The Doctor’s Visit

Those with with eyes that refuse to see

People are more than a means to make money

The sick come to us needing so much more

They need real care not just a bandaid and a kick out the door.

They say give 15 minutes and not one second more

But I always do cause I’’m an empath at my core.

Yes there’s that oath to do no harm and actually care.

But come 5 pm the staff is angered that I’m still there.

Even patients say I’m taking too long

They are accustomed to just being strung along

What to do when healthcare is this way?

Do I try to change it or merely look away?

I either advocate for change or leave the job

I’ve done that before and that’s why I’m where I’m at.

Do I care for them or myself in this broken system?

Can it ever be changed or am I just deranged?


Hugs from Brooklyn

Lost in Thoughts

Sitting on this moving train with many ideas brewing in my brain.

My jeans feeling tight after so much eating last night.

It’s the day after Thanksgiving and I’m not feeling so right. So many ideas yet I’ve got nothing to write.

People coming in and others going out. Everyone looks so sad. I know what that’s about. Continue reading “Lost in Thoughts”

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.

Nurses: Angels on Earth


Throughout my life there has always been someone there to rescue me. I call them angels on earth. You might know them as nurses.

As a newborn it was a nurse that first cleaned me so I could face the world. As a child in grammar school it was the school nurse that took care of me until my mother came to pick me up. As a teen it was the school nurse that performed the Heimlich maneuver on me when I was choking on a lifesaver mint. Yes the irony. In my 20s it was an ER nurse that drove me to the greyhound depot, paid for my ticket, fed me and gave me 10 dollars all from her own money after I was discharged from the Monticello ER post my friend crashing the car after she fell asleep.

During medical school it was a nurse that held me and comforted me after my first patient died. I still remember Mr. Ansel Mcnealy. Also for years I felt tired and sad. So many doctors had sent me to psychiatrists stating I had stress because I was at an Ivy League school and then because I was in medical school. It was a nurse practitioner who was thorough and ordered the appropriate labs and hence diagnosed me with Hashimoto’s Thyrioditis. Thanks to her my symptoms improved after starting Synthroid.

It seems every time I was lost a nurse was sent to guide me, teach me and inspire me. During medical internship and residency nurses were the ones to teach me about IVs, blood draws, insulin drips, HIV and ventilators. They were the ones that kept me grounded, kept me sane. Most of what I know today I owe to the nurses.

Moving forward my first job was in 2003. It was frightening after not having dealt with patients for two years but once again angels surrounded me with beautiful medical assistants and nurses. I guess I have been blessed my entire life so far

After 15 years I left my first job and have come to be surrounded by certain wonderful nurses at my current job. My medical assistant is the one that calms the patients before they see me. She is the one who eases patient’s fears. She is a beacon. She signifies strength. And guess what? Her name is even Angie.

Frankly where would I be if I had not been blessed with those that helped heal me, strengthen me, guide me, and for that I shall always be grateful. Salute to all the nurses that have touched my life. Because of you I am a better person and doctor today.

Shout out to my cousin Taylor Pazmino for working as a nurse in the ICU. Stay safe.

Thank you
Guady G
Hugs from Brooklyn

What would you do?

While in medical school we take an Ethics class but we definitely don’t think we ever have to put it into practice. I feel terrible for my colleagues in Italy who were put against a wall.  They had to choose who to intubate because there was only one ventilator left. The 23 year old med student or the 52 year old professor? Who would you choose and why?

This pandemic has put so many rules in place that seem to go against the Hippocratic oath we took upon graduation. Continue reading “What would you do?”