In a serendipitous encounter, I crossed paths with an old schoolmate of mine whimsically dubbed Fluffy Carol during our shared medical residency. Famous for her arresting charm and infectious smile, she was, in many ways, the life of the party if we ever had one.
Despite her endearing qualities, one mischievous fellow in our group had bestowed upon her a less-than-ideal nickname that stuck, though it was seldom uttered in her …
There is a widespread belief that the emotional distress we feel causes or contributes to many common medical conditions. However, decades of mind/body research performed by research psychologists who strongly believed this failed to confirm these beliefs. Worse, studies also could not confirm any benefit of stress reduction techniques in the management of common medical conditions.
Then, is there a mind/body connection?
The answer is yes, but it is very different from …
A revolutionary new understanding of the mind/body connection
The United States is a global medical care leader in many aspects, including the development of new pharmaceuticals, acute stroke care, and cancer screening. Yet, despite our advances and wealth, we lead peer nations in maternal mortality and morbidity.
While the vast majority of the nearly four million women who give birth in America every year do so without complications, maternal deaths have more than doubled over the past two decades.
In …
How comprehensive data documentation holds the power to transform maternal mortality rates
In the world of medicine, we often encounter the term “defensive” used in various contexts – from patient interactions to professional evaluations. However, it’s crucial to reevaluate our understanding of this term and its implications on our practice and relationships.
Labeling a reaction as “defensive” carries a subjective judgment, often seen as problematic or negative. “Defensive” is often equated to a “bad” and “problematic” reaction or behavior. “Defensive” is a judgment, …
Being defensive: Evolutionary healthy or modernly inconvenient?
A solid mass silently grew on my kidney. An unwelcome addition. Asymptomatic. Discovered haphazardly during a CT scan of my lungs … And it revealed itself.
At first, I was devastated. Will cancer ever leave me alone? It has already visited me twice before. First, breast cancer, also asymptomatic, detected during my very first mammogram at the age of 42, and then a troublesome mole that tested positive for melanoma.
I seemed …
From devastation to inspiration: my journey through 3 cancers
I sat at my desk in my 6th-grade classroom, my anxiety mounting. I counted down the minutes until the big hand on the clock above the chalkboard finally reached noon. As my classmates emptied out of the room, headed to the cafeteria for lunch, my palms got cold and clammy, and I felt a growing sense of panic. I had to use the bathroom, but the prospect of entering a …
Conquering childhood trauma: the power of EMDR therapy
There is undeniable hope and optimism when looking at the future of cancer care. Cancer survival rates are steadily rising as oncologists continue to learn more about the 100+ unique types of cancer—and emerging variants—that exist. Thanks to new targeted therapies and remarkable improvements in genomics, cancer care physicians and researchers are finding better ways to treat each cancer type and improve health outcomes.
Despite this knowledge, however, there are still …
Collaboration between local oncologists and academia is crucial to closing the cancer care gap
An excerpt from The Healing Book.
When Allie’s canoe tapped the dock in Iquitos, Peru, she didn’t know which was greater: her exhaustion or her anticipation. After hours on the Amazon River, she was sticky with sweat, and her arms and legs itched and ached in the wake of countless mosquito bites. However, their arrival meant she was that much closer …
A while ago, I wrote about my experience during an attack of atrial fibrillation (afib), lamenting the fact that my management never included a proper physical exam. Nevertheless, chemical cardioversion was successful, and my hospital stay was brief.
The episode was precipitated by a small pulmonary embolus acquired during sinus surgery the day before. I had experienced an episode of afib some 15 years previously and had remained free, I think …
My battle with atrial fibrillation
I read all the time about the strategies and measures physicians and other health care professionals take to mitigate, reduce, or immunize themselves against burnout, moral distress, and empathic strain. We have been talking about this for decades, with an increase in “burnout” as a result. It seems time to shift the paradigm to allow for more productive discussions, acceptance, and strategies. Instead of talking about burnout, resilience, and self-care …
Revolutionizing health care: Rethinking burnout and resilience
While surfing cellphone news headlines, my attention was caught by one from the New York Post that blared: “Dutch are Euthanizing Autistic People.” The Post aims for sensationalism, and the headline implied mass slaughter, akin to the Nazi gassing of individuals with mental disabilities. As euthanasia is of academic interest to me, I felt compelled to read the story.
The article’s basis was a study conducted at Kingston University, London. …
Debunking sensational euthanasia myths in the Netherlands
The cold and flu season is already causing a surge of viral infections among children in doctors’ offices and emergency rooms. Health care providers are urging parents to brace themselves for what’s expected to be another season of COVID-19, influenza (flu), respiratory syncytial virus (RSV), and other common viruses all circulating at the same time.
In young children, these viruses can cause bronchiolitis – a lung infection which is similar to …
What should you do if your child is diagnosed with bronchiolitis this cold and flu season?
I’m writing this in November, which is National Caregiver Month. It’s also Alzheimer’s Awareness Month. But regardless of when you’re reading this, if you’re a caregiver, every month is “caregiver month.”
Ironically, it’s also just a few days after the former first lady, Rosalynn Carter, passed away. She was acutely and astutely aware of the role of the caregiver and the toll that it can take on you. She so insightfully …
Rosalynn Carter’s impact on caregivers
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I was the “stranger” at my father’s bedside. Shortly after his 84th birthday, my father fell and landed in the hospital with a split scalp. His metastatic prostate cancer was an incidental finding, and superimposing this wildly invasive tumor on his Parkinson’s-compromised body marked his first steps onto his death path.
I came to my father’s final illness as his daughter, a doctor, and a clinical bioethicist. While I was unable …
Uncovering the truth behind my father’s tragic end
The U.S. is facing a significant mental health crisis that has united us in our efforts to make positive changes across the health care ecosystem for those in need of care. As health care providers and experienced clinicians, we hope our joint dedication to addressing barriers to care and expanding digital services to those experiencing mental health challenges can make a lasting impact and start to improve health outcomes.
To …
The path forward for telepsychiatry: a call for permanent policy
After reading the article “Terminal anorexia nervosa: three cases and proposed clinical characteristics,” I was grateful to have not had access to the article a year earlier – when I would have personally met criteria. I was holding on to a sliver of hope at the time that I could enter back into a quality of life worth living, though my exhausted mind wanted to allow anorexia nervosa to …
Words of caution when considering the use of “terminal anorexia”: perspective from lived experience
When a 24-year-old laborer’s apprentice used a chainsaw without training, they sustained a jagged laceration through their left quadriceps. When I saw them 12 months later in my general practice, their laceration was well healed. However, they remained unemployed because their untreated post-traumatic stress disorder (PTSD) was aggravated on their return to work when their boss put a chainsaw in their hands to help …
Addressing the enormous scale of work-related burnout and mental injury in doctors
I’m making morning rounds on the pediatric unit today: First up, 4-year-old twins with a severe asthma flare; next an infant with bronchiolitis on supplemental oxygen; then a dehydrated 3-year-old listless in bed. These children are all hospitalized with viral illness – but none of it is COVID-19. Meanwhile, their sniffling peers fill daycares and classrooms, and my daughter is among them. “Maybe it’s allergies,” I said to myself this …
Time to retire quarantine: Why 5-day isolation guidelines are doing more harm than good
The eyes can’t see what the mind doesn’t yet know – an axiom to remind us not just of the value of lifelong learning, but that the answers are often in the exam room with us.
Though bright and committed clinical people we may be, we’re dragged by the tendrils of a lumbering behemoth. American health care is designed to produce revenue and built to punish highly visible mistakes over more …
Lifelong learning: a game-changer in diagnosing dizziness
As time passes, we have more new names for what we used to call quality assurance, but it appears to me to now be a public relations issue and have very little to do with quality.
Years ago, I returned home about 10:00 p.m. on Sunday night. I had spent the weekend at my lake cabin for some sorely needed time off. As I usually do when I arrive home after …
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