“The patient is a 59-year-old male presenting with fatigue on exertion, pallor, and mild numbness and tingling in both feet. No family history of anemia or diabetes, but I still want to rule them out with a blood test. Does that sound reasonable?”
This is the 6th or 7th question I’ve asked in today’s session, but my tutor doesn’t mind the repetitiveness.
“Yes, performing blood work is a reasonable approach to help …
May is AANHPI Heritage Month so it’s a good time to share again my journey from nonsmoker to lung cancer survivor. It is such an important issue to bring awareness to this little-known and potentially deadly health disparity because, according to the 2020 census, 6.2 percent or 20.6 million people identify as AANHPI (Asian American Native Hawaiian Pacific Islander).
Wait. How can you have lung cancer? You’re not a …
I always said yes, taking on numerous tasks and roles, but now I question the value of unpaid work in my career trajectory as a colorectal surgeon. I always said yes. That’s what you’re supposed to do, right? Always say yes because you don’t know which opportunity will be “the one” that launches your career into orbit. So I said yes to organizing the lunch orders when the drug reps …
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In this episode, family physician and author of Burden of Pain: A Physician’s Journey through the Opioid Epidemic, Jay K. Joshi, with his extensive experience defending physicians, illuminates the pressing need for compliance …
An excerpt from Beyond Diagnosis: Perspective in Medicine and the Human Experience.
As my career advances, I have been reflecting on this increasing standardization and what sometimes seems to be a dehumanization of medicine in the United States. While technology has the potential to help us bring humanity back to the forefront of medical practice while also improving diagnosis and care, much of the human element has been lost …
The practice of seeking second opinions in medicine has a long history, dating back to ancient times. The concept is deeply rooted in the ethical and professional principles of medical practice.
In ancient Greece, Hippocrates, often considered the father of modern medicine, encouraged patients to seek second opinions. He believed that a different physician might have a different perspective or alternative treatment suggestions. This practice was considered a way to confirm …
“The doctor of the future will give no medicine, but will interest his patients in the care of the human frame, in diet, and in the cause and prevention of disease.”
– Thomas Edison
Mr. Edison, if he is watching over us, must be sadly disappointed.
The provocative idea of making cancer centers obsolete might sound extreme, but it underscores a critical vision for health care—shifting from reactive to preventive treatment. Envision a …
“Rejoin the natural cycle: to know that the last gesture you’ll make will be gentle and beneficial just feels like the right thing to do.”
– Recompose founder Katrina Spade
I love gardening and watching things grow, so I found the idea of human composting an intriguing concept. For those who find cremation unconventional or even unsettling, the process of disposing of the remains of a deceased loved one has taken a …
Kwaneta Harris had hot flashes and lapses of memory. She didn’t feel right and didn’t know why. “It felt like my body was completely betraying me,” she wrote. “I felt like I was losing my mind.” The cause wasn’t the eight years she’d spent in solitary confinement in a Texas prison. She was going through menopause. She didn’t understand it. And Texas officials wouldn’t allow …
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Join us for an engaging discussion on the future of health care diagnostics with physician, health care consultant, and serial entrepreneur Harvey Castro. In this episode, we delve into the transformative potential of …
America’s health care system, much like Congress, is broken, and doctors have to be part of the solution. I don’t know a single doctor who doesn’t wish to improve our ability to increase access and the delivery of health services to our patients. Maintaining and/or improving the health of patients is our goal. That should be the goal of anyone associated with the health careRead more…
When it comes to journalism and health care prosecutions, today’s “papers” are so yellow that they could damage vision like a 580 nm laser. I have personally seen and suffered from this unbalanced approach to reporting and felt a need to provide a counternarrative based on reason instead of hyperbole. After studying hundreds of cases, I will argue that in roughly fifty percent of these, the government has paid hundreds …
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For many people with autoimmune disease, fatigue is the most debilitating symptom. Why autoimmune disease and fatigue go together is not entirely understood, although inflammation may be part of the reason. Other possible factors include pain, poor sleep, inactivity, and depressed mood. Fatigue is not just feeling tired. Fatigue is composed of both physical fatigue and mental fatigue. Unlike being tired, fatigue is rarely resolved with rest or sleep. Trying …
Situations that trigger a call for assistance with couples counseling are generally described as a need for improved communication, chronic conflict, lack of physical or emotional intimacy, or a desire to better understand the impacts of past trauma. Therapeutic work can evolve into tackling more specific long-standing disappointments in emotional and physical intimacy. Disconnection is often exacerbated incrementally by increased responsibility with children, aging parents, and cultural differences, among other …
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We welcome Kevin L. Schewe, a radiation oncologist, as we explore the evolution of cancer treatment from the perspective of someone who has witnessed groundbreaking advancements firsthand. From the significance of targeted therapies …
The U.S. infant mortality rate, children who die under one year of age, rose to its highest rate in two decades in 2022, up about 3 percent to 5.6 infant deaths per 1,000 live births.
At the same time, the nation’s neonatal mortality rate, infants who die in less than 28 days, increased by 3 percent from 3.49 to 3.58, and the post-neonatal mortality rate, infants who die between 28 days …
In the midst of moving and changing my residential address, and at 70 years of age, I finally figured out my encore career: building Bankers Boxes. Perhaps my skills will transfer to folding pizza boxes.
This is as good a time as any to use humor, i.e. while winding down your career. Most people glumly retire. It has to be done with a modicum of planning and foresight, as well as …
There’s an old Dutch Proverb that goes: “We grow too soon old and too late smart.”
I’m not so sure about the “too late” part. In the almost five years since I walked off the mound for the last time, i.e., I retired from practicing medicine, I’ve learned a lot and maybe even gotten a tad smarter (about some things). I can change my refrigerator water filters with my eyes closed, …
I am 47 years old and was today years old when I realized I have been going through perimenopause for the last four years. It is only with a retrospective lens that I can review my last four years and pick up intermittent symptoms or even just mild nuisance-level symptoms that I can say are likely from perimenopause.
What is perimenopause? Perimenopause is the transition stage before reaching menopause, which is …
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