After more than three decades as a physician, the Q maniacs have succeeded in driving me out of providing care to patients. I, like many of my colleagues, am moving into medically-adjacent work, where we can continue to apply our training and decades off knowledge without ever having to come in contact with sick people.

I've been able to deal with the years of patients who attended Google Medical School, and the hours wasted explaining things such as why cinnamon cannot be used to treat diabetes, or that garlic and beetroot can't treat HIV. And Lord save me from essential oils.

COVID and Q finally proved to be the one of amateur "experts" that was too much for me. The horrific deaths are beyond what you might imagine. They emerge almost unrecognizable to their families. Since June, I have never seen a horrible case of someone who was vaccinated. I have seen people struggling to breathe through lungs that have hardened to near uselessness, begging us in their ignorance to give them the vaccine now. We can tell, almost without fail, which ones will die when they come through the door of the ICU, but we do everything in our power to keep them alive - BIPAP, ECMO, ventilator - knowing we are stretching out the inevitable. We use paralytics with ECMO and ventilators, then ease them off to see if they can function. And as the drugs wane, the look of terror emerges, the tears. We try to calm them, to swallow our desire to scream at them: This is your fault! This didn't have to happen! Often, their spouse or their uncle or neighbor is nearby, dying along with them. And we work hard for those rare cases where we can pull them back from the edge.