When people (especially women) are highly organized, hyper-focused, and efficient they often label themselves (or are labeled by others) as OCD. In essence, “being OCD” is a superpower that leaves us with clean houses, well-manicured appearances, and detail-oriented work products. A person might even flaunt their “OCD personality” as a positive in an interview. But, saying you “are OCD” takes away from the very real anxiety that people who “have …
Not all transfusion therapies are the same.
Unlike other transfusion therapies, automated red blood cell exchange (RBCX) efficiently and rapidly removes a patient’s hemoglobin S (HbS)-containing RBCs and replaces them with healthy RBCs. You may be surprised to learn that there are a few misperceptions surrounding automated RBCX. How do you think about automated RBCX today?
Myth #1: RBCX is only for acute patients
Reality: Automated RBCX is recommended by …
PhD, the big man on the psych unit’s eighth floor, puffed on his pipe while listening to the dialogue of the broken, misfits, psychotics, schizophrenics, and bipolar patients. Many were beaten at birth, both physically and emotionally. In this land of serpents, he felt like a god. He’d select patients one by one for ECT, electroconvulsive therapy, with electrodes attached to their heads and a mouthpiece in place. They were …
I stood outside in my yard, which had been dormant during the winter season and was now awakening to the spring. Yard work was a familiar and enjoyable activity for me, one that I had been doing for years. But as I walked across the yard, I found myself out of breath and fatigued, to the point of needing to see if taking a nap would help. It did not. …
“Ever since I had COVID, it always smells like something’s burning,” explained a patient suffering from symptoms of long COVID. This burning smell has plagued her for more than three months and is coupled with fatigue, difficulty breathing, and a persistent cough. Long COVID recently joined other diagnoses, such as diabetes and Crohn’s, as one of the most common chronic conditions Americans are facing today. Treatment for chronic conditions requires …
If you want to know whether a standard-of-care medication will work to treat your depression, flip a coin.
More than half of all patients treated for major depressive disorder (MDD), the clinical name for what is typically thought of as depression, don’t respond to the first treatment option prescribed to them. Even those who do respond often won’t see the full clinical benefit for up to 12 weeks. And yet, prescribing …
As we recognize Mother’s Day on May 14, let’s take this time to reflect on how we can help ensure all moms celebrate with us, year after year. A recent report by the Centers for Disease Control and Prevention (CDC) shows the U.S. maternal mortality …
“Pregnancy is the longest duration and highest energy expenditure that humans can experience. Mothers probably aren’t surprised by this.”
-Herman Pontzer
How fast you can run depends on why, for how long, and, more importantly, the drive that sets the purpose for why you are running in the first place. In all emergencies, trying to avoid becoming a tiger’s lunch does not take long: You either run as hard as ever to …
The most vivid memory of my childhood is of me, a six or seven-year-old boy, crying in the playground corner every day for months. It is so intense that I wonder if that is a product of imagination. However, the same scene, with the blue bench, in the dark right corner of the playground, keeps on playing in my head when I think about those early days of my childhood.
It …
“He had an intuitive gift as a physician in diagnosing and managing breast cancer. His expertise helped countless patients, and he was deeply appreciated by those he cared for. He felt an enormous sense of gratitude to be able to help his patients and be an integral part of their care.”
I didn’t want to have cancer again, and who would? It was December 29, 2021, just over a year since …
One in six women in the U.S. suffers from chronic pelvic pain (CPP), yet many receive improper treatment for the condition, or no care at all. They’re frustrated – and rightfully so. Their health care providers are frustrated too because what their patients are experiencing has historically been very difficult to diagnose. It is estimated that about 30 percent of patients with CPP suffer from a condition that can be …
With the coming end of the public health emergency, our three-year pandemic will be officially (if not completely) over, and we will be left to contemplate what’s next. As much as we’d all appreciate a return to normal, we may be better off considering a new normal, a better one, in which we focus on “waking up” our brains. An awakened brain just may be the key to shaking off …
Adapted from The Right to Pain Relief and Other Deep Roots of the Opioid Epidemic. Published by Oxford University Press in January 2023.
The 0-to-10 pain intensity scale that has become a familiar feature of clinical care had its origin in experimental psychophysics studies that investigated the relationship between noxious stimulus …
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Evidence-based medicine is a term that attendings like to pepper into their teaching rounds, and medical students like to conspicuously incorporate into their assessment and plan. There is so much clinical trial data out there that it is impossible to stay up to date on the most recent guidelines or the newest landmark trial that all of our time goes into scrutinizing the results. However, we rarely delve into the …
An excerpt from Living Medicine: Don Thomas, Marrow Transplantation, and the Cell Therapy Revolution.
Late in the summer of 1960, Dr. Clem Finch invited Dr. Don Thomas to Seattle to give a talk about his early experience with transplantation. Clem, who had been Thomas’s hematology fellowship instructor at the Brigham in …
Her back was mottled, and she could barely sit up. She was weak from her invasive cancer. I visited her on Easter Sunday. Perhaps it was God’s will that I didn’t have an elaborate Easter dinner with ham, rolls, pies, and house decor filled with decorative bunnies. Instead, I went to visit this dear friend I met by happenstance and her dear husband who always seemed to help me out. …
Three months ago, a case was discussed in the multidisciplinary tumor board. A 17-month-old child was admitted through the ER with a posterior fossa tumor (brain tumor) and multi-level spinal cord compression due to tumor deposits. The tumor was so extensive that only a biopsy could be performed rather than maximum safe resection. The biopsy report was discussed in the MDT (it was medulloblastoma), and after considering the neurological deficits …
Mr. Sanchez had been feeling unwell for days before he decided to visit the emergency room. When I walked into his room, I immediately noticed that he was scared and anxious. His sore throat had been persistent for five days and was now so severe that he couldn’t eat or drink anything. He had also developed a rash covering his entire body, which was only getting worse. The lymph nodes …
Eleven-year-old Abby sat nervously in the emergency department, her eyes darting around the room as she clutched Patches, her beloved stuffed sheep. Her guardian sat beside her, anxiety etched on her face as she explained the situation to me. Abby had been diagnosed with depression at the tender age of nine after suffering years of abuse and neglect at the hands of her biological parents.
A few months ago, a loving …
Nearly 290,000 American men will be diagnosed with prostate cancer in 2023. Thankfully, the vast majority will be diagnosed with clinically localized disease and can be cured with either surgery or radiotherapy. Emerging clinical trial data have cemented stereotactic body radiotherapy (SBRT), a form of radiation in which ≤5 daily doses are delivered with high precision in generally five or fewer treatments, as a curative option for most men with …
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