Everyone has phases, stages, and degrees of mental disease throughout their lives, especially children, adolescents, and young adults. It is a part of normal growth and development to go through phases of change. Sometimes, a young person gets stuck in…
Everyone has phases, stages, and degrees of mental disease throughout their lives, especially children, adolescents, and young adults. It is a part of normal growth and development to go through phases of change. Sometimes, a young person gets stuck in a phase, and it becomes something more—a mental health disorder—and they may receive a diagnosis. Often, if the young person can receive the help and support they need, this phase …
Sitting in class was always a terrifying experience, not knowing if I was going to be the next one called on to read. My mind would race ahead trying to figure out a strategy on how to get out of…
Sitting in class was always a terrifying experience, not knowing if I was going to be the next one called on to read. My mind would race ahead trying to figure out a strategy on how to get out of it. I would excuse myself from the room or blame a sore throat, anything to avoid reading in front of my peers. On the rare occasions that I was called …
An excerpt from Meet Skulle. This bone goes from the top of my sternum to the top of my shoulder. Can you name it? I have one on each side. Did you guess the clavicle? Cleaver Clavi is my collarbone.…
Locum tenens agreements can be useful to physicians in many circumstances. In addition to serving as a way to supplement your income during vacations, physicians often enter locum tenens agreements between jobs, to provide income while waiting for interviews or…
Locum tenens agreements can be useful to physicians in many circumstances. In addition to serving as a way to supplement your income during vacations, physicians often enter locum tenens agreements between jobs, to provide income while waiting for interviews or for credentialing to be completed at a new position.
In many ways, reviewing a locum tenens agreement is similar to reviewing a physician employment agreement, but there are unique aspects to …
Many arise each day with a scenario of expectations to be achieved. For those individuals of working age, some of these expectations revolve around our jobs, put into place by our employers over which we have little to no control.…
Many arise each day with a scenario of expectations to be achieved. For those individuals of working age, some of these expectations revolve around our jobs, put into place by our employers over which we have little to no control. But what about those narratives, those stories, that we tell ourselves in the middle of the night or the ones that pop into our heads in the middle of the …
Dealing with a toxic person close to you is traumatic, draining, and upsetting. My older sister is a toxic person, and I endured her behavior for over 40 years. I recommend making a clean break from a toxic person around…
Dealing with a toxic person close to you is traumatic, draining, and upsetting. My older sister is a toxic person, and I endured her behavior for over 40 years. I recommend making a clean break from a toxic person around the holidays and birthdays when their behavior is at its worst. You may blame yourself for tolerating the behavior for so long. For the longest time, I blamed myself for …
The American Academy of Pediatrics' recent decision to move away from the "wait and see" philosophy to a more proactive intervention when dealing with childhood obesity got me reflecting on how "wait and see" is still used in many other…
The American Academy of Pediatrics’ recent decision to move away from the “wait and see” philosophy to a more proactive intervention when dealing with childhood obesity got me reflecting on how “wait and see” is still used in many other aspects of children’s development.
As a speech therapist and a mother of a child who was at risk for developmental delays, I had personal experience with this approach. My son …
When I started visiting patients in nursing homes, a good many of them had some degree of dementia. In its earliest form, a person with dementia could recall what they were doing when they found out about 9/11, or when…
When I started visiting patients in nursing homes, a good many of them had some degree of dementia. In its earliest form, a person with dementia could recall what they were doing when they found out about 9/11, or when Kennedy was shot, or when Pearl Harbor was bombed in the Second World War. However, they couldn’t recall their most recent …
As a member of the Washington D.C. Center for AIDS Research, I’ve been deeply grateful to see how medications such as PrEP are significantly reducing the toll of HIV. Additionally, we have made great strides with limiting the transmission of…
As a member of the Washington D.C. Center for AIDS Research, I’ve been deeply grateful to see how medications such as PrEP are significantly reducing the toll of HIV. Additionally, we have made great strides with limiting the transmission of HIV. A plethora of research has proven that if HIV is undetectable in your system, it cannot be spread to others. This is known as “U …
Today's health care system is in a state of drastic flux. Gone are the days of private practice family doctors, the "Marcus Welby, MDs," who stood ever-ready to heal the sick and comfort the disillusioned. They were the sole decision-makers…
Today’s health care system is in a state of drastic flux. Gone are the days of private practice family doctors, the “Marcus Welby, MDs,” who stood ever-ready to heal the sick and comfort the disillusioned. They were the sole decision-makers in the care of their patients and had the welfare of their patients at the forefront. Now, the corporate blanket has fallen upon the field of medicine, oftentimes blurring the …
A teenage girl was found alone, having a seizure on a bench outside our clinic's front door. She had never been inside our clinic, but it was our fault she was seizing. The office manager from the dentist's office upstairs…
A teenage girl was found alone, having a seizure on a bench outside our clinic’s front door. She had never been inside our clinic, but it was our fault she was seizing.
The office manager from the dentist’s office upstairs found the girl as she returned from lunch. Not knowing what to do, she opened our clinic door and called for help. Our front office staff summoned the doctors from our …
Reportedly, there are at least 1.6 million people who identify as transgendered in the United States. Approximately one-third of them are transgendered male-to-females, referred to as "T-girls." These individuals have a strong desire to be passable without undergoing surgery, relying…
Reportedly, there are at least 1.6 million people who identify as transgendered in the United States. Approximately one-third of them are transgendered male-to-females, referred to as “T-girls.” These individuals have a strong desire to be passable without undergoing surgery, relying instead on hormone therapy. However, hormonal therapy is not without risks. Testosterone, used in protocols for transgendered males, can increase the chances of venous thromboembolism (VTE). Similarly, estrogen, used by …
As someone who had an early life in rural Nigeria, I strongly believe that the diet debates are out-of-touch elite pastimes born out of food glut in Western societies. For survival, all living things evolved and adapted to scarcity, and…
As someone who had an early life in rural Nigeria, I strongly believe that the diet debates are out-of-touch elite pastimes born out of food glut in Western societies. For survival, all living things evolved and adapted to scarcity, and humans have been appropriately described as opportunistic omnivores who would eat whatever is available. How supposedly omnivorous humans turned out to be sharply divided into tribalistic die-hard vegan, keto, Mediterranean, …
Recently, growing attention has been given to the fact that some types of surgery may be overrated. This article succinctly summarizes the situation, citing dozens of studies showing that some orthopedic surgeries popular in past decades had no better results…
Recently, growing attention has been given to the fact that some types of surgery may be overrated. This article succinctly summarizes the situation, citing dozens of studies showing that some orthopedic surgeries popular in past decades had no better results than non-invasive treatments.
This issue is deeply personal to me. In 2020, during the pandemic, I sustained an injury to my left knee, experiencing severe pain, swelling, and loss of …
I spent years researching and writing about the health care crisis. It was depressing and isolating — traumatizing. When I met someone with more reach, it was a relief to be able to stop. Early on, it was obvious to…
I spent years researching and writing about the health care crisis. It was depressing and isolating — traumatizing. When I met someone with more reach, it was a relief to be able to stop.
Early on, it was obvious to me that our medical health care crisis is actually a mental health crisis. It is about disconnectedness and devaluation of relationships, a basic need. Evidence abounds. The …
I was diagnosed with multiple sclerosis during my second year of medical school. It happened while I was on a neurology rotation when I approached the neurologist after a lecture and expressed my suspicion of a flare-up. Subsequently, a lumbar…
I was diagnosed with multiple sclerosis during my second year of medical school. It happened while I was on a neurology rotation when I approached the neurologist after a lecture and expressed my suspicion of a flare-up. Subsequently, a lumbar puncture and a contrast brain MRI confirmed the diagnosis, leading to my treatment with IV steroids and later disease-modifying medications.
It has now been 18 years since my diagnosis, during which …
In the 4+ years since my own diagnosis, I have continued to peel back the layers of my illness story, realizing that seemingly unrelated complaints from my teens and twenties were actually early signs and symptoms of what would later…
In the 4+ years since my own diagnosis, I have continued to peel back the layers of my illness story, realizing that seemingly unrelated complaints from my teens and twenties were actually early signs and symptoms of what would later be formally labeled as Sjogren’s. It wasn’t until my mid-30s that I finally sought evaluation, diagnosis, and treatment for this systemic progressive autoimmune disease.
If you are a patient, we all are at some point. Undoubtedly, you have experienced some of the difficulties patients face today in getting approved for and receiving medical care in a timely fashion. From scheduling doctor visits to undergoing…
If you are a patient, we all are at some point. Undoubtedly, you have experienced some of the difficulties patients face today in getting approved for and receiving medical care in a timely fashion. From scheduling doctor visits to undergoing tests, procedures, obtaining medications, and even surgeries, the process can be challenging.
It’s easy to be tempted to blame your doctor for the long wait times to schedule an appointment, the …
Mental health conditions are common among individuals with long COVID due to various factors. These include the direct effects of COVID-19 on the body, such as neuroinflammation, as well as the circumstances often associated with the condition, such as job…
Mental health conditions are common among individuals with long COVID due to various factors. These include the direct effects of COVID-19 on the body, such as neuroinflammation, as well as the circumstances often associated with the condition, such as job loss, reduced income, disconnection, isolation, chronic pain, immobility, and the persistent feeling of being unwell. Alongside cognitive impairment and fatigue, mental health issues form what I call the “unholy trinity” …
Gender-affirming health care (GAH) is a rapidly developing sector within the medical profession that can include indirect therapies such as counseling, direct therapies such as hormone treatments, puberty blockers, or gender-affirming surgeries. A main ethical concern with GAH resides in…
Gender-affirming health care (GAH) is a rapidly developing sector within the medical profession that can include indirect therapies such as counseling, direct therapies such as hormone treatments, puberty blockers, or gender-affirming surgeries. A main ethical concern with GAH resides in its use on adolescents, and this paper will primarily explore the use of puberty blockers, sometimes called GnRH analogues, on minors.
Considering that most children start puberty around the age of …
