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…
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…
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 …
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…
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…
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…
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…
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…
In my very first job as a doctor — working in a London hospital in the 1980s. I always took a ridiculously detailed past medical history for every patient I saw. I started to notice how many elderly women had had septicemia, a life-threatening infectio…
Recently we had a patient admitted for a diagnosis that did not really fit his problem representation. The diagnosis was a convenient one, and easily treated. He initially responded to treatment, and we discharged him. The diagnosis assumption nagged a…
