Category: Oncology/Hematology

Where is the line between faith and medicine?

The long debate about rationality and conformity in both medicine and religion has been intense on many levels. Some people claim science requires certainty, validity, and reliability; others believe faith and optimism are essential for scientific adva…

COVID fallout: A cancer pandemic predicted in the coming years

Due to the COVID-19 pandemic, the number of cancer screenings performed in the U.S. has plummeted. After decades of progress in detecting, treating, and preventing many types of cancers, this nation could face a “cancer pandemic” in the next ten years …

A doctor’s moment of painful tenderness

I walked into Room 30 to find two eager sets of eyes awaiting me. One set belonged to a young man, late-20s, muscular and imposing, sitting in a chair in the corner of the room. His eyes were hazel brown, big and inviting, relieved at seeing my entry i…

The final insult after my husband died alone

This new virus is changing everyday life-hospitals are doing their best to protect their staff and patients.  One thing I’ve learned is that they need to do a better job of communicating with families. My husband was 70 years old when he died of …

A discussion about unprofessional behavior: a play in 1 act

Setting: An impersonal, windowless conference room within a hospital Characters: A nurse in charge (NIC), a department chair (DC) and me (ME) *** NIC: Thank you for joining us to discuss the report you made of unprofessional behavior in the operating r…

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…