June is Men’s Health Month, and this year, as we emerge from the COVID-19 epidemic, more than ever, there is a compelling need to focus on male patients’ overall health, emphasizing their mental health as a key to their wellbeing.
Mental health is a significant problem among men
There are approximately 151 million males in the U.S.; six million of them are affected by depression each year, with over …
The foundation of modern medicine has been built on a well-established, iterative process of empirical research and the pragmatic implementation of new discoveries. A relevant example of this paradigm can be seen in the development of Pfizer’s and Moderna’s COVID-19 vaccines.
Researchers developed a hypothesis to use an mRNA vaccine, demonstrated its promise in animal research and substantiated its safety and effectiveness in human subjects through clinical trials, leading to the …
An excerpt from Brain Storm: A Life in Pieces.
The first time it happened, I sat only a few feet away from Yael in her tiny office, a position that usually made me feel safe, but this time I was about to explode.
“Shelley, what’s going on?”
I couldn’t squelch my intense agitation. “I feel like I’m going to jump out a window!”
“You’re …
“Thank you. You’re the first to say it’s OK for me not to breastfeed.”
These words have been said to me before by tearful, exhausted mothers. It had been sporadic, but now, it feels like I hear this every day in the clinic. Each time, I feel a rush of mixed feelings as I explain that other options had not been explored because of the known benefits of breastfeeding. I tell …
May is Celiac Disease Awareness Month. Physicians and others in the medical community need to be more aware of celiac disease. Celiac disease is an autoimmune disease triggered by the ingestion of gluten that affects approximately 1 percent of the U.S. population. However, most physicians didn’t learn much about it in medical school or during training. As a result, physicians don’t include celiac disease in their differential diagnoses and …
As the pandemic grew in Southern California, intubating COVID patients became increasingly dangerous. Initially, any patient with signs of respiratory distress was intubated, then sent to the ICU immediately. My physician colleagues and I all thought we were doing the right thing — until we saw all the complications of mechanical ventilation.
Instead of immediate intubation, we tried placing patients on high-flow nasal cannula (HFNC), a special nasal oxygen device that …
When a colleague in health care mentioned hesitation to get the COVID-19 vaccine in two separate instances, I was shocked and dismayed.
If we recommend vaccination to our patients, how can we not take the same precautions for ourselves?
With COVID-19 especially, anyone working in health care is exposed to many people and should be especially motivated to get vaccinated.
As cut-and-dry as this issue seems to me, I do remember similar issues …
The current COVID-19 vaccines have been developed with unprecedented efficiency and speed. Years of research, development, production, and regulatory approvals have been compressed into months. But accelerating the science is only half the puzzle. If we want to save lives right now, we need to improve the messy, inequitable implementation process of COVID-19 vaccine distribution.
As newly minted (and gratefully vaccinated) physicians who have had the privilege of contributing …
Rationale: Sometimes it helps to talk about trauma; sometimes it helps to just listen. Having a safe, supportive, confidential, affirming environment to do both or either is important.
Background: I have been offering workshops on “managing stress and avoiding burnout” for years. I have always acknowledged the importance of yoga and other complimentary, often behavioral, strategies for stress management. Exercise, hobbies, socializing, pets, good diet, and anything else that works for …
I have dedicated 35 years of my life as a nurse: in the ICU for 33 years and behavioral health/intensive management for the last two.
I thought it would be time to take a break from ICU nursing. Surely behavioral health would be a lot easier — kind of a slide into my near-future retirement.
I entered into the land of psychotics and schizophrenics, bipolar, homeless, dangerous patients from prison, like those …
An excerpt from Tenacity in Children: Nurturing the Seven Instincts for Lifetime Success.
Did you ever wonder why babies quickly develop a social smile and look you in the eyes? Is it surprising to learn that the muscles in your ears are set within the range of women’s voices at birth or that babies prefer looking at women’s faces …
United States health officials have lifted the 10-day pause of the Johnson & Johnson (J&J) COVID vaccine. This pause dealt a devastating blow to the nationwide vaccination effort. The seven-day moving average of vaccinations in the U.S. peaked right before the pause, and has been trending downward. Fear of developing blood clots is adding to vaccine hesitancy. Moving forward, …
I’ve been limiting my COVID-19 related engagement with social media because this has been a rough year. I like being a resource for my loved ones about COVID-19 stuff, but it feels never-ending.
A friend of mine asked me to weigh in on a letter sent to our local school board. It claimed that masks in school were a direct assault on human rights. This letter listed …
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In the face of genetically engineered therapies for many cancers and the incredibly rapid development of effective vaccines for COVID-19, it’s easy to lose sight of the breadth and depth of unsolved puzzles in medical science. Many of these remaining mysteries may be at least partially resolved as we overcome the mind/body dichotomy. A fascinating example of this issue has emerged with recent evidence of the excessive prevalence of Type …
About a year ago, I was referred to a sleep clinic and was diagnosed with “very mild obstructive sleep apnoea” (OSA). A continuous positive airway pressure (CPAP) device was recommended with a litany of disorders that would occur (heart disease, CVA, HTN, decreased mortality, motor vehicle accidents, etc.) if I did not use the apparatus consistently and properly.
I assiduously used it for two test periods. Though the physician reported improvement, …
In a previous post, I recognized lactation support for women physicians as an equity issue. Many of the women physicians I’ve interviewed have identified returning to work while breastfeeding as a major challenge and a major source of stress. Providing accommodations to ensure that these professionals have access to the resources they need to do their work is essential to creating an equitable workplace.
Soon after I published …
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COVID-19 is the first-ever “politicized pandemic” in human history. COVID-19 happened in an era of widespread social media which helped the general population to understand the disease better and faster. However, the public also formulated an opinion about it. The problem was that their opinions were distilled by the information they were exposed to. And a large chunk of the information available was not scrutinized or scientifically proven.
This is a …
This letter serves to provide my story for other women who may experience vanishing twin syndrome (VTS) and the providers that care for them, especially given how common VTS is and will continue to be.
For the folks who are either physicians or becoming care providers, I hope you choose to familiarize yourself with this odd yet common form of loss. I encourage you to respect a woman’s right to decide …
Joseph B. Fraiman is an emergency medicine physician currently practicing at Thibodaux Regional Medical Center and three other regional hospitals in Louisiana. This interview, conducted by journalist Martha Rosenberg, has been edited for clarity and length.
Rosenberg: Working at ERs in Louisiana hospitals that serve bayou communities, how seriously were you affected by COVID-19?
Fraiman: When COVID-19 began, as the only physician overnight, I was pronouncing or intubating patients two or three …
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COVID-19 has changed nearly every aspect of society as we know it, and doctors in hospitals across America are at the forefront of those changes. As a pediatric infectious diseases doctor who also writes curriculum to help the next generation of doctors prepare for their medical exams, I’ve seen firsthand how this current pandemic is changing our roles with patients, shifting what families and communities expect from us, and expediting …
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