Men don’t usually bring up prostate exams in casual conversation, and that silence is part of the problem.
Across clinics and exam rooms, we see it all the time: men who delay checkups until urinary symptoms become disruptive, or worse, when routine blood work turns into a cause for concern. The truth is, prostate screening isn’t about embarrassment or fear, it’s about staying one step ahead of issues that are common, …
“It is a sad state that fear of liability will oftentimes negate the moral choice made by a terminally ill patient.”
– Journal of Air Law and Commerce
Background
In August 2024, I gave a presentation, “You’re suing me because I kept your mom alive? Avoiding wrongful life lawsuits.” I discussed the consequences for medical staff when they disregard a valid DNR and revive a person, against their wishes. There are numerous nationwide …
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Certified coach Kathleen Muldoon discusses her article, “Choosing between care and country: a dual citizen’s Independence Day reflection.” As a dual U.S. and Canadian citizen and mother to a child with complex …
I understand that, in August, we will receive the prescription for the poor results of the recent Make America Healthy Again (MAHA) report focused on children’s health. As a pediatrician, I would like to offer some remedies for the child nutrition shortcomings identified in the report and provide feedback on other health concerns it raises.
Chronic disease rates among children are mentioned first in the report. Authors point to …
A man sat in my waiting room, heart racing—not from chest pain, but from panic. He’d been Googling his symptoms all night. Not afraid of what is—terrified of what might be. This is the anticipatory anxiety of modern medicine—a silent epidemic that strikes before any diagnosis ever does.
Patients no longer arrive with just symptoms. They bring stories already constructed. Hours of scrolling. Threads of worst-case scenarios. Algorithms feeding fear. By …
Clinicians who dream of starting a private practice in the field of behavioral health rarely daydream about the logistics involved. But preparing for common challenges is fundamental to success. Before taking on the roles of both behavioral health provider and entrepreneur, it is important to consider all of the behind-the-scenes work required.
Defining a practice’s niche, navigating regulatory and legal considerations, creating a business plan and a budget, and developing a …
There was a time — not too long ago — when I dreaded the start of each workweek.
I had spent years studying, training, and sacrificing sleep, time with family, and even my health to become a physician. I believed in the value of primary care and the importance of relationships with my patients. But somewhere along the way, the dream started slipping through my fingers. I wasn’t unhappy because of …
Multiple sclerosis (MS) is an autoimmune-mediated neurodegenerative disease that affects approximately 2.8 million people worldwide, and its incidence has risen over the past decade. As health and wellness professionals who have cared for people living with MS, we have both witnessed the ever-evolving journey and the roller coaster of emotions, psychosocial impact, symptoms, and health challenges that people living with MS face. The muscle weakness that makes walking more …
“When doctors strike, patients die.” That phrase—flattened into certainty—gets tossed around like a moral verdict. It shows up in op-eds, comment threads, morning rounds. As if to say: there’s no argument. The matter’s settled. You swore an oath.
But what oath, exactly?
Most physicians are taught to revere the Hippocratic Oath, but few have read the original versions. It wasn’t universal. It wasn’t sacred scripture. It forbade surgery. It invoked Apollo and …
For a long time, I was close-minded to the idea of vitamin supplementation as a meaningful part of mental health treatment. Like many in medicine, I saw it as misguided at best and more a part of wellness culture than real science. However, over time, I realized how often we mistake “That makes sense to me” for “That’s objectively true,” as we are prone to fall prey to our mental …
Well before I was a physician, I was an art history major at Bowdoin College. Beneath towering pine trees, I spent much of my time in dim lecture rooms off the quad and in the quiet galleries of Maine’s art museums, studying paintings, sculptures, and photographs to understand not just what was being portrayed, but also what they revealed about the people, places, ideas, and defining events of their time. …
Clinical trials are the cornerstone of progress in cancer treatment. Yet, paradoxically, the very patients these trials are designed to help often face the greatest obstacles to participation. While the concept of “patient-centered” clinical trials has been around for years, more than 20 percent of U.S. clinical trials fail to accrue a sufficient number of participants, forcing them to fold.
Why aren’t patients enrolling in clinical trials?
While there have …
As a reproductive endocrinologist, I see countless patients who walk through my doors with quiet stories of loss—sometimes the loss of hope, sometimes the loss of time. But every year, there’s a particular group of gentlemen who share a strikingly similar history.
They come from different countries. Many grew up in regions where the measles-mumps-rubella (MMR) vaccine was unavailable or inconsistently administered. They had mumps as children, recovered, and thought nothing …
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At first glance, medical school can be simplified to “drinking from a fire hose.” Endless Anki cards, color-coded notes, iPads filled with diagrams.
Cramming and regurgitation, funny acronyms and mnemonics. Obscure conditions. Buzzwords.
It feels like memorizing a ton of conditions and running through the routine steps of diagnosis, treatment, management, clinical investigations, and so on — until you can recite them in your sleep.
You’re buried in biochemical pathways, pathophysiology, and pharmacology, …
In medicine, one surprisingly heated debate doesn’t get much airtime: Should patients call their doctors by their first name?
It pops up often on medical forums. I’ve seen long threads dissect whether it’s disrespectful, whether it undermines authority, or whether it reflects a cultural shift in how we view physicians. Some doctors insist on “Doctor” as a matter of principle—status, respect, professionalism. Me? I appreciate being called Dr. Nadelson. It reflects the …
The United States and Japan, while separated by geography, language, and culture, share more in common than first meets the eye—particularly when it comes to health care. As post-war democracies that developed robust medical infrastructures in the latter half of the 20th century, both countries have grappled with similar challenges: Aging populations, rising costs, workforce burnout, and persistent health disparities. Yet their respective approaches—the U.S.’s pluralistic, market-driven model and Japan’s …
The transformation of care delivery is driven by value-based health care (VBHC). In addition to its cost-effectiveness and clinical efficiency, the success of VBHC depends upon its ability to exemplify empathy and equity. Usually disregarded in pursuing metrics, data, and integrated payments, these two pillars are indispensable for implementing a system that provides dignity and equity to all patients. Embedding empathy and equity into health care delivery is no longer …
As a surgeon, I’m trained to make decisions quickly—based on anatomy, evidence, and pattern recognition. But outside the OR, I’ve been thinking more deeply about something abstract yet everywhere: intelligence. What is it, really? And who or what gets to be called “intelligent”?
We often associate intelligence with humans—or more specifically, with traits like memory, logic, and verbal reasoning. The smarter someone is, we assume, the more they think like us. …
This past St. Patrick’s Day my daughter and I were listening to John Lennon’s Luck of the Irish. She wondered aloud whether people realized the phrase was meant to be ironic. Lennon certainly did, singing, “If you had the luck of the Irish, you’d be sorry and wish you were dead …” With Irish-born grandparents and Liverpool’s deep Irish roots, he understood the weight of the phrase, eight hundred years …
As yet another tragic chapter unfolded in the intractable and ever-escalating Iran-Israel conflict, I found myself in the midst of conversations, intense, impassioned, and sometimes uncomfortably raw. The participants weren’t diplomats or scholars. They were ordinary people, men and women, brown and white, Jews and Arabs, Muslims and Christians, all fiercely devoted to their own perspectives, each convinced they were defending not merely an opinion but the truth.
One particularly striking …
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