Category: Conditions

The challenge of solving back pain

An excerpt from Ending Back Pain: 5 Powerful Steps to Diagnose, Understand, and Treat Your Ailing Back. Copyright © by Jack Stern, MD, PhD. Published by Avery. All rights reserved. Most feelings of discomfort in life have clear solutions. For a stuffy …

Are teenagers more vulnerable to the effects of opioids?

The younger you are when you are exposed to opioids, the higher the likelihood of addiction later in life. The prefrontal cortex is not fully formed until the age of 25. This means that alterations in the “feel-good” neurotransmitters, specifically dop…

MKSAP: 67-year-old man with a carotid bruit

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologi…

A call to increase the availability of the Butrans patch

Janelle had overdosed 32 times. Fentanyl coursed through her veins as she was given naloxone (Narcan) for the 32nd time in the ER, from the police, from a bystander. She could never get off of fentanyl. It had made her feel warm and numbed her from the…

A diagnosis that creates an instant bond with others

An excerpt from With Mirth and Laughter: Finding Joy in Medicine After Cancer. I am sitting in the waiting area for the one year follow up appointment with my oncologist, Dr. Anne Blaes. Using the handy phone app, “How Long Ago,” I see it’s been eleven…

Physician-assisted suicide is a collaborative process

Who remembers Jack Kevorkian, Doctor Death? He was found guilty in 1998 of second-degree murder. Still, it was because of his advocacy that the terminally ill patient’s right to die by physician-assisted suicide was propelled into the public aren…

MKSAP: 38-year-old woman with primary membranous glomerulopathy

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated during a follow-up visit for primary membranous glomerulopathy. Diagnosis was made by kidney biopsy 4 months…

I’ve prescribed opioids to patients. And I’m not a villain.

You’ve probably heard this one in one format or another: kid gets wisdom teeth yanked, dentist prescribes a handful of Vicodin, next thing you know, he’s on the street busking for change to pan the man for the big H. Meanwhile, the dentist is on cruise…

I’ve prescribed opioids to patients. And I’m not a villain.

You’ve probably heard this one in one format or another: kid gets wisdom teeth yanked, dentist prescribes a handful of Vicodin, next thing you know, he’s on the street busking for change to pan the man for the big H. Meanwhile, the dentist is on cruise…

A possibly fishy complication of an Alaskan cruise

A 69-year-old man with a medical history of hypertension, diabetes, and obesity with a body mass index of 33 was admitted with altered mental status. He and his wife were returning from a 14-day Alaskan cruise. On their return, the wife started noticin…