Category: Conditions

How a physician breaks bad news is just as important as the bad news itself

Medicine is an art. One can learn about symptoms, diagnostics, and treatment plans for various diseases, from textbooks and journal articles. It is harder to study empathy, compassion, and human connection from conventional academic resources. The art …

Pressure to breastfeed: from inside or out?

I had very difficult experiences breastfeeding both of my children.  I had constant pain, recurrent plugged ducts, and a lot of latch problems.  There were many times when I considered quitting, but I persevered because it meant a lot to me, and I woul…

A story of esophageal variceal rupture

An excerpt from 50 Years in the OR: True Stories of Life, Loss, and Laughter While Giving Anesthesia. Chronic long-term alcoholism causes many health problems, not the least of which is cirrhosis of the liver. In advanced cases of cirrhosis, the liver …

The ideal elective surgery during a pandemic

Back in April 2020, it was all hands on deck in caring for COVID-19 patients at our medical center in Brooklyn, NY, where the number of severe COVID-19 cases was even higher than in neighboring Manhattan. The 710-bed teaching hospital had been entirely…

Vaccination and trust in science and patience is the only way out of this pandemic

A COVID-free future is within our reach – a future where it’s safe to hug again and where our smiles no longer need to be hidden behind a mask. To get there, we will need a robust vaccination drive. We will need Canadians to roll up their sleeves…

Stop chasing the eternal search for happiness

I have been searching for something all of my life. Some would call it happiness; others call it success. No matter what I achieve, the goalposts seem to keep moving. Perhaps this sounds familiar. Maybe you realize that it is all an endless chase. Mayb…

Reflecting on the tragedy of physician suicide

Recent events in our mid-west region prompted us to bring the topic of physician suicide forward with our residents and fellows. They received this information in a weekly mindfulness email they receive as part of our internal coaching program: Losing …

Changes to radiation oncology offer hope when there was none

Radiation oncology has been around for a century, and, at first, advancements in the field came rapidly. The evolution of X-rays and CT scans to inform treatment. Intraoperative radiation therapy. Technology that allows for tailored dose distribution. …

Caregiving for COVID at home: a physician story

The day after Christmas, my husband Paul developed a fever, chills, and cough.  On Sunday, he tested positive. He probably got sick helping a family member, but we’ll never be certain how the virus invaded our home, rendering us hostage for weeks. Sinc…

COVID-19 vaccines are safe for people with severe allergies

The intensive care unit nurse was worried the COVID-19 vaccine would kill her. In the past, just minutes after getting the influenza vaccine, she had hives, wheezing, and throat swelling. Her life-threatening reaction only resolved after an epinephrine…