Conditions

Intravenous immunoglobulin for gastroparesis: What happened to me

Conditions
December 4, 2023

Six months after being diagnosed with gastroparesis, I underwent experimental intravenous immunoglobulin treatment. What is often considered a wonder drug, with the ability to treat hundreds of rare illnesses, resulted in the worst experience of my life. I suspect that I developed aseptic meningitis, feeling like I had brain-damaged myself.

What is intravenous immunoglobulin?

Immunoglobulin is found in plasma, which is a part of your blood. It contains antibodies that help you …

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Save time with these 4 charting tips

Conditions
December 2, 2023

If you ask nurse practitioners how they spend most of their time at work, their answer will be “charting!”

Not only do nurse practitioners (NPs) assess, diagnose, and treat patients, but they also have to document the findings. On top of that, nurse practitioners also have to analyze diagnostic data, review past medical documentation, and address the never-ending patient messages.

With so much to do in a day, it can feel impossible …

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Lessons from historical drug prohibitions

Conditions
December 1, 2023

New Zealand just rescinded its ban on tobacco smoking at the same time that Donald Trump just suggested the death penalty could cure the drug problem. What did New Zealand learn? And how has drug prohibition worked out in the past?

In 1511, the governor of Mecca, Khair Beg, had a serious problem. A powerful stimulant was coming into common use and was spreading throughout the city. This stimulant was clearly …

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World AIDS Day 2023: Remember and commit

Conditions
December 1, 2023

December 1, 2023, marks the 35th anniversary of World AIDS Day (WAD), first commemorated in 1988. The theme for this year’s celebration is “Remember and commit,” a truly impactful theme because through remembrance, we acknowledge those who have lost their lives and those who have inspired us to get to where we are. We acknowledge the journey we have been on, and through commitment, we commit to a healthier future …

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The role of emotions in therapist growth

Conditions
December 1, 2023

It was some time into practice before I understood how being a therapist contributes to one’s own growth. I found this assurance from my best mentors rather mysterious. Sure, I’m a better listener, but what did they really mean? From my vantage point now, it seems obvious, and it is more than being attuned. On the surface, it is about being able to hear stories of suffering and watch someone …

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Embracing the Huntington’s disease community

Conditions
November 30, 2023

I had chosen a seat towards the back of the conference room because I noticed the legendary Jimmy Pollard sitting there. I didn’t want to miss the chance to sit next to this Huntington’s disease (HD) advocate and all-around amazing person.

I was at the Help4HD conference in Detroit, Michigan. It was my first time attending an event like this on my own. In the years past, I wouldn’t have had …

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There’s no place for “benevolent deception” in obstetrics

Conditions
November 27, 2023

When I was 36 weeks pregnant with my second child, Anna, my obstetrician noted that my fetus had a disproportionately small head, or microcephaly—a condition now commonly known because of its association with the Zika virus. “We’ll just have to wait and see,” he said, meaning we’ll look for answers if the baby is affected at birth. But when my daughter was born, there were no answers then either.

Anna was …

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Genetic testing may help cure or condemn those who suffer from addiction

Conditions
November 26, 2023

In a recently published study, it was found that a set of 4 genes (JUN, CEBPB, PRKCB, ENO2, or CEBPG) was shown to predict the diagnosis of heroin addiction with an accuracy rate of around 85 percent. This is an amazing development and could open the door to knowing who is at high risk of opiate addiction before the prescription is written. If similar markers can be found for …

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Navigating your first MRI: tips and insights

Conditions
November 26, 2023

MRI, or magnetic resonance imaging, is a commonly used form of imaging to help diagnose conditions that might not be visible in an X-ray. The MRI scanner is a large cylindrical tube-shaped machine that creates a strong magnetic force and radio waves to capture images of the interior areas of the human body. Out of the numerous magnets in an MRI scanner, there is one main magnet, and the magnetic …

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Navigating the evidence-practice gap in concussion care

Conditions
November 24, 2023

Despite a growing body of research and clinical guidelines, a significant evidence-practice gap persists in the management of concussions. This gap represents a challenge that health care professionals and researchers are working diligently to bridge. Here are the basics of how the gap plays out in concussion care and how telemedicine is providing a promising solution to the problem.

What is the evidence-practice gap?

The evidence-practice gap refers to the disparity between …

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Pain medicine realities: beyond the opioid crisis

Conditions
November 23, 2023

In 1990, Ronald Melzack published a paper in Scientific American titled “The Tragedy of Needless Pain.” Many would regard Melzack as the “father” of pain science and the treatment of pain. In that paper, he described the science behind several observations that many clinicians and public health policy decision-makers would find startling in today’s hostile and fraught regulatory environment surrounding the U.S. opioid crisis.

… the fact is …

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The brain science behind acupuncture

Conditions
November 22, 2023

There are those who believe acupuncture to be a bunch of mumbo jumbo. I’m convinced it works, though. Acupuncture was first performed thousands of years ago, and it’s still being done today. That alone should tell you there’s something to it. Early practitioners believed they were balancing life force and rhythm. Modern science has proven that acupuncture may alter brain circuitry, change brain cell anatomy, and improve brain blood flow.

Way …

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A resident’s critical discovery: Advanced cancer unveiled

Conditions
November 22, 2023

It was my first week in the radiation oncology department as a resident. The day had been busy, and most of the consultants and staff had already left the outpatient department (OPD). I was exhausted and famished, with thoughts of dinner dominating my mind.

Just as I was beginning to wind down, the physician assistant (PA) rushed in and informed my consultant that a patient from a local hospital required immediate …

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Improving health care access for autism and disabilities

Conditions
November 21, 2023

In September 2023, President Biden announced health care provider training, allocating over $8 million through 18 awards to train primary care medical students, physician assistant students, and medical residents in providing culturally and linguistically appropriate care for individuals with limited English proficiency, as well as those with physical or intellectual and developmental disabilities.

Individuals with severe and profound autism deserve special consideration when it comes to accommodating their health care needs, …

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The complexity of resilience and the role of medical improv

Conditions
November 21, 2023

High incidences of burnout, quiet quitting, suicide, workplace violence, excessive and relentless stress, and chronic staffing shortages reveal a huge need for resilience among health care workers. Resilience is a complex competency involving flexibility of thoughts, feelings, and behaviors in response to adversity. Adversity, especially when it comes to working in health care, involves individuals and the cultures they work in. We must keep the culture in mind because, as …

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The fine line between childhood illnesses and Munchausen syndrome by proxy

Conditions
November 18, 2023

“Fine lines” in medicine often refer to situations where decisions are not clear-cut and require careful judgment. Perhaps the most tenuous of lines is the one between “real” childhood illnesses and those caused by Munchausen syndrome by proxy.

Munchausen syndrome by proxy (MSBP), also known as factitious disorder imposed on another (FDIA), refers to a specific form of child abuse in which a caregiver, typically a parent or guardian, fabricates, exaggerates, …

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Adolescent exposure to alcohol may predispose to addiction

Conditions
November 18, 2023

Have you ever wondered why some people always seem to be in pain? Or why someone can receive a prescription for a minor procedure and immediately feel drawn to drug use?

Scientists may have recently figured out one of the reasons for these behaviors, and they may start early in life. The developing neuron is remarkably similar to a tree. The branches are the dendrites that receive electrochemical signals from the …

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CME Spotlights