When Newtown children returned to area elementary schools less than a week after the massacre at Sandy Hook Elementary, the cameras were watching, a reality that may slow healing in the Connecticut community.
Although there’s no literature that’s specific to the effects of a media frenzy after a school shooting on children’s psychological recovery, there’s plenty of other applicable evidence, according …
Choosing the best treatment for cancer may be challenging and difficult. Patients should be well informed before making their choice. Communication between the patient and family and their medical team including their physician is very important.
The medical team should describe the available treatment choices to the patient and the expected results of each of them as well as their possible side effects. Patients should carefully consider the available options and …
While Hurricane Sandy’s fury wreaked havoc on the Northeast and caused massive destruction, one thing is for sure: Sandy’s wrath is no match for nurses’ strength.
Nurses’ role in the media is often overlooked because it often focuses on the heroic activities of the doctors. Health care isn’t a competition between nurses and doctors. Doctors and nurses are colleagues. Health …
Along with about 8.4% of the US population, I have asthma. To promote good doctor-patient communication, I can’t sit too far away from you. To perform a high-quality physical examination, I must enter into your personal space. Several minutes of inhaling that strong scent, however, can cause me to have trouble breathing.
I’ve never been brave enough to bring this up before, …
Have you been tearful and sad after the death of a loved one? Did you notice changes in appetite, difficulty sleeping, troubles concentrating, and decreased energy for at least two weeks after the loss? Did you think that was a normal, healthy, and adaptive response to a major loss? Well, if you believe the new DSM-5 criteria approved by the …
A 65-year-old man is evaluated for a 1-month history of headaches and blurred vision, early satiety, and itching that occurs after showering. He has a 90-pack-year smoking history. He has no history of cardiopulmonary or sleep disorders, no other medical problems, and he takes no medications.
On physical examination, temperature is normal, blood pressure is …
A 62-year-old man is evaluated during a routine examination. Medical history is significant for a myocardial infarction 3 years ago, dyslipidemia, hypertension, tobacco use, and drinking two alcoholic drinks per day. Medications are an ACE inhibitor, a statin, a β-blocker, and aspirin. He participates in cardiac rehabilitation, exercising four to five times per week.
Let me tell you a secret. Examining eardrums in a squirming, angry child is really difficult—if not impossible. If the doc in your screaming, struggling child’s ear for a half-second, it’s unlikely that anything useful was seen.
Sometimes, it is just impossible to get a decent exam. But there are ways that parents (and doctors!) can help at least increase the chance …
I pull up a test result for my patient, and the senior resident standing behind me lets out an excited squeal.
“I’ve never seen the imaging come back positive for this,” she says. Our two-week-old infant, who already has a rare infection, also has a rare associated structural abnormality. It’s not benign, but it is fixable. The fix usually requires surgery.
As we walk over to the patient’s room to update her …
A flurry of coverage recently appeared about the U.S. Preventive Services Task Force’s recommendation for one-time HIV screening for all Americans, ages 15-64.
Some might wonder why this is news — um, hasn’t this been recommended now for years? — and I think I’ve figured it out.
Let me start by relaying that every ID/HIV specialists can tell some version of the following sad story, which is still repeated on a regular basis …
The other day I landed on the website of 23andMe. To my surprise, I learned that if I wanted to send the company a sample of my DNA, I’d have to swear under penalty of law neither to collect my sample nor mail it from New York State. That’s because New York State requires a laboratory license and direct interaction with a physician for mail order DNA testing.
A 42-year-old woman is evaluated for recurring pain and swelling of the left knee and right ankle that began 5 months ago. At that time, she also had an episode of conjunctivitis as well as dysuria, both of which resolved spontaneously. The joint pain and …
A 68-year-old woman comes to the office for a follow-up evaluation. She has had type 2 diabetes mellitus for the past 13 years and has experienced two early-morning hypoglycemic episodes in the past 3 months.
Although her self-monitoring of fasting blood glucose levels over the past …
This is the question I get asked the most: “So Doc, how do I know that this is working?” Sometimes my patients come to me with visible or palpable disease—something on the skin that they can see fading away, an enlarged lymph node in the neck that shrinks visibly during treatment, a lump or a bump that disappears, much to the gratification of both patient and doctor. But most of …
Parents worry when their children do not eat vegetables.
And, I understand why.
Parents know that vegetables are an important part of a healthy diet, and get frustrated when they are consistently left on their child’s plate.
The result? Parental “veggie-stress.”
Although veggie-stress begins at the family dinner table, it can be amplified by the rather faddish way parents talk about poor vegetable eaters within playgroups. Conversations among parents can …
I recently a session at the Asian American Women Leadership Conference to high school and college students about taking care of our bodies. One the topics is common health myths. Despite our best efforts at debunking them, here are 8 pervasive myths:
1. You can catch a cold from being too cold. Growing up, how many of us have heard this from well-meaning parents and grandparents? It’s easy to see how …
A 42-year-old man is evaluated in follow-up for elevated liver chemistry tests. He is asymptomatic. He has a 6-year history of type 2 diabetes mellitus, hyperlipidemia, and hypertension. His current medications are metformin, simvastatin, and lisinopril. He does not drink alcohol.
On physical examination, temperature is 37.0 °C (98.6 °F), blood pressure is 130/74 mm …
A 46-year-old woman is evaluated for a 4-day history of an intensely pruritic rash on her face and neck. She started using a new facial moisturizer about 1 week before the onset of the rash. She has stopped using the moisturizer, but the rash has persisted. She has treated the rash with calamine lotion …
Amid the mounting concern about radiation exposure and future increases in cancer rates comes a report from Washington State describing the benefits of imaging, particularly CT scanning, for the diagnosis of appendicitis.
The authors collected data from some 55 hospitals of all types and sizes over a six-year period for more than 19,300 patients older than age 15; 91% of patients underwent one or more imaging studies. There were …
Starve a cold, feed a fever. Eat a balanced diet, don’t overeat, he is so thin he should fatten up before he wastes away, avoid junk food, she needs to keep her weight down. Our society is obsessed with food and food advice, and nowhere is that more true than when dealing with cancer.
Nearly 100% of the time when an oncologist sees a new patient, they are asked about nutrition. …
When Newtown children returned to area elementary schools less than a week after the massacre at Sandy Hook Elementary, the cameras were watching, a reality that may slow healing in the Connecticut community.
