In 2017 at the age of 62, I retired from my position as a family nurse practitioner when the small, independently owned private practice where I had been employed for 20 years was sold to the local hospital. I had…
In 2017 at the age of 62, I retired from my position as a family nurse practitioner when the small, independently owned private practice where I had been employed for 20 years was sold to the local hospital. I had been having some odd motor symptoms that were diagnosed as akinetic-rigid Parkinson’s disease in 2015.
The stiffness and reduced fine motor coordination on my dominant left side made many common tasks, …
They're very easy to spot. Sometimes it's the crisp, brand-new lab coat or the shadows under their eyes. Often it's announced in large letters on their ID badge. Or the badge is hidden, which is also a tell. If they're…
They’re very easy to spot. Sometimes it’s the crisp, brand-new lab coat or the shadows under their eyes. Often it’s announced in large letters on their ID badge. Or the badge is hidden, which is also a tell. If they’re trying to avoid being spotted, they’ll usually say they’re “working with” my doctor, as though I can’t figure out what that means.
An excerpt from Sleep Reimagined: The Fast Track to a Revitalized Life. Stimulus control is highly useful in treating insomnia and can be considered a partner to sleep restriction because it helps maximize sleep efficiency by limiting disturbances. Stimulus control…
Stimulus control is highly useful in treating insomnia and can be considered a partner to sleep restriction because it helps maximize sleep efficiency by limiting disturbances. Stimulus control is based on the concept of conditioning and association. Its goal is to reassociate the bed or bedroom with sleep, so as to alleviate the anxiety linked to sleep. To …
Life keeps buffeting the patient diagnosed with several chronic conditions, like continuous incoming and outgoing mammoth ocean waves flooding over one's body, raising you high up into the air and then sucking you downward, a struggle to keep your head…
Life keeps buffeting the patient diagnosed with several chronic conditions, like continuous incoming and outgoing mammoth ocean waves flooding over one’s body, raising you high up into the air and then sucking you downward, a struggle to keep your head above the water for survival. There is no rest, true calmness, or time to catch your breath.
My time is dictated by scheduling appointments with my doctor, who then lends me …
An excerpt from Beautiful Trauma: An Explosion, an Obsession, and a New Lease on Life. The experience of trauma changes us. Like spilled ink, it seeps into every aspect of our being, perceptibly and imperceptibly tinting memory, perspective, identity, and…
The experience of trauma changes us. Like spilled ink, it seeps into every aspect of our being, perceptibly and imperceptibly tinting memory, perspective, identity, and beliefs, long after clinical symptoms fade. Prompted by almost any encounter with hardship these days, I recall the loneliness and anxiety provoked by needing help during recovery from my accident …
The power of Play-Doh. This sounds like such an ironic phrase considering the malleability of this childhood favorite. Between several personal trips to the local store, our clinic buying several boxes, and getting donations from one of our amazing third…
The power of Play-Doh. This sounds like such an ironic phrase considering the malleability of this childhood favorite. Between several personal trips to the local store, our clinic buying several boxes, and getting donations from one of our amazing third years who has donated books and goodies for our patients since early intern year; we ended up having a plethora of the stuff.
Editor's note (2026): Several details in this article need correction. Bethany lies about 2 miles east of Jerusalem, not south. John 11 describes the raising of Lazarus, not the resurrection of Jesus. The Centers for Disease Control and Prevention defines…
Editor’s note (2026): Several details in this article need correction. Bethany lies about 2 miles east of Jerusalem, not south. John 11 describes the raising of Lazarus, not the resurrection of Jesus. The Centers for Disease Control and Prevention defines sepsis as the body’s extreme response to an infection, not an infection in the bloodstream. Heart muscle begins to die within about 20 to 40 minutes of losing its blood …
She was one of my first long-term, supervised psychotherapy cases during my second psychiatric residency year. She was young but still a year or two older than her inexperienced, wet behind the ears therapist, and I use that term very…
She was one of my first long-term, supervised psychotherapy cases during my second psychiatric residency year. She was young but still a year or two older than her inexperienced, wet behind the ears therapist, and I use that term very loosely. I was to see her once a week, and every other week or so, I would enter the office of my supervisor/mentor to discuss whatever progress I had failed …
1. Eat a healthy diet rich in fruits, vegetables, and whole grains. Eating a healthy diet is an important way to help prevent prostate cancer. Fruits and vegetables are packed with antioxidants, which can help protect your cells from damage…
1. Eat a healthy diet rich in fruits, vegetables, and whole grains. Eating a healthy diet is an important way to help prevent prostate cancer. Fruits and vegetables are packed with antioxidants, which can help protect your cells from damage that can lead to cancer. Fruits and vegetables that are particularly beneficial for prostate cancer prevention include cruciferous vegetables (such as broccoli, kale, and cauliflower), tomatoes, citrus fruits, berries, apples, …
One in five children and adolescents will receive a behavioral or mental health diagnosis by 18. That is more than the number of women diagnosed with breast cancer (1 in 8). According to the American Academy of Child and Adolescent…
One in five children and adolescents will receive a behavioral or mental health diagnosis by 18. That is more than the number of women diagnosed with breast cancer (1 in 8). According to the American Academy of Child and Adolescent Psychiatry, 50 percent of pediatric office visits involve behavioral, social-emotional, or developmental concerns. Seventy percent of behavioral health medications are prescribed by primary care clinicians. However, …
The obesity epidemic is reaching an all-time high. It's no surprise why - the fitness industry pushing expensive diets and intense workouts, combined with limited access to affordable health care options, makes it difficult for people to maintain health in…
The obesity epidemic is reaching an all-time high. It’s no surprise why – the fitness industry pushing expensive diets and intense workouts, combined with limited access to affordable health care options, makes it difficult for people to maintain health in our society today. And what’s even more concerning? More than 72 percent of Americans are now overweight or obese, impacting not just us but future generations too, affecting over …
It is near summer now as I write this brief narrative. This time of year, when I turn on my car radio, I sometimes hear various individuals talking about summer reading, past or present. These programs got me thinking about…
It is near summer now as I write this brief narrative. This time of year, when I turn on my car radio, I sometimes hear various individuals talking about summer reading, past or present.
These programs got me thinking about Percy Holmes, or the late Percy Holmes, an English teacher I had in the tenth grade at Haverhill High School in Haverhill, Massachusetts.
I believe that mental health care is one of the most underrated areas in health care. Mental illness is an epidemic plaguing virtually every corner of the world. While great strides have been made in identifying and treating mental disorders,…
I believe that mental health care is one of the most underrated areas in health care. Mental illness is an epidemic plaguing virtually every corner of the world. While great strides have been made in identifying and treating mental disorders, particularly in wealthier countries, many people remain without adequate care for their conditions. The numbers are staggering. According to the World Health Organization 2020 report, almost 1 billion people worldwide …
Despite advancements in health information technology (HIT), the prevalence of diabetes in the United States continues to be high and is the seventh leading cause of death. Diabetes management in underserved communities has challenges concerning health care access for high-risk…
Despite advancements in health information technology (HIT), the prevalence of diabetes in the United States continues to be high and is the seventh leading cause of death. Diabetes management in underserved communities has challenges concerning health care access for high-risk groups, often resulting in debilitating health outcomes worsened by adverse socio-economic consequences. Optimal HbA1c levels, controlled for by risk reduction, are essential. If diabetics encounter barriers to health care services, …
Inflation and rising interest rates have given way to a record high of $930.6 billion in credit card debt. I am among many people who have gone into credit card debt by spending too much on health and wellness. Several…
Fainting, or syncope is a temporary loss of consciousness when the brain doesn't get enough oxygen. Many things, including dehydration, low blood sugar, or anxiety, can cause it. As all doctors know, a common trigger for fainting is seeing blood…
Fainting, or syncope is a temporary loss of consciousness when the brain doesn’t get enough oxygen. Many things, including dehydration, low blood sugar, or anxiety, can cause it. As all doctors know, a common trigger for fainting is seeing blood or a needle.
Emotional fainting is very common in humans, especially in younger people, but it is extremely rare in non-human vertebrates. Fainting may be a response that Homo sapiens …
As I write this, a friend from my church is going through terrible setbacks as he awaits a new heart. He has been lovingly supported during his lengthy trials by church members. They visit him in the hospital and at…
As I write this, a friend from my church is going through terrible setbacks as he awaits a new heart. He has been lovingly supported during his lengthy trials by church members. They visit him in the hospital and at home and support his wife with meals as she cares almost around the clock for her husband. His journey into medical care began several years ago when he experienced heart …
Lifestyle change is a first-line treatment for many diseases. However, change is inherently challenging. This difficulty is exacerbated by a lack of lifestyle change "breakthroughs," whereas multiple pharmaceutical breakthroughs have occurred over the years. Thus, pharmaceutical interventions are emphasized. For…
Lifestyle change is a first-line treatment for many diseases. However, change is inherently challenging. This difficulty is exacerbated by a lack of lifestyle change “breakthroughs,” whereas multiple pharmaceutical breakthroughs have occurred over the years. Thus, pharmaceutical interventions are emphasized.
For example, the American Academy of Pediatrics issued new obesity treatment guidelines that included medications and surgery. 60 Minutes recently aired a segment with physicians claiming that obesity was mainly genetic and …
Every specialty has its burden, and pediatric endocrinology's is obesity. Primary care providers refer because they or the child's parents suspect the cause is hormonal. It almost never is. The overly adipose child invariably has, using older terminology, exogenous obesity.…
Every specialty has its burden, and pediatric endocrinology’s is obesity. Primary care providers refer because they or the child’s parents suspect the cause is hormonal. It almost never is. The overly adipose child invariably has, using older terminology, exogenous obesity.
Traditionally, this has implied excessive calorie intake and inadequate expenditure (the “overactive fork and underactive foot”), arising from sloth and gluttony. I don’t share this belief. Over the years, I have …
Ozempic, Wegovy, Mounjaro. These names have entered our common parlance within the last year via news articles, television stories, and celebrity exposes. Everyone from Hollywood to your neighbor seems to be on medication for weight loss or trying to find…
Ozempic, Wegovy, Mounjaro. These names have entered our common parlance within the last year via news articles, television stories, and celebrity exposes. Everyone from Hollywood to your neighbor seems to be on medication for weight loss or trying to find a way to access one via their medical provider, from primary care physicians to dermatologists. The widespread demand for these medications has resulted in a shortage for those who could …
