Conditions

Misinformed claims and the offensiveness of discrediting COVID-19 vaccine development

Conditions
September 23, 2023

The development of COVID-19 vaccines has been an extraordinary scientific achievement in the face of a global health crisis. However, an unfortunate consequence has been the emergence of misinformed claims by non-medical individuals who assert that these vaccines were not appropriately vetted for human use. This essay aims to highlight the fatigue and offensiveness caused by such assertions, considering the extensive research, rigorous testing, and regulatory oversight involved in the …

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Family support is pivotal in the treatment of schizophrenia

Conditions
September 22, 2023

Research reveals that most caregivers of people living with schizophrenia are family members (94 percent), and oftentimes, the journey of the caregiver can be just as challenging as that of the patient, whether they’re newly diagnosed or have been managing the condition for years.

As they navigate the journey together, it’s important that patients have a support system and that caregivers are educated on the disease and treatment options, and …

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Are we doing enough to help chronic pain sufferers?

Conditions
September 19, 2023

One in five adults in the U.S. suffers from chronic pain. We see these patients every day—but do we really hear them when they confide in us about their pain?

As health care providers, no matter our discipline, we can do more to truly listen and consider the best referral pathway for pain sufferers. We should never assume they’re making it up, that it’s in their heads, or that nothing …

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Lessons taught by Bell’s palsy

Conditions
September 19, 2023

Recently, after a week of a viral illness that I most likely picked up from one of my patients as a pediatrician, I noticed that one side of my tongue felt as though I had dental anesthesia. During the day, this slowly progressed, but as night came, the progression rapidly intensified with my lips and eyelids on this same side now drooping. While I suspected Bell’s palsy, considering that I’m …

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Unthinkable choices in childbirth emergencies

Conditions
September 18, 2023

Firefighters and doctors stand beside you on your worst days. On our best days, we help you sidestep disaster. On our worst days, we make gruesome decisions, so you don’t have to.

Andrea’s family barely survived the pandemic. Her husband lost his job and her beloved grandmother lost her life. But after years of setbacks, today was move-in day.

The seaside bungalow was not as big as she’d hoped, but still perfect. …

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The link between orofacial myofunctional disorders and dental health

Conditions
September 17, 2023

How many rabbits have you seen with crooked teeth? How about bears or dogs? Why are humans the only mammals with crooked teeth?

An orofacial myofunctional disorder, or OMD, describes abnormal lip, jaw, or tongue positions during rest, swallowing, or speech. There are many distinct points at which a child or adult’s system may experience a breakdown, leading to subsequent events known as craniofacial sequences. Allowing these events to persist without …

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Motorcycle helmet laws: Balancing freedom and financial impact

Conditions
September 17, 2023

Several years ago, I cared for a young man who crashed his motorcycle at highway speeds. He arrived, slightly dazed, with a few broken bones. Because he was wearing a full-face helmet, he had sustained only a concussion. The paramedics brought in his helmet as they often do, this one with the metal side buffed down to the inner plastic cushion from the grinding contact with the asphalt. Had he …

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Crying to be heard: women in emotional pain

Conditions
September 17, 2023

I am struck by how often crying is overlooked or trivialized by doctors despite its therapeutic value and need for recognition. Crying can play a significant role in healing and overall well-being. Research has shown that crying serves as an emotional release, provides pain relief, reduces stress, improves mood, and enhances communication. Encouraging a culture of acceptance and understanding around crying in medical settings can contribute to holistic and empathetic …

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The importance of “I statements” in health care settings

Conditions
September 16, 2023

Three nurses are at the nurses’ station. Two are talking about managing a patient’s pain, and a third, Donna, is reviewing a patient’s lab results and finding it difficult to concentrate.

Which is Donna’s best statement?

1) Shhh, stop talking!
2) I’m frustrated with your talking. It’s hard to concentrate, and I’d appreciate it if you would quiet down.

Answer: It depends on the relationships and Donna’s preferences. If Donna has a positive history …

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Physician mental health: a guide for BIPOC physicians

Conditions
September 14, 2023

In the world of medicine, the challenges faced by BIPOC physicians are multifaceted. Not only do they contend with the rigor and demands of the profession, but they also navigate unique societal pressures and systemic inequalities. Prioritizing mental health, fostering a strong sense of purpose, and nurturing empowerment become essential tools for maintaining well-being. In this blog post, we will explore the distinct challenges encountered by BIPOC physicians and provide …

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Balancing opioid medication in chronic pain

Conditions
September 13, 2023

She walked in with a cane, bent over like a question mark. She was in her seventies and as sweet as people in that age group tend to be. I think most of the cranky ones don’t make it that far. She was something of an emergency because her doctor had just passed away, and it was time to refill her medications. It would not be safe for her to …

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Physicians have a hidden addiction treatment superpower

Conditions
September 12, 2023

When it comes to addiction treatment, doctors have a superpower. Even if you’re not board certified in addiction (most of us are not), you possess knowledge and skills uniquely suited to caring for patients with addiction. Many professions purport to treat patients with substance use disorder, but the physician’s toolkit makes us uniquely effective at treating people with addiction. I can teach you how to unlock this hidden power if …

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A new approach shifts thought patterns to improve mood

Conditions
September 11, 2023

Imagine this …

You’re shown a number of words one after another: “lettuce, tomato, green, head, vegetable, cabbage, carrot, food, leaf, salad, hamburger.” Then, you’re shown a different set of words: “thread, needle, shot, nurse, drugs, alcohol, wine, cheese, mouse, cat, dog, bone.” Notice any difference between the two chains of words – or even how you feel?

These two sets of words were part of a groundbreaking Massachusetts General Hospital and …

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Insurance struggles in pediatric headache care

Conditions
September 11, 2023

Most of the time, I enjoy my job as a pediatric nurse practitioner working with chronic headache and pain patients. I enjoy the relationships with the families, figuring out what can help manage the headaches and life issues best to allow optimal functioning. I enjoy performing certain procedures, like Botox for chronic migraines or injection procedures for my patients, which very often improve their headache profile. I can even find …

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The complexities of healing and faith

Conditions
September 10, 2023

As a physician, there are moments during the day when you must deliver a disheartening diagnosis to your patient: pancreatic cancer, ALS, leukemia, and unfortunately, the list goes on. The patient must face the harsh realities that are now placed before him/her. Those realities, at times, leave him with a very small window of hope for improvement. Sometimes, solutions cannot be found with the use of a scalpel, chemotherapy, or …

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Unveiling the inner dynamics behind high achievers’ success

Conditions
September 8, 2023

In the realm of leadership development, an array of groundbreaking initiatives is surfacing, igniting profound transformations on multiple fronts. Resilience programs, in particular, are equipping leaders with the agility to navigate our fast-paced world and fostering the internal adaptability essential for constant change. Yet, despite these promising strides, a disconcerting surge in anxiety, stress, and burnout among executives has emerged.

Startling statistics underscore this disconcerting trend. In 2022, a staggering 31% …

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Support your local plasmapheresis center

Conditions
September 8, 2023

Every day, thousands of people lie on a couch and have their arm stabbed with a large needle. Blood from the venipuncture snakes down into a container. In some individuals, this continues until the volume is about a pint – 500 mL; for this, they get a cookie and a glass of juice. In others, the collection is larger – around 2,500 mL; for this, they get between $50 to …

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CME Spotlights