Category: Conditions

Providing clean water to remote villages: the dialyzer filtration system

Those of us who live in developed nations generally take for granted that we have ready access to clean water. Yet, the World Health Organization estimates that over two billion people worldwide must drink unsafe water. This problem is often greatest i…

The ICU nurse shortage: How cost-cutting is endangering patient care

Recently, I read an article by an ICU nurse that discussed the disturbing trend of replacing seasoned nurses with inexperienced ones in the name of cost-cutting. This issue is not limited to the ICU but is rampant in every area of nursing. As a psychia…

Surviving and thriving: the new reality for chronically ill children

My daughter was born with cystic fibrosis (CF). CF has been a catastrophic disease, historically fatal in childhood. CF is not pretty; it affects nearly every organ system, slowly and systematically damaging them. People with CF have thick, sticky muco…

The unexpected gift of friendship in trying times

I spotted her on the opposite sidewalk, standing right next to the idling police cruiser. Petite. Brunette. Late 80s and leaning over her red walker as she stared, transfixed, as the EMTs eased her husband into the back of the ambulance. A few minutes …

Ensuring your voice is heard: the importance of power of attorney, advance care directives, and POLST forms

My husband was clearly losing his independence after a terminal diagnosis and many hospital visits. I was getting more and more responsibility, which I didn’t mind, but the best way we could handle it was just to let it happen. There was no way t…

Ensuring your voice is heard: the importance of power of attorney, advance care directives, and POLST forms

My husband was clearly losing his independence after a terminal diagnosis and many hospital visits. I was getting more and more responsibility, which I didn’t mind, but the best way we could handle it was just to let it happen. There was no way t…

A doctor’s journey: Navigating chronic disease and empowerment through life coaching

On January 2020, I got the dreaded call:  You have Type 1 diabetes. The rest is a blur. I went into a global pandemic, one of the highest risk categories, a red lab value that stared at me “HgbA1c > 15.” As a family physician, I was sup…

Geriatric foot care 101: How shoes can help reduce the risk of falls

If you did not know all that I know about feet, you would think geriatricians (doctors for patients 65+ years old) have a foot fetish. We are obsessed with feet, but in a good way. You see, feet play a big role in balance and preventing falls. We reall…

Say “no” to APNO and say “yes” to breastfeeding medicine

It is common to get some nipple discomfort at the start of breastfeeding. Babies and moms are learning how to do this new skill, and sometimes they just don’t get it right, and nipple damage can occur. If caught and adjusted early, this can clear…

The rise of at-home STI testing: a solution to America’s growing problem or a risky gamble?

In 2021, I spent the year before starting medical school calling and counseling the patients of a busy urban emergency department on the results of their sexually transmitted infection (STI) tests. “What exactly is gonorrhea?” some would as…