Conditions

Pediatric care in Ghana: Addressing malnutrition and sickle cell disease

Conditions

February 15, 2026

In Accra, Ghana, the ward glowed ocean blue under phototherapy lamps. Chlorhexidine lingered in the air, cardboard rustled beneath a mother’s thin blanket, and the soft gasp of a preterm infant punctuated the hum of monitors. A baby’s drool pooled at the corner of her mouth; when my gloved fingers brushed her cheek, she flinched. Her body spoke a language beyond words, and her mother translated every twitch with love.

Behind …

How February and Valentine’s Day impact lonely patients

Crystal W. Cené, MD, MPH

Conditions

February 14, 2026

Last year, at her annual physical, one of my patients told me that February was the hardest time of the year for her. Her husband died three years earlier in February. Her daughter lives out of state and doesn’t visit often. She has a neurologic condition which makes it difficult for her to get around. Her days are marked by TV dinners eaten alone, a phone that rarely rings, and …

The specter of death: Why mortality gives life meaning

Steve Sobel, MD

Conditions

February 14, 2026

The looming specter of death exerts significant psychological power over the living. Perhaps the most common ways of coping with our persistent death anxiety are to ignore it, actively deny it, or deliberately distract ourselves from it; but removing our protective blinders ultimately enables us to live a more meaningful and authentic life. If we genuinely wish to live well and to die well, we must intentionally develop our emotional …

Peyronie’s disease symptoms: Why men delay seeking help

Martina Ambardjieva, MD

Conditions

February 13, 2026

A man notices it in a moment he did not plan to analyze.

An erection that used to be straight now bends. There is a new ache. Sex feels different, less reliable, more tense. He tells himself it is temporary. He avoids looking too closely. He stops initiating intimacy. And most of the time, he does not say a word.

That quiet delay is one of the most overlooked parts of Peyronie’s …

Antimicrobial resistance causes: Why social factors matter more than drugs

Maureen Oluwaseun Adeboye

Conditions

February 12, 2026

Antimicrobial resistance (AMR) is being talked about more now than ever before, and for good reason. When medicines stop working for common infections, everyone loses. The World Health Organization has described AMR as one of the top global health threats, and in October 2025 published data suggesting that in parts of Africa, as many as one in five infections are resistant to commonly used antibiotics.

That statistic should alarm us. But …

The necessity of getting lost to find yourself

Michele Luckenbaugh

Conditions

February 11, 2026

We are born into corridors,
measured, labeled,
painted neutral,
walls rising before we learn how wide
our thoughts can stretch.

Lines are drawn early:
This is far enough,
this is acceptable,
this is where you stop.

We are told our ideas must sit quietly,
folded into boxes like unused maps,
that imagination is dangerous if it wanders,
that questions should behave
and answers should already be known.

Life, they say, is safest when it stays
inside the margins.

But something restless stirs
beneath the rules.
A pulse.
A whisper …

Medical bankruptcy: the hidden cost of U.S. health care

Richard A. Lawhern, PhD

Conditions

February 11, 2026

My wife underwent major surgery in December 2025. She remained 10 days in a Charlotte, NC, hospital and was then for several weeks supported at home by visiting nurses, a physical therapist, and a dietician. We just saw the bill: The hospital and participating doctors submitted bills of $120,000 to Medicare and to Tricare (family health insurance for military service veterans like me).

The 21 years that I served as a …

Tobacco treatment neglect: Why 25 million smokers are left behind

Edward Anselm, MD

Conditions

February 11, 2026

If a new disease emerged and killed this many people, everyone would be talking about it. This death rate has been constant over the last decade, despite the declining prevalence of cigarette smoking. The decline in prevalence is, for the most part, due to reduced adoption of smoking by teenagers, and younger smokers have been shifting to vaping. The prevalence of smoking among older, poor, less well-educated, and rural populations …

Music and brain plasticity: How sound rewires your mind

Marc Arginteanu, MD

Conditions

February 11, 2026

Hot off the presses. The latest science proves, yet again, that music benefits your brain, and not in some vague, feel-good way; it physically remodels your brain in ways that make you calmer, sharper, and happier. I’m talking about measurable rewiring, anxiety reduction, and cognitive gains you can actually see on an fMRI.

Three rock-solid studies just landed:

1. Chinese researchers and anxiety reduction

Chinese researchers took a bunch of stressed-out college students …

Why Medicare must cover atrial fibrillation screening to prevent strokes

Radhesh K. Gupta

Conditions

February 11, 2026

Evelyn felt fine that morning. At 68, she was active, healthy, and just returned from her daily walk when her heart began to flutter. It wasn’t painful, just an odd sensation, like a fish flopping in her chest. It lasted around 10 minutes and then stopped. Although she thought it was strange, she soon dismissed it. A week later, she woke up unable to move her right side. A stroke …

Frailty and functional decline: Why diagnosis is not enough

Gerald Kuo

Conditions

February 10, 2026

As clinicians, we are trained to look for disease.

We measure blood pressure, blood sugar, lung function, and imaging results, often waiting for pathology to declare itself before we intervene. During the COVID-19 pandemic, however, many of us noticed something unsettling: patients were not only arriving later, they were arriving weaker.

Recent evidence confirms this clinical intuition. An analysis published in The BMJ, examining health records from more than 30 million people, …

Autism comorbidities: the hidden link between POTS, GI issues, and hypermobility

Carrie Friedman, NP

Conditions

February 10, 2026

Autism is typically framed as a neurodevelopmental condition defined by differences in social communication, sensory processing, and behavior. This framing is incomplete. In clinical practice, autistic individuals frequently present with a striking burden of systemic symptoms involving the gastrointestinal tract, cardiovascular regulation, immune signaling, connective tissue, and stress physiology. These are not side notes. They reflect the fact that autism lives within a nervous system that innervates the entire body.

The …

The impact of CDC’s new childhood immunization guidance

Umayr R. Shaikh, MPH

Conditions

February 10, 2026

For most of my life, preventable infectious diseases existed at the margins of medicine. Influenza was seasonal but manageable. Hepatitis outbreaks were contained. Childhood hospitalizations from rotavirus or meningococcal disease were rare enough to be notable. COVID-19 may have shattered predictability, but even then, many of us believed the lessons we learned would be followed by renewed investment in prevention.

Instead, we now stand at a crossroads.

A crossroads in prevention

Recent guideline …

Remote nursing for burnout: How changing environments saved my career

Michele Abbott, RN

Conditions

February 10, 2026

For most of my nursing career, my instinct when work felt overwhelming was always the same: Look inward, fix myself, and try harder.

If a shift felt chaotic, I assumed I needed to manage my time better. If an interaction went poorly, I replayed it in my mind, wondering what I could have said differently. If I came home exhausted and irritable, I told myself I needed thicker skin. I believed …

AI-assisted therapy: Why supervision makes the difference

Farid Sabet-Sharghi, MD

Conditions

February 9, 2026

Artificial intelligence in mental health has become an easy target. Headlines warn of hallucinating chatbots, reckless advice, and sensational claims that AI therapy is pushing vulnerable patients toward self-harm or suicide. The implication is clear: AI is dangerous, irresponsible, and incompatible with serious clinical care.

That conclusion is too simple and, in many cases, wrong.

The uncomfortable truth is that many patients are already receiving something far riskier than supervised AI therapy. …

When language becomes the barrier: IMGs and autism diagnoses

Ronald L. Lindsay, MD

Conditions

February 9, 2026

I once left grand rounds with a donut and a fake pager buzz because I couldn’t understand the speaker, who often was a natural Mandarin or Arabic speaker. Humor aside, this was not just my problem; it was a systemic failure.

I have spent decades in developmental-behavioral pediatrics, and one truth has never changed: Communication is the currency of medicine. Without it, trust collapses.

International medical graduates (IMGs) are vital to our …

Charles Bonnet syndrome: Why the blind see hallucinations

Ceres Alhelí Otero Peniche

Conditions

February 8, 2026

Today I awoke feeling hopeless, disconnected from my body and my thoughts. All I could sense was the void that my vision loss represented. I kept thinking how beautiful it would be to see clearly, as I opened my eyes to a world submerged in gray fog. Suddenly, the room began to distort. The shadows slowly transformed into figures, men and women trying to pull off my legs were manifesting …

Geriatric diabetes management: Why strict A1c targets can harm seniors

George James

Conditions

February 7, 2026

According to the CDC, nearly 1 in 3 Americans over age 65 live with diabetes. However, our health care system treats diabetes as if all adults are metabolically and functionally the same. In their attempt to maximize glycemic control, it’s not uncommon for elderly patients to experience hypoglycemic episodes, resulting in falls and confusion among other issues, exacerbating other health conditions while taking a mental and emotional toll on …

Why progression independent of relapse activity is the silent driver of disability in multiple sclerosis

Andreas Muehler, MD, MBA

Conditions

February 7, 2026

For too long, multiple sclerosis (MS) has been described with an air of quiet fatalism, a chronic, debilitating disease managed primarily by reducing relapses, but not fully addressed in terms of its continuous, underlying disability progression. This smoldering process often is not easily visible because of its progressive nature. Patients are told to manage expectations, while clinicians are taught to define success by the absence of magnetic resonance imaging (MRI) …

A physician’s quiet reflection on January 1, 2026

Dr. Damane Zehra

Conditions

February 7, 2026

Over the past few days, I have read numerous articles reflecting on 2025: what people achieved, what they lost, how many books they read, and how they touched the lives around them. I found myself lingering on them, thinking, reflecting. But today, I want to pause on something closer to home: my first day of this new year, January 1, 2026.

I am sitting in the library, one of my favorite …

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