When patients started showing up in doctors’ offices and emergency departments with coughs, shortness of breath, chest pain, nausea, vomiting, abdominal pain, diarrhea, fever, chills and weight loss, physicians’ first instincts were that th…
Category: Conditions
What if you are one of the 2 percent?
I’m a member of the ACR (American College of Radiology). One of their recent online postings is entitled: Choosing Wisely. Number three (of ten things physicians and patients should question) is: “Avoid admission or preoperative chest X-rays for …
Don’t want to wear a helmet? Sign up as an organ donor.
I walk out my front door today to do my obligatory walk around the block with my pups. Two police cars with blue lights flashing, lead a caravan of over 100 motorcyclists to a funeral for one of their fallen brothers. They revved up their motors in the…
Over 2,000 prayers for the dead. This was my hardest.
The day began in Mom’s room with a 10:00 a.m. conference at Upper Valley Medical Center, west of Columbus, Ohio. In attendance were my 93-year-old mother Joanne (now in her third week of hospitalization), her palliative-care nurse Richard, her Ep…
Are our senior presidential candidates mentally fit?
Did you know, one in four people over 65 have abnormal memory impairment? This is the finding from screening with an objective test. In half of those who test abnormal, there were common conditions – such as depression and medication interaction…
“I did not want a baby”: A medical student faces her hardest choice
I did not want a baby. As a 26-year-old third-year medical student who had quite recently ended a far from ideal relationship — of this, I was certain. On vacation, in New York City, walking in Soho carelessly, I laughed with my friend Noelle ov…
MKSAP: 28-year-old woman follows-up after a pre-employment physical examination
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old woman undergoes follow-up consultation regarding a pre-employment physical examination. She reports feeling well, with no recen…
The devastating impact of being told one has cancer
As an oncologist, I have seen the devastating impact of being told one has cancer. The reaction I most often see among my patients is fear that they’ve been given a death sentence, an urgent need for a plan, and hope that they will survive. I often wan…
Cancer can be an adventure into the soul
Storytelling is as old as humanity. In telling our stories, we share, learn, and ideally pass along wisdom. As Isak Dinesen once wrote, “To be a person is to have a story to tell.” This story starts with PW’s cancer diagnosis in 2009….
Sexual recovery after cancer treatment
The couple that entered my office on a warm fall day seemed out of sorts. She looked nervous, and he looked irritated. Before he sat down I heard why he felt that way: “I don’t even know why we’re here.“ I explained briefly what my role is but this did…
