Category: Conditions

Woman physicians: Make informed decisions early on planning a future family

As women in medicine, we are always focused on the next goal we need to achieve to advance our career. Though undergraduate education, medical school, residency, and fellowship, we are constantly striving to get the highest score, to maintain a high GP…

The simplest and most important question to ask in the exam room

It was the first time the young woman had come to the health center in a suburb just north of Chicago. When the 26 year old walked into the exam room back in 2008. There was no paper chart or electronic health record (EHR) accompanying her, no backgrou…

MKSAP: 53-year-old man with recurrent gout attacks

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old man is evaluated for a 5-year history of recurrent gout attacks involving the base of the great toes, mid feet, and ankles. Epi…

It’s time we approach heart failure like cancer

“I’m sorry, Mr. Smith. Your heart is very sick, and your body has irreversible damage. It’s too dangerous to attempt a transplant or implant a heart pump. There’s nothing more we can do.” I’ve encountered this scenario more often than I care to admit a…

Communities can help women cope with maternal depression

When a baby is born, people stop acting like themselves. Gruff grown-ups make goofy faces at infants. Nostalgic moms share their birthing experiences with pregnant strangers. Shy kids clamber onto strollers of babies they don’t know, just to coo at new…

Our terrifying chickenpox problem

A Kentucky judge rejected the claims made by a teenager who sued his local health department for temporarily barring students at his school who aren’t immune against chickenpox from attending classes and participating in extracurricular activitie…

Many diseases represent an arbitrary number

A wag once said: “There is no such thing as a healthy person, just one who has not had enough tests.” As we make every minor deviation from the average into a disease, that jest is becoming uncomfortably close to the way our current medical system beha…

MKSAP: 28-year-old woman with decreased exercise tolerance and ice cravings

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old woman is evaluated for decreased exercise tolerance and ice cravings for the past several weeks. Medical history is notable for…

Don’t blame Chasidim, or anyone, for not vaccinating. Understand their reasons.

“Let’s ask Ben Shapiro to come speak,” the nurse practitioner said. “He’s popular.” “Or we can mention the ten plagues, since Passover is coming up,” offered a pediatrician. They were talking about countering anti-vaccine propaganda among ultra-Orthodo…

Teenage suicide: trouble in a virtual paradise

It’s not just someone obsessed by Columbine.  Last year, a seemingly normal teen was found dead from suicide in a Corona del Mar park. Just a few weeks ago, a young man walked into a local South County fast food joint, then into the restroom, where he …