I have been a pediatrician for over two decades. I have seen trends come and go: juice boxes demonized, co-sleeping debated, and screen time limits revised. But nothing has reshaped the pediatrician-parent relationship more profoundly than one thing: the internet.
These days, I do not just answer questions; I navigate a misinformation minefield.
It is common now for parents to walk into my exam room not seeking guidance, but ready for a …
Three years after mpox shocked the world, a silent crisis is unfolding in Africa while the rest of the world seems to have moved on.
When mpox (formerly called monkeypox) grabbed global headlines in 2022, it seemed like the next big pandemic threat. Three years later, the story looks very different depending on where you are. In Africa, mpox is still spreading and cases are rising in some countries. In the …
Introduction
In most cases, family structures are not all they are cracked up to be. Though they may not seem like it, they are active environments that mold our bodies, minds, and emotions. Each interaction, habit, and feeling shared at home adds up to what we become. Studies have consistently demonstrated that family systems and their health impact the well-being of each individual within them. Whether it is the family’s love …
You can live without a nipple, but what if you don’t have to?
Historically, this specialized region of the breast—known as the nipple-areolar complex—was one of the most vital aspects of human anatomy, providing not only nutrition but also immunologic safety for the infant via breastfeeding. The nipple deserves our respect; without it, human society would not exist.
While there are ample supplemental options today that allow people to …
People say it all the time: “Well, it’s not brain surgery.” It’s meant as a joke, a way to say something isn’t that hard. But for me and my colleagues, it is brain surgery. Every single day. And it’s hard in ways that go far beyond the technical.
Every August, we mark Neurosurgery Awareness Month. It is a time to shed light on one of the most complex, demanding, and profoundly …
I didn’t leave medicine because I stopped believing in the healing power of the white coat. I left because I realized that healing, in today’s health care system, often requires more than a stethoscope.
My journey began in India, where I earned my medical degree and practiced within a health care system that, like many around the world, faces the dual challenges of limited resources and high patient demand. I saw …
A new gene-editing therapy just dropped LDL cholesterol by 69 percent — with a single injection. One shot, permanent effect. Cue the headlines: “Game-changer!” “End of statins!” “Revolution in heart disease!”
Here we go again.
Let’s be clear: I’m not anti-innovation. I’m not against gene therapy. I’m against making the same mistake again and again, just with better marketing and shinier tools.
VERVE-102 is the latest miracle-in-a-vial — a CRISPR base-editing therapy that …
Over the past decade, cycling has evolved from a sport into a full-fledged lifestyle. From weekend road warriors to dedicated commuters, millions of men around the world rely on their bikes for exercise, stress relief, and environmental consciousness. But a question often comes up in clinic rooms, whispered more than spoken aloud: “Is all this cycling hurting my fertility?”
It is a valid concern, especially for men trying to conceive. The …
It is Saturday, late in July and hot as blazes in Louisville, Kentucky where I live. I’ve been here for many years.
I sit in a McDonald’s restaurant close to my home. The place is just about empty. I am here after a short walk from my house, about half a mile. I am happy to be here—happy, that is, that I can manage to walk this far, even in the …
An excerpt from The Fix Your Internal Language Handbook.
“I talk to myself, and I talk to them. They are not here to listen to me.”
Most of us spend more time talking to ourselves than to anyone else. We use language to think and clarify our thoughts. Whether we are consciously ruminating or thinking on a more subconscious level, we are still using language. We have internal dialogues with ourselves, …
A busy waiting room with buzzing lights, cramped-up chairs, and rushed medical staff on the clock can make you feel more anxious about the care you are going to get. Clinic waiting rooms are often the first point of contact between patients and health care providers.
The psychology of waiting
While traditionally considered functional spaces, a growing body of evidence suggests that the design and ambiance of these environments significantly influence patients’ …
Previously, I wrote about politicians regulating medical practice. I support regulations that protect individual or public health. However, when these laws are not evidence-based, misguided or frivolous, and potentially harmful, as occurred when 16 state legislatures permitted over-the-counter sale of ivermectin, they are unacceptable.
There have been instances when pregnant women, who, because of circumstances, were unable to adhere to physician advice for increased bed rest to avoid premature labor, were …
In the heart of major cities—from New York to Nairobi, Mumbai to Mexico City—medical professionals are confronting more than fevers, injuries, or chronic illness. Increasingly, they face diseases rooted in environmental exposure. From asthma linked to air pollution to cancers tied to industrial toxins, physicians are witnessing firsthand the impact of environmental degradation on human health. For many, this reality transforms them from caregivers into advocates—environmental activists in white coats.
Doctors …
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I shadowed a neurologist recently. As a high school student on the cusp of applying to college, I thought I’d’ spend the day quietly observing: watching labs get ordered, hearing terms I’d Google later, maybe seeing the human side of medicine up close.
But nothing prepares you for watching someone slowly lose their chance at life—not because of their diagnosis, but because two parts of the medical system weren’t speaking to …
Grief is not a word most physicians would use to describe their day-to-day work. Stress? Absolutely. Burnout? Sadly too common. Exhaustion? Without question. But grief? That feels too tender, too vulnerable, too personal, too scary.
And yet, grief quietly saturates the practice of medicine and the existence of being a doctor.
Grief shows up most obviously in the loss of patients. Death coming sometimes suddenly, and sometimes after a long, protracted …
I never thought much about my kidneys. I felt fine, I stayed active, and at 74 years old, I figured I was in pretty good shape. But kidney disease has a way of sneaking up on you. By the time most people find out they have it, they’re already in trouble. That could have been me—but thanks to the right care at the right time, I got a transplant before …
When I turned 50, I weighed 265 pounds. Over the next 12 years, through walking, yoga, and strength training, I lost 60 pounds and kept it off. But despite the discipline, I remained plagued by inflammation, pain, and sleep apnea.
Then last year, my doctor suggested tirzepatide (Zepbound), not just for weight loss but to treat my sleep apnea as well. That alternative diagnosis unlocked insurance coverage and led to a …
As a urologist, I see recurrent UTI patients nearly every day, and most cases are routine: nasty bacterial infections that appear in the bladder every few months. However, a recent patient turned out to be the zebra rather than the horse. This particularly lovely woman was 91, an Italian immigrant, and was accompanied by her adult son, who helped provide history and translate as needed. She sat calmly on the …
As a cardiologist in New York City who treats a sizable Bangladeshi‑American community, I have witnessed otherwise healthy individuals exhibit concerning cardiovascular events, frequently in the absence of conventional risk markers. What unites them? Severe, protracted psychological stress brought on by prejudice, family court disputes, immigration problems, or financial instability.
The mechanisms of prolonged stress
Prolonged stress raises cortisol, adrenaline, and inflammatory cytokines via activating the sympathetic nervous system and hypothalamic‑pituitary‑adrenal (HPA) …
Coronary artery disease is still the world’s number-one killer.
That’s despite statins, PCSK9 inhibitors, stents, bypasses, and decades of lifestyle messaging.
We’ve gotten better at managing heart attacks, but we haven’t cured heart disease. Or prevented it. Or even figured out exactly what causes it.
As an internist and lipidologist (in recovery), I spent years chasing cholesterol numbers, especially HDL. I gave talks for Abbott. I pushed niacin like it was salvation. Then …
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