Over 30 years ago, this man began working for our hospital system.
He was assigned to our ICU/CVICU units. Though some health care employees hadn’t even been born yet, Charles was a tried and true “lifer.”
He was our housekeeper. And he was our friend — our family.
He was a man with energy and stamina. He was a hard worker. Relentless. He could spin circles around a pack of 20-year-olds put together.
His …
The recent article by Danielle Crittenden, “The Danger of Fat Acceptance: The Average American Woman Is Now a Size 18” is more of the same perpetuation of our society’s deeply internalized diet culture, weight blaming, and shaming of the individual and collective pursuit of thin privilege.
The article was sent to me by a friend, but I didn’t need to read it because I’m so familiar with the …
According to data gathered by the American Cancer Society (ACS), more than 1.9 million new cancers are projected to be diagnosed in 2022. In addition, missed cancer screenings due to the pandemic are expected to potentially increase the number of cancers that are diagnosed at a more advanced stage. But the ACS data also highlight an important fact—approximately 42% of the new cancers projected to be diagnosed …
The federal 988 hotline represents a promising new approach to alleviating the nation’s growing mental health crisis, but several key challenges loom that could derail this well-intentioned initiative.
One significant information technology challenge the hotline will face involves how to uniformly store and interpret mental health data (more on that later) but the most immediate roadblock is a lack of awareness.
Though the hotline is scheduled to debut in July, the program, …
If mommy dearest only knew.
There I was, sitting in the banquet room — a room full of retired nurses celebrating with upper management. They were praising us for our retirement and praising us for our blood, sweat and tears and massive overtime hours with little to no potty breaks. They were praising us for our missed time with our families, like Christmas, Easter and Thanksgiving.
It was nice.
With their white gloves, …
Perhaps I am being pessimistic, with a “glass half full attitude,” but please hear me out. I am optimistic, but I am also realistic, and I pay attention to trends and behaviors in people. When monkeypox was first mentioned in the Canadian media, it was seen as low risk for spread. I laughed and groaned simultaneously. I remember those exact words when public health officials first acknowledged COVID. The concerns …
I recently had a prophylactic bilateral mastectomy with an esthetic flat closure (no reconstruction). My decision took months of questions, discussion and reflection. My journey began during the final four weeks of 2021.
It included: four mammograms, four ultrasounds, three MRIs, two needle biopsies, two radioactive seed placements, two excisional biopsies (aka lumpectomies), two surgeon visits, and scheduling a prophylactic mastectomy.
Thankfully, I am currently cancer-free and have a greatly reduced risk …
After skin cancer, prostate cancer is the most common type of cancer diagnosed in people with a prostate. Some risk factors associated with prostate cancer can’t be mitigated. Those factors include older age, a family history of prostate cancer, and race (Black men have double the risk of developing prostate cancer compared to white men).
There are, however, lifestyle changes that men can make that may reduce prostate cancer risk. Diet …
It might seem odd to write about what high-weight patients would like when they meet with their doctors. Don’t they want what every patient wants? The answer is yes, but the fact is, they often don’t get it due to implicit anti-fat bias among health professionals.
In my 30-plus years of practice as an eating disorders therapist, I’ve heard the same laments from high-weight clients: Doctors only want to talk about …
A patient, let’s call him Jay, came to me refusing a leg amputation. He had open sores that were necrotic, foul-smelling as if he had been neglected for a long time. At his consultation, he fought with every cell of his being, refusing to lose his leg as his uncle did. He wanted a second opinion on whether or not his foot could be saved.
Traditional insurance-based medicine has …
“If your shoulder were really injured, that maneuver would make you scream in pain,” he told me confidently.
My husband and I recently established care with a new family doctor. I was frightened and scarred from a long history of medical gaslighting that still tightens my throat whenever I meet a new physician.
Will this doctor believe me? Will he understand?
Years of dismissal made me wary of a new start, but we …
Five days before this story begins, where everything is upside down, and the end is the beginning.
Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of milliliters passed, where that line is trapped, that little division between the professional and me, the person.
Where I stopped being a doctor and became a woman holding …
There are many topics on which I cannot claim to be an expert. I cannot solve the issue of gun violence, I don’t know what will “fix” the current societal crises, and I have no idea what will happen in the future regarding climate change.
There is one topic that seems to be coming up with more frequency and regularity, and I am qualified to speak on that. The shortage of …
ADVERTISEMENT
He was a tall, healthy psychiatric technician, experienced in his line of work. He was a CNA but wanted more. He wanted to help heal the troubled, forgotten, and neglected — behavioral health was his niche.
He would lead the way with therapy sessions in this group every day. This was Intensive management: the intermittent home for the paranoid schizophrenics, bipolar, and MDD.
They came in all shapes and sizes — wealthy, …
In a published statement in JAMA Network on May 24/31, 2022, the U.S. Preventive Services Task Force found that there was insufficient evidence for screening for primary open-angle glaucoma in adults. They could not find a way to balance harms versus benefits for screening in general. But is this reasoning faulty?
It is well known that Black and Hispanic populations suffer a greater incidence and severity of glaucoma, …
One day, working as a floater PT, I walked into the rehab gym, and every single therapist looked at me with the same pitying expression. The rehab manager took me into her office.
“I’m so sorry to put you in this position. One of your new patients today is a really large man. His BMI is 103. It took 12 people to move him from the stretcher into the bed last …
An excerpt from The Paper Tiger Syndrome: How to Liberate Yourself from the Illusion of Fear.
Your Original Blueprint is the part of you that knows abundance is your natural state. It’s the inner voice, which says, I am full. I am satiated. I am content. I am peaceful. …
Why does one person respond favorably to lung cancer treatment while another does not?
The answer lies in their DNA.
Just 20 years ago, lung cancer was broadly categorized into two groups: non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). Relatively recently, the treatment of NSCLC shifted from chemotherapy as a single treatment option to treatment with precision medicine, which is positively impacting survival rates.
Facts combat fear
It’s hard to believe the first COVID-19 vaccine was administered in the U.S. only a year and a half ago. Like many others, I welcomed the COVID-19 vaccine as a triumph of global cooperation that leveraged decades of research and a beacon of hope that life could eventually return to normal. Yet I was so surprised the first time a pregnant patient told me …
I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when they see that their prediction is correct. I’ve cried many times at home, watching screens, reading books, talking on the phone, and at work, where I am a doctor who cannot always suppress my emotions. And I’ve cried in front of health care providers …
Get free updates delivered free to your inbox.
