I remember a patient in her early sixties who came to our clinic with subtle memory problems. She lived alone in a rural county, relied on Medicaid, and had been passed between social services and different primary care providers for more than a year. No one had ordered imaging, and there were no neurologists nearby. By the time Alzheimer’s disease was suspected, her window for early intervention had already closed.
Medicare …
This is a famous teaching in the Talmud, which in the Jewish faith is the commentary on the Hebrew Bible. Why would the holy book of the Jews make such a proclamation? It turns out this is about arrogance. It is about humility. The “best doctors” may also be the most prideful. Their arrogance may prevent them from realizing they need help. If they do realize it, their pridefulness may …
When people think of Parkinson’s disease (PD), they often picture Michael J. Fox or Muhammad Ali, iconic figures who bravely shared their diagnoses. But the real face of Parkinson’s is much more diverse than what we see in the media, and the research that shapes our understanding of the disease has not caught up.
Despite affecting people of all racial and ethnic backgrounds, …
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 …
I had a stroke at the age of five.
It was an ischemic event, rare in children, difficult to diagnose, and often missed in early stages. I experienced a sudden loss of motor function that led to a long period of rehabilitation. I spent months relearning how to walk, balance, and perform basic movements, guided by physical therapists and the steady structure of routine. I was too young to understand what …
Did you have chickenpox as a kid?
If the answer is yes (which it is for most of us), you’re at risk of getting shingles. Shingles is caused by the varicella-zoster virus, the same virus that causes chickenpox. After one recovers from chickenpox, the virus remains dormant in one’s nerve cells. Later in life, if the virus reactivates (which depends on factors like age, stress, or a weakened immune system), it …
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Physician Scott Abramson discusses his article “How doctors’ words can make or break patient care.” Scott shares two compelling scenarios illustrating the profound impact of a physician’s communication. He recounts a family …
I’ve spent my career as a neurologist diagnosing and managing neurodegenerative diseases. I’ve counseled families through heartbreaking prognoses, navigated complex care plans, and educated patients about conditions like Alzheimer’s disease. I thought I understood what it meant to live with a memory disorder, until my mother became my most challenging, most personal patient.
Her diagnosis came gradually, as these things often do. First, it was the missed appointments and forgotten dates. …
Recent budget cuts to the National Institutes of Health (NIH) have dominated the headlines since February of this year, when the NIH announced a 15 percent cap on indirect costs — a move that jeopardizes essential research infrastructure by slashing funding for facilities and administrative support vital to the advancement of scientific innovation.
Now, leaked documents threaten to compound this issue: The Trump administration plans to cut the NIH’s …
An excerpt from Doctor Slave: Reflections on the Future of Medicine.
The distance from clinical practice provided a clarity that was impossible to achieve while embedded within the system. From outside, I could see patterns, pressures, and paradoxes that had been invisible when I was caught in the daily grind.
I recognized that many aspects of modern health care that are presented as inevitable or necessary are actually artificial constructs designed …
I have always been a performer at heart, starting with theater in school. For 28 years, I was a law professor at Indiana University in Indianapolis, and teaching gave me a captive audience. Beyond the classroom, I have always been passionate about music. I play the guitar and sing, and back in the day I was part of a band. I was also a distance runner and dreamed of completing …
Even before Mia was born, I could sense that something about her was different. With my other children, I felt constant movement during pregnancy, but Mia stayed curled up in one spot and hardly moved at all. When I mentioned this to my obstetrician, he assured me that it was normal. But I was sure that there was something more going on.
As soon as Mia was born, there were signs …
There’s an ever-growing body of evidence to suggest that diabetes contributes to the development of Alzheimer’s disease. Some even go so far as to dub Alzheimer’s disease “diabetes type III.”
How might diabetes cause Alzheimer’s disease?
It’s the sugar: Chronic high blood sugar (hyperglycemia) can damage blood vessels, including those in the brain. This vascular damage reduces oxygen and nutrient delivery to brain cells, increasing …
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Mother scholar.
The phrase rolls off the tongue with the force and ferocity of a curse word—blunt, unsparing, weighty. I didn’t coin the term, but I inhabit it. A vessel for the seeming contradictions of tenderness and skepticism, integration and dissection. Of being simultaneously maternal and cerebral in institutions that reward detachment, autonomy, and efficiency.
As I sit in reflection this May—a month of devotion to motherhood and due dates for faculty …
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Journalist and patient advocate Carol Steinberg discusses her article, “Alzheimer’s impact on the young should be an open book.” She argues that while Alzheimer’s disease and related dementias (ADRD) …
I recently attended a medical conference for the Huntington’s disease (HD) community. Hundreds of people were gathered to collaborate, share knowledge, and learn how to better address the needs of their patients. During the first session, I found it challenging to listen to the presentation and the conversations taking place around me. The detached manner in which people were speaking was troubling to me, so I stepped out for a …
It has long been said that Alzheimer’s disease or a related dementia (ADRD), like some other conditions, is a disease of the family. The ramifications of the disease extend well beyond the periphery of the person with cognitive decline to other family members, such as parents, adult children and siblings, and children under 18.
Yet, the latter, the most vulnerable, are often left in the dark.
Whether young children are living with …
It’s getting close to that time of the school year. Your teenage patient with chronic headache/migraine is finishing up their high school education, either through the traditional or non-traditional pathway. They have chosen their next step—going to college. As their provider, you are so proud of them. Perhaps high school has been really hard for them academically, socially, and/or emotionally. They needed and used accommodations around schoolwork and attendance. They …
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Neuroscientist Adrian Owen discusses his KevinMD article, “A wake-up call for dementia detection: the urgent need for precision tools across health care.” Adrian highlights the alarming rate of dementia diagnoses worldwide and …
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We explore the groundbreaking efforts to advance autism research through postmortem brain tissue donation with David G. Amaral, professor of psychiatry and behavioral sciences. Learn how brain donation provides unique insights into the …
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