For many years, I have treated individuals with substance use disorders. I have found this work to be both gratifying and frustrating. Part of the frustration stems from interactions with governmental agencies and families.
The families are, of course, fearful and frustrated. They are watching their loved ones “die” before their eyes and want someone to fix it. It is difficult to understand that their loved one’s brain has changed, that …
VIPIT is the medical term given to the phenomenon of developing clots in various parts of the body after certain (not all) COVID-19 vaccines. VIPIT stands for vaccine-induced prothrombotic immune thrombocytopenia, a complicated term explained simply as clotting of the thrombocytes or platelet cells in the blood vessels after receiving the COVID vaccine.
Clearly, understanding this newly evolving condition is very limited, but what we know so far is extremely concerning. …
Recently, a former NFL football player, Phillip Adams, murdered Dr. Robert Lesslie, his wife, his two grandchildren ages 5 and 9, an air conditioning appliance man, and critically injured a second man. The NFL player had gunned down these innocent people. And then, he left and went to his parent’s house (who lived on the same road), and after hours of the SWAT team begging this man to surrender, he …
We first met about two years ago when she came to see me in my clinic as a new patient. I glanced through her chart and reviewed her scans and pathology reports. She had one of the worst possible kinds of lung cancers, called small cell lung cancer, that had spread to both of her lungs. Her disease was incurable, but I could give her chemotherapy to improve her symptoms …
When a patient is dissatisfied with his or her care, he or she can consult an attorney, who will enlist a physician “expert” to determine if a doctor has deviated from the standard of care and whether that deviation caused a negative outcome. Over the past decade of reviewing cases involving medical malpractice, I have identified five categories of medical error, which has improved how I care for my patients.
1. …
I’m “blursed.” I have a loving and supportive family, an amazing wife, great friends, and that includes my dog, a career that is both secure and fulfilling, and yet there is something I carry with me that perpetually threatens to break my spirit. My fellow Reddit fans/addicts know the meaning of “blursed,” but for those that don’t, it’s one of my favorite portmanteaus – it means to be both “blessed” …
For the past year, we have been inundated with statistics about the impact of COVID-19 on our lives. Reports of daily case rates, hospitalizations, and deaths are so pervasive that they have become routine fodder for “water cooler” and dinner table conversations. Several early studies, looking at the pandemic’s secondary health implications, give us an inkling of just how broad and deep its impact has been.
Mental health
Perhaps the most visible …
“The blood test shows a genetic mutation at MLH1. You have Lynch.” The words were spoken by my genetic counselor the minute I sat in my chair should have hit me harder, but I only felt numb. I glanced at my closest friend, the person they had insisted go with me to the appointment, and watched as tears filled her eyes. I glanced back at the genetic counselor and the …
Every week, I see a teen with depression and/or anxiety. Sometimes that teen is mine.
And while I can certainly opine over the lack of mental health resources for our children and teens — you have to be a certain age, you have to have certain insurances, if you’re uninsured or underinsured, you can see a community health professional but only for eight sessions — what I really get frustrated with …
One year ago, on March 14, I worked my first of many COVID shifts as a hospitalist at a large academic teaching institution in Chicago. In the beginning, I think most of us on the front lines felt a strange combination of duty, fear, and exhilaration. There was this novel virus, the world was shutting down because of it, and while the rest of society was stocking up on toilet …
“Come to triage right now, and wear your N95. A patient going straight to OR and she’s having fever and chills.”
I was summoned to the triage area of labor and delivery for a patient brought in from the ultrasound clinic and found to have absent fetal heart tones. One of my colleagues started an IV, and I ran to the OR to set up for emergency general anesthesia. The patient …
Keto, Mediterranean, Paleo, intermittent fasting. How many times have you or your patients been sucked into the latest diet trend only to crash and burn just a few weeks later? I have tried every diet in the books and every single time, draw the same conclusion: extreme dietary restrictions are not sustainable. So many of us lose weight with the newest trending diet only to gain it back months later …
Emily Watters is a physician who shares how the mRNA COVID vaccines — known as the Pfizer and Moderna vaccines — work. (Click to enlarge.)
The other option, the single-dose vaccine created by Johnson & Johnson, is explained here (click to enlarge):
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Acute COVID-19 infection ranges from no symptoms (asymptomatic) to life-threatening. What about long COVID (the symptoms occurring more than three weeks after infection, also known as post-acute COVID syndrome)? Could there be thousands of people with “mild” long COVID who don’t know it? Could there be legions of people with new low-energy levels being misdiagnosed as depressed, stressed, having a sleep disorder, or being labeled “lazy”? The inability to tolerate …
Bloodletting may be the best-known example of a once widely used, faulty medical treatment, but there are many more. Hormone replacement therapy for postmenopausal women, famously touted by experts, turned out to be complicated and sometimes harmful.
The list of medical reversals is long, and one cause is common. When observational studies compare people in the community who receive treatment with those who don’t, the treatment …
Everyone loved Mrs. Maria. She was everyone’s mom, grandma, teacher.
Maria grew up in poverty. Though her family was poor, she knew her parents and siblings loved her and loved each other. But the one thing she knew her passion was at was school. Every morning she couldn’t wait to go to school and learn more. And she knew one day she would be a teacher.
Throughout the years, Maria excelled in …
Brain science explains why visualization improves performance in the real world, helps make better decisions, and minimizes errors.
Before performing surgery, let’s say for a herniated disc, I stand in front of a white porcelain sink. Antiseptic bubbles cover my hands and drip from my forearms. The surgery takes place in my mind, playing like a movie on the inside of my eyelids: The setting of retractors, …
As a Latina physician on the frontlines of COVID-19, it feels like a race against time to get as many vaccines as possible to the communities of color that are more likely to be infected, hospitalized, and die from the virus. A lot of effort right now is focused on the logistics of managing vaccines that need to be manufactured, stored, allocated, …
Part of your job as a parent is to teach your children, and there’s no way for a child to learn anything without making a few mistakes. Actually, a lot of mistakes. Sometimes these mistakes can be infuriating. They might be self-destructive mistakes. They might be mistakes that can cause harm to their siblings or classmates. They might be mistakes that happen over and over again. They might …
Loss is incurable, but grief is metamorphic. The end of another human life is a fluid experience for those left behind. For most of us, grief legitimizes the range of human emotion and, at least temporarily, erases the idea of being too sensitive.
There are many ways in which this paradigm is unequal, particularly for individuals who frequently confront death. It seems that when a challenge moves into the …
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