Category: Conditions

When an aging parent says no to much needed help

The first signs are often subtle — missed appointments, unpaid bills, or a once immaculate home that now has an unmowed lawn and dirty dishes on the counter. It’s easy for adult children of aging parents to miss these first signs that their parents nee…

When a wife won’t let her husband die

We were told to wear masks before entering this patient’s ICU room. Entering his room, you could smell his rotting flesh. He was 92 years old. His skin would slough off if you dared to bathe him. His decubitus ulcers were raging with infection. As long…

Confessions of a bed-sharing pediatrician mom

I remember lying in my bed after my second delivery in severe pain. With my first delivery, I had already endured a C-section. Four years later, I wanted to experience a “natural” delivery. I opted for a vaginal delivery after C-section (VBAC). The VBA…

The key to happiness is not a mystery

Happiness doesn’t always come easily. Some people seem naturally happy, like they inherited the right gene or were born into the right circumstances. Many other people struggle to find happiness. Perhaps even more people hope to become happier than the…

MKSAP: 52-year-old woman with osteoarthritis of the right hip

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip since sustaining injuries in a motor vehicle …

Eradicate burnout with these 2 simple strategies

You’re at the top of your game. And you are perhaps thinking that this is not how you envisioned life at this stage in your career. Many successful physicians are frustrated that they can’t find the time or energy to be present with their family and fr…

A cardiologist’s advice to women: How to keep your heart healthy and happy

One of the most important things to understand about heart health is that a woman’s needs change over time. Risk factors for heart disease like high blood pressure and high cholesterol can become more important as a woman ages.  Hypertension and high c…

More is not always better with fertility treatment

The fertility clinic waiting room is a space where many people will find themselves at some point in their lives. In spite of cheery music, shared success stories, infertility awareness weeks, and positive media campaigns, this can be a challenging and…

More is not always better with fertility treatment

The fertility clinic waiting room is a space where many people will find themselves at some point in their lives. In spite of cheery music, shared success stories, infertility awareness weeks, and positive media campaigns, this can be a challenging and…

My patient isn’t doing well. Is it my fault?

The front-desk clerk, Ruth, comes to me and says Rose Henderson wants a cab voucher signed — which guaranteed payment. Rose could not be made to understand, Ruth tells me, that we are not permitted to sign vouchers when the person, the client, comes to…