Von Willebrand disease (VWD) is the most common inherited bleeding disorder, affecting approximately 1 percent of the population, though clinically significant symptoms occur in about 1 in 10,000 individuals. It is caused by a deficiency or dysfunction of von Willebrand…
Von Willebrand disease (VWD) is the most common inherited bleeding disorder, affecting approximately 1 percent of the population, though clinically significant symptoms occur in about 1 in 10,000 individuals. It is caused by a deficiency or dysfunction of von Willebrand factor (VWF), a protein critical for blood clotting. For women, VWD poses unique challenges during reproductive years, particularly in the context of fertility and assisted reproductive technologies like in vitro …
Some people eat to live, but most of us live to eat. Meals are more than sustenance; they are how we celebrate milestones, connect with loved ones, and mark the passage of time. But for people living with food allergies,…
Some people eat to live, but most of us live to eat. Meals are more than sustenance; they are how we celebrate milestones, connect with loved ones, and mark the passage of time. But for people living with food allergies, dining out can feel less like a joy and more like an exercise in survival.
Trust becomes the most important ingredient on the plate. Trust that an unfamiliar chef has taken …
Sexism in the workplace is often associated with overt hostility, harassment, insults, discrimination, or intimidation. But what about the subtler, seemingly well-intentioned behaviors that can still hinder women's advancement? Our study explores benevolent sexism (BvS) in academic medicine and how…
Sexism in the workplace is often associated with overt hostility, harassment, insults, discrimination, or intimidation. But what about the subtler, seemingly well-intentioned behaviors that can still hinder women’s advancement? Our study explores benevolent sexism (BvS) in academic medicine and how it may quietly limit women’s careers, even in environments committed to gender equity.
What is benevolent sexism?
Coined by Glick and Fiske in 1996, benevolent sexism refers to attitudes that appear …
As an infectious disease fellow years ago, I was called to the hospital in the middle of the night for a possible case of measles. I reviewed the clinical basics, as I was not quite sure what to expect, not…
As an infectious disease fellow years ago, I was called to the hospital in the middle of the night for a possible case of measles.
I reviewed the clinical basics, as I was not quite sure what to expect, not previously …
A few months after meeting her during rounds at a dialysis center, an elderly woman gripped my hand and quietly asked, "Do you think I'll make it in time?" Her voice trembled. She had been silent for weeks, worn down…
A few months after meeting her during rounds at a dialysis center, an elderly woman gripped my hand and quietly asked, “Do you think I’ll make it in time?” Her voice trembled. She had been silent for weeks, worn down by dialysis and overwhelmed by the long transplant process. Her question pierced through the clinical routine. I looked into her eyes, squeezed her hand gently, and said, “We’re going to …
It's 4:30 in the morning. I can see the small clock across the room. I lie in a hospital bed. The woman who approaches, the nurse, I know a bit. She greets me with, "I need to take your vitals."…
It’s 4:30 in the morning. I can see the small clock across the room. I lie in a hospital bed. The woman who approaches, the nurse, I know a bit. She greets me with, “I need to take your vitals.” I know there is more to her message, but she doesn’t say so yet. The light around my bed is dim.
Scientists have known about bird flu (H5N1) for decades as a virus that primarily affects birds. Until suddenly, one day, it didn't. In March 2024, H5N1 showed up somewhere very unexpected—in dairy cows in Texas (and their milk). And then,…
Scientists have known about bird flu (H5N1) for decades as a virus that primarily affects birds. Until suddenly, one day, it didn’t. In March 2024, H5N1 showed up somewhere very unexpected—in dairy cows in Texas (and their milk). And then, the virus started jumping to other mammals—goats, domestic cats, and even dolphins—and to humans who interacted with these animals. While there was no evidence …
She whispered when she said "panic attacks." Not because she thought I would judge her or fail to understand. But because she was a physician, and in her world, saying the wrong thing to the wrong person could cost her…
She whispered when she said “panic attacks.”
Not because she thought I would judge her or fail to understand. But because she was a physician, and in her world, saying the wrong thing to the wrong person could cost her everything.
She found me through a colleague of a colleague. No insurance, no documentation trail, no diagnostic codes, no third-party systems. She paid in cash. She never used her full name.
Explosive trace detection systems at airport checkpoints are designed to identify minute quantities of explosive materials through techniques such as ion mobility spectrometry. However, their high sensitivity comes at a cost: False-positive alarms can occur when common substances chemically resemble…
Explosive trace detection systems at airport checkpoints are designed to identify minute quantities of explosive materials through techniques such as ion mobility spectrometry. However, their high sensitivity comes at a cost: False-positive alarms can occur when common substances chemically resemble explosive agents. In dermatology, this includes topical medications and moisturizers containing glycerin or nitrates, compounds that are chemically similar to …
We're constantly reminded of the organ shortage and the lives lost while waiting for a kidney. Like fish unaware they swim in water, we've accepted the rising tide of kidney failure as natural and inevitable, but it's not. The most…
We’re constantly reminded of the organ shortage and the lives lost while waiting for a kidney. Like fish unaware they swim in water, we’ve accepted the rising tide of kidney failure as natural and inevitable, but it’s not. The most urgent question goes unasked: Why do so many kidneys fail?
Diabetes is the leading cause of kidney failure, with 40 percent of those on the kidney waitlist diabetic. Every day …
An excerpt from Super Agers: An Evidence-Based Approach to Longevity. For many years, my colleagues and I have been fascinated by individuals like Mrs. L. R., who are so lucky to be so resilient to diseases. In 2008, we set…
For many years, my colleagues and I have been fascinated by individuals like Mrs. L. R., who are so lucky to be so resilient to diseases. In 2008, we set up a research project called “Wellderly,” to study people who were at least eighty years old and had never been sick or had a chronic illness. It took almost six …
"We are under-exercised as a nation; we look instead of play; we ride instead of walk." —John F. Kennedy, Sports Illustrated, 1960 In 1960, then-President-elect John F. Kennedy issued a striking warning: Americans were becoming physically unfit, and this trend…
“We are under-exercised as a nation; we look instead of play; we ride instead of walk.”
—John F. Kennedy, Sports Illustrated, 1960
In 1960, then-President-elect John F. Kennedy issued a striking warning: Americans were becoming physically unfit, and this trend threatened not just individual health, but the vitality of the nation itself. He saw physical activity as foundational to our strength—not just as a people, but as a country. Over sixty years …
I have always been a performer at heart, starting with theater in school. For 28 years, I was a law professor at Indiana University in Indianapolis, and teaching gave me a captive audience. Beyond the classroom, I have always been…
I have always been a performer at heart, starting with theater in school. For 28 years, I was a law professor at Indiana University in Indianapolis, and teaching gave me a captive audience. Beyond the classroom, I have always been passionate about music. I play the guitar and sing, and back in the day I was part of a band. I was also a distance runner and dreamed of completing …
In numerous writings and venues regarding physician practice, the claim is made that "physician education is lacking in nutrition, geriatrics, care for non-cisgender people, relating to patients in general, cultural respect, equitable treatment, etc." While all of these suggestions have…
In numerous writings and venues regarding physician practice, the claim is made that “physician education is lacking in nutrition, geriatrics, care for non-cisgender people, relating to patients in general, cultural respect, equitable treatment, etc.” While all of these suggestions have merit, to what extent would they lengthen the already most extended medical school curriculum among developed countries? Or would those who advocate for these additions propose that they replace parts …
Even before Mia was born, I could sense that something about her was different. With my other children, I felt constant movement during pregnancy, but Mia stayed curled up in one spot and hardly moved at all. When I mentioned…
Even before Mia was born, I could sense that something about her was different. With my other children, I felt constant movement during pregnancy, but Mia stayed curled up in one spot and hardly moved at all. When I mentioned this to my obstetrician, he assured me that it was normal. But I was sure that there was something more going on.
There's an ever-growing body of evidence to suggest that diabetes contributes to the development of Alzheimer's disease. Some even go so far as to dub Alzheimer's disease "diabetes type III." How might diabetes cause Alzheimer's disease? It's the sugar: Chronic…
There’s an ever-growing body of evidence to suggest that diabetes contributes to the development of Alzheimer’s disease. Some even go so far as to dub Alzheimer’s disease “diabetes type III.”
How might diabetes cause Alzheimer’s disease?
It’s the sugar: Chronic high blood sugar (hyperglycemia) can damage blood vessels, including those in the brain. This vascular damage reduces oxygen and nutrient delivery to brain cells, increasing
Mother scholar. The phrase rolls off the tongue with the force and ferocity of a curse word—blunt, unsparing, weighty. I didn't coin the term, but I inhabit it. A vessel for the seeming contradictions of tenderness and skepticism, integration and…
Mother scholar.
The phrase rolls off the tongue with the force and ferocity of a curse word—blunt, unsparing, weighty. I didn’t coin the term, but I inhabit it. A vessel for the seeming contradictions of tenderness and skepticism, integration and dissection. Of being simultaneously maternal and cerebral in institutions that reward detachment, autonomy, and efficiency.
As I sit in reflection this May—a month of devotion to motherhood and due dates for faculty …
The heart, often overlooked in its relentless duty, only garners attention when it falters. For centuries, the notion that life is impossible without this vital organ has been unchallenged. However, recent advancements have shattered this belief. The groundbreaking implantation of…
The heart, often overlooked in its relentless duty, only garners attention when it falters. For centuries, the notion that life is impossible without this vital organ has been unchallenged. However, recent advancements have shattered this belief. The groundbreaking implantation of a fully artificial heart by BiVOCAR, led by the visionary Dr. Daniel Timm, heralds a new era in cardiothoracic surgery. This achievement is not just a medical milestone; it is …
After 35 years in health care, I thought I'd seen it all—until it happened to me. We talk about burnout, compassion fatigue, and systemic issues in medicine. But there's something more silent, more painful, and far more personal happening in…
After 35 years in health care, I thought I’d seen it all—until it happened to me.
We talk about burnout, compassion fatigue, and systemic issues in medicine. But there’s something more silent, more painful, and far more personal happening in hospitals and clinics across the country: Generational warfare.
The young eat the old. And the old? We’re expected to disappear quietly.
In my early years, experience was respected. Elders were mentors. Wisdom mattered.
Faculty retention remains an ongoing concern for colleges and universities, especially at a time when there is a clear misalignment between the socio-political environment, the mission of higher education, and the values held by most faculty. If you've been paying…
Faculty retention remains an ongoing concern for colleges and universities, especially at a time when there is a clear misalignment between the socio-political environment, the mission of higher education, and the values held by most faculty. If you’ve been paying attention, you know: higher education is experiencing waves of faculty disengagement.
However, some institutions respond to crises not with dialogue, but with silence. They avoid confronting faculty concerns
