An excerpt from Saving Grace: What Patients Teach Their Doctors about Life, Death, and the Balance in Between.
On the morning of the first day of surgery in Nicaragua, I paced. It was 8:10 a.m., and the cases were supposed to begin at 7:30 a.m. …
In addition to a steep increase in prevalence, in recent decades, we have seen an evolution in the ways our immune system misbehaves: eosinophilic esophagitis, mast cell disorders, and early onset colon cancer, among many others. This data alone should remind us that we are an ever-evolving species. With our rapidly changing lifestyle over the last century, it shouldn’t be surprising that we are seeing some sort of physiologic hangover.
In February, just a few months after being elected to the United States Senate, Pennsylvania politician John Fetterman entered into a treatment program for depression. In an interview with CBS News show Sunday Morning last month, he recounted suffering a stroke in May 2022, then fighting through a grueling Senate race that severely impacted his mental health. “You may have won,” he recalled thinking, “but depression can absolutely convince you …
Pop Quiz: At what age do medical experts recommend women of average risk for breast cancer begin receiving screening mammograms?
If you answered “D,” you are correct. Confused? I don’t blame you. Medical societies and independent task forces do not agree on when to begin or end screening mammograms for women at average risk of developing breast cancer. This has led to confusion and …
“It’s adenocarcinoma,” said the voice on the other end of the phone.
I couldn’t believe it.
“Lung cancer? Me? How could that be? I’ve never smoked!” Shock, disbelief, and disappointment filled all the nooks and crannies of my mind and heart.
In January 2021, I went to my PCP after developing a nagging dry cough after starting lisinopril eight months prior, during the first months of COVID. I concluded that it was just …
The growing mental health crisis affecting our children and families has reached a breaking point. As a child and adolescent psychiatrist, I know well the current mental health crisis is dire and demands immediate attention. And I worry we are not moving fast enough to help those in need.
The number of kids and teens aged 3 to 17 diagnosed with depression or anxiety spiked by 30% from 2016 …
My husband, a physician, and I have four wonderful children – a son and three daughters. I look back over the past decade and wonder, “Why?” Why did my daughters contract Lyme disease and not my son or husband? Why was it so difficult to establish a diagnosis? Why are doctors specializing in treating patients with Lyme disease considered pariahs, while conventional doctors may not consider the diagnosis and often …
I noticed a troublesome trend during my three weeks working in the pediatric dialysis unit and the post-kidney transplant unit. The whiter and younger pediatric patients were resting comfortably in the post-transplant unit with their new surgically placed kidneys being meticulously taken care of. The darker and older pediatric patients spent countless, mindless hours attached to a dialysis machine with little hope for a new kidney after years of being …
An excerpt from Fifty Shades of Gray Matter.
He was Hitler. Not the evil Nazi dictator returned somehow from the Inferno to which he had been consigned. Apparently, as with the witches in Oz, there were both good and bad Hitlers. He informed me that he was, in fact, a …
Upon reading numerous articles referencing physician coaching, most have been written by physicians who were transformed by coaching and then became coaches themselves. (Thank you. Your work is so needed in this area!) At least once or twice, I’ve seen coaching referenced in a derogatory manner or deemed unnecessary. In those instances, the premise was that “the system” is the problem and coaching is not the answer. In reality, this …
“One should . . . be able to see things as hopeless and yet be determined to make them otherwise.”
– F. Scott Fitzgerald
I’m in a massive ballroom with numerous tables and promotional placards lining the walls and center. In attendance are every pharmaceutical manufacturer and their sales reps. All the biggies are here; Pfizer, Merck, Novartis, and AstraZeneca, to name a few. Their drugs are household names because they advertise …
Judging a book by its cover is easy. I just did it. There was a title at my library last week, So When Are You Having Kids?, and I judged it. That’s a loaded question: Am I even able to have kids? Do I want kids? If I do, when is a good time, personally or professionally? Who could ever be ready? Yet, how many times a day do …
Artificially separating the body from the mind has been one of the biggest missteps of modern medicine. Over the last few years, we have increasingly read studies confirming the mind-body connection, the gut-brain axis, and now we are learning more about the nose-brain connection.
Given the direct proximity between our nose and our brain, this connection shouldn’t be much of a surprise. The olfactory nerve, cranial nerve 1, wires directly to …
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Someone asked me recently if there is a significant increase in the prevalence of mental illness since it seems everyone is in treatment somewhere. It was a good question and got me thinking.
The prevalence of mental illness has been increasing in recent years, but it is unclear if this is solely due to more people seeking treatment or if there is a true increase in the incidence of mental illness.
In …
Pages of my life turn over as the breezes of time flow over me.
Remembrances of your presence as the world welcomed my firstborn so many years ago.
Your calming voice and words of wisdom reminded me that life would be different but oh so much better.
My baby girl would grow to be a healer like you, offering hope and consolation to those seeking her out. Expert hands stitched my rambunctious toddler’s …
As a health care writer and policy analyst, I frequently encounter the term “risk” in discussions of medical issues. I also frequently see the term grossly misused in both the popular press and medical literature. Nowhere is this more evident than in the 2016 and 2022 CDC Guidelines for the prescription of opioids in the treatment of pain.
In science, the term “incidence” is a measure of the likelihood …
For a growing percentage of our population, autism is a part of everyday life. How we support and empower children with autism speaks volumes about our society’s ability to be inclusive, productive, and fair.
May is Mental Health Awareness Month. It’s a perfect time to celebrate people with autism and elevate our awareness about this complex group of neurodivergent individuals who enrich our lives every day.
Here’s how we all can better …
Fecal impaction and severe chronic constipation can have significant consequences on patients’ mortality, morbidity, psychosocial well-being, and health care costs. It is especially prevalent among the elderly and individuals with neurogenic bowel disorders. The condition can lead to life-threatening complications like bowel obstruction, intestinal perforation, fecal incontinence, and urinary retention.
Traditional treatments for fecal impaction and severe constipation include lifestyle changes, fiber supplementation, laxatives, suppositories, enemas, and digital stimulation. However, …
I am a physician, a urologist, and a survivor of multiple suicide attempts related to physician burnout. In dealing with my psychopathology, I experienced a devolution in my mental status, culminating in suicidal behavior. I can remember the exact moment when I acknowledged that suicide was a possible solution to my problems. At one moment, I felt revulsion at the idea of suicide but crossed over to accept it. This …
The day Ann entered my clinic, I had already been practicing pain management for over ten years. A 40-something physical therapist, she had a warm smile, a positive attitude—and chronic pain in every part of her back.
Twenty-five years earlier, Ann had been inspired to go into physical therapy to help her family members who suffered from severe chronic pain to the point of disability. However, to her dismay, upon graduating …
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