I was raised in the Catholic Church. The solemn, reserved, respectful quiet as the priest whispered out his occasional reverent chants. That's what I knew. That was the only thing I grew to love of the Catholic faith. This friend…
I was raised in the Catholic Church. The solemn, reserved, respectful quiet as the priest whispered out his occasional reverent chants. That’s what I knew. That was the only thing I grew to love of the Catholic faith.
This friend of mine. We met years ago by happenstance. She was a firm believer in God, her husband, her dog, her daughters, and her Christian novels that she read feverishly.
P.K. presents for a medical evaluation to the early intervention program. He is 26 months old. P.K.'s parents self-referred to the early intervention program because of concerns regarding a delay in his development. The mother reports that he is not…
P.K. presents for a medical evaluation to the early intervention program. He is 26 months old. P.K.’s parents self-referred to the early intervention program because of concerns regarding a delay in his development. The mother reports that he is not saying any words and is not following directions. He does not turn to the sound of his name. He appears to be in his own world. When I, the pediatric …
They died by suicide—that is the politically correct way to say it. I want to be politically correct, but I am not sure words can dampen the impact. Someone just lost a friend, a son, a partner, a child. Somehow,…
They died by suicide—that is the politically correct way to say it. I want to be politically correct, but I am not sure words can dampen the impact. Someone just lost a friend, a son, a partner, a child. Somehow, we believe if we say the words prettily, it takes the sting away—it doesn’t. No matter how you say it, they left the world today, or yesterday, or whatever day …
An excerpt from Get What's Yours for Medicare: Maximize Your Coverage, Minimize Your Costs. Carmella Mason has been a caregiver since her husband, Frank, had a heart attack fifty years ago. They were in their 80s when we spoke. Frank…
Carmella Mason has been a caregiver since her husband, Frank, had a heart attack fifty years ago. They were in their 80s when we spoke. Frank likely owes his survival to her efforts. When he developed diabetes, circulatory complications necessitated the amputation of a big toe in 2022. Things did not go well. He underwent more …
Did you hear the news from the U.S. Surgeon General recently? Dr. Vivek Murthy issued an advisory called "Parents Under Pressure," outlining the ways in which the 63 million-plus parents and caregivers in the U.S. are struggling—really struggling. Even as…
Did you hear the news from the U.S. Surgeon General recently? Dr. Vivek Murthy issued an advisory called “Parents Under Pressure,” outlining the ways in which the 63 million-plus parents and caregivers in the U.S. are struggling—really struggling. Even as a parent who is a child psychiatrist, I was shocked by some of the data.
An analysis of parents’ responses from the 2023 Stress in America survey, conducted by the American …
When considering the diseases that United States veterans are burdened with, you might think of COPD, Type 2 Diabetes, certain cancers, post-traumatic stress disorder, and depression. However, there is another disease diagnosed at twice the rate in veterans compared to…
When considering the diseases that United States veterans are burdened with, you might think of COPD, Type 2 Diabetes, certain cancers, post-traumatic stress disorder, and depression. However, there is another disease diagnosed at twice the rate in veterans compared to the general population: amyotrophic lateral sclerosis (ALS). ALS is one of the only diseases known to occur at an increased rate in all veterans, regardless of when or how long …
We saw the smile vanish from her face instantly. Our colleague, a zestful individual with a passion for obstetrical care, fell silent after our superiors met her ideas for improving her training experience with defensiveness and deflection. After the meeting,…
We saw the smile vanish from her face instantly. Our colleague, a zestful individual with a passion for obstetrical care, fell silent after our superiors met her ideas for improving her training experience with defensiveness and deflection. After the meeting, she confessed she was losing hope about getting robust enough exposure to delivering babies and managing laboring mothers prior to completing residency. For her, this was essential to her securing …
In the ICU, there was an experienced nurse. She was full of information and knew the policies and procedures inside and out. She was proficient in her role as an ICU nurse. But she was flawed. Something was wrong. Each…
In the ICU, there was an experienced nurse. She was full of information and knew the policies and procedures inside and out. She was proficient in her role as an ICU nurse.
But she was flawed. Something was wrong.
Each day, she came to work wearing a gold bracelet, which she made sure everyone knew was valued at $15,000. She wore two-carat diamond rings. She would arrive, showing off her fancy pocketbook …
Imagine a medical syndrome so common that as many as one in five patients who nearly die in a medical setting experience it. Also, imagine that this syndrome has a profound, lifelong effect on both the patient and their family.…
Imagine a medical syndrome so common that as many as one in five patients who nearly die in a medical setting experience it. Also, imagine that this syndrome has a profound, lifelong effect on both the patient and their family. Finally, imagine that if this syndrome is mishandled by the patient’s physician, it may have major adverse consequences for the patient and their loved ones.
The moment my daughter was placed on my chest, I knew something was wrong. Her skin had a blue-purple tinge, and she barely cried. I instinctively began rubbing her tiny body, trying to stimulate her, but she remained quiet and…
The moment my daughter was placed on my chest, I knew something was wrong. Her skin had a blue-purple tinge, and she barely cried. I instinctively began rubbing her tiny body, trying to stimulate her, but she remained quiet and minimally responsive. When I tried to put her on my chest to nurse, she did nothing. My doctor quietly left the room, and soon after, a team of medical professionals …
As a gerontologist, it is disheartening to engage with older adults who express disinterest in routine medical check-ups. Many of these individuals outright refuse to follow doctors' orders or take prescribed medications. This troubling trend is not only a growing…
As a gerontologist, it is disheartening to engage with older adults who express disinterest in routine medical check-ups. Many of these individuals outright refuse to follow doctors’ orders or take prescribed medications. This troubling trend is not only a growing problem in America but also a critical issue that warrants our collective attention and action.
The advancements in modern medicine have significantly prolonged life spans and improved the quality of life …
Our understanding of anxiety and depression has evolved over the years, leading to advancements in diagnosis, treatment, and clinical management. However, their prevalence has not lessened; in fact, it has heightened in recent years due to the COVID-19 pandemic. Its…
Our understanding of anxiety and depression has evolved over the years, leading to advancements in diagnosis, treatment, and clinical management. However, their prevalence has not lessened; in fact, it has heightened in recent years due to the COVID-19 pandemic. Its effects will last for years to come, so all mechanisms that can influence its incidence should be thoroughly considered, and the gut microbiota is the newest emerging target for antidepressant …
For decades, physicians have relied on diverse biological indicators to diagnose and monitor normal development, health, and diseases. Such indicators are important from the time we are born, when APGAR scores are recorded in the labor and delivery room, throughout…
For decades, physicians have relied on diverse biological indicators to diagnose and monitor normal development, health, and diseases. Such indicators are important from the time we are born, when APGAR scores are recorded in the labor and delivery room, throughout our childhoods, when pediatricians monitor growth curves closely, and into adulthood, when our height, weight, and vital signs initiate virtually every medical appointment. For adults, these indicators, collectively known as …
As Tim Walz accepted the vice presidential nomination at the DNC, his teenage son, Gus, inadvertently became internet famous after clips of him crying and exclaiming, "That's my dad!" circulated. While many across the political spectrum found the display of…
As Tim Walz accepted the vice presidential nomination at the DNC, his teenage son, Gus, inadvertently became internet famous after clips of him crying and exclaiming, “That’s my dad!” circulated. While many across the political spectrum found the display of emotion endearing, inevitable ugliness ensued.
Ann Coulter commented in a since-deleted post on X: “Talk about weird.” Podcaster Mike Crispi mocked “Walz’s stupid crying son” as a “puffy …
I remember the first time I pronounced a patient dead—that's something they make sure you learn well in medical training, as nobody wants to get it wrong. They taught us how to apply pressure to the fingernail to ensure the…
I remember the first time I pronounced a patient dead—that’s something they make sure you learn well in medical training, as nobody wants to get it wrong. They taught us how to apply pressure to the fingernail to ensure the patient does not respond to pain while holding the patient’s hand, watching for breaths, and feeling for a pulse. They taught us to take our time to ensure we got …
Since its inception in the 1960s, traditional CPR has been heralded as a revolutionary life-saving technique. However, the limitations of CPR are becoming increasingly apparent, particularly in cases of out-of-hospital cardiac arrest (OHCA). Currently, the survival rate for OHCA patients…
Since its inception in the 1960s, traditional CPR has been heralded as a revolutionary life-saving technique. However, the limitations of CPR are becoming increasingly apparent, particularly in cases of out-of-hospital cardiac arrest (OHCA). Currently, the survival rate for OHCA patients with good neurological function at discharge stands at a mere 7.5 percent. This raises important questions about the efficacy …
An excerpt from Facing Suicide: Understanding Why People Kill Themselves and How We Can Stop Them. Between 2000 and 2007, suicide rates were almost stagnant for young people between the ages of ten and twenty-four. Then they began moving steadily…
Between 2000 and 2007, suicide rates were almost stagnant for young people between the ages of ten and twenty-four. Then they began moving steadily upward. By 2018, suicides in this age group had increased 57.4 percent from 2007 levels. An economic crisis darkened that period, and according to online posts, some seventeen- and eighteen-year-olds …
An excerpt from Krooked Ketamine. OK, here's the thing: I had a little problem that needed correcting if I wanted to continue to work as a government surgeon. I had a janky heart, and it had a tendency to fire…
OK, here’s the thing: I had a little problem that needed correcting if I wanted to continue to work as a government surgeon. I had a janky heart, and it had a tendency to fire off at the absolute worst possible moments. I needed a pacemaker to help with the recalcitrant muscular metronome, but I absolutely hated the thought of lying down and feeling, at …
You can't tell how much someone is suffering by looking at them—one reason I don't share my journey with anorexia using photos to signify my mental health status. I've suffered more when appearing well, and "before and after photos" would…
You can’t tell how much someone is suffering by looking at them—one reason I don’t share my journey with anorexia using photos to signify my mental health status. I’ve suffered more when appearing well, and “before and after photos” would spread misconceptions about eating disorders. They don’t magically go away with weight restoration and nourishment.
People assume I no longer live with anorexia. I perceive this is partially due to the …
As a physician who cares about patients' health and well-being, you have likely experienced the grief of disillusionment. You spent years in college, medical school, and residency, imagining the kind of health care you'd provide. It would be high-quality, patient-first,…
As a physician who cares about patients’ health and well-being, you have likely experienced the grief of disillusionment. You spent years in college, medical school, and residency, imagining the kind of health care you’d provide. It would be high-quality, patient-first, equity-oriented, and heart-centered. That vision got you through tough moments along the path.
Now, you find yourself pressured to spend as little time with patients as possible. You’re giving precious hours …
