Category: Conditions

When should you be tested for vitamin B12?

Two recent patient experiences prompted this post. In the Wall Street Journal, Dana Hawkins-Simons described several years of being seen by specialist after specialist for her complaints of tiredness, dizziness, ringing in the ears, palpitations, short…

How families maintain hope of improvement, regardless of logic and science

I’ve always thought that I’ve understood illness and mortality very matter-of-factly. You live your life, you’ll most likely end up with some medical conditions along the way, and ultimately everyone’s life will come to an end because the body is not d…

PTSD changed how this physician cared for pregnant women

Appointments with my doctor make me nervous. That’s highly ironic, because I’m a doctor, a maternal-fetal medicine specialist who regularly deals with high-risk pregnancies. But ever since developing preeclampsia during my first pregnancy eight years a…

A love-hate relationship with nursing

If you went to go to a museum in New York City and saw a live heart encased in glass, still pumping and pulsating — it would be my heart, shredded into a thousand pieces all in disarray. But it still would be pulsating. This describes my life as a nurs…

The role of hatred in medicine

Most Saturdays, I join a therapy session down the hall from where I do my walk-in clinic. A patient of mine has a weekly session just before the Alcoholics Anonymous meeting at noon in our big conference room. Last weekend he told my behavioral health …

How a neurosurgeon recommends approaching concussions

When I served as president of the New Jersey Neurosurgical Society, I met a lot of people from around our great state.  One question that I heard from many parents and coaches was, “After a concussion, when is it safe to let a student-athlete return to…

How a neurosurgeon recommends approaching concussions

When I served as president of the New Jersey Neurosurgical Society, I met a lot of people from around our great state.  One question that I heard from many parents and coaches was, “After a concussion, when is it safe to let a student-athlete return to…

Shorten recovery with prehabilitation before surgery

Would you take an exam without studying? Would you run a marathon without training? If not, why would you show up for surgery without physical preparation for a life-changing event? Few patients capitalize on the opportunity to improve the odds of a su…

MKSAP: 48-year-old woman with elevated liver chemistry tests

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old woman is evaluated at a follow-up appointment for elevated liver chemistry tests over the preceding 6 months. She reports no sy…

When constipation pain was worse than cancer pain

Coming in to meet the students, house staff, and patients for the first day on service always excites me. This Monday was no exception. What awaited me? How many patients would I need to see? What lessons could I impart? When I arrived, we had 11 patie…