Category: Conditions

It’s time to update the stethoscope

Perhaps the most important aspect of a physician’s role is our diagnostic capabilities. Truly, if we cannot identify and diagnose a patient’s pathology with reasonable accuracy, we cannot effectively treat them and may even cause greater harm. Let’s lo…

Do you know why you’re having surgery?

During my third year of medical school, I completed a clinical rotation in surgery. I was certain that it would be horrible. I envisioned myself in the OR, getting lightheaded, passing out onto the sterile field and being yelled at by my attending phys…

The measles outbreak, media imagery, and the thoughtful focus of fear

A rapidly escalating measles outbreak near Portland, OR has led local health officials to declare a public health emergency, with 44 confirmed cases, almost all in unimmunized children, almost all of them in unimmunized children. Meanwhile, New York an…

Is it orthopaedic surgery or orthopedic surgery?

In 1741, a French physician named Nicolas Andre coined a new word, Orthopédie, and published a book on the topic. Andry described how physicians and families could correct or prevent skeletal abnormalities in children. At that time, the treatment metho…

MKSAP: 66-year-old man with ST-elevation myocardial infarction

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 66-year-old man is evaluated in the hospital following ST-elevation myocardial infarction treated with primary percutaneous coronary interv…

The growing role of end-of-life activists

Brittany Maynard was diagnosed with grade 2 astrocytoma, a form of brain cancer on January 1, 2014, her cancer also returned in April 2014, where her diagnosis was elevated to grade 4 astrocytoma, also known as glioblastoma, with a prognosis of just si…

Are penicillin allergies fake news?

Penicillin allergies are fake news. More than 95 percent of people with penicillin allergies are not allergic.  A recent article highlighted the opportunity anethesiologists have in helping evaluate beta-lactam allergies, in particular to cephalosporin…

“The Wait” after a mammogram changes lives

There is something both intimate and mysterious about the waiting area for mammograms. You sit in a relatively small space; chairs close together with a gown tied to cover your nakedness, your normally restrained lady parts flopping free against the sc…

For most, the flu is a misery, not an emergency

If you think that you might have the flu, don’t head to the emergency room at the first sign of fever. Emergency departments were created to handle emergencies – heart attacks, strokes, severe trauma, and other life-threatening emergencies. No matter h…

A story of treatment failure and end-of-life decisions

Part 4 of a series. By the time my father’s metastatic prostate cancer was diagnosed, he was already experiencing symptoms of poor appetite and weight loss, which grew progressively worse following his first hospital admission. As his nutritional statu…