Neurology
Understanding the memory loss of aging: How to tell normal forgetfulness from brain disorders
An excerpt from Why We Forget and How To Remember Better: The Science Behind Memory.
“I’m so worried about my memory,” says the 82-year-old accountant and mother of three. “All of my friends are having memory problems. Many of them have dementia, and some even have Alzheimer’s disease. I think I’m …
A Father’s Day golf game to remember
It started with an early morning drive to the golf course on the day before Father’s Day. It was a beautiful spring day in the Southwest, and the Man had it all to himself. However, the second half of the day would belong to others — his wife, his kids, his house, and his job. He was hoping for a quick 18 requiring no mental gymnastics beyond that of a …
A heartbreaking yet heartwarming story of a pediatric neurology resident’s struggle and empathy
The pager beeps early on the first day of my inpatient pediatric neurology service week. The pediatric intensive care unit (PICU) would like us to perform a brain death examination on a young boy before potential organ donation. An apparently healthy boy who had an unexpected clinical course that led to his current state.
As a pediatric neurology resident, I often have difficult conversations with our patients and families, but the …
Challenging conventional wisdom: How to reduce the risk of Alzheimer’s disease
Alzheimer’s disease is a devastating illness without effective treatment. Yet it may, in fact, be largely preventable. The first shocking fact to absorb is that the pathogenesis is largely extracranial, though assuredly not entirely so. That clearly defies the conventional pharmacologic wisdom, which has obsessed with amyloid-beta as the offending agent and has approached it by crafting and evaluating antibodies against it. The FDA has even bought into that theory …
A couple’s journey with a rare neurodegenerative disorder
It was in 2012 that I started to realize that my wife Jennifer’s memory lapses were a significant sign to be taken seriously. That insight set us on a four-year journey, during which we engaged four neurologists in our quest for an answer. At last, Dr. Brent Fogel at the David Geffen School of Medicine at UCLA diagnosed Jennifer with adult polyglucosan body disease (APBD), an ultra-rare, neurodegenerative disorder characterized …
Timely treatment decisions: the promise of surrogate markers
Driving around, searching for children’s Tylenol and a pharmacy that had the antibiotics my son needed, was not how I wanted to spend the holidays. I am not alone – shelves are bare, and antibiotics are in short supply as we head into the new year in the midst of a triple threat of COVID-19, flu, and RSV.
While this drug shortage is incredibly frustrating, at least there is …
In light of Chris Hemsworth’s APOE news: Don’t panic
Recent news on actor Chris Hemsworth and his genetic test has been widely covered in the media. The actor said he is taking a break from acting after learning he has a heightened risk of developing Alzheimer’s disease.
I learned this from my teenage son, who read in the news that the Thor star discovered this after undergoing tests as part of his Disney+ documentary series Limitless.
Hemsworth learned that he has …
Managing key risk factors may lower your dementia risk
Close to 6 million adults in the U.S. are currently living with Alzheimer’s disease or a related form of dementia, according to CDC data. And that number will grow as the U.S. population ages. The number of people with Alzheimer’s and related forms of dementia is projected to increase to approximately 14 million over the next 38 years.
Dementia impacts not only the people who develop this condition but also …
Dementia peels back the layers of our lives
When you begin to pay close attention, you notice how what used to be so easy becomes complicated. When you step back and watch things unfold in front of you, you realize that what once was enough is simply too much. Dementia peels back the layers of our lives, and you begin to understand that less becomes more in the world of dementia.
The signs were there for a long time. …
It’s not brain surgery: People with Parkinson’s need better care in the hospital
One year ago, I had brain surgery. The surgery was a success, and the hospital stay almost killed me.
I am one in a million; one of the 1 million people in the U.S. diagnosed with Parkinson’s disease (PD), a degenerative neurological disorder that currently has no cure. It is the fastest-growing neurological disorder in the world, with the prevalence Read more…
Take steps (literally) to prevent dementia
A recent study out of England found that walking just under 10,000 steps a day reduces a person’s risk of developing dementia by 50 percent. Pick up the pace to a “brisk” walk (over 40 steps per minute), and that risk goes down even further. Perhaps most strikingly, the authors found that even a low number of daily steps was associated with a reduced risk of dementia.
The walking study …
Who are the neurodiverse people in your life?
As physicians, we equate terms like “disorder” and “syndrome” with pathology. If a diagnosis is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM) IV, it’s considered a “problem.” In the case of neurodevelopmental diagnoses, I am becoming increasingly aware that this may not be the case. As a neurodiverse individual with many neurodiverse family members and friends, I believe there is nothing “wrong” with our brains. Different …
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How a medical-legal consultant helped refute a possible pre-existing medical condition argument
Doing medical-legal consulting is a great way to use your medical training in a non-clinical field that really helps people. One of the many things we can do is help attorneys refute the question of a pre-existing medical condition. Often opposing counsel will try to lay off accident injuries as not related to the accident or injury in question.
As you may know, medical-legal consulting is a new non-clinical field in …
The art of medicine is born in the unforeseen
It was 2:21 a.m., and the pager exploded in my ear like I had forgotten to turn the volume down before plugging in my headphones. The nurses told me your heart rate was getting faster, and your oxygen was dipping lower. When I made it to your room, you were laying in urine because you were too weak to stand. Your breathing was rapid and shallow, like you were caught …
Minimize medication. Treat pain. Relieve agitation.
An excerpt from Living in the Moment: A Guide to Overcoming Challenges and Finding Moments of Joy in Alzheimer’s Disease and Other Dementias.
When confronted with an injury or an illness in a loved one, it’s human nature to respond, “Do everything! Whatever it takes!” Pulling out all the …
These wounds will never heal
May is National Stroke Awareness Month, and I want to share my story of my dad’s journey after his strokes.
Doors open and shut during the early morning hours. I hear the drip dispensing the next dose and some muffled chatter outside the room. Several phones are ringing in all directions, and I listen to alarms going off next door. This means the heart rate is too high.
Snoring beside me, I …
The baby formula shortage puts your baby’s brain at risk
The baby formula shortage has morphed into a full-blown ongoing crisis. Many stores report that more than half of baby formula products are out of stock. Babies who are six months old or younger should only be fed breast milk or formula. Any substitute may be nutritionally incomplete and may cause babies to have permanent problems in brain development.
What are the essential brain ingredients in the leading baby formulas?
Docosahexaenoic acid …
What to do when your child suffers a concussion
This spring, kids will be returning to extra-curricular activities and organized sports in the community, much of which was canceled over the past two years due to the COVID-19 pandemic. As these activities resume, now is a good time to learn what to do in the event of a concussion.
Concussions are one of the most common sports injuries in children and youth. Canadian data show there are nearly …
Paracelsus and the birth of toxicology
An excerpt from Preserving Brain Health in a Toxic Age: New Insights from Neuroscience, Integrative Medicine, and Public Health.
When my wife and I visited Salzburg Austria a few years ago, we stayed in a small boutique hotel formerly part of the Saint Sebastian monastery. In its famous church courtyard cemetery are buried both Mozart’s wife and his father, …
Past Week
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Health care as a human right vs. commodity: Resolving the paradox
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My wife’s story: How DEA and CDC guidelines destroyed our golden years
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The gastroenterologist shortage: Why supply is falling behind demand
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Why voicemail in outpatient care is failing patients and staff
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Alex Pretti’s death: Why politics belongs in emergency medicine
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U.S. opioid policy history: How politics replaced science in pain care
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Past 6 Months
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How environmental justice and health disparities connect to climate change
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Will AI replace primary care physicians?
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A physician father on the Dobbs decision and reproductive rights
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What is the minority tax in medicine?
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Why the U.S. health care system is failing patients and physicians
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Alex Pretti: a physician’s open letter defending his legacy
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Recent Posts
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Why medical school DEI mission statements matter for future physicians
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A physician’s quiet reflection on January 1, 2026
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AI censorship threatens the lifeline of caregiver support [PODCAST]
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Demedicalize dying: Why end-of-life care needs a spiritual reset
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Physician due process: Surviving the court of public opinion
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Spaced repetition in medicine: Why current apps fail clinicians
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Past Week
-
Health care as a human right vs. commodity: Resolving the paradox
-
My wife’s story: How DEA and CDC guidelines destroyed our golden years
-
The gastroenterologist shortage: Why supply is falling behind demand
-
Why voicemail in outpatient care is failing patients and staff
-
Alex Pretti’s death: Why politics belongs in emergency medicine
-
U.S. opioid policy history: How politics replaced science in pain care
-
Past 6 Months
-
How environmental justice and health disparities connect to climate change
-
Will AI replace primary care physicians?
-
A physician father on the Dobbs decision and reproductive rights
-
What is the minority tax in medicine?
-
Why the U.S. health care system is failing patients and physicians
-
Alex Pretti: a physician’s open letter defending his legacy
-
Recent Posts
-
Why medical school DEI mission statements matter for future physicians
-
A physician’s quiet reflection on January 1, 2026
-
AI censorship threatens the lifeline of caregiver support [PODCAST]
-
Demedicalize dying: Why end-of-life care needs a spiritual reset
-
Physician due process: Surviving the court of public opinion
-
Spaced repetition in medicine: Why current apps fail clinicians
-
