Category: Neurology

How the pandemic affects children and teens with headaches and migraines

Children and teens with headaches and migraines have been affected in a variety of ways by these pandemic times. Thinking back, there has been a difference between last spring and this fall and the effect on my patients, particularly in the school envi…

Uninsured and undocumented: a resident perspective

A middle-aged man lies on a gurney. Anxious. Work boots. Blue jeans.  Stained white shirt. Rough hands. “Hi! I’m your doctor. What brings you to the emergency room?” The patient looks at me, puzzled. He’s Spanish speaking. It’s the mi…

My mother has Alzheimer’s: a caregiver’s story [PODCAST]

What is caregiver burnout? How can you recognize the symptoms? What are tips for new caregivers? What can caregivers teach clinicians? R. Lynn Barnett is the author of What Patients Want: Anecdotes and Advice and My Mother has Alzheimer’s and My Dog Ha…

A welcome to new residents

Twenty-five years have passed since I finished my residency, and a lot has changed. Back then, we hand wrote all our notes, and the only time we looked at a computer screen was to obtain laboratory results. Now, residents spend more time in front of a …

A palliative care physician’s brain bleed [PODCAST]

“As a runner, my pulse rests around fifty, but the ICU team had worried when it dipped to thirty-five, and my blood pressure hovered around ninety over fifty. Understandably, bags of saline were hung, and steroids were added. My headache improved…

Reflecting on the challenges of patient advocacy

The third week of September is Mitochondrial Disease Awareness Week: a time to fundraise, light up buildings in green, and hold events that highlight mitochondrial disease research and awareness. My family has never heard of mitochondrial disease until…

The most common misconception about spine surgery

The most persistent problem I encounter is not nerve pain or slipped discs. It’s the tenacious misconception that someone can be “too old” for spine surgery when it’s truly needed. Many years ago, it was true that age played a significant factor in a p…

Stuttering: Understanding the neurobiology, psychology, and treatment options

Stuttering is a speech disorder characterized by the involuntary disruption of verbal fluency. It is relatively common, with an estimated 55 million people affected by the condition worldwide. For some, the condition can be relatively mild and is barel…

Let’s talk about dying

Every time I visit my great grandmother, Tata, Atul Gawande’s Being Mortal floods my thoughts. Tata is 101 and developed severe dementia within the past two years. In 2019, she fell and fractured her hip. In the hospital, she recovered poorly. The phys…

Debunking false arguments about COVID-19 racial disparities

Black Americans are dying at disproportionate rates from COVID-19. In Chicago, nearly 70% of deaths involve black individuals, who comprise only 30% of the population. At a closer look, these deaths were initially concentrated in just five neighborhood…