Category: Conditions

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…

Getting the COVID vaccine: a behind the scenes look

Don’t let images deceive you. You may think you see everything in my picture after getting the vaccine, but you don’t. Let me take you behind the scenes of my life this past year. As I can only imagine what being behind the scenes of your life has been…

COVID vaccines: side effects, myths, and madness

I received my COVID vaccine on December 21st before starting an ER shift; sitting in the cold, plastic chair in a hallway-turned-vaccine-clinic, I tipped my head back to blink tears into submission as I reflected on making it this far in the pandemic w…

How the vaccinated may become the next super-spreaders

With COVID-19 vaccines being administered to our front-line health care workers and residents of long-term care facilities, we are beginning to see the light at the end of the tunnel of this pandemic. Yet, given the time-limited nature of the vaccine&#…