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2020 MEDICAL YEAR
           IN REVIEW


                     Pandemonium




                                               2020







                                                   By John J. Seidenfeld, MD





























        As I recap the year 2020,          January 2020

        months seem like waves               We discovered that the vaping lung injury epidemic was attributable to a West Coast company
                                           selling vitamin E oil to rogue marijuana growers for inclusion in vaping pods. The oil received in
        coming ashore, each one
                                           barrels by the distributor, had a warning label “not for inhalation”. It was repackaged into smaller
        bigger than the last. At the
                                           containers without labels and resold to cut THC put into vaping pods. Once off the market, the
        time of this writing, more         electronic vaping associated lung injury (EVALI) epidemic ended. Rare cases from toxic inhalants
        than 230,000 people have           have been reported over the past ten years and will continue to dribble in.
        died from COVID 19 in                Reports of a deadly strain of Coronavirus causing pneumonias and other serious illness were
                                           received from Chinese authorities and front-line doctors beginning in December of 2019 (after
        the U.S. causing anxiety
                                           an initial coverup which often greets bad news). Life in the U.S. continued as before with no travel
        and grief (numbers in ad-
                                           restrictions, but the CDC (Centers for Disease Control) went on alert and began sending out
        dition to expected deaths          regular reports by early February for the period between December 2019 and February 2020. As
        in prior years’ statistics).       I now teach at the University of the Incarnate Word School of Osteopathic Medicine (UIW-
        So many wise and                   SOM) and discuss topics such as Coronavirus with osteopathic medical learners, many felt no
                                           alarm and were confident that the CDC and WHO (World Health Organization) would contain
        wonderful people have
                                           the outbreak. I made plans to get together with friends in the coming months, to travel to meetings
        been lost. What happens            and to make reservations for summer travel. Face-to-face work continued.
        now and what lessons
        have we learned?                   February 2020
                                             More concern was raised as reports from the outbreak appeared in the New England Journal
                                           of Medicine and Mortality and Morbidity Weekly Report from the CDC. We felt concern about



         18     SAN ANTONIO MEDICINE  • December 2020
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