Mr. G* was diagnosed with advanced prostate cancer two years ago and has been on a succession of medications to control a progressive cancer. His PSA never nadired after surgery, and adjuvant radiation only increased his urinary problems. Androgen depr…
I’d known Ellis for years — he once hired me for a social work job. Yet when I think of Ellis Ledger, I remember him best the night I encountered him outside of his apartment building. I was out late walking my dog. Ellis stopped to talk. He clea…
When my peanut-allergic son was five, he suddenly blurted out, “Mom, don’t worry about me, if I eat a peanut by mistake and it kills me, I can just hit the redo button and get another life, like in the video game.” I became really sca…
A person rolls into an outpatient clinic. A pleasant bleach smell emanates from freshly scrubbed chairs. Happy chatter about people’s lives, and this week’s health issues are dimmed by the local radio station playing in the background. The …
The sun sets a cascade of pink and yellow in the window of an ICU room. The slow hum of ventilation dampens the buzzes and beeps from machines. I stand in a room inundated by equipment. A machine to monitor vital signs with purple, green, blue, and red…
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 59-year-old man is evaluated during a routine examination. He feels well and has no symptoms. Medical history is significant for hypertensi…
Having recently testified in several legal cases involving strangulation, here are some facts we all need to know about this extreme form of domestic violence (DV). I invite other subject matter experts to share their personal opinions on what is impor…
Mary Beth is a female in her early 30s, quite obese and mildly mentally repaired, as well as suffering from schizophrenia. She lives in a housing authority apartment, which is not a great place. But being highly subsidized, it is cheap! Her apartment i…
One of the most important purposes of a physician is to alleviate pain and suffering. Pain is the most common symptom prompting an emergency department (ED) visit. Emergency physicians are responsible for managing both acute pain and acute exacerbation…
Imagine if every “device” (smartphone, tablet, laptop, etc.) had the following warning label: This device is not intended for any individuals under the age of 16. Purchasers of this device frequently cite their child’s “safety” as a r…
