Tick-borne illnesses continue to rise across the U.S. and Europe, and clinicians are feeling the impact. More patients are showing up with early Lyme disease, more are asking about prophylaxis, and more travelers want advice about tick-borne encephalitis (TBE). At the same time, vaccine development is finally accelerating after years of stagnation. For busy clinicians, here is a concise update on what’s new and what to tell patients in 2025.
Lyme …
Causing quite a stir, Mark Zuckerberg (Meta’s CEO) recently proposed Artificial Intelligence (AI) companionship for those suffering from social isolation. All of this unfolds amid a climate of epidemic-levels of loneliness, as declared by the Surgeon General, and the storms it has unleashed upon the edifices of our personal and collective health. The irony, even horror, was not lost on many: The very tools and companies, in …
Being a family physician and geriatrician for more than 38 years, I’m trying to better understand why our elderly patients, and in general, elderly people, suffer from dehydration. For sure, there are many reasons. Some of those are simple, but some of the hidden ones we don’t think about. For example, just by getting older, we end up having less water in our bodies. Living in a humid area and …
I was on a call a few months back with a new physician assistant. She was still finding her footing, and she shared a moment that stuck with me. Almost in a whisper, she told me: “No one, not a single person, will ever know what it took, just to keep her alive.” This feeling lingered with her long after the adrenaline of the stressful code had faded.
That hit me …
Something unusual is happening in medicine. A once-rare diagnosis (gender dysphoria) has become common among American children and adolescents. An estimated three percent of youth now identify as transgender, and another two percent are questioning their gender identity. That surge should have prompted urgent, transparent scientific inquiry. Instead, the field of pediatric gender medicine has become one of the most ideologically-charged, and least open to critical debate, areas in modern …
Despite decades of progress in reducing the prevalence of cigarette smoking, tobacco use remains a leading cause of preventable death and disease, and a significant driver of health care costs in the United States. Smoking cessation therapy is consistently ranked among the most cost-effective clinical preventive services and is considered to be “the gold standard of health care cost-effectiveness.” Yet, delivery of evidence-based treatment …
“The Power of Vulnerability,” a TED Talk by Brené Brown, PhD, has been viewed more than 66 million times. Rather than interpreting vulnerability as a sign of weakness, she suggests that it is a measure of courage, which, in turn, is the “birthplace of innovation, creativity and change.” She asserts the courage to acknowledge imperfection, to be kind to ourselves and to others, actually strengthens us. Brown concedes that …
When I first began working with clinical AI tools, I felt the kind of excitement many young clinicians and researchers feel today. For the first time, it seemed possible to reduce cognitive overload, surface hidden patterns, and give clinicians more time to focus on what mattered most: patients. AI felt less like a threat and more like a long-awaited collaborator.
As a young clinician-scholar, I did what many of us do. …
Apurv Gupta, Michael Mantell, and I recently had a conversation exploring how compassion, culture, and systems come together to heal not only patients, but those who care for them. We discussed how loving organizations outperform others, how shared responsibility for well-being transforms outcomes, and why “when two hearts touch, that’s healing!” We learned about real hospitals already leading this movement, and how we can all open our thinking to see …
This past year, I’ve found myself in many different rooms (on podcasts, in boardrooms with legislators, and in conversations with program directors at medical schools and hospitals) talking about what humanity truly means in clinical and caregiving professions.
I hear back from my third- and fourth-year medical students about how this work shows up for them in clinics, auditions, and residency interviews. They describe moments when an intentional emphasis on humanity, …
Walk into most community pharmacies today and you’ll notice something off. The pharmacist who used to remember your name and medication history is gone. The one who caught that dangerous drug interaction last year? Also gone. In their place, a rotating cast of temporary faces, each one just trying to survive the shift.
This isn’t about a labor shortage. We have pharmacists. What we’re losing is something else entirely. Expertise, continuity, …
I have spent years working with older adults in community and home-based care. During that time, I learned that one of the most stubborn barriers to health is not a rare disease, a complex guideline, or even a lack of services.
Sometimes, the barrier is a piece of paper. A flyer that an 80-year-old cannot read because the font is too small, a brochure filled with medical jargon that confuses more …
Bladder cancer is one of the most common cancers worldwide, yet it often receives far less attention than other smoking-related cancers. According to the GLOBOCAN global cancer fact sheet, bladder cancer is among the top 10 most frequently diagnosed cancers globally, with more than half a million new cases diagnosed each year worldwide. It occurs significantly more often in men than in women, and the risk rises steadily with …
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Last month, a daughter called our care center in panic. Her mother, who lives with early dementia and mobility problems, needed support immediately. She had already contacted five agencies. All of them gave the same answer: “We have caregivers, but they are not allowed to work here.”
Not because the workers lacked skills. Not because the families were difficult. But because recent regulations now restrict long-term care workers to a single …
More than 40 percent of U.S. women live with obesity, yet about 3 percent of individuals eligible for treatment actually receive evidence-based medical care. The reasons for this gap are numerous: limited insurance coverage, lack of diagnosis, sociodemographic barriers, and deep-seated stigma. As a result, a condition that is both preventable and treatable continues to fuel a growing public health crisis for women.
Once viewed as only a lifestyle issue, we …
There are pauses in life
that stretch like thin threads
between two cliffs
fragile, invisible,
yet holding everything that matters.
In those long silences
when the air thickens
and the mind becomes
a loud companion,
I wonder
are these pauses gifts of grace,
spaces to gather courage,
a chance to map the next step forward?
Or are they doorways through which
fear seeps in
and takes its seat inside my chest?
The world rushes on, demanding answers
before the question
has even settled in my heart,
results before thinking,
certainties …
As innovations and changes develop in the police field, new areas and populations, including PwP, must be included. More than 1 million cases of Parkinson’s disease are predicted in the U.S. by 2030. PD is the fastest-growing neurological disorder in the world. According to the World Health Organization, “globally, disability due to PD is rapidly increasing,” which can precipitate more encounters between law enforcement and PwP worldwide. The current article …
What is the significance of World AIDS Day?
While pondering this question, many memories came flooding back. As a medical student in 1985, I was given the option to go into the room of a patient with pneumonia who was infected …
As a Menopause Society Certified Practitioner (MSCP), I strongly support the recent FDA decision to remove the boxed warnings from FDA-approved estrogen therapies. For decades, these warnings created unnecessary fear and confusion for women and clinicians alike. They were based on early interpretations of the Women’s Health Initiative (WHI) that we now understand were overstated, misapplied, and widely misinterpreted.
The new FDA stance aligns with The Menopause Society guidelines and what …
A cesarean section, or C-section, is one of the most common surgeries in the United States. In 2023, 32.3 percent of live births were cesarean deliveries, while 67.7 percent were vaginal deliveries, according to the National Center for Health Statistics.
Pain during cesarean delivery under neuraxial anesthesia (regional anesthesia including spinal and epidural anesthesia) is a recognized clinical challenge and one that has received growing national attention. Recent media …
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