Category: Conditions

Treating sleep apnea without CPAP

It was 4:00 a.m. when I made it to my parents’ home. My mother called me to say that my father was having a hard time breathing. I could hear him struggling in the background. I ran inside to see my mother cradling my father on the floor — not breathin…

A change in a patient changed us all

It was another simmering-hot Texas day, and the AC was faltering in the family-practice clinic where I worked as a family nurse practitioner. Most of our clients were poor and spoke only Spanish. My nurse, Eliza, approached, wide-eyed. “There&#82…

10 essential questions to ask when diagnosed with bladder cancer

Over 80,000 new cases of bladder cancer are diagnosed every year. Of the new cases, over 62,000 are men, and over 18,000 are women. Whites have higher incidence rates than blacks, although black patients have higher mortality rates, particularly black …

A story of missed opportunities and medical missteps

Part 2 of a series. My own self-appointed role as my father’s health care advocate during his prostate cancer battle was a natural consequence of my training as a medical researcher. After earning a PhD in medical science, I became the elected family h…

Here’s what caregiving taught me

Caregiving is often described as a sacrifice. One individual bears a burden to care for another. There’s a connotation of drainage, evocations of burned-out batteries and tired limbs. I was a premedical student. I was aggressive in pursuing an MD…

Sun exposure makes people both more and less likely to die of melanoma. How can that be?

Quick quiz question: two people are diagnosed with melanoma — Sarah Sunburn, an adamant sun-worshipper, and Paula Pale-All-The-Time, a fanatical sun-avoider. Who is more likely to die of the disease? The answer is pale-faced Paula. Surprised? Let…

Doctors and nurses are made to suffer

An excerpt from Please Don’t Die. While I was still writing this book, a local doctor killed himself.  This was a younger psychiatrist with a successful practice, leaving three children after shooting himself in the head.  What do you imagine his…

How near-death experiences profoundly change lives

An excerpt from The Science of Near-Death Experiences. Near-death experiences are an ancient and very common phenomenon that spans from ancient philosophy, religion, and healing to the most modern clinical practice of medicine. Modern advances in medic…

MKSAP: 25-year-old woman with ankylosing spondylitis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman is evaluated during a follow-up visit for an 18-month history of ankylosing spondylitis. She has minimal lower back pain …

Go quiet into the night

I know what you’re thinking: She’s cold-hearted, cruel, and unkind. But am I? Or are you? Grandma Lilly is 87-years-old and in the ICU. She’s on a ventilator with her wrists restrained to the side of the bed. Grandma can barely see because her eyes are…