Category: Conditions

Listening to pain in our younger patients

As a family physician for more than 40 years, I have seen countless patients struggling to alleviate chronic pain, with far too many turning to self-destructive coping methods such as alcohol and opioids. Unfortunately, the struggle with chronic pain i…

The displacement of the health care family

Along came COVID, and no one was prepared. We had minimal PPE. We were told to put our N95 mask in a paper bag, use it on every patient, and use it for one full week. Normally the N95 mask would be disposed of after each patient room exit. Health care …

Mental health advocacy applies to physicians, too

Mental health has blazed its way to the forefront of the national conversation over the last decade. Increased awareness and decreased stigmatization around mental health issues have undoubtedly allowed many to have access to necessary resources, and t…

What this primary care physician learned from her COVID-19 infection

March 2020. Administrators informed us that primary care physicians would be deployed to the “front lines” – either the emergency department or the COVID-19 wards. When I shared my news with my 21-year-old daughter, she cried and hugged me and said, “I…

Why you should not use BMI for your New Year’s resolution

My patient balanced precariously in the bustling hallway as she carefully removed her boots and slipped into lightweight sandals. My medical assistant offered to hold her purse and jacket as my patient held her breath and stepped onto the scale. Squint…

Depression is a notification that the old patterns are not working

My energy level was plummeting as Mrs. Jones explained how much her shoulder, her knees, her back, her belly, her head, hurt. She was worn out. “And I don’t ever think I’ll feel better. I’ve felt like this for so long and I thin…

Tumor-informed residual disease testing can help inform cancer treatment

Life can feel full of uncertainty when battling cancer, with few guarantees. “Is there still cancer in my body?” and “Will it come back?” are common questions that have long been difficult to answer confidently until recently. A…

Unless we get back to the basics, there will be no end to the pandemic

Frankly, I am tired of this pandemic. I am tired of the death. I am tired of the destruction of families and the obliteration of vulnerable individuals’ social supports. I am tired of human issues being politicized and used as weapons to divide u…

The gender vaccination gap

This year, I lost too many close and extended family members to COVID-19. As a medical student, I was stunned to see a virus take a grasping toll on my life and surroundings. It was frightening, to say the least. Throughout the period of grief, which I…

Screening for adverse childhood experiences in pediatric primary care made my job easier

When our pediatric clinic added the PEARLS (Pediatric ACEs and Related Life-events Screener) questionnaire to well-child visits, we were worried that we would uncover trauma that we didn’t know how to address. Our physicians feared that the volum…