If you Google “misophonia” you might be shocked to find numerous articles discussing the tragic suicide of 52-year-old Russian-born scholar, Dr. Michelle Lamarche Marrese. Journalist Joyce Cohen was the first to report Marrese’s suicide in the New York Post piece “She could hear everything and it cost her her life.” Cohen explains that she and Marrese had been corresponding about Marrese’s struggles with misophonia for over 14 months, and that ...

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Coughing is one of the most common reasons parents bring their children to see me. And I can understand why. Coughing is noisy and uncomfortable and gets kids dirty looks in schools and subways. Even worse, coughing keeps kids and their parents awake. We’ve all been there, and no one likes to cough. But coughing is there, usually, for a reason. Almost all coughs are from upper respiratory infections (that’s fancy ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 24-year-old woman undergoes routine evaluation. She is pregnant at 12 weeks' gestation. Medical history is notable for homozygous sickle cell anemia (Hb SS). She has had multiple uncomplicated painful crises treated at home with hydration, nonopioid analgesia, and incentive spirometry. She requires hospital management for these episodes approximately twice per year. ...

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An excerpt from The Mindful Nurse: Using the Power of Mindfulness and Compassion to Help You Thrive In Your Work. Do you ever feel panic at the end of a long weekend or vacation, wondering where the time went? Do your days, weeks, and months blend into one another, each ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 26-year-old man is evaluated for a 3-month history of depressed mood, poor concentration, decreased energy, increased sleep, and weight gain. He reports missing many days at work and that his work performance has lagged. He has no suicidal ideation. He states that his current symptoms differ markedly from his usual state ...

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Anyone who knows me, knows I have long been skeptical of the safety of pubic hair removal. We evolved to have pubic hair, and we have no data to say that we have outgrown that need as we have wisdom teeth. The current thinking is that pubic hair plays a role in protecting the more delicate/sensitive tissues of the labia and the vaginal opening. Basically, pubic hair is a mechanical ...

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New Year’s resolutions have the potential to make our lives new and different and better than ever. But they also can do more harm than good. That’s because we put all our energy into setting the goal and don’t do the homework necessary to meet that goal. By the time February arrives, we’ve relapsed to our old habits and, what’s worse, we’ve given up hope of ever losing that weight ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle ...

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We chat about the day, as I use a sharp knife to cut into her. We joke about my kids, as the blood is spurting. We reminisce about our friendship, as I rip open her tissue. For most surgeons, their patients are asleep as they perform their surgery. In obstetrics, however, we want our patients awake, not only to witness their baby's arrival, but also because it is safer. When I ...

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Megan, like all parents, hates the whining and nagging: "It’s driving me crazy. My children whine and complain until they get what they want. I try not to give in, but sometimes it’s just impossible. What can I do?" (That’s an excerpt from a much longer message. You get the idea.) Let’s look at whining from a classic behavioral approach. Stay with me, here -- behavioral theory is a big part of ...

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