Conditions

How the CDC’s opioid rules created a crisis for chronic pain patients

Conditions
April 15, 2025

Adapted from Greed to Do Good: The Untold Story of CDC’s Disastrous War on Opioids.

The 2016 CDC opioid guideline seemed to make obvious sense: Americans were consuming far too many prescribed opioids. Many users of illicit opioids reported that prescribed opioids had been their gateway to illicit usage, even addiction. And users of illegal opioids, whether addicts or not, were dying of overdoses—more and more each year. The prescription …

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When leadership turns defensive: the impact of workplace paranoia on professionalism

Conditions
April 15, 2025

Leadership in any industry, especially in health care, demands a delicate balance of trust, ethical judgment, and professionalism. However, when leaders view collaboration through a lens of suspicion, assuming that employees are conspiring against them, it can lead to a culture of distrust and unprofessional behavior. This article delves into the psychological and ethical aspects of such behavior, its impact on workplace dynamics, and practical strategies for navigating these challenging …

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From the other side of the table: a plea for empathy

Conditions
April 14, 2025

Unless you’ve lived it,
you can’t fully understand.

We’ve all cared for patients with cancer. We’ve delivered hard news, sat beside bedsides, explained scan results, and offered hope when we could. We’ve been the calm in the storm. That’s what we were trained to do.

But being on the other side of the table changes everything.

When you become the patient, the world shifts beneath you. Suddenly, you’re the one in the gown, lying …

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The role of contingency management in addiction treatment

Conditions
April 13, 2025

Before leaving office, the Biden administration increased the annual cap for Medicaid-reimbursed contingency management (an evidence-based psychosocial intervention) as part of an individual’s addiction treatment. This move demonstrates what I have seen in my own practice: Contingency management drives results when it comes to treating substance use disorder.

Despite the evidence and fact that every individual living with substance use disorder (SUD) requires a unique approach to treatment for …

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What Avarie’s death in Rome teaches us about the gaps in food allergy education

Conditions
April 12, 2025

I’ve just returned from the Mary H. Weiser Food Allergy Conference in Michigan, an inspiring confluence of advocacy, research, and business, all focused on one shared mission: improving the lives of those living with food allergies. I’ve been attending food allergy research forums around the world for over a decade, and I can honestly say the momentum and possibilities in this field have never been more exciting. We’re entering an …

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How moving abroad eased my allergies

Conditions
April 12, 2025

A personal discovery

“I used to have respiratory allergies back home, but since I moved to Málaga, they didn’t bother me anymore,” a patient answered to the usual question, “Do you have any allergies?” during a checkup in my occupational medicine practice. He was from India, and he had moved to Málaga two years before our talk. He was the fourth patient within a month telling me the same story (before …

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How early CKD diagnosis can save lives: a transplant survivor’s journey

Conditions
April 8, 2025

Chronic kidney disease (CKD) often develops unnoticed, gradually impairing kidney function. Approximately 950 million people worldwide are affected by CKD, and it is now the 9th leading cause of death, projected to become the 5th leading cause in the near future.

For years, I was unaware of the severe health battle brewing beneath the surface—until a routine pregnancy scan in 2015, at the age …

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Why real therapy isn’t just about crisis

Conditions
April 7, 2025

Maybe you’ve struggled to put the shattered mirror of yourself back together, and you don’t want to unearth what you’ve been able to put to rest. Plenty of people decide that psychotherapy is not for them, and we are, as our own individual, sovereign self, the best judge of our needs. As someone looking from the outside, we can only know a fraction of the depths of another person and …

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Beyond survival: How nerve repair is reshaping outcomes in jaw surgery

Conditions
April 7, 2025

John Németh, winner of multiple Blues Music Awards, built his life and musical career as a singer and harmonica player. But X-rays taken during a routine dentist visit threatened to change that.

John’s dentist discovered an ameloblastoma, a benign but aggressive tumor, that was rapidly growing in his jaw and chin and needed to be surgically removed. This was a reality that could mean the end of his career and the …

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How stress affects your gut—and how to fix it

Conditions
April 6, 2025

Life can feel overwhelming at times, with busy schedules, unexpected challenges, and daily pressures that never seem to slow down. While stress is a normal part of life, it can take a serious toll on your body—especially your digestive system. If you’ve ever experienced stomach cramps, nausea, or bloating during a stressful period, you’re not alone. The gut and brain are closely connected, and when stress levels rise, digestion often …

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Alzheimer’s impact on the young should be an open book

Conditions
April 5, 2025

It has long been said that Alzheimer’s disease or a related dementia (ADRD), like some other conditions, is a disease of the family. The ramifications of the disease extend well beyond the periphery of the person with cognitive decline to other family members, such as parents, adult children and siblings, and children under 18.

Yet, the latter, the most vulnerable, are often left in the dark.

Whether young children are living with …

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Antimicrobial resistance needs a publicist

Conditions
April 4, 2025

The mass layoffs at federal health agencies, combined with the recent flurry of federal government announcements—paused communications, stop-work orders, and canceled meetings—have the health care and life sciences communities on edge. One announcement I found quite concerning was the cancellation of the Presidential Advisory Council on Combating Antibiotic-Resistant Bacteria meeting scheduled for January 28. This was supposed to be a gathering of experts focused on the growing threat of antimicrobial …

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The unspoken weight of words: reflections on a Vietnamese patient’s final choices

Conditions
April 3, 2025

When the patient arrived by ambulance, he was frail, elderly, and alone in a hospital that spoke a language he could not understand. He had been transferred from a neighboring hospital across state lines due to concerns of malnutrition and pain. The initial CT scans were alarming—multiple lung masses, highly concerning for metastatic cancer. Yet, despite the grim prognosis, there were still barriers to giving him a definitive diagnosis, and …

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I almost left health care: my nurse practitioner burnout story

Conditions
April 3, 2025

My journey in nursing has led me to experiences and insights I will carry with me for the rest of my life.

I declared nursing as my major because I was passionate about making a difference in patients’ lives. I envisioned sitting by patients’ bedsides, holding their hands, and providing comfort in their moments of need. I dreamed of showing up every day to make a meaningful impact.

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A retired ICU nurse’s brunch conversation sparks a life-changing moment

Conditions
April 3, 2025

We were a team. Always had been. Always would be. We defended each other, protected each other—from management, from nurse bullies, from the cruel ICU doctors who thought they ruled the world. Back in the day, we had our own kind of “therapy sessions”—long talks over coffee, unloading the weight of twelve-hour shifts, of lives saved and lost, of the battles fought in the trenches of critical care. But life …

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Cancer treatment and sexual health: the conversation we need to have

Conditions
April 3, 2025

When we think of cancer treatment, we often focus on the immediate goals: Shrinking tumors, stopping the spread of the disease, and ultimately aiming for a cure. What doesn’t get as much attention, but is just as important, is how cancer treatments can affect a patient’s sexual health and reproductive future.

Many cancer patients, particularly younger ones, are often left in the dark about how their treatment could impact their sexual …

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Medicine’s mental health crisis: Why the system is failing us

Conditions
April 3, 2025

An excerpt from Has Medicine Lost Its Mind?: Why Our Mental Health System Is Failing Us and What Should Be Done to Cure It.

One of society’s great issues is who decides what science does—the public or science. For example, the populace has taken control and been clear that it does not want science to create human beings in a laboratory or construct computers that run the world. Once …

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Through the lens of COVID: a radiologic technologist’s story

Conditions
April 2, 2025

I’ve been an X-ray and CT technologist for almost ten years, and I’ve always taken pride in my work. But nothing could have prepared me—or any of us—for what the COVID-19 pandemic brought. It wasn’t just the virus itself; it was the way it exposed the cracks in our health care system, the way it pushed us all to our limits, and the way it changed how we saw our …

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The cost of presence: a lesson in listening

Conditions
April 1, 2025

Last week, a mother of six children—four of whom have disabilities—made the trek to the health care campus where I’m a faculty member to share her story. She’s making this trip weekly on Thursdays to give the same presentation twice in succession for a duration of an hour each time, for five weeks in a row. That’s twenty times telling her story to a faceless crowd of interprofessional health care …

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The unexpected truth behind these misdiagnosed medical cases

Conditions
April 1, 2025

I worked in rural health in Kentucky for twenty years, then in urgent treatment centers in Denver. All sorts of patients pop up in primary care and in UTCs. Most have easily identified complaints: UTI, sinusitis, flu. Others are there for regular refills, for hypertension or cholesterol meds. There were a few patients I remember whose presentations were less straightforward, whose diagnoses were more elusive.

The following two patients presented with …

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