“I look at my baby and I don’t feel a thing,” the patient whispers as she cradles her 3-week-old baby. “I feel so much guilt … sometimes I don’t want to be here at all.” And yet, she is not alone. Her words echo the silent yet growing public health crisis of perinatal mental health.
Approximately 1 in 5 women are affected by mental health conditions during the perinatal period. …
What would a world without vaccines even look like?
Well, it turns out that we do not have to wonder since accurate historical records allow us to distinctly see and learn for ourselves. This is in keeping with our Secretary of Health and Human Services’ (HHS) recent guidance to Do Your Own Research.
What we actually need, individually and as a nation, is clear and consistent science-based advice when it comes …
When reviewing poor maternal health outcomes in the U.S., it is clear we cannot keep doing the same thing and expect to make pregnancy safe and healthy for all. A new approach is needed that harnesses the power of molecular advances to bring precision medicine to pregnancy health. Preeclampsia, one of the most dangerous complications in pregnancy, is a disorder of high blood pressure that has eluded the ability to …
Tucked along the edge of the frigid James Bay, Moosonee stands as one of Northern Ontario’s most remote and storied communities—a place often referred to as the “Gateway to the Arctic.” While towns like Thunder Bay or Rainy River echo similar titles, Moosonee carries its own unique distinctions.
This isolated town of about 3,000 people is shaped by its subarctic climate, deep cultural roots, and resilient spirit. Read more…
Pain is a signal. It gets our attention. It arrests, alarms, and demands we listen. C.S. Lewis wrote in the problem of pain: “God whispers to us in our pleasures, speaks in our conscience, but shouts in our pain: it is His megaphone to rouse a deaf world.” And what a deaf world we have become.
Pain is physical—a sign of tissue damage. It’s defined as “physical suffering or discomfort caused …
Sleep is not a luxury — it’s a fundamental pillar of health on par with diet and exercise. As we enter a new era of sleep, people are more aware than ever before of how rest impacts their overall health. We are at an inflection point where sleep is increasingly recognized as essential to preventative care and wellness. Yet, many still suffer in silence, trapped in a cycle of exhaustion.
The …
An excerpt from The Healthy Kidney Handbook: A Comprehensive Guide to Manage Hypertension, Control Stress, and Prevent Renal Failure, Kidney Disease, and More.
A good friend and neighbor of mine is a kidney transplant survivor, and I wanted to thoughtfully document her thoughts on different parts of her journey. She is currently a married, African American woman, mother of a teenage son, in her forties, and works full time in …
A woman sat nervously in front of me, eyes wide, voice low. “I saw this video on TikTok,” she said. “Now I’m not sure I want to try it.” “It” was semaglutide—one of the most transformative medications we’ve seen for weight loss and metabolic health in years. But her fear wasn’t uncommon. Like many patients I see, she came in hopeful, but hesitant—torn between her desire to get healthy and …
As a psychiatrist deeply committed to my patients’ well-being, there are moments etched into my memory—moments of profound suffering, struggle, and ultimately, redemption. I vividly recall Sarah (name changed for confidentiality), a 45-year-old teacher whose severe depression had drained all joy from her life. “Dr. Rifai, I just want my life back,” she told me, tears streaming down her face. Her plea echoed the silent anguish of countless patients I’ve …
I know what I’m about to say is unpopular, and maybe even controversial within our field — but I need to say it.
I’ve been a nurse for 18 years. I care deeply about my patients, and I care about the future of this profession. But I’m increasingly disheartened by what I see inside our own ranks. There’s a phrase we all know: “nurses eat their young.” We repeat it so …
They left quietly. Logged their last note. Disconnected their badge. Maybe cleared out a drawer, maybe not. And just like that, another clinician walked away from medicine. No exit interview. No debrief. No conversation about what led up to that final decision. Just silence.
In most professions, when someone resigns, leadership wants to know why. What worked? What didn’t? What could we do better next time? But in medicine? We barely …
Professional coaching can contribute to personal growth and development by providing encouragement and support using a handful of simple techniques designed for deepening exploration in a co-created working relationship. Focuses can be wide ranging and include development and clarification of goals, refining communication, boundary setting, and conflict management skills. A coaching stance typically seeks improved performance, for example increased efficiencies at work or navigating executive function more effectively. It can …
The first rule of being a doctor is not “do no harm.” It’s “mind your own business.”
You won’t find it in the ethics textbooks. It’s not part of any formal curriculum. But ask around—quietly, privately—and most seasoned clinicians will tell you the same thing: the people who ask too many questions don’t last long.
You learn this not from lectures, but from observation. A colleague flags a safety concern. A note …
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The next major health epidemic in the U.S. will not come from a pathogen. This plague has a potential patient population in the tens of millions, limited effective treatments, and is not widely studied in the medical community.
I’m referring to sports gambling, an activity that deeply alarms me as a physician who specializes in addiction. Problem gambling can increase the incidence of depression and anxiety and can lead to bankruptcy, …
Medicine has always evolved through a blend of scientific rigor and bold innovation. Over the last century, surgical practice has progressed from risky open procedures to highly controlled, minimally invasive interventions. Laparoscopic surgery marked one such revolution, dramatically enhancing patient outcomes by enabling precision through small incisions. By the 1990s, it had become an essential part of modern surgery.
A similar, albeit slower, evolution has taken place in endovascular care. …
Did you have chickenpox as a kid?
If the answer is yes (which it is for most of us), you’re at risk of getting shingles. Shingles is caused by the varicella-zoster virus, the same virus that causes chickenpox. After one recovers from chickenpox, the virus remains dormant in one’s nerve cells. Later in life, if the virus reactivates (which depends on factors like age, stress, or a weakened immune system), it …
As an endodontist who specializes in saving natural teeth, I have a front-row seat when it comes to observing the nuances of oral health. I can tell who is a flosser, a fan of tooth whiteners, and the sweet tooths among us. Occasionally, and particularly in younger adults, I see signs of severe tooth decay. That usually means one thing—they have lived in a town that lacks fluoride in their …
As someone who believes in a healthy amount of social media consumerism — just enough to stay inspired without drowning in every new trend — I recently found myself intrigued by a wellness practice that kept resurfacing on my feed: infrared sauna. Beyond the polished posts and glowing endorsements, my curiosity was also fueled by my background. As a cancer doctor, and someone who genuinely believes in the impact of …
Disclosure: This should not be considered as evidence-based mental health literature. These are the observations of a surgeon with extensive experience being angry.
Introduction
Many physicians are finding themselves strained from ongoing sociopolitical crises. Dealing with the frequent or continuous consequences of unsustainable practices in health care systems, global systems issues like racism or sexism, or other large problems that are difficult to impossible …
Every week, I speak with patients who have spent years—sometimes decades—searching for answers. They’ve seen rheumatologists, neurologists, cardiologists, physical therapists, and more, trying to piece together a puzzle that no one provider seems to fully understand. Their symptoms are dismissed as anxiety, growing pains, or “just part of being flexible.” But the truth is often something far more complex: A connective tissue disorder like hypermobile Ehlers-Danlos syndrome (hEDS) or Hypermobility …
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