America in 2018: 307 mass shootings in 311 days. Recently, a veteran with presumed PTSD shot up Borderline Bar & Grill. His Facebook declaration: I hope people call me insane… (laughing emojis).. wouldn’t that just be a big ball of irony? Yeah.. I’…
Category: Conditions
How youth sports might be a risk factor for heart disease
“If only there was just one more creative way to increase my child’s sugar intake,” said no parent ever. As a pediatric cardiologist, I spend much of my day counseling parents of children with obesity, hypertension, and hyperlipidemia. I tell them to i…
Doctor’s orders: Follow these 6 tips to avoid holiday stress
For many of us, “the most wonderful time of the year” is anything but. If we let the holiday season get the better of us, we can find ourselves overeating, overspending, and over-extending from now through New Year’s Eve. Holiday stress has real health…
Nocturia: the underdiagnosed condition patients find extremely distressing
As a family physician, I treat patients of all ages – children to those nearing 100 years old. One issue that plagues young and old alike is lack of sleep. In fact, according to the Centers for Disease Control and Prevention’s (CDC) 2016 Morbidity and …
Too much of a good thing when it comes to medicine for older adults
Prevailing wisdom states that more is better — and it is no different when it comes to our expectation of medical treatments. With the help of the internet, patients and their families have come to expect intensive tests, treatments and therapies at ev…
The simplest treatment is sometimes the best
“I am really uncomfortable and in pain,” said Elaine tearfully as I met her in the preoperative area for the first time. She had a very sad and difficult history, dealing with complications from childbirth nearly two years ago. She had developed a comm…
What you need to know about acute flaccid myelitis
You’ve probably seen it on the news – a rare, polio-like illness is causing cases of paralysis in children. Here’s the latest info, based on our best current knowledge from the CDC. Acute flaccid myelitis (AFM) is a sudden illness that causes weakness …
What you need to know about acute flaccid myelitis
You’ve probably seen it on the news – a rare, polio-like illness is causing cases of paralysis in children. Here’s the latest info, based on our best current knowledge from the CDC. Acute flaccid myelitis (AFM) is a sudden illness that causes weakness …
MKSAP: 53-year-old woman with hypertension and chronic active hepatitis B infection
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatit…
Before undergoing a test, ask whether it will make a difference in your care
Recently, a physician asked my opinion if a patient needed a colonoscopy. My partner was already on the case and I was covering over the weekend. The facts suggested that a colonoscopy was warranted. The patient had a low blood count and had received b…
