In January 2025, the International Council for Harmonisation (ICH) formally adopted the updated E6(R3) Good Clinical Practice (GCP) guidelines. Annex 1 and the revised 12 principles are already in effect. Annex 2 arrives in July. This is not just regul…
A recent conversation with my sister inspired me to write this post. She is a physical therapist who often rants about how patients with chronic pain or chronic illness don’t work and are just on disability. I know she’s far from the only h…
Life keeps buffeting the patient diagnosed with several chronic conditions, like continuous incoming and outgoing mammoth ocean waves flooding over one’s body, raising you high up into the air and then sucking you downward, a struggle to keep you…
The word mundane is defined as an occurrence that is very ordinary and, therefore, not interesting. However, what may be mundane for one may be monumental for another, especially if one’s health is in question. An ultrasound provides needed infor…
“To serve the art of medicine as it should be served, one must love his fellow man.” – William Osler There is sadness in my heart and my mind. With so many advances in the treatment of illnesses of the mind and body, why have we let o…
We traverse parallel paths, you and I. Paths that intersect during times of stress, loss, and illness. Each of us searching for truth, understanding, and resolution. Our stories need to be heard, but in these trying times, we are but mere specks in the…
As Americans, we live in one of the most affluent countries in the world. Outwardly, many of our citizens seem to possess the necessities of life: shelter, food, job employment, and world-class health care. But what happens when we take a closer look? …
In Australia recently, a woman successfully sued a hospital for $2.4 million for a series of misdiagnoses that left her quadriplegic. A London woman was recently misdiagnosed four times before doctors discovered she had cervical cancer. A Canadian woma…
“Whether led by the patient or by a primary care physician or nurse practitioner, a proper leadership-based problem-solving methodology is a critical tool. The approach itself is not nearly as important as the discipline to use a formal approach….
“Oh no, it’s a doctor hopper. You know who I’m talking about: the patients with twenty previous doctors documented in their chart. The ones who took years to be diagnosed. The ones who still have not been diagnosed, but insist something is wrong….
