Category: Conditions

Do evolving blood pressure guidelines apply to the geriatric population?

One of the advantages of practicing clinical medicine, and seeing patients daily for many years, is you develop your own long-term study regarding certain medical health issues. In the area of hypertension, I have been taught by the best since my inter…

Navigating the holidays when you’re a caregiver for a loved one living with dementia

The holidays bring friends and family together for celebrations and the chance to reconnect with people we may not see regularly during the rest of the year. But for people who are the caregivers for a parent, spouse, partner, or other family member wh…

The indignity of a cancer that takes away bowel functions

I first became John Dolan’s social worker following his colon surgery, surgery for removal of a very large cancerous tumor, the largest the experienced surgeon said he had ever seen.  John was told he had about three months to live. So much for predict…

Is it more dangerous for your baby to be born at home?

The debate over the safety of giving birth at home, both for the mother and for the infant, has continued for years. I’ve written about the issue myself. From time immemorial until about 75 years ago or so, most babies were born at home. Now it’s aroun…

MKSAP: 79-year-old man with progressive malaise and weakness

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness …

Most new cancer treatments haven’t been proven to help patients live longer or feel better

Most new cancer treatments haven’t been proven to help patients live longer or feel better. Instead, they delay the growth of tumors — which may be faster to measure but doesn’t necessarily indicate a tangible benefit for patients. But you wouldn’t gra…

Why abortion care is women’s health care

On January 22, 1973, Roe v. Wade established a woman’s fundamental right to abortion nationwide. Roe v. Wade should not be overruled because women having universal access to abortion services means women have the right to choose what is best for their …

When physicians deviate from evidence-based medicine

From time to time, patients ask my advice on colonic hydrotherapy, vigorous sessions of enemas that aim to cleanse the body of toxins that are reputed to cause a variety of ailments. The logic sounds plausible to interested patients. Over time, toxins …

The myth of resilience in preventing burnout      

With 44% of physicians self-reporting burnout in the 2019 Medscape National Physician Burnout, Depression & Suicide Report, most will agree the profession is in crisis. Of the 29 specialties included, all had at least 1 in 4 members reporting burno…

What to do when chronic illness is a source of embarrassment

Embarrassment is a feeling of awkward self-consciousness or shame. It manifests as a sense of discomfort or even foolishness around others. Feeling embarrassed is emotionally painful because it means you feel uncomfortable with yourself. The problem wi…