Category: Conditions

MKSAP: 65-year-old man interested in colorectal cancer screening

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 65-year-old man is evaluated during a visit to establish care. He is interested in colorectal cancer screening; however, he adamantly refus…

Physicians explain Sia’s chronic pain

Australian singer/songwriter Sia (born Sia Kate Isobelle Furler), 43, is known for wearing elaborate wigs and headpieces that hide her face. However, the “Chandelier” singer is not hiding the fact that she was recently diagnosed with the co…

Hospital immobility is an encapsulation of our system’s fundamental flaws

Is your patient having trouble breathing? I can ask respiratory to give him a nebulizer. I’m looking at his chest X-ray now — why don’t we bump up that Lasix, too? I wish the ER would have grabbed an ultrasound of that swollen leg. Does he …

Hospital immobility is an encapsulation of our system’s fundamental flaws

Is your patient having trouble breathing? I can ask respiratory to give him a nebulizer. I’m looking at his chest X-ray now — why don’t we bump up that Lasix, too? I wish the ER would have grabbed an ultrasound of that swollen leg. Does he …

Denial and rationalization will not save you from a heart attack

Smoking was cool. And he started smoking at the age of 15. Two packs a day — every day. When he was 32 years old, we had our first-born son. And he decided to quit cold turkey. But the damage was done. Somehow, someway, it would catch up with him in de…

The irrational exuberance of early cancer detection

Here’s some good news for a change about cancer: Cancer mortality — the rate of death from cancer — has fallen substantially over the last four decades. There is also, however, some not-so-good news: Cancer incidence — the rate of cancer diagnoses — ha…

Will Alzheimer’s disease researchers miss seeing the forest from the trees?

The National Institute of Aging (NIA) just announced $73 million over five years to fund two new research centers. “The Alzheimer Centers for the Discovery of New Medicines are designed to diversify and reinvigorate the Alzheimer’s disease …

We don’t just have cancer. We have a whole life to live.

When asking about a potentially overwhelming side-effect of an impending new medication, my nurse told me, “Don’t worry until you get there.” OK, I get it. I just didn’t die from breast cancer. I’ve had worse. But come on….

Football and concussions: Define the risks first

Awareness about concussions has never been greater among high school athletes and coaches, thanks to the spotlight shone on some former NFL players who’ve experienced problems later in life. But a downside to this heightened awareness is the fear it ha…

Football and concussions: Define the risks first

Awareness about concussions has never been greater among high school athletes and coaches, thanks to the spotlight shone on some former NFL players who’ve experienced problems later in life. But a downside to this heightened awareness is the fear it ha…