Being an essential worker

Good morning my friends. This year has been tough with the pandemic and being an essential worker. In mid March I was on call and it was so difficult video chatting with patients that were sick and I had to refer them to the emergency room. Painfully I knew some of them would not make it.

It’s been so busy I didn’t process it. I got sick myself with Covid like symptoms but it turned out to be the flu. It sucked that last week of March. Then soon afterwards my beautiful coworker was found in a praying position on the floor in the morning in her home. She had a heart attack and tried to get to the phone and fell. Her grandson is my patient and he was devastated. Once again I had to stay strong.

My friend called me around the same time to tell me both her parents died of Covid one week apart. I couldn’t even go hug her and that was heart breaking. They were only in their late 50s. I’m 52 years old,

I then get a phone call from my friend that one of our mutual friends was in the hospital battling for his life. A severe heart attack at age 42. He died just few days shy of his birthday. He was a healthy beautiful person. He had just had a full cardiac check up too. What the heck? I almost cried but I couldn’t because as an essential worker and a parent you have to be strong for others.

I reached out to my friend for comfort to find out my Physician Assistant from my prior job had died and he was only 32. I just continued feeling crappy and so irritable.

In August my mom was hospitalized and required major heart surgery. She had hallucinations due to side effects of the anesthesia and the morphine given. My heart couldn’t take seeing my strong mom cry like a baby. I had to stay strong, I’m the only medical doctor in the family. I’m happy to state she is now better and almost at her baseline.

When I finally go back to work and check my labs I find out that the grandson of my deceased co-worker has to be sent to the emergency room. At age 26 he was diagnosed with cancer. His girlfriend is my patient and I fought back crying to provide her with comfort and strength.

I found myself burned out, irritable and so unenthusiastic. Could I possibly take anymore? I watched sad movies but no tears. I chopped onions and nothing.

I then got into a tiff with my 23 yr old daughter and I just cried and cried. I broke and I finally feel better. I decided to start a You-tube channel to motivate others. It made me realize that in motivating others I uplifted yourself. Here’s the link. Care to join me? Let me know what you think

With all my love Guady G
Hugs from Brooklyn

A feel better story!

Mom mom I think I’m getting sick
I’m coughing up mucus that is white and thick

Don’t worry my child I have some remedies just for you. This is what we are going to do.

First you will take 500 mgs of Vitamin C. It will boost your immune system to the best it can be. Take for five days. Can be 1000mg.

Here take this tad of cinnamon mixed with honey. It’s an antioxidant to soothe your throat plus it was on sale so I saved some money. Take twice a day for five days. Avoid if on blood thinners. On aspirin is okay.

Today you will stay at home. We don’t need your germs going out to roam. Use your sick day .

I think I’m not feeling well too. Bragg apple cider vinegar to the rescue. It’s a powerful antioxidant. We will get better. I am confident. 1-2 tsps with 1 cup hot water plus 1 packet stevia at bedtime for 3-5 days. Gargle 1tsp of ACV with 1/2 cup warm water for 7 days.

I know probiotics can improve the good bacteria in your gut. It will stop making you feel in such a rut.

Another thing that I must tell you is to stop blaming yourself for how you feel. You are healthy and will get better. It wasn’t your fault cause you didn’t wear a sweater. Focus on the positive and not the negative.

Come come practice meditation with me. It will calm your nerves and ease your anxiety.

I have nasal saline for your stuffy nose right there and I cooked a healthy meal because I care. Good nutrition is key to healing. Take care of your body every day so when you get sick it will keep the illness at bay.

You see over there is my favorite anti-inflammatory and decongestant. Yes it’s Vicks vaporub and I find it’s scent quite pleasant.

We will end the night with some elderberry tea. It’s a bit tingly but good for you and me. Awesome immune booster.

But mom what does Dad think?

He says we could have avoided all this if we had just taken some zinc. Take at first sign of cold within 24 hrs for three days.

But now this must come to an end and I hope you do comprehend. Every sneeze and cough doesn’t need an antibiotic. Don’t just request or prescribe as rote/robotic. Try these remedies for they can assist. Do get antibiotics if after 7 days the symptoms persist.

The end.

Guady G
Hugs from Brooklyn.

The Rain- a patient’s story.

flying people fly levitate
Photo by Kaique Rocha on

As I sit here watching the downpour of rain, I remember my childhood.  I was a mere age of 4 and I loved to go out and play in the rain.  The memory of jumping in those big puddles still brings a smile to my face.  It was so exciting.

My mother would scold me for not wearing my rainboots. She would literally tug at me to get back in the house.  I never listened.  Actually I never cared!  I was free and full of life.

The raindrops were  very cold yet never cold enough for me because I was so warm inside.  I can still envision the wind pushing the tree branches to and fro.  I was like one of those branches.  No wind could ever knock me down.  I was strong.  I was fearless.  While people cursed because their umbrellas broke, I never wanted to use one.  I loved the rain.

I especially enjoyed walking inside the house making squeaky noises with my wet sneakers.  It irked my dad to no end but I didn’t care.  There was something about the rain that I loved so much.  I felt sad when the rain stopped and the water evaporated. The sun would come out and my only reminder of the rain was that feeling of moisture on my feet.  Would it rain again tomorrow?  Perhaps it would.

Funny how at age 4 raindrops were on my face and I laughed with merriment.  Now I sit here at age 32 and watch the rain hit against the glass window.  Tear drops are falling upon my face as I recall those days.   How I wish I could jump in a puddle right now!

How I long to walk around in my squeaky sneakers like I did at age 4, age 5 age 6 and even as a teenager.  I can’t anymore though.  I can’t!  I was so carefree as a child but at age 16 I no longer wanted to wet my sneakers. They were too expensive you see.  I still didn’t care much for rainboots.

I remember my mother yelling for me to stay home that evening.  A severe thunderstorm was approaching.  “Don’t go!” I could hear her cry out.  I refused to listen and I stormed out with my umbrella and the car keys.  I was meeting my friends to hang out and the rain was not going to stop me.  The downpour was never ending. I jumped in my dad’s car, tossed the umbrella on the side, turned the ignition on and started to drive. I drove past that old tree with its branches so strong and one of them came to meet me personally.

I recall the blur before me.  It happened so fast.  I was scared. The rain was different. It wasn’t the one I loved.  My tears and the very cold raindrops made me lose my vision and here I am.  I am a man bound to a metal wheelchair with ulcers on my back and my buttocks anesthetized from the neck down.  If only I could go outside and play.  If only I could jump in a puddle once again!  If only I had avoided that rain.

This was a little story told to me by one of my patients who was admitted for infected ulcers. He suffered from depression as well.  The patient and his parents had become estranged after the incident but with psychotherapy they were all able to heal.  Sadly he developed sepsis and died at age 35.

Stay safe, my friends
Hugs from Brooklyn
Dr. Macias

Feeling Sick? This doctor recommends. . .

thermometer on medical pills
Photo by Pixabay on

When you are sick how do you feel?  What makes you go to the doctor?  Seriously it’s 10 below zero and you get up from your warm bed, bundle yourself up and go see a doctor in hopes of getting antibiotics.  But you don’t really need an antibiotic for every sneeze, cough or upset stomach.  Most of the time the very answer is in how you feel.  So how do you feel when you are sick?  Yup, you feel like crap and you are in the state of crapinez. Yes I made the word up but I’ll explain. 

C is for Vitamin C 500mg to 1000 mg  once a day for just five days helps boost your immune system. If you aren’t diabetic you can also drink orange juice.  This might be the only time I actually drink juice. I mostly just drink water.
C is also for Cinnamon which is a powerful antioxidant.  A few sprinkles mixed with a teaspoon of honey helps soothe and improve sore throats.  Take this mixture twice a day for five days.  If on coumadin or other blood thinners this might have to be avoided since it may make your blood even thinner.  Being on aspirin is okay. I love this one.

R stay home and rest.  Don’t go spreading your germs at work, school or community centers.  Use your sick day.  Pamper yourself.  Love yourself.

A is apple cider vinegar.  I use Bragg organic.  No more than 1-2 tsp a day. Another powerful antioxidant. I usually mix 1 tsp of it with 1 cup hot water.  I add a stevia packet to sweeten.  I drink this before I go to bed every night for total of three to five days.  I also use it to gargle. I take 1/2 cup of warm water and mix it with 1 tsp of apple cider vinegar. Be careful not to swallow it. I gargle every morning for 7 days max.  Actually the book titled Apple Cider Vinegar by Drs. Paul and Patricia Bragg is full of awesome information.  I highly suggest purchasing this book if you can.

P is for probiotic like lactobacillus to improve gut flow by increasing good bacteria.  This is found in Yogurt, kimchi,  and sauerkraut to name a few.  I personally don’t use  this because I am vegan and my gut is very content already.  Other doctors I work with do use this and swear it helps them.

I is for Eye because you need to focus on seeing the positive aspects of your life.  If you focus on everything wrong in your life you just attract more of it.  This is the basic message of The Secret.  All the books you will read about the Law of Attraction basically state that repressed anger, guilt, and sadness may solidify and cause illness.  Most think this is ridiculous but I have noted in my patients that there might just be some truth to this.  I have some stories which I can write about if you like.

N is for your nervous system.  Practice meditation.  It’s a known fact that anxiety makes your gastric juices become more elevated making your stomach sick. I meditate every other night to center myself.  It relaxes me and I fall asleep.
N is also for nasal irrigation.  It is important to flush out mucus and debris.  Netti pot to the rescue.  This one I just love but it can take time.  I find saline nasal spray also helps.
N is for nutrition. You must eat healthy most of the time so you can help your body fight off infections.  I love telling patients: Take care of your body and your body will take care of you.  Eat well, and drink minimally.  You may celebrate with a glass of wine or a mixed drink but don’t make the party last all day everyday.

E is for eucalyptus because it’s an anti- inflammatory, decongestant and anti-spasmodic. Yes it is in Vick’s Vapor rub along with camphor and menthol.  I love Vicks Vapor rub because it works. I actually place it by my nostrils, forehead and neck mostly every night even when I’m not sick.

is for Elderberry.  This tea is a bit tingly on the throat. I just stumbled across this in the supermarket just a few months ago when my daughter was sick. It boosts your immune system.  I now drink this tea once a week just to keep me super healthy.  You should try it.

Z is for zinc 75 mg at first sign of a cold.  It fights rhinovirus when started within 24 hrs. Take it for only a few days about three. I actually haven’t tried this but my fellow doctors have.

So stay in bed put a cool compress on your head and try these tips out first.  Leave antibiotics for when you truly need them.  Please follow these tips as advised.  I usually advice my patients to try these tips and if after 7 days they are not improved then to come back to visit me. Most patients don’t return.  The few that do return are the patients that have asthma or COPD and are still smoking.  My advice to them is to  stop smoking.

Dr. Macias
Hugs from Brooklyn.

PS: This is a repost with some adjustments.  Hey you might just save yourself a copay today.