Category: Conditions

What role does the science of complexity play in medicine?

The science of complexity lays a conceptual foundation for understanding “complex adaptive systems.” What all complex adaptive systems have in common is that they are all bound by the same set of physical laws. Their “behavior,”…

A nurse comes face to face with her son’s serious illness

Prior to my 10-year-old son being diagnosed with leukemia, I worked as a diabetes nurse educator at a local hospital. I had been an RN for over 15 years and was able to balance home life with work; I loved educating patients on how to deal with their d…

Simple suggestions can make such a positive impact

Recently I visited a lady at her home who was a palliative care patient. She was seated on the couch in the living room with a turban on her head and a look of anxiety and depression. Her husband was quiet during the entire visit. He was seated in a ch…

MKSAP: 49-year-old-man with right arm weakness

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 49-year-old-man is evaluated 1 day after having an episode of right arm weakness without pain that lasted 5 minutes. He is now asymptomatic…

Who should advocate for older patients in the hospital?

It’s often said that pediatricians and veterinarians have the hardest jobs in medicine because their patients can’t tell them where it hurts. But the same is often true for the health care professionals treating older patients who can&#8217…

10 questions men must ask about their urinary symptoms

Lower urinary tract symptoms in men are amongst the most common reasons for a urological visit. In this post, I explore ten questions that every man must ask when seeking urological help for these symptoms. 1. Are my symptoms related to my prostate? Th…

When patient and surgeon meet in Cancun for surgery

Donna Ferguson awoke in the resort city of Cancun before sunrise on a sweltering Saturday in July. She wasn’t headed to the beach. Instead, she walked down a short hallway from her Sheraton hotel and into Galenia Hospital. A little later that morning, …

Can the cardiac risk of red meat be measured? And is it useful?

Prevention of heart disease has centered on smoking cessation, controlling blood pressure, achieving an appropriate weight, regular exercise, control of blood sugar, and control of your cholesterol.  Despite addressing and controlling these items, indi…

Breastfeeding is best, but why do some countries struggle?

Breastfeeding provides ideal food for the healthy growth and development of infants; it is also an integral part of the reproductive process with important implications for the health of mothers. Breastfeeding has numerous health benefits for both the …

MKSAP: 25-year-old woman with chest pain after a motor vehicle accident

A 25-year-old woman is evaluated in the emergency department for chest pain after a belted motor vehicle accident. She is pregnant at approximately 23 weeks’ gestation. She reports no additional symptoms and is otherwise well. Her only medication…