Have you ever marveled that a new patient will share with you their most intimate secrets just minutes after you initiate their medical history in the exam room? Patients will discuss what they might not share with friends, spouses, significant others, and even their clergyperson. This privilege should not be taken for granted.
It is time to pause and think about patients’ trust in physicians. This article will describe the current …
Just imagine when you felt hurt or betrayed by a colleague, patient, staff member, friend, or family member. Now, picture life if you could somehow free yourself of that hurt, pain, or discomfort. This article will discuss the concept of forgiveness and how it applies to our medical practice.
Examples of forgiveness
A white male racist burned down a predominantly African American church. The arsonist was convicted and sentenced to prison. He …
If you have followed my blogs for the past few years, you know that I have focused on practice management, the business of a medical practice, and recently AI. This blog will depart from those topics and discuss a clinical topic, the orgasm gap, that I have written with a colleague, Dr. David Mobley, a urologist at Weill-Cornell Medicine.
Everyone, both men and women, deserves to experience an orgasm or the …
Have you ever thought of someone, and then a few minutes later, they called or texted you?
Have you ever felt or had a whole conversation in your mind to later be told that is exactly what someone was saying about you at the same time, even though you were physically in a different place?
How can that be? Is it merely a “coincidence,” or are these beautiful hints from the universe …
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We sit down with Justin Houman, a urologist specializing in the treatment of erectile dysfunction, to explore the latest advancements in inflatable penile implants. Justin discusses how these innovative devices have evolved to …
As a man, the idea of worsening erectile function as we age is quite daunting. Although Viagra and Cialis provide relief for many, there are many more who do not respond well to these medications. In these situations, the inflatable penile implant is a valuable option for addressing erectile dysfunction.
As a urologist dedicated to improving the quality of life for men dealing with erectile dysfunction (ED), I have witnessed remarkable …
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We tackle the important topic of urinary incontinence with Sarah Boyles, a urogynecologist. Join us as we explore the often overlooked but impactful effects of urinary incontinence on individuals’ quality of life, its …
I’m sitting in a windowless room in the hospital’s urology department waiting for my second prostate biopsy, feeling surprisingly calm and relaxed.
It’s a surveillance biopsy. Two years ago, the first one revealed “a few scattered cancer cells” while zeroing in on what turned out to be a harmless nodule. I’d learned then that a prostate biopsy will never make anyone’s list of fun things to do. In addition to being, …
As a urogynecologist, my clinic is full of women with bothersome bladder issues. And while this likely does not appeal to you, curing incontinence is my favorite clinical endeavor.
Urinary incontinence seems like a minor medical problem. After all, it isn’t heart disease or cancer. However, urinary incontinence has a dramatic and negative impact on the quality of life. On any given day, I talk to women who have stopped exercising …
First, a disclaimer. I do not know Secretary of Defense Lloyd Austin, and I am not involved in his medical care. As an academic infectious disease physician, I am ignorant of the internecine hierarchy of the Defense Department. However, I listen to the news and thus am aware of his recent prostate cancer diagnosis and treatment. On National Public Radio, reporters were discussing why the secretary of defense did not …
“Should I get a PSA?”
It depends. Who is asking, and why?
If the question is being asked by a 45-year-old man, the answer is going to be different than if it’s being asked by a 75-year-old. If a primary care clinician is asking, he/she may be confused about current recommendations regarding screening for prostate cancer. The answer is complicated and fraught with bias. Unfortunately, the controversy over PSA screening for prostate …
1. Eat a healthy diet rich in fruits, vegetables, and whole grains. Eating a healthy diet is an important way to help prevent prostate cancer. Fruits and vegetables are packed with antioxidants, which can help protect your cells from damage that can lead to cancer. Fruits and vegetables that are particularly beneficial for prostate cancer prevention include cruciferous vegetables (such as broccoli, kale, and cauliflower), tomatoes, citrus fruits, berries, apples, …
I have undergone numerous IVF cycles. It is a heart-wrenching experience. Infertility is a pain that is difficult to describe unless personally experienced. I have never truly known heartbreak until the failure of IVF embryo transfers. Three preimplantation genetically tested normal embryos failed to implant, and knowing my three perfect embabies (embryos that were transferred but not implanted) will not be in my arms still hurt my heart. It took …
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An excerpt from Preventing Prostate Cancer: Reduce Your Risk With Simple, Proactive Choices.
Prostate cancer is the second most frequently diagnosed cancer and the fifth leading cause of cancer deaths in men globally. Within the United States, the American Cancer Society found that one in eight men are diagnosed …
Many years ago, doctors were relied upon to care for the health needs of their local communities. They were trusted fixtures relied upon to diagnose and treat whatever the ailment. They spent time interacting with patients, not paperwork or screens. There was no bureaucratic red tape or a long list of administrative procedures. It was pure medicine.
I think it would be safe to assume that burnout barely existed. These doctors …
A hundred years ago, women lived one year longer than men, but now they live five years longer than men. And things are getting worse. Currently, the lifespan of men in the U.S. is declining due to alcohol, opioids, and suicide. These trends need to change.
I take care of men. I’ve been a urologist for almost 25 years and have seen thousands of men as patients, many of whom have …
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An excerpt from Breaking the Silence: Why Opening Up About Your Sex Life Is the Best Medicine for Your Health, Relationships, and Overall Happiness.
I have been practicing medicine for forty-five years, and it has become clear to me that many of the mental and physical problems …
Some hospitals are trying a curious new tactic to attract patients: free hernia screenings.
One Illinois hospital raffled off tickets for a smart speaker to entice people to get their abdomens checked by a surgeon, while an Indiana hospital offered a chance to win dinner at a chophouse.
Announcements for screening events in Colorado and Maryland warned about “life-threatening” complications that could arise if hernias are left untreated. And hospitals in Read more…
Most men diagnosed with prostate cancer don’t die of the disease. Between 2011 and 2015, 112.6 per 100,000 men per year were diagnosed with prostate cancer in the U.S., but only 19.5 per 100,000 men per year died of the disease over that same period of time. That is still far too many deaths. But the huge disparity between deaths and diagnoses arises in large part from overdiagnosis of prostate …
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Over 80,000 new cases of bladder cancer are diagnosed every year. Of the new cases, over 62,000 are men, and over 18,000 are women. Whites have higher incidence rates than blacks, although black patients have higher mortality rates, particularly black women. The majority of cases are found with painless gross hematuria (although most patients with gross painless hematuria don’t have bladder cancer). Nearly 80 percent of patients diagnosed with bladder …
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