Category: Conditions

Autism spectrum disorder and the masks we wear 

In the ongoing saga of the pandemic, there is the debate whether to wear a mask or not. These are physical masks that temporarily hide our face, but we all wear another type of mask, a metaphorical mask. These are the masks we put on to present who we …

A neurologist grapples with aducanumab

I have been following the controversy surrounding the approval of the new Alzheimer’s drug aducanumab with great interest.  Until a year and a half ago, I worked as a neurologist in an adult general neurology clinic.   Many of my patients had dem…

The pandemic drives a decline in teen substance abuse

The percentage of teens using illicit substances dropped significantly in 2021 as the pandemic forced them into isolation from friends, classrooms, and extracurricular activities. Alcohol, marijuana, and nicotine vaping – the most commonly used substan…

5 science-backed strategies an allergist-mom is using to protect her family’s health

Like most parents, my children are my world. I would do anything to protect them and keep them healthy. It is Darwinian. Instinctual. Most of us get by with a combination of sage advice from generations past interspersed with a “know better do be…

Why I’m furious over observation status

A 37-year-old man was diagnosed with Lyme carditis after presenting to the emergency department (ED) with fever, weakness, history of tick bite, and prolonged PR interval of 394 ms (a type of heart block) and positive Lyme testing. In the ED, second-de…

The status quo is failing people with opioid use disorder

As we anticipated the release of new CDC data on overdose deaths, those of us who specialize in substance use disorders braced for grim statistics, but this milestone was still shocking: over 100,000 lives lost to overdoses in one year, the great major…

From the prison of my job to freedom

It became a prison to me — impending doom. I knew I had only three months left before I could retire. Three months isn’t long, but it is a lifetime away. That long drive to work in that heavy highway traffic where there was always a collision. Th…

Eating disorders thrive in secrecy, so let’s talk about it. Starting with BMI.

Thank you, Dr. Kara Pepper, for your recent article “Why you should not use BMI for your New Year’s resolution.” Our weight-obsessed, BMI-focused culture has been a thorn in my side for much of my life. And since eating disorders thrive in secrecy, let…

Is home hospital care the way forward?

“There is nothing like staying at home for real comfort,” says James Austen. So, instead of traveling and waiting for hours by standing in a queue, what if health care is provided to you at home? That’s why home hospital care (HHC) is…

The pandemic has me angry, infuriated, demoralized, and scared

I would love to say 2021 outshone 2020. But I think sometime around mid-fall of last year, we realized the joke was, sadly, on humanity, and that was not going to happen. Yes, we finally had vaccines (thank God and bless those involved forever), but th…