a blur of very long days, as a team, we wrote a protocol in less than 24 hours, ...
COVID and the Fog of War
Michael S Saag
On day 7 (20 March) of my illness I began taking hydroxychloroquine. Like the patients with HIV who I took care of in the late 1980s, I could not wait for the results of the clinical trials. Did it help me? I do not know; it did not seem to have much effect besides causing stomach upset. I quit the ...
Hostility Unmasked: Scientists on the Frontlines of the COVID-19 Pandemic
Krutika Kuppalli
Finally, and perhaps most vital, the unity among scientists is paramount; we must join forces to mend divides and resolve differences while upholding an environment characterized by respect and cooperation. As an example, I shared a photo on social media during a flight, and I was swiftly subjected ...
Clinical Laboratory Experiences During the COVID-19 Pandemic
Romney Humphries and others
The early months of the pandemic were among the most acutely chaotic in the laboratory, as testing had to be rolled out under ever-changing circumstances. Offering perspectives on these heady times is Dr Jonathan Schmitz, who oversaw the development and implementation of the institution's first ...
The Pandemic Babies
Matthew Shou Lun Lee
I’ve been told that the key to parenthood is learning to accept a certain level of anxiety and uncertainty in daily life. But becoming a new father while working as an infectious diseases (ID) physician at the start of the coronavirus disease 2019 (COVID-19) pandemic? Accepting that level of ...
Family Ties and COVID Lies
Sabina Zawadzka
Acknowledgments. S. Z. is responsible for the drafting, editing, and original concept of this submission. I convinced myself that if I could find the right words, the perfect study or the most persuasive evidence, I could change their minds. I was willing to do anything to bring them back to a ...
Isolated and Lonely in a Nursing Home During the COVID-19 Pandemic: A Deadly Combination for My Mom
Debra A Goff
Her eyes opened only to see 4 unrecognizable people standing over her in masks, gowns, and gloves. Knowing we were COVID-19–negative, we removed our masks and gloves. I held her hand. Her eyes lit up, and she asked, “Where have you been?” She squeezed my hand and never let go. We talked, we ...
Dealing with a Pandemic When You're the Only ID Doctor in Town
Abayomi “Yomi” A Agbebi
But I digress. I got angry. I wasn’t angry with any of the patients. No, my anger was for the people and the system that had made so many of them seem delusional. They were so sure, they believed what they were saying, and I began to understand that this was something beyond facts, beyond rational ...
What Did I Miss?
Tara Vijayan
Day after day, my work, which had now consumed much of my waking hours, was filled with this tension in a way it never had been before. While uncertainty was a regular part of my pre-pandemic life, the magnitude of what I was experiencing that year felt crushing. The first time I found out that a ...
Our Parents Were Never Home: Seeing the Pandemic Through Children's Eyes
Giovanni E Marcelin and others
The coronavirus disease 2019 pandemic has taken an unbearable toll on people and families across the globe, with millions dead and hundreds of millions affected in profound ways. In this perspective piece, we center the humanity of the pandemic and its impact on families by telling its story through the eyes of 11-year-old Nathaniel Marcelin and 7-year-old Giovanni Marcelin.
Embracing Diversity, Equity, and Inclusion: Am I Part of the Picture?
Kap Sum Foong
Growing up in Malaysia as part of a non-English-speaking family, pursuing an internal medicine residency followed by an infectious diseases (ID) fellowship in the United States (US) after completing my medical degree at the University Sains Malaysia was nothing short of a dream come true. Little ...
My Personal Calling
Diane V Havlir
The author, an infectious diseases physician based in Zuckerberg San Francisco General Hospital, shares her personal and professional experiences during the coronavirus disease 2019 pandemic and how it was influenced by her work with the human immunodeficiency virus/AIDS pandemic.
Timing
Neil R H Stone
I could hardly believe it when I walked in on my first day. I had landed my dream job as a consultant (attending) at the Hospital for Tropical Diseases, which also serves as the Infectious Diseases (ID) Department for University College Hospital in London. I had trained there, been inspired to ...
Extremes
Andi L Shane
I realized that I was going to be late, again, as traffic was at a standstill. If anything positive resulted from the pandemic, the usually extreme Atlanta traffic was moderately reasonable and commutes were predictable. Except on that day. Realizing that the delays were due to lines of cars ...
Mothers’ Days
Gretchen S Arnoczy
12 May 2020 My kids have breakfast, homemade gifts, and a shelter-at-home Mother's Day planned. I try to enjoy my bacon and egg sandwich, but I’m distracted because my friend Jenny is in labor in an N95 mask. She tested positive for coronavirus disease 2019 (COVID-19) 12 days ago. She was 22 weeks ...
Coming Back Home
James B Cutrell
So, what's going on with that COVID-19 virus thing? While I’m sure every infectious diseases (ID) physician heard some version of this question hundreds of times over the past few years, myself included, it often came with a different force and resonance when asked by those from my hometown. You ...
COVID at the Whiteriver Indian Hospital
James B McAuley
To be prepared to serve a community in crisis, one needs to begin with expecting excellence—from yourself as well as those you work alongside. The foundation of any well-functioning health system is not a perfect supply chain or well-functioning electronic health record system, as important as ...
Our “Side Hustle”
Erin K McCreary
One of the first emails I sent regarding monoclonal antibodies for coronavirus disease 2019 (COVID-19) to my physician cochairs of the University of Pittsburgh Medical Center (UPMC) System COVID-19 Therapeutics Committee stated that “I think outpatient coordination of this is beyond us…. wouldn’t ...
Just Breathe: My First 12 Hours as a Clinician Patient With COVID-19
Nichole N Regan
19 October 2020. That dreadful call from Employee Health: “Your COVID-19 test is positive.” No, that can’t be accurate. It was just allergies. And I was exhausted. We’re all working more hours, you know. I’m feeling a little better. Or am I? Suddenly it's a little hard to…breathe. Is that COVID? Or ...
Growing Up COVID
Morgan M Goheen
As I pre-rounded on my new patient panel early that morning, one stoic woman stood out. Tiny and grayed, bony and wrinkled, but clearly strong-willed, she was an elderly matriarch, suffering from coronavirus disease 2019 (COVID-19) pneumonia, and working hard to breathe with a high flow nasal ...
Personal Stories From a World Turned Upside Down: Introducing the Voices of ID Collection
Sara H Bares and Paul E Sax
There is not a single member of the Infectious Diseases (ID) community whose life was not turned upside down by the coronavirus disease 2019 (COVID-19) pandemic. We dealt with extraordinary stress and overwhelming workloads. We lost colleagues, patients, and loved ones. We remained isolated from ...
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