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College of Medicine and Life Sciences
COVID-19 Chronicles: Alumni Reflections
College of Medicine and Life Sciences alumni have had a huge impact on patients and communities during the COVID-19 pandemic. COVID-19 Chronicles: Alumni Reflections is a project to document the heroic efforts of our alumni on the front lines and behind the scenes.
If you are willing to share your thoughts, experiences and contributions during the COVID-19 pandemic, please complete the COVID-19 Chronicles: Alumni Reflections form.
SUBMIT YOUR COVID-19 REFLECTIONS
your Reflections
Dr. Rajiv Bahl (MS '09, MED '13, MBA '14, RES '17)
“What It’s Like to be an ER Doctor During the Coronavirus Outbreak” - HealthLine – March 16, 2020
“COVID-19 Impacts on Emergency Departments” - HealtheCareers.com – April 6, 2020
“People of Color Face Heightened Risk as COVID-19 Surges Again” - HealthLine – June 25, 2020
Out of Control – Nearly 130,000 Deaths - ABC World News Tonight with David Muir – July 5, 2020
“Raising a Newborn When Your Office Is an ER” - HealthLine – August 15, 2020
“Florida has More Than 56,000 Pediatric Cases of COVID-19” - WESH NBC Channel 2 – September 22, 2020
“CDC Revises Coronavirus Guidance: It’s Airborne” - WESH NBC Channel 2 – October 5, 2020
Dr. Don Batisky (MED '87)
Shades of Gray with Hints of Sir William Osler: Teaching During a Pandemic
As a clinician-educator, I have always valued the opportunities to teach. It was
clear to me that I wanted to stay in academic medicine even before I firmly decided
on a specialty choice as a medical student. I think of the hints along the way that
include studying Latin in high school, where early on I realized that the root of
the word ‘doctor’ was the Latin verb, doceo, ‘to teach’. I tutored, assisted in chemistry
labs as an undergraduate, enjoyed the learning and teaching environments of medical
school, and when I became a resident, having medical students on my team was always
a highlight. I became a member of the faculty at the Emory School of Medicine about
11 years ago, and I found ways to become involved in the teaching activities of my
division and department, and as I looked for more ways to teach, I found the chance
to do some small group work in the Renal Module for first year medical students. As
I learned more about the modular systems-based curriculum, I became aware of the Society
system in which the entire medical student population is placed into one of four societies
on arrival, each named for an historic figure in medicine. In this setting, each class
has four small groups in each of the four societies populated by 8-9 students and
a faculty member. That group meets 2-3 times per week in the first 18 months of the
curriculum (‘pre-clinical’) to do small group sessions that range from history-taking
and physical skills practice, to case-based discussions from the module, to discussions
about medical ethics, professionalism, evidence-based medicine….or just dinner. About
7 years ago, I applied for and was selected for the opportunity to be a faculty member
in our Osler Society. And it’s the best job I have ever had and working with my medical
students is interesting, motivating, humbling and also so very rewarding.
As I have grown into my role as a member of the Osler Society, I have also had more
opportunities to read more about Dr. Osler and reflect on this many profound quotes.
He is credited with bringing medical students to the bedside, and thus, is credited
with the quote: “I desire no other epitaph than the statement that I taught medical students in the
wards, as I regard this as by far the most useful and important work I have been called
upon to do.”
While I agree with Dr. Osler, the current COVID-19 pandemic has led to rapid adaptation
in every aspect of our lives, and one of those big areas of adjustment has been what
is going on in medical education. Because of concerns for student safety, medical
students (among others) have been pulled out of clinical rotations, teaching has been
done remotely, and yet we are all still adapting to figure out how to best prepare
our students for all that lies ahead. As this story started to unfold over the past
month, I reached out to my former students to offer some support. Three of my students
from the class of 2018 are in Seattle or New York City, and they have seen COVID-19
front and center. As I heard back over a few days from across the country, one of
the return messages brought tears to my eyes. Here’s what this young physician had
to say:
“Thank you for reaching out. I've been thinking a lot recently about your teachings
during our time in medical school. Especially during these uncertain times, your adage
that life is shades of gray rings truer and truer. While each day we learn more and
more about this pandemic, its impact on human health, and its broader impact on global
economics and society, we still face a vast void of knowledge - the gray. And as we
stare into this abyss, scared for our own safety and well-being in addition to that
of our loved ones, I am comforted by your wisdom. That chasm, that gray, is where
we are called as physicians. It is where we will make the hard decisions and push
ourselves to grow beyond what we think possible of ourselves. If ever there was a
place to make a real impact, to save lives and shape life, it is here in the gray.
This is what you prepared us to do. And I can never thank you enough.”
We are learning a lot these days. A lot about a virus, its effects on our human bodies,
a lot about PPE, social distancing, flattening curves. And we are learning how to
teach innovatively as well. I look forward to the day when I can see my students together
in a classroom or clinic or at the bedside. I look forward to teaching them not just
renal pathophysiology and fluid & electrolyte balance, but also those nuances, those
shades of gray, of taking care of a patient. I will paraphrase Dr. Osler, but I can
honestly state that I desire no other epitaph than the statement that I taught medical
students in the classroom, in the clinic, on the wards, and via Zoom. This by far
is the most useful and important work I have been called upon to do.
Dr. Craig Burkhart (MED '75, RES '77)
On April 6th of last year, I submitted a provisional patent on the use of topical
ivermectin as a deterrent, a safety measure, and a chemical condom for protection
and prevention of COVID. The patent offered the use of ivermectin as a spray, aerosol,
solution, or the like to masks, skin, oropharynx, and nostrils. The provisional would
have two lives before it was put to rest.
In truth, I hoped to sell the provisional patent in its raw form to a larger company
(i.e., pharmaceutical company). I have had six full patents to date, and two related
to ivermectin that I sold 15 years ago and lead to development of a commercial product
named Sklice. Fifteen years later, my contacts were not as strong. After several interviews
and presentations, no one made an offer for purchase.
Some background is needed. Ivermectin is the drug of choice for a variety of parasitic
diseases and the oral form is FDA approved for onchcerciasis and strongyloidiasis.
Also, the CDC recommends the oral form use for scabies. It is approved for the topical
treatment of head lice. It has also been suggested its usage for trichuriasis, ascariasis,
and lymphatic filariasis. It has been used in the veterinary field since 1981. It
is manufactured in pill form, drops, creams, gels, and injectable solutions.
Ivermectin is known to have anti-parasitic activity and has also been shown to be
effective against a broad range of viruses including HIV, corona 19, dengue, influenza,
SARS-COV-2, and zika. The mechanism of its action is unknown although some state that
it might work to stop the virus "dampening down" the host cells' ability to clear
it.1 Ivermectin inhibits IN (integrase protein) and viral cell replication, inhibit
nuclear import of host and viral proteins. it has been demonstrated to limit infection
by RNA viruses such as West Nile Virus, Venezuelan equine encephalitis virus, and
influenza with this broad-spectrum activity believed to be due to the reliance by
many different RNA viruses on importin (IMP alpha/Beta 1 heterodimer) responsible
for integrase protein (IN). during infection. Ivermectin has antiviral action against
the SARS-COV-2 clinical isolate in vitro, with a single dose able to control RNA replication
within 24 -48 hours.
1 It has been hypothesized that this is likely thru inhibiting IMP alpha/beta mediated
nuclear import of viral proteins as shown for other RNA viruses. It has been suggested
to give the medication early in infection to help limit the viral load, prevent severe
disease progression and limit transmission. Caly et al. article1 in which many of
its findings are stated above was published June 2020, although it has been in the
internet news the first week of April, which prompted my interest in expanding the
usage of ivermectin and the provisional patent.
A provisional patent just gives one protection that an idea might lead to a patentable
product. My provisional patent had a few positive points that might be patentable
by the US Patent Office. First, I suggested that ivermectin is toxic to viruses directly
and not via some aspect on the host's immune system. This was based on my previous
work with the drug’s effect on lice. Interestingly my claim was seconded by other
researchers about 3 months later in the literature.
A second point of our patent was that ivermectin is more lethal to viruses when in
a water-in-oil base. Although this was novel when I wrote my patent on head lice,
this basically would hopefully be seen by the patent office as a continuation of that
knowledge. Lastly, there was no present patent on the use of ivermectin in sprays
and other vehicles for protection and personal use.as a safety measure against COVID.
Any claims regarding formulation would complement this premise. With the help of Curt
Black, my emulsion pharmacologist and co-investigator in this project, we had formulated
a spray form of ivermectin for possible study purposes.
Unfortunately, our provisional also had negative points including that we had not
performed any actual research (outside of formulating into a spray form) on these
points which we are seeking patents. Our patent was heavy on theory, rather than actual
lab work. We therefore have no specifics, or parameters, which we could document in
the patent.
During the year after my submission of the provisional patent, some developments
occurred. Namely nasal spray of ivermectin showed promise in pigs in October 26, 2020.
Also, US government posted studies for ivermectin nasal spray and inhaled form for
COVID patients.2 These two events seemed to make our provisional patent possibly more
salable. And so, the provisional patent seemed to have gained a second life. I did
another round of calls to my connections in the drug world. I again was given an audience,
but once again, no buyers.
So, then the question arose as to whether I wanted to pursue a full patent, or just
call it a day. In terms of monetary costs, a provisional patent costs about $1000
saying that one completely writes up the application (although all attorneys will
feel compelled to readjust some of the verbiage). A full patent requires more legal
work and will be over $10,000 even though I would write the main draft. Note these
are Toledo attorney prices.
The likelihood of getting a patent which would give us a broad base of usage depends
upon many factors including that no one lists any of our patentable ideas listed above
in a real or pending patent prior to our claim date (i.e., who made the claim to the
patent office first?). Secondly, it depends upon no prior art on these points. Or
in other words, that there is not an article on point already in the literature. Now
I use Ohio Link and checked this site, but there are numerous additional journals
that are out there and they are not included in Ohio Link. Those journals might have
damaging articles to the viability of our patent. Lastly, and most importantly, the
US Patent Office would hopefully not be swayed by fact that the US Government has
established two studies related to our provisional patent within months of our application
date. These US Clinical Studies were posted on the internet on June 11, 2020. One
might assume that the US government might have some document hurting our chances given
their strong involvement with posting of these studies basically only two months after
we filed our provisional on April 6, 2020.
My experience with the US Patent office lead me to conclude that they might award
us a patent on the use of topical ivermectin, but they would greatly limit my usage
to only the formulations which we would provide in the claims portion of the patent.
This would greatly deter pharma from purchasing (as they could easily circumvent our
patent in that case). Given that assessment, I opted not to pursue further.
1. Caly L, Druce J, Catton D, Kylie AJ, Wagstaff M. The FDA-approved drug
ivermectin inhibits the replication of SARS-CoV-2 in vitro. Antiviral Research
2020;178:104787.Doi: Epub 2020 Apr 3.
2. National Institute of Health, US National Library of Medicine. Usefulness of topical
ivermectin and carrageenan to prevent contagion of Covid 19. Clinical Trials.gov;
https://clinicaltrials.gov/ct2/show/NCT04425850
Dr. Ronald Collier (RES '12)
During the pandemic, I have practiced in multiple communities from California to Washington DC practicing critical care. I have seen the devastating impact that COVID-19 has had on patients, their families, and sometimes families dealing with multiple patients from the same family in the Intensive Care Unit. In the midst of this, I remain encouraged and grateful that I can provide critical care services to patients in need and to give them their best chance of recovery, or in some cases to comfort families and ease the process of dying. I am grateful to the UTMC Department of Surgery for the outstanding training that I received towards my goal of being a surgical intensivist.
Dr. Jeff Ford (MED '01)
In my experience, and I only speak for myself, the COVID 19 pandemic has been a lesson
in over-reaction and fear. We were all a little afraid at first, a deadly global pandemic
is a very scary thing. We were afraid of a tidal wave of sick patients in the ER.
We were afraid of bringing disease home to our families. I think the cure (reaction
to the pandemic) has actually caused more harm than the disease. News media has always
sold fear, that’s what brings viewers, but holy heck!
I think of my poor mother-in-law who loves nothing more than visiting her grandkids;
she is paralyzed by fear of the disease, not able to visit or even accept visitors,
out of fear. There are so many like her. Many patients ignored serious symptoms of
possible stroke, of heart-attack, because they were afraid to come to the hospital.
Just hoping people’s first-person experiences will eventually drown out the hysteria,
and we can all get back to our hopes, our work, our educations, and our dreams!
Dr. Kathy Franco (MED '75, RES '77)
Karen’s Story
Is it that some people don’t seem to care? Is it that they don’t believe the truth
or is it that fiction is more believable for them than reality?
Karen’s story started when she went to help her father with her elderly mother. Karen
works at a medical school and is in her mid-40s. She is a Zumba teacher, active in
her church and one of the most enthusiastic caregivers I have ever met. She is positive,
sees the glass half full, and is the first one to adapt to change. Her world crashed
in 2020. Her elderly parents, aunt, and uncle all lived close to one another. Her
aunt came to help Karen‘s dad with her mom if Karen was at work or tending to her
own home and family. It is still unclear how it all happened so quickly in March.
By the 29th, her aunt, her uncle, her mother, her father, Karen, and her diabetic
husband were all ill with Covid. Karen, her parents, and her aunt and uncle were all
hospitalized. By the end of the week, they were all on ventilators except Karen who
needed close observation by nurses and continuous oxygen. Karen‘s daughter went to
quarantine alone in a hotel room while dad stayed at home weathering out his Covid
illness. Karen’s mother was the first to die, then her uncle, and finally after a
prolonged stay in a rehabilitation unit on a ventilator, her father passed too. This
was a family I knew and loved.
We were waiting in the car when that final shoe fell and I received a call that Karen‘s
father had died. My granddaughter Malia didn’t understand why I was crying. She knew
Karen but had not known the family story and all that had happened. After trying to
tell her, she asked a series of questions that troubled the 11 year old. She is perceptive
and wanted to understand more.
“ Why do people think this Covid isn’t real and that they don’t have to wear masks?
Don’t they care that others are getting sick? Isn’t that selfish? Why did some people
want to impeach the Ohio governor because he wants people to wear masks? Why did some
people want to kidnap the Michigan governor for the same thing? Aren’t grownups supposed
to care about others and do the right thing?“
She allowed me to cry and sit in the car with her trying to understand why people
were not getting the truth from some sources like social media and couldn’t reason
through the current crisis. But in the end I couldn’t fully explain, “Aren’t grown-ups
supposed to care about others and do the right thing to save more people from dying?”
How do we explain to children why some good people don’t believe the truth and act
in ways that put themselves and others at risk?
Dr. Stephen M. Modell (MED '84)
Dr. Mohamad Moussa (A/S '01, Honors '01, MED '04)
Being an ER doctor in the COVID-19 pandemic is a once in a life time experience--I hope. It is during these strenuous and difficult times that our training in medical school (UT/MCO) and residency (Henry Ford Hospital) really shines and becomes impactful. I am proud to have served on the frontlines with my fellow colleagues: nurses, techs, housekeeping, clerks, EMS, police and firefighters, and many many others. God Bless and be safe!
“What If I Told You the COVID-19 Pandemic Is Not Entirely Bad?"
“COVID-19 Has Made Emergency Medicine Physicians the Default Leaders of Medicine
Dr. Thomas Steinemann (MED '85)
“Docs Say Stop Wearing Contacts, for Now” - Spectrum News 1 – April 1, 2020
“Pink eye may be a rare symptom of coronavirus, doctors say” - Today – March 25, 2020
This interactive map shows the location of The University of Toledo College of Medicine and Life Sciences alumni across the country and around the world.