I’ve been inspired by a recent New York Times article that came out about IUDs, better known as intrauterine devices, and how painful and horrible some of the experiences for women have been over the years. Since writing some of these thoughts, I saw that a Cosmopolitan article recently chimed in on the topic. I figured it was time for me, as a medical professional, to share my thoughts on …
The red climbs up.
She just delivered, and the arm of my gown. It seeps under the glove, soaking the cuff.
She’s still bleeding.
No worries – I call for the postpartum hemorrhage meds in the order I’ve memorized and used successfully hundreds of times before.
It’s always stopped before.
I trust my training.
She peers over the side rail toward her baby, trying to look past her partner and the nurse and the baby nurse …
There is a diary entry of mine (Sparks) from when I learned that the pandemic would last longer than we initially thought. 17 years old at the time, I described my feelings of fear at the thought that I may die. “I don’t know if there’s even a point to planning for the future anymore.” I go on to write that whenever I don’t get a response from a loved …
Psychiatry has a duty to be trauma-informed, given that 50 to 60 percent of the general population, and around 90 percent of people with severe mental illness, have a lifetime history of at least one traumatic event. Yet the mental health system often falls short.
Consider involuntary hospitalization in a psychiatric unit. Losing one’s freedom can be traumatic for anyone and triggering for those with past trauma of nonconsensual experiences. …
An excerpt from A Schizoid at Smith: How Overparenting Leads to Underachieving.
“Work always lacks effort,” “Just no interest whatsoever,” “Inattention,” “Disturbance,” “Silly conduct,” the teachers’ remarks read. All those criticisms could have defined your scribe’s output.
They are rather the report card marginalia of a class clown. Another outstanding pupil with an alleged 29 detentions in one year and an unbidden nuisance in class exhibitionism. No contemporary would have ever …
If it ain’t Boeing, I ain’t going—at one time, public opinion of an engineering company run by engineers. Today, perception is a little different. The multinational conglomerate and defense contractor owns some staggering recent mishaps—safety systems, door plugs, unclear technical issues. A disconnect between senior management and hands-on employees is reported. Analysts consider recent events symptoms of longer-standing organizational pathology, finally coming to light.
In American business, executives win leadership positions …
A splashy headline in The Washington Post caught my attention: “Breast cancer death rate dropped 58 percent over 44 years in U.S.” A Stanford Medicine news story reports that this victorious conclusion is based on “a new multicenter study led by Stanford Medicine clinicians and biomedical data scientists.” Using observational data, clinical trial data, and simulation modeling, the researchers found that approximately 25 percent of the reduction in …
Gene therapy has been used recently to cure previously incurable diseases, including sickle cell anemia. It is a horrible disease that I have seen so many times in the ER that it haunts me at night, especially one patient. He was a sweet man with a loving and patient demeanor who tolerated the agony he suffered on a weekly basis with saintly patience. My daughter was helping out in the …
Is it time to reconsider the age of medical consent for teens? This is a question I have been asking myself as my children are approaching 18. For many years, I’ve dreaded the thought of my medically challenging child turning 18 and suddenly being thrust into the not-so-warm and fuzzy adult world. I have nightmares about her navigating insurance. I cannot visualize my very passive and indecisive child on the …
It was November 2014. I was leaving the parking structure of my local children’s hospital when I realized, “They don’t believe us.”
I didn’t know it at the time, but it would take seven more months to find the cause of my eight-year-old daughter’s unremitting abdominal pain. An ultrasound ultimately revealed a malignant mass on the adrenal gland. Ultrasound is a rudimentary imaging technique, so why did it take …
Most women, about 60 percent of us, have a biological child. And while the birth of a child is often eagerly anticipated at the end of pregnancy, there are common concerns about the impact and process of delivery. Women worry about all kinds of things. We worry about poor pain control, long labor, deviating from a carefully crafted birth plan, vaginal tearing, and pooping on the floor. Obstetricians have …
My mother. 63 years old. Colon cancer.
She first noticed rectal bleeding. She made excuses. Maybe it’s hemorrhoids.
She put her physician on a pedestal. He said, “You’re too young to die,” and there was no need for further tests.
Her daughters, both RNs (one an ICU nurse, the other an anesthetist), pleaded with her to get a colonoscopy. She refused. We pleaded with her getting a second opinion. She refused. Her once-plump …
I almost didn’t write this piece. Almost.
I feared it might be seen as provocative like I was asking for trouble. But that is exactly the attitude that has silenced victims of harassment and stalking for too long.
The short version of the story is that an unwanted presence continues to plague my life, bringing only turmoil and vitriolic spite with every intrusion. In his eyes, our “dynamic” was “volatile” …
The New England Journal of Medicine recently published a paper titled “Microplastics and Nanoplastics in Atheromas and Cardiovascular Events,” which detected the presence of microplastics and nanoplastics (MNPs) in carotid artery plaque, with a higher risk of a composite of myocardial infarction, stroke, or death from any cause at 34 months follow-up than those in whom MNPs were not detected. Although this study did not establish a causal effect, …
Autoimmune diseases occur when the immune system mistakenly attacks healthy cells and tissues in the body. More than 80 recognized autoimmune diseases exist, including alopecia areata, rheumatoid arthritis, psoriasis, lupus, multiple sclerosis, celiac disease, scleroderma, and Raynaud’s. These conditions can cause a wide range of symptoms, making management crucial for maintaining a good quality of life.
Why the immune system attacks healthy cells is a bit of a mystery in most …
Last month, the daughters of Wendy Miller, a 68-year-old author of three bestselling books about her experience with dementia, posted online her final words: “In the end, I died simply by deciding not to eat or drink anymore.”
Her stark statement reminded me of my interviews with Dan Winter, 62, which had begun nine months before he, too, took his own life. Alzheimer’s disease was slowly disassembling Dan’s rich and …
“Some memories are unforgettable, remaining ever vivid and heartwarming!”
– Joseph B. Wirthlin
I love my role as a hospice volunteer mostly because I enjoy meeting the patients and hearing their life stories. I heard a tale from the Vietnam vet who won the Congressional Medal of Honor, which he humbly said was for “just driving a jeep.” (He later admitted that he saved a general by “just driving a jeep” through …
I’ve always been interested in democratizing health care and have tried to incorporate this in my image-guided therapeutics research.
As a health care CEO, I’ve been afforded the opportunity to broaden my research scope and examine a personal area of interest: disparities in health care and how we can address these through innovation and scientific inquiry.
Racial disparities in health care outcomes are a pervasive issue, and breast cancer is not immune …
Burnout is a syndrome resulting from chronic workplace stress that has not been successfully managed. Burnout occurs gradually over time and has three fundamental symptoms:
Exhaustion is feeling physically and emotionally exhausted and can be related to spending an excessive amount of time and effort on a particular task. Depersonalization is having an indifferent attitude and can manifest as negative, sarcastic, or cynical people towards people you are meant to serve. …
On July 1, 1987, I started treating cancer patients as a full-time radiation oncologist – a cancer specialist who uses radiation therapy to help cancer patients beat their disease. Now, nearly 37 years later, I have the privilege of caring for cancer patients at a cancer center. Nearly every type of cancer is treated differently; for example, breast cancer is treated differently than colon cancer, which is treated differently than …
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