Category: Conditions

A neurologist explains why delaying school start time is important

Do teenagers know how to sleep? If you’re the parent of a teen, you might be laughing to yourself. That’s all they know how to do. In truth, teens (and their parents) might not know enough about how to sleep, when to sleep, and why. California recently…

The unintended consequences of keeping hospital patients in bed

Dorothy Twigg was living on her own, cooking and walking without help until a dizzy spell landed her in the emergency room. She spent three days confined to a hospital bed, allowed to get up only to use a bedside commode. Twigg, who was in her 80s, was…

How “Joker” gets mental illness wrong

Spoiler alert: Plot points of the movie “Joker” are revealed in the following piece. “Joker” opened to a mix of rave reviews and criticism on October 2, 2019, amid fears of mass-shootings at theaters in the U.S. This left law en…

Why the flu shot cannot give you the flu (and why you should get one now)

Flu vaccination prevents millions of flu-related illnesses and deaths annually, but vaccination rates are low for many reasons. During the 2018-2019 flu season, the Centers for Disease Control and Prevention reported that about 45% of U.S. adults recei…

MKSAP: 65-year-old man interested in colorectal cancer screening

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 65-year-old man is evaluated during a visit to establish care. He is interested in colorectal cancer screening; however, he adamantly refus…

Physicians explain Sia’s chronic pain

Australian singer/songwriter Sia (born Sia Kate Isobelle Furler), 43, is known for wearing elaborate wigs and headpieces that hide her face. However, the “Chandelier” singer is not hiding the fact that she was recently diagnosed with the co…

Hospital immobility is an encapsulation of our system’s fundamental flaws

Is your patient having trouble breathing? I can ask respiratory to give him a nebulizer. I’m looking at his chest X-ray now — why don’t we bump up that Lasix, too? I wish the ER would have grabbed an ultrasound of that swollen leg. Does he …

Hospital immobility is an encapsulation of our system’s fundamental flaws

Is your patient having trouble breathing? I can ask respiratory to give him a nebulizer. I’m looking at his chest X-ray now — why don’t we bump up that Lasix, too? I wish the ER would have grabbed an ultrasound of that swollen leg. Does he …

Denial and rationalization will not save you from a heart attack

Smoking was cool. And he started smoking at the age of 15. Two packs a day — every day. When he was 32 years old, we had our first-born son. And he decided to quit cold turkey. But the damage was done. Somehow, someway, it would catch up with him in de…

The irrational exuberance of early cancer detection

Here’s some good news for a change about cancer: Cancer mortality — the rate of death from cancer — has fallen substantially over the last four decades. There is also, however, some not-so-good news: Cancer incidence — the rate of cancer diagnoses — ha…