Category: Conditions

The path forward for telepsychiatry: a call for permanent policy

The U.S. is facing a significant mental health crisis that has united us in our efforts to make positive changes across the health care ecosystem for those in need of care. As health care providers and experienced clinicians, we hope our joint dedicati…

Words of caution when considering the use of “terminal anorexia”: perspective from lived experience

After reading the article “Terminal anorexia nervosa: three cases and proposed clinical characteristics,” I was grateful to have not had access to the article a year earlier – when I would have personally met criteria. I was holding o…

Addressing the enormous scale of work-related burnout and mental injury in doctors

When a 24-year-old laborer’s apprentice used a chainsaw without training, they sustained a jagged laceration through their left quadriceps. When I saw them 12 months later in my general practice, their laceration was well healed. However, they re…

Time to retire quarantine: Why 5-day isolation guidelines are doing more harm than good

I’m making morning rounds on the pediatric unit today: First up, 4-year-old twins with a severe asthma flare; next an infant with bronchiolitis on supplemental oxygen; then a dehydrated 3-year-old listless in bed. These children are all hospitali…

Lifelong learning: a game-changer in diagnosing dizziness

The eyes can’t see what the mind doesn’t yet know – an axiom to remind us not just of the value of lifelong learning, but that the answers are often in the exam room with us. Though bright and committed clinical people we may be, we’r…

A difficult case managed well

As time passes, we have more new names for what we used to call quality assurance, but it appears to me to now be a public relations issue and have very little to do with quality. Years ago, I returned home about 10:00 p.m. on Sunday night. I had spent…

The harsh reality of dementia

Dementia is a general term for diseases affecting memory, thinking, or decision-making, impacting daily activities. Someone in the world develops dementia, on average, every 3 seconds. That’s 10 million new cases of dementia each year worldwide. …

Behind closed doors of traveling: the concerns often overlooked

One thing is for sure: in today’s modern world, and as we recover from the impact of a pandemic, we are busier than ever. Another certainty is just how many of us are constantly on the move, with over 900 million people traveling internationally …

Matthew Perry’s enduring impact: Advocating for substance use disorder awareness and treatment

The sitcom Friends was a cultural phenomenon that produced waves of nostalgia in those of us who came of age in the late 90s and early 2000s. The decade it was on spanned the era of transition from landlines to cell phones and the advent of the interne…

Unlocking the healing power: Bridging medicine and psychotherapy

I’ve been conceptualizing this for several years now – ideas about what I would like to do with perspectives from my long-time practice as a physician and those always developing as a psychotherapist. I love both; each brings a unique skill…