All of us nurses and physicians in the ED and ICU knew him well. He was a young, 21-year-old. A smart, articulate guy who kept going from one hospital to the next. He had a system down … almost. This young man was a drug seeker. He knew all about…
Category: Conditions
MKSAP: 64-year-old woman with severe COPD
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three ti…
What to consider before undergoing stem cell treatment or banking stem cells
It can be difficult to tease out the evidence-based science amidst the claims of successful adult stem cell-based treatments for a range of health problems from joint pain to Parkinson’s disease, macular degeneration, and spinal cord injury. Even a num…
The costly decision of delaying surgery
It was a common enough reason for someone to have a CT scan. The order read, “Abdominal pain, colon cancer resected in January.” It was now March, only two months post-surgery. Yet the patient’s CT scan showed a number of large masses in the liver, con…
What does evidence-based psychotherapy really mean?
When a mental health clinic, online referral service, or private practice offers “evidence-based” psychotherapy, that certainly sounds like a selling point. It suggests solid science supports the therapy offered — and that competing services lac…
No, phones don’t cause horns to grow on skulls
The Washington Post ran this headline: “’Horns’ are growing on young people’s skulls. Phone use is to blame, research suggests.” The headline is entirely correct except for a few minor points: They’re not horns, which point up from the forehead. They’r…
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…
