Could a glass of wine diagnose long COVID?

Conditions
March 12, 2021

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 …

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Could a glass of wine diagnose long COVID?

A physician questions the COVID vaccine data from Israel

Conditions
March 6, 2021

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 …

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A physician questions the COVID vaccine data from Israel

A beloved COVID ICU patient turns to comfort care

Conditions
March 2, 2021

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 …

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A beloved COVID ICU patient turns to comfort care

A neurosurgeon explains why visualization works

Conditions
March 1, 2021

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, …

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A neurosurgeon explains why visualization works

6 ways to build trust with communities of color when distributing the COVID-19 vaccine

Conditions
February 24, 2021

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, …

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6 ways to build trust with communities of color when distributing the COVID-19 vaccine

What happens to your child’s brain when you nag

Conditions
February 24, 2021

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 …

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What happens to your child’s brain when you nag

What’s in your grief toolkit?

Conditions
February 20, 2021

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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What’s in your grief toolkit?

Changing the national conversation on wound care

Conditions
February 12, 2021

We all think we know what a bruise looks like. Black and blue, brownish around the edges. But depending on the circumstances, the same bruise can look different from one person to another.

To a well-loved child who skinned her knee, a bruise might look like a bad memory of an epic tree-climb attempt. To a patient with diabetes, a similar bruise might look like the onset of a life-threatening emergency. …

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Changing the national conversation on wound care

What the PlayStation 5 can teach the vaccine rollout

Conditions
February 10, 2021

It’s no surprise that the PlayStation 5 (PS5) has been extremely popular since its launch in November, with over four million consoles sold since launch. However, what is surprising is that the PS5 has broken all launch month gaming hardware sales records ever, despite its steep prices at $500 for the full console and $400 for the digital edition, not to mention its launch in the …

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What the PlayStation 5 can teach the vaccine rollout

Nursing home workers at catastrophic levels of burnout and trauma

Conditions
February 9, 2021

It’s been almost a year since nursing home workers began fighting on the front lines of COVID-19. They’ve witnessed and experienced extreme trauma. They’ve seen seniors they care for suffer in fear and loneliness during prolonged and repeated lockdowns.  They’ve seen residents fall catastrophically ill and too many of them die.

More than 17,000 seniors are dead from COVID-19 in Canada; Read more…

Nursing home workers at catastrophic levels of burnout and trauma

COVID-19 vaccines are safe for people with severe allergies

Conditions
February 3, 2021

The intensive care unit nurse was worried the COVID-19 vaccine would kill her.

In the past, just minutes after getting the influenza vaccine, she had hives, wheezing, and throat swelling. Her life-threatening reaction only resolved after an epinephrine injection and monitoring in the emergency room. She vowed never to get another vaccine.

With the arrival of the COVID-19 vaccine, she reconsidered her stance. Now she was in my clinic, …

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COVID-19 vaccines are safe for people with severe allergies

It’s time to curb rising C-section rates in Canada

Conditions
January 30, 2021

Even during the pandemic, labor and delivery are the most frequent reasons for hospitalization in Canada, with over 350,000 births per year.  That’s happy news.  But of these births, nearly one third are by Caesarian section (C-sections).  That rate is far too high – and rising.

C-section is the surgical procedure to deliver a baby that involves an incision in the mother’s …

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It’s time to curb rising C-section rates in Canada

How COVID accelerates change: Bridging business principles with emergency medicine

Conditions
January 27, 2021

Over the past year, we have experienced massive organizational change at an unprecedented pace. Traditionally, we could spend weeks planning how to best make a change in our workplaces, but COVID-19 was anything but traditional. Our emergency department at Saint Barnabas Health System in Bronx, NY, needed to pivot on a daily and even hourly basis, and to do so took planning and effort. In general, change is difficult, and …

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How COVID accelerates change: Bridging business principles with emergency medicine

Are we underestimating the danger of prions and prion based diseases?

Conditions
January 27, 2021

Assessment without definition: a flat tire on the road of progress

Even though we have known about prions for decades, very little progress has been made in defining what a prion is vs. what a prion is not, how they get into the brain, and how prion diseases are different from other neurodegenerative diseases. Phenomenologically these definitions can vary widely. To some, a prion causes a deadly, …

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Are we underestimating the danger of prions and prion based diseases?

Marijuana legalization: an unpopular view

Conditions
January 26, 2021

In the mid-1990s, a few pharmaceutical companies made broad claims regarding the safety and efficacy of opioid medications for pain management. These claims were based on limited research that did not fully account for these drugs’ potentially harmful effects. As a result, we are now facing an opioid epidemic across the United States.

Now, New Jersey joined several other states by legalizing marijuana for recreational use. While there are clear differences …

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Marijuana legalization: an unpopular view

Is my headache coming from my soul?

Conditions
January 26, 2021

Serious soul searching can give anybody a headache, but when a young woman asked me that, I was taken aback in my neurosurgery clinic. Huh? I said. Do you know René Descartes? The pineal gland is the “seat of the soul.” Well, my pineal gland has a cyst and is more like the “seat of my misery.” It turns out this eloquent young woman in her early 20s was a …

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Is my headache coming from my soul?

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