One of us (NB) has been reasonably conscientious about his health for the past 50 years. He sees his PCP twice a year and has tried to set an example for his patients by focusing on diet and exercise. I have done well, except I need a little work on stress reduction and sleep hygiene. Curiously, in 50 years and more than 100 office visits to health care providers, no …
The mouth as a gateway: Why oral health matters for physicians
Antimicrobial resistance (AMR) is being talked about more now than ever before, and for good reason. When medicines stop working for common infections, everyone loses. The World Health Organization has described AMR as one of the top global health threats, and in October 2025 published data suggesting that in parts of Africa, as many as one in five infections are resistant to commonly used antibiotics.
That statistic should alarm us. But …
Antimicrobial resistance causes: Why social factors matter more than drugs
I was always taught to show respect to older relatives through the mano po gesture. If I were meeting a new family member, I would say “Ang pangalan ko Joaquim” to introduce myself. However, since immigrating to the United States from the Philippines, there are fewer and fewer people who call me by my actual name.
My family immigrated to the United States in 2002 after my mother accepted an opportunity …
Why Filipino nurses faced higher COVID-19 mortality rates
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Professor and senior associate dean of engagement Janet A. Jokela discusses her article “Reflecting on the significance of World AIDS Day from the 1980s to now.” Janet shares harrowing memories from her …
Personal memories reveal the transformation of HIV care over four decades [PODCAST]
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Health care executive Kevin King discusses his article, “How to stay safe from back-to-school illnesses.” Kevin explains why the return to classrooms often triggers a surge in respiratory illnesses (like the flu, …
Understanding the unseen role of back-to-school diagnostics [PODCAST]
Tick-borne illnesses continue to rise across the U.S. and Europe, and clinicians are feeling the impact. More patients are showing up with early Lyme disease, more are asking about prophylaxis, and more travelers want advice about tick-borne encephalitis (TBE). At the same time, vaccine development is finally accelerating after years of stagnation. For busy clinicians, here is a concise update on what’s new and what to tell patients in 2025.
Lyme …
Tick-borne disease vaccines: a 2025 update
What is the significance of World AIDS Day?
While pondering this question, many memories came flooding back. As a medical student in 1985, I was given the option to go into the room of a patient with pneumonia who was infected …
Reflecting on the significance of World AIDS Day from the 1980s to now
Before a doctor ever diagnoses a child with acute flaccid paralysis, the culprit leaves definitive clues in the sewer. At the Noguchi Memorial Institute for Medical Research, we spin bottles of wastewater in the centrifuge, pH-balance, and look for these clues. Their presence signals the return of an enemy we once thought we had defeated.
For decades, the world has rallied around the dream of eradication, the triumphant declaration that humanity …
Why polio eradication needs sanitation
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Internal medicine physician Harry Oken discusses his article “mRNA post vaccination syndrome: Is it real?” In this episode, Harry explores the science, uncertainty, and human stories surrounding post-vaccination syndrome (PVS) linked to …
Understanding post-vaccination syndrome in real-world medicine [PODCAST]
The pandemic changed us in ways that cannot be measured by infection rates alone. Beyond the physical toll, it left lasting scars on our mental health. Fear, uncertainty, and isolation became daily realities. As a health professional and researcher, I wanted to understand how people could begin to heal. During my doctoral work, I studied adults who engaged in different wellness practices after the pandemic. Some found relief in nature: …
Healing from the pandemic’s mental toll
In the quiet that follows a routine pediatric check-up, a single word, “vaccines,” can suddenly change the air. Where vaccines were once a simple part of childhood, they have become something parents scrutinize, debate, and sometimes outright resist. The shift is palpable, and it is increasingly showing up in clinic rooms every day.
As a medical student training in New York City, I am constantly struck by a paradox: We live …
Why hesitation over the HPV vaccine threatens public health and equity
Three years after mpox shocked the world, a silent crisis is unfolding in Africa while the rest of the world seems to have moved on.
When mpox (formerly called monkeypox) grabbed global headlines in 2022, it seemed like the next big pandemic threat. Three years later, the story looks very different depending on where you are. In Africa, mpox is still spreading and cases are rising in some countries. In the …
Mpox isn’t over: A silent epidemic is growing
“What is your favorite homemade food?” I ask each patient. Almost always, there is a smile, and the conversation takes off from there. Moms light up describing their special dishes. Patients giggle when I suggest, “Should we have your mom make some for us to share?” Younger kids look at their moms with wide eyes, wondering if it could really happen. Those moments, those faces, are priceless; and they carry …
Food is a universal language in medicine
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Public health advocate Kathleen Muldoon discusses her article “Why congenital CMV should be on every parent and doctor’s radar,” revealing how congenital cytomegalovirus (cCMV) remains the most common viral cause of disability …
Few people realize this common infection can cause serious complications [PODCAST]
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Physician leader Janet Jokela discusses her article “How federal actions threaten vaccine policy and trust,” highlighting the unprecedented removal of expert members from the Advisory Committee on Immunization Practices and its replacement …
Federal shakeup of vaccine policy and the battle for public trust [PODCAST]
We are now waiting for sentencing in the Sean (P. Diddy) Combs trial. Onlookers reading about the trial could have various thoughts. Thoughts about how power corrupts behavior. Thoughts about how men manipulate women through violence and sex. There could be schadenfreude. There could be prurience. Me, I think about HIV preexposure prophylaxis (PrEP).
You heard correctly, PrEP. When I hear testimony about multiple partners and escorts, my concern is for …
Why the Sean Combs trial is a wake-up call for HIV prevention
Once upon a time there was a pandemic, despite what the “deniers” and conspiracy theorists say. This rare disease outbreak shook every corner of the globe, yet brought out the best in people, people who put their lives on the line to care for the sick and dying.
But to this day, I still hear and read about folks who are convinced the COVID-19 pandemic was blown out of proportion and …
COVID-19 was real: a doctor’s frontline account
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 …
Mumps orchitis still causes infertility years after childhood
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Infectious disease physician Janet A. Jokela discusses her article, “Measles is back: Why vaccination is more vital than ever.” Recounting her own experience diagnosing a case in the 1990s, Janet contrasts that …
Confronting the return of measles and vaccine misinformation [PODCAST]
Sepsis continues to pose a serious threat to patients and a significant challenge to hospital systems. Despite advances in awareness and clinical guidelines, delays in diagnosis and treatment remain common and costly. Sepsis is the leading cause of death in U.S. hospitals and costs the U.S. health care industry $62 billion annually.
The ripple effects of sepsis extend far beyond the bedside, impacting everything from …
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