Conditions

Crying to be heard: women in emotional pain

Conditions

September 17, 2023

I am struck by how often crying is overlooked or trivialized by doctors despite its therapeutic value and need for recognition. Crying can play a significant role in healing and overall well-being. Research has shown that crying serves as an emotional release, provides pain relief, reduces stress, improves mood, and enhances communication. Encouraging a culture of acceptance and understanding around crying in medical settings can contribute to holistic and empathetic …

Dying is a selfish business

Nancie Wiseman Attwater

Conditions

September 16, 2023

An excerpt from A Caregiver’s Love Story.

Whether you are the dying or the caregiver, living life to the fullest remains your goal, but somedays it’s just too darn hard. When you are so busy that it doesn’t seem you have time to take a breath, where does living …

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Dying is a selfish business

The importance of “I statements” in health care settings

Beth Boynton, RN, MS, CP

Conditions

September 16, 2023

Three nurses are at the nurses’ station. Two are talking about managing a patient’s pain, and a third, Donna, is reviewing a patient’s lab results and finding it difficult to concentrate.

Which is Donna’s best statement?

1) Shhh, stop talking!
2) I’m frustrated with your talking. It’s hard to concentrate, and I’d appreciate it if you would quiet down.

Answer: It depends on the relationships and Donna’s preferences. If Donna has a positive history …

Physician mental health: a guide for BIPOC physicians

Shin Ock, PhD

Conditions

September 14, 2023

In the world of medicine, the challenges faced by BIPOC physicians are multifaceted. Not only do they contend with the rigor and demands of the profession, but they also navigate unique societal pressures and systemic inequalities. Prioritizing mental health, fostering a strong sense of purpose, and nurturing empowerment become essential tools for maintaining well-being. In this blog post, we will explore the distinct challenges encountered by BIPOC physicians and provide …

Balancing opioid medication in chronic pain

L. Joseph Parker, MD

Conditions

September 13, 2023

She walked in with a cane, bent over like a question mark. She was in her seventies and as sweet as people in that age group tend to be. I think most of the cranky ones don’t make it that far. She was something of an emergency because her doctor had just passed away, and it was time to refill her medications. It would not be safe for her to …

Physicians have a hidden addiction treatment superpower

Jack McGeachy, MD

Conditions

September 12, 2023

When it comes to addiction treatment, doctors have a superpower. Even if you’re not board certified in addiction (most of us are not), you possess knowledge and skills uniquely suited to caring for patients with addiction. Many professions purport to treat patients with substance use disorder, but the physician’s toolkit makes us uniquely effective at treating people with addiction. I can teach you how to unlock this hidden power if …

Navigating chronic diseases and menopause: healthier habits for aging

Susan J. Baumgaertel, MD

Conditions

September 12, 2023

An excerpt from The Menopause Menu.

Whether it’s heart disease or cognitive decline, arthritis or diabetes, getting older is linked to an increased incidence of many different chronic diseases. The menopausal journey adds an extra layer of health risks to some of them but is also an opportunity to fine-tune healthy …

A new approach shifts thought patterns to improve mood

Moshe Bar, PhD

Conditions

September 11, 2023

Imagine this …

You’re shown a number of words one after another: “lettuce, tomato, green, head, vegetable, cabbage, carrot, food, leaf, salad, hamburger.” Then, you’re shown a different set of words: “thread, needle, shot, nurse, drugs, alcohol, wine, cheese, mouse, cat, dog, bone.” Notice any difference between the two chains of words – or even how you feel?

These two sets of words were part of a groundbreaking Massachusetts General Hospital and …

Insurance struggles in pediatric headache care

Victoria Karian, CPNP

Conditions

September 11, 2023

Most of the time, I enjoy my job as a pediatric nurse practitioner working with chronic headache and pain patients. I enjoy the relationships with the families, figuring out what can help manage the headaches and life issues best to allow optimal functioning. I enjoy performing certain procedures, like Botox for chronic migraines or injection procedures for my patients, which very often improve their headache profile. I can even find …

The complexities of healing and faith

Michele Luckenbaugh

Conditions

September 10, 2023

As a physician, there are moments during the day when you must deliver a disheartening diagnosis to your patient: pancreatic cancer, ALS, leukemia, and unfortunately, the list goes on. The patient must face the harsh realities that are now placed before him/her. Those realities, at times, leave him with a very small window of hope for improvement. Sometimes, solutions cannot be found with the use of a scalpel, chemotherapy, or …

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The complexities of healing and faith

Unveiling the inner dynamics behind high achievers’ success

Michaela Weaver

Conditions

September 8, 2023

In the realm of leadership development, an array of groundbreaking initiatives is surfacing, igniting profound transformations on multiple fronts. Resilience programs, in particular, are equipping leaders with the agility to navigate our fast-paced world and fostering the internal adaptability essential for constant change. Yet, despite these promising strides, a disconcerting surge in anxiety, stress, and burnout among executives has emerged.

Startling statistics underscore this disconcerting trend. In 2022, a staggering 31% …

Support your local plasmapheresis center

Martin C. Young, MD

Conditions

September 8, 2023

Every day, thousands of people lie on a couch and have their arm stabbed with a large needle. Blood from the venipuncture snakes down into a container. In some individuals, this continues until the volume is about a pint – 500 mL; for this, they get a cookie and a glass of juice. In others, the collection is larger – around 2,500 mL; for this, they get between $50 to …

Diversified treatments are needed to fight the increasing threat of liver cancer

Eugene Chan, MD

Conditions

September 8, 2023

Since the mid-1970s, rates for liver cancer have been on the rise. A 2017 study found that liver cancer increased by 75 percent worldwide between 1990 and 2015, with the highest rate increases occurring in sub-Saharan Africa and Southeast Asia. Worldwide, hepatitis B—a virus that damages the liver and is spread through contact with infected blood and other body fluids—is the most common cause of liver cancer; however, in …

A doctor’s genuine approach to medication-assisted therapy patients

Jill Becker, MD

Conditions

September 6, 2023

This past week, I was speaking with a patient; let’s call her Marcy, during her regular appointment. “You’re just not like other doctors,” she said. “How is that?” I asked.

This seems like a good place to discuss the reason Marcy comes to see me. Marcy has a history of opioid use disorder. She has been on medication-assisted therapy (MAT) for many years. For those unaware, opioid use can alter people’s …

Diabetes and liver disease: urgent screening needs highlighted by personal tragedy

Sarah Bauer, MD

Conditions

September 5, 2023

The American Diabetes Association recently released screening guidelines for liver disease in individuals with type 2 diabetes. Notably, 70 percent of people with type 2 diabetes have liver disease, and the most common form is non-alcoholic fatty liver disease. Ultimately, this can lead to cirrhosis and cancer. According to the American Cancer Society, the rates of liver cancer have tripled since 1980. Currently, one in 10 Americans has diabetes, …

Medical gaslighting: a growing challenge in today’s medical landscape

Tami Burdick

Conditions

September 5, 2023

Chances are, you or someone you know has fallen victim to medical gaslighting at some point, especially as we see an increase in this unfortunate practice in today’s modern health care system. Maybe you have experienced medical gaslighting without even realizing it. What exactly is medical gaslighting? It’s a term given to a practice stemming from our medical community where doctors and specialists alike make patients feel a multitude of …

Zurzuvae: a beacon of hope for postpartum depression or a superficial solution?

Sonal Patel, MD

Conditions

September 5, 2023

The FDA approval of Zurzuvae (zuranolone), the first oral medication, has offered new hope to mothers who have exhausted all other treatment options to cope with their postpartum depression. This is a milestone in recognizing the maternal mental health crisis that plagues our country. The benefit of this drug is that it offers a new approach to treating postpartum depression and brings postpartum health into the spotlight. With Zurzuvae …

Surgical decision-making: Navigating catastrophic scenarios

Sid Schwab, MD

Conditions

September 4, 2023

Let me describe what it’s like to operate in a potentially disastrous situation. Notwithstanding having one’s faculties and wits gathered and finely honed, being as in command of yourself as you can possibly be, it may test and demand everything you can bring to bear. I’ve been in war, where I feared daily for my life. It’s not pleasant, but in some way you can get used to it. In …

Misunderstandings about opioid use disorder

Amy Baxter, MD

Conditions

September 3, 2023

At a recent scientific conference on narcotics, a researcher mused, “Honestly, opioids make me feel gross. I don’t see how anyone could get addicted.” This is a little like a doctor in the delivery end of a needle saying, “Honestly, you’re a wimp. This doesn’t hurt.” Both examples reveal a lack of empathy and a fundamental misunderstanding of current neuroscience.

The contributions or fear, reward, fight, and flight are a complicated …

Ragweed allergy peaks during college football season

Kara Wada, MD

Conditions

September 2, 2023

Not only is it kickoff time for college football season, but it’s also prime time for fall allergies. For the 50 million Americans who suffer from ragweed allergy, the late summer and early fall signal the onset of runny noses, sneezing, congestion, cough, itchy watery eyes, and in more severe cases, sinus infections and asthma exacerbations.

Seasonal allergies are a huge source of frustration and fatigue for many of us, causing …