Category: Conditions

Falling in love during a pandemic: a lesson in self-soothing

The attending physician knelt next to the stretcher to repeat his opening line. “Hello, sir. What brings you to the emergency department today?” The man looked around in a daze, his lips quivering as if he was on the verge of crying. “The demons! The d…

Prostate cancer treatment: strategies for managing side effects

After skin cancer, prostate cancer is the most common cancer diagnosed in men in the U.S., with one in eight men at risk of being diagnosed with this cancer during his lifetime. If you or a man you care about is undergoing prostate cancer treatment, yo…

Have crib deaths vanished?

An excerpt from Medical Myths: A Sceptic’s Journey. It may be a long while since you’ve heard of a very small infant being found dead in the crib. As a young doctor, I recall the encounters on cold February nights with devastated young parents. P…

How COVID accelerates change: Bridging business principles with emergency medicine

Over the past year, we have experienced massive organizational change at an unprecedented pace. Traditionally, we could spend weeks planning how to best make a change in our workplaces, but COVID-19 was anything but traditional. Our emergency departmen…

Are we underestimating the danger of prions and prion based diseases?

Assessment without definition: a flat tire on the road of progress Even though we have known about prions for decades, very little progress has been made in defining what a prion is vs. what a prion is not, how they get into the brain, and how prion di…

Marijuana legalization: an unpopular view

In the mid-1990s, a few pharmaceutical companies made broad claims regarding the safety and efficacy of opioid medications for pain management. These claims were based on limited research that did not fully account for these drugs’ potentially ha…

Is my headache coming from my soul?

Serious soul searching can give anybody a headache, but when a young woman asked me that, I was taken aback in my neurosurgery clinic. Huh? I said. Do you know René Descartes? The pineal gland is the “seat of the soul.” Well, my pineal gland has a cyst…

Physicians are an underserved population about their own mental health care

COVID-19 has shed light on a pre-existing condition in medicine – our health care system has failed to tend to its workforce’s well-being. While generally privileged, physicians are an underserved population about their own mental health care. Nu…

Trauma is ever-present in the practice of medicine

Some forms of trauma are obvious: natural disasters like earthquakes, floods, fires, being physically assaulted, wrongfully terminated, becoming suddenly very ill. Trauma is divided into so-called big T and little t experiences, but the distinction is …

Extreme athleticism and the risk of atrial fibrillation

Consider the following sports icons:  tennis legend Billie Jean King, basketball veteran Larry Bird, triathlete Karsten Madsen, baseball pitcher Kenley Jansen, and cyclist champion Haimar Zubeldia. What do all of these well-known professional athlete h…