It is happening more often than most people realize. The same physicians who seem unshakable in the OR or clinic, the ones who handle chaos without blinking, are quietly scheduling therapy appointments. Not because they have “hit rock bottom” or cannot do their jobs anymore, but because they are realizing they do not have to slowly carry it all alone. Nor can they sustain this level of burnout anymore.
As a …
How many times have we heard “Whatever you say doc, I know you will do right by me. You always have and I know you will.” Or, “What do you think, doctor? Do you think I should do this?” Or, …
It’s all fun and games until your health becomes one big puzzle to solve, and little do many people know what risks and hazards might surround us during our favorite summertime activities. I learned this personally after what should have been an innocent business trip turned into a year-and-a-half nightmare for me after contaminated water made me sick. I contracted bacteria that led to a secondary chronic inflammatory breast disease. What …
When people think of Parkinson’s disease (PD), they often picture Michael J. Fox or Muhammad Ali, iconic figures who bravely shared their diagnoses. But the real face of Parkinson’s is much more diverse than what we see in the media, and the research that shapes our understanding of the disease has not caught up.
Despite affecting people of all racial and ethnic backgrounds, …
A few weeks ago, I heard Michelle Obama say something that stopped me in my tracks:
“We have to learn to be OK with the regular days. The in-between. The parts of life that aren’t exciting.”
I thought of my kids in the back seat during a long car ride, sighing dramatically, claiming they were “literally dying” of boredom. I thought of patients sitting in a waiting room with nothing but their …
I first grasped the disconnect between health care professionals and the public while designing a brochure for a cornea donation campaign.
My original concept featured a young boy smiling, wearing an eye shield—an approachable image meant to encourage public participation. But the overseeing specialist rejected it. He insisted instead on a clinical close-up of a post-surgical eye, sutures and all. To him, it represented medical success. To potential donors, it was …
I became a respiratory therapist at 28, after years of trying to get into nursing school. It wasn’t until a friend, an RT at my city’s only level one trauma center, said, “You don’t want to be a nurse. You want to be an RT,” that something clicked. He let me shadow for a shift in the medical cardiac ICU, and I fell in love with the work instantly.
Watching him …
Sickle cell disease (SCD) is frequently referred to as an invisible disease and is often overlooked due to a lack of research and overall resource shortages resulting in substandard clinical care. Part of the problem is difficulty objectively identifying SCD characteristics due to lack of laboratory markers and poor objective pain indicators. This disease mainly affects African American populations. Systemic marginalization of stigmatized populations results in less funding; and therefore, …
The phone call from my insurance carrier came in unexpectedly one morning. “We see that you’ve just been discharged from the hospital …”
I blinked. I had neither been admitted nor discharged from any hospital. When I pressed for details, the caller claimed her records showed I’d been hospitalized for more than a month. Why? For which condition? She didn’t have that information, she told me. Only the dates.
My first thought: …
When a patient walks into an orthopedic spine clinic, most providers are focused on one thing: the back. But after over a decade of caring for patients with chronic pain, I noticed something deeper lurking behind the disc herniation and spinal stenosis: depression. And it was not being addressed.
That is why I launched a quality-improvement (QI) project focused on integrating depression screening into the routine evaluation of orthopedic spine patients. …
Once upon a time there was a pandemic, despite what the “deniers” and conspiracy theorists say. This rare disease outbreak shook every corner of the globe, yet brought out the best in people, people who put their lives on the line to care for the sick and dying.
But to this day, I still hear and read about folks who are convinced the COVID-19 pandemic was blown out of proportion and …
The gut-brain axis is a key player in mental illnesses such as schizophrenia, bipolar disorder, depression, and anxiety.
The intestinal microbiome (the foundation of the gut-brain axis) influences brain function through bidirectional communication via neural (vagus nerve), immune (cytokines), and metabolic pathways. Microbiota alterations may also impair hypothalamic-pituitary-adrenal axis regulation, which, in turn, affects both psychological stress level (cortisol) and whole-body hormonal balance. What’s more, microbial metabolites (such as short-chain fatty …
When I first saw the CDC’s MMWR latest report on obesity medication prescribing for adolescents, my initial reaction was probably the same as yours: less than 1 percent of teens with obesity got these medications in 2023? That seems pretty dismal.
But then I took a step back and looked at what this data is telling us. And honestly? We’re missing the real story here.
We’re witnessing something historic.
Think about where …
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Alzheimer’s disease is a ruthless thief, silently stealing the essence of our identities: our memories. It robs us of cherished moments, meaningful relationships, and the independence that makes life vibrant and fulfilling. Traditionally viewed as an inevitable consequence of aging or genetics, groundbreaking research now challenges this perspective, suggesting Alzheimer’s may actually be a form of metabolic disorder aptly coined Type 3 diabetes.
The concept of Alzheimer’s as Type 3 diabetes …
Ten years old and terrified, my patient sat curled in the chair, tears flowing, knees pulled to her chest, refusing to go to school for the third week in a row. Her parents looked exhausted. “We have tried everything. We don’t want to medicate her… but we can’t keep going like this.”
As a child and adolescent psychiatrist, I’ve had this conversation hundreds of times. Sometimes families walk in asking for …
I am a doctor of nursing practice and board-certified nurse practitioner with over a decade of experience in internal medicine, pulmonology, and sleep medicine. My career has taken shape in the diverse and fast-paced outpatient care settings of New York, where I’ve had the opportunity to serve patients from a wide range of socioeconomic backgrounds. Many of the individuals I care for face chronic respiratory illnesses, comorbid conditions, and significant …
Doctors are often praised for their resilience. It’s become a buzzword in medicine, touted as some catch-all antidote to physician burnout. It’s used in keynotes, wellness programs, recruitment ads, hospital HR emails—everywhere really. “Feeling burned out? Improve your resilience.” But I believe that this emphasis on resilience often misses the mark. Worse, it can subtly reinforce the idea that if you’re suffering, you’re not resilient enough.
But what if the problem …
As a physician, you’re trained to spot problems. You scan for risks, anticipate complications, and stay alert for what could go wrong. That mindset helps keep patients safe. However, over time, it can become automatic, even outside of work.
When your attention is always tuned to what’s missing or what might fail, it’s easy to lose sight of what’s going well. One physician I coached was deeply committed to his patients …
It happens more often than people talk about: You go to the bathroom, and suddenly you notice red or brownish urine in the toilet bowl. Your heart skips a beat. Is it something you ate? Could it be serious? Should you wait or call your doctor?
If you ever see blood in your urine, don’t panic, but don’t ignore it either. That red color, whether it’s faint pink or dark like …
The end of my belief came on a fall night in 2011. I was driving to a suburban restaurant to give a paid dinner talk on Niaspan for Abbott Labs. It was a typical night for a physician speaker—slide deck polished, HDL-cholesterol optimism intact. Then the results of the AIM-HIGH trial came over public radio. Niacin, when added to a statin, had no cardiovascular benefit. My world cracked. I never …
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