An excerpt from What to Eat When You Want to Get Pregnant.
I know firsthand how hard infertility can be to talk about. Personally, I struggled conceiving my second daughter, and I am an advocate for taking control of your own fertility through lifestyle and diet changes. Infertility has been seen …
The surprising power of lifestyle and diet changes to prevent infertility
A recently published opinion article by opioid advocates attempts to assuage physicians’ prescribing guilt, arguing “doctors prescribing to their patients did not create the U.S. opioid crisis.” As lawsuit after lawsuit concludes, Purdue Pharma, Johnson and Johnson, and blindered distributors and pharmacies share the blame for propping up pills for profit. Physicians may inflate home narcotic quantities for convenience, but with rare prosecutable exceptions, not monetary gain. But the …
Ending the opioid crisis starts with physicians
The COVID-19 pandemic is over. On May 5, The World Health Organization announced that COVID-19 was no longer a public health emergency. The U.S. followed suit on May 11, allowing the public health emergency declaration to expire.
The pandemic did not end because of vaccination efforts nor from acquired herd immunity. The pandemic is over because of the capitulation and resignation of public health authorities as they concede …
Our institutions have given up on the COVID-19 pandemic. We should not.
“I do not feel full even after I eat” is what I heard from so many of my patients. Even after bariatric surgery, this feeling of fullness would go away initially but then it would come back, and they found themselves again overindulging. Why does this happen? Brain studies have shown that obesity impairs the dopamine signaling in the brain that tells the brain it is satisfied after nutrients enter …
Uncovering the truth about genetic mutations and weight loss
The COVID-19 pandemic has hit kids hard. Their mental well-being was already tenuous before the pandemic, and COVID-19 has only exacerbated what was already a crisis of anxiety, depression, and suicidality among youth. Getting treatment for adolescents with mental health issues was difficult prior to the pandemic. We have recently published a study in Psychiatric Services that shows that currently obtaining an appointment with a child psychiatrist is very difficult …
ICU: Our acuities were high, and staffing was low. Our ICU, with 24 beds, was already full. The staffing situation for that night was so poor that instead of our RNs having a 2:1 patient-nurse ratio, we were forced into 3:1 assignments.
Despite the challenging circumstances, we couldn’t have asked for a better team of ICU nurses. They were the best in their field, supported by two dedicated Respiratory Therapists assigned …
Life and death in the ICU: a night of heroism, tragedy, and budgetary battles
During my internal medicine residency, I rotated through various subspecialties, but the one that always gave me thought-provoking perspectives at the end of the day was dermatology. I was very excited to work in derma and learn how to treat basic clinical conditions like acne, hair fall, dermatitis, etc., at the back of my hand. However, my daily clinics opened my eyes to a new Pandora’s box of issues in …
Revealing the hidden impact of skin conditions
Inflammation is currently a popular topic, and I must admit that I’ve fallen into the trap of vilifying this natural physiological phenomenon. Simply put, inflammation is our body’s response to infection, injury, or insult. Heat, redness, swelling, pain, and pus signal that you are injured or sick and provide the necessary feedback to seek treatment or avoid further injury.
Human nature often leads us to categorize things as either good or …
Is inflammation too much of a good thing?
Carol Raye’s devastating Clostridioides difficile (C. difficile) experience started with what she thought was a stomach bug after a dental visit. She took the antibiotics prescribed by her dentist and thought a weekend of rest would make her feel better. Soon, she was debilitated by the severe diarrhea from a C. difficile infection that left her weak, confused and barely able to get out of bed. Fortunately, she made it …
C. difficile: a dangerous bug takes hold in communities
Jason had always cherished the Fourth of July—it was his moment to shine. At 19 years old, he saw himself as a real man, a car mechanic who garnered the attention and admiration of the ladies. With a fit and muscular physique, he relished his workouts and delighted in showcasing his daredevil spirit.
The day was marked by a grand cookout, where Jason reunited with his high school friends. The smoky …
Fourth of July daredevil fireworks mishap: a tragic tale of loss and redemption
“In July 2015, journalist Johann Hari gave a TED Talk that over 20 million people have since viewed. Hari offered convincing evidence that vulnerability to opioid addiction is a consequence of the conditions under which people live — the social determinants of health — rather than simple exposure to opioid pain relievers. This theme is brilliantly elaborated by economist Anne Case and Nobel Prize winner Angus Deaton …
Everything the government thinks it knows about the opioid crisis is wrong
As an allergist-immunologist who trained at Mayo Clinic, one might assume that I’m up to date on my COVID-19 booster vaccinations. However, I realized months ago that I was overdue for a booster; it’s been over a year since my third vaccination. I’m embarrassed to admit this, but I didn’t stop at the pharmacy or schedule an appointment with my primary doctor. I was among the roughly 85 percent of …
COVID-19 vaccine neglect: a tale of regret and debilitating symptoms
An excerpt from Outbreaks and Pandemics: The Life of a Disease Detective.
The importance of disease detectives in solving and controlling outbreaks and pandemics must be recognized. We are the backbone of our public health system. We are scientifically savvy, inquisitive, detail-oriented, and able to follow the data wherever it leads, …
The unsung heroes of disease detectives: Controlling outbreaks and pandemics to save lives
Jacob, a father from a low-income, rural background, has vivid flashbacks of seeing his newborn intubated. Confused at why his mind keeps replaying the scene, he struggles to concentrate at work and earn the paycheck he needs to make ends meet for his family. Whenever he makes the long drive to the hospital for his newborn’s follow-up visits, he feels the same intense panic he felt in the NICU and …
The impact of medical traumatic stress on families
Laura Nuttall was diagnosed with deadly brain cancer at the age of 18 after going for a routine eye exam. She completed an incredible bucket list, which included meeting Michelle Obama, driving a monster truck, and commanding a Royal Navy warship before ultimately succumbing to her cancer this past Monday at the age of 23.
What if her cancer had been discovered earlier through a simple blood test? Could it …
The power of liquid biopsies and the challenge of health care disparities
I remember the day clearly – sitting in a convenience store parking lot after buying a pack of pencils on my way to my first day of nursing school. I had no idea what I was getting myself into. Or, perhaps more realistically, I had no idea how ill-prepared I really was. As a mediocre high school student who got by with the bare minimum, I was rudely awakened when …
From failure to success: How a nurse overcame challenges and thrived in the medical field
The first day I came to the liver service, I met Mr. S, who was struggling with complications of liver disease. In the long term, he required a TIPS procedure that would better distribute his abdominal pressure and eventually a liver transplant. He was at high risk for the procedure and was struggling to maintain the fluid restriction necessary to prepare him for it.
Mr. S was entirely despondent when I …
How one liver disease patient found hope and overcame adversity
He was 82 years old when he came into our ER, writhing in excruciating abdominal pain. After an ultrasound and a subsequent CT scan, the devastating diagnosis was revealed—end stage pancreatic and liver cancer.
Despite enduring a pain level of 10, he managed to maintain his sense of humor, joking about “biting the bullet.” However, he admitted that the pain had become unbearable.
This resilient individual was not just any patient; he …
The inspirational journey of an 82-year-old WWII veteran battling cancer
Imagine not being able to fully feel a hug from your loved ones.
Not being able to feel your baby’s head nuzzled against your chest.
Feeling like a part of your body doesn’t belong to you.
These side effects are common following a mastectomy—and often permanent. Chest numbness is the result of nerves being cut during a mastectomy. When the severed nerves are not reconnected, they cannot transmit a signal to the brain, …
Patients with chest numbness following mastectomy may experience lower quality of life
Although it could be said that I’ve been very “unlucky” over the past couple of years due to surgeries and treatments for three separate cancers, I feel blessed by how “lucky” I have been to have had a combination of outstanding doctors.
Dealing with ongoing medical issues, as a health care professional, I fully appreciate the challenges facing patients and physicians alike in the current health care climate.
Thank you, doctors, for …
Surviving multiple cancers: a tale of blessings and exceptional doctors
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