Category: Oncology/Hematology

Discussing end of the life care with a pilot

An excerpt from Between Life and Death. Harry’s request to exclude Susan, from this conversation about cancer diagnosis and options of treatment was quite unusual, especially given how close I knew the couple to be. However, since Susan’s gaze remained…

Driving culture change in the pursuit of oncology value

Five years ago, if you asked oncologists at my practice to name the list price of a given chemotherapy agent, most wouldn’t have known–unless they were executives, maybe. Pharmaceutical reps rarely talk about costs. The EMRs don’t give list price…

As an oncologist, this is the hardest role I play

As an oncologist, perhaps the hardest part I play is as witness. I am there to give a diagnosis that, more often than not, will alter someone’s life forever. For some, I see resignation—a sense that they’ve known something was wrong and that it’s what …

Don’t become that physician who sees medicine only as a job instead of a calling

“Will I ever get better, Andrew?” my mother asked. She laid in bed, too weak to sit up, unable to eat, her myelofibrosis in the final stages of its relentless course. Her question stunned me – did she not know she was dying? How could she not? Was she …

The medical basis of vampires and other medical myths [PODCAST]

“Where did the myth of vampires come from? Like many myths, it is based partly in fact. A blood disorder called porphyria, which has has been with us for millennia, became prevalent among the nobility and royalty of Eastern Europe. A genetic diso…

What happens when you are not the hero: a story of forgiveness

In early 2001, my sister was tired, paler than usual. We didn’t think much of it. Then, months passed, and crimson pinpoints appeared on her skin. My brother and I took turns grasping her arm and snickering as our handprints would appear as red dots ju…

Health care workers in the time of COVID: reluctant superheroes?

Invisible and unassuming, the radioactive spider slowly descends from the ceiling, and before he knows it, Peter Parker’s life has changed forever. With that one bite, he is transformed from a normal man into a reluctant superhero. Only, that inf…

We shouldn’t be our own doctors, but we can’t forget what we know

Like a lot of doctors my age, I was too busy to have checkups, working 60 hours a week plus night and weekend call. But that all changed in 2013 when at age 67, my dentist felt a submental lymph node. A CBC had 35,000 white cells, and I had chronic lym…

Will COVID-19 render the physical exam obsolete?

“You forgot your stethoscope!” The medical student dutifully pointed out as we were on our way to the patient room. “I don’t need it. But let me grab it anyway to pretend. But don’t tell anyone I said that!” I replied.  Her eyes widened with disbelief …

The truth about research: Lessons learned by an aspiring physician-researcher

Many people looking in on the world of research have perceptions of brilliant minds at work, rapidly putting forth groundbreaking ideas.  While they’re not entirely wrong, I discovered that this arena of fascinating new discoveries is not always so rap…