An excerpt from Rearranged: An Opera Singer’s Facial Cancer And Life Transposed.
In the usual post-op haze after reconstructive surgery, in a wide-open, multi-bed recovery room partitioned by wavy muslin walls, I heard one strangled sentence rise above the racket of skittering curtain hooks.
“Honey, I’m a monster!”
My gaze swiveled toward a …
One in five adults in the U.S. suffers from chronic pain. We see these patients every day—but do we really hear them when they confide in us about their pain?
As health care providers, no matter our discipline, we can do more to truly listen and consider the best referral pathway for pain sufferers. We should never assume they’re making it up, that it’s in their heads, or that nothing …
Recently, after a week of a viral illness that I most likely picked up from one of my patients as a pediatrician, I noticed that one side of my tongue felt as though I had dental anesthesia. During the day, this slowly progressed, but as night came, the progression rapidly intensified with my lips and eyelids on this same side now drooping. While I suspected Bell’s palsy, considering that I’m …
Firefighters and doctors stand beside you on your worst days. On our best days, we help you sidestep disaster. On our worst days, we make gruesome decisions, so you don’t have to.
Andrea’s family barely survived the pandemic. Her husband lost his job and her beloved grandmother lost her life. But after years of setbacks, today was move-in day.
The seaside bungalow was not as big as she’d hoped, but still perfect. …
How many rabbits have you seen with crooked teeth? How about bears or dogs? Why are humans the only mammals with crooked teeth?
An orofacial myofunctional disorder, or OMD, describes abnormal lip, jaw, or tongue positions during rest, swallowing, or speech. There are many distinct points at which a child or adult’s system may experience a breakdown, leading to subsequent events known as craniofacial sequences. Allowing these events to persist without …
Several years ago, I cared for a young man who crashed his motorcycle at highway speeds. He arrived, slightly dazed, with a few broken bones. Because he was wearing a full-face helmet, he had sustained only a concussion. The paramedics brought in his helmet as they often do, this one with the metal side buffed down to the inner plastic cushion from the grinding contact with the asphalt. Had he …
I am struck by how often crying is overlooked or trivialized by doctors despite its therapeutic value and need for recognition. Crying can play a significant role in healing and overall well-being. Research has shown that crying serves as an emotional release, provides pain relief, reduces stress, improves mood, and enhances communication. Encouraging a culture of acceptance and understanding around crying in medical settings can contribute to holistic and empathetic …
An excerpt from A Caregiver’s Love Story.
Whether you are the dying or the caregiver, living life to the fullest remains your goal, but somedays it’s just too darn hard. When you are so busy that it doesn’t seem you have time to take a breath, where does living …
Three nurses are at the nurses’ station. Two are talking about managing a patient’s pain, and a third, Donna, is reviewing a patient’s lab results and finding it difficult to concentrate.
Which is Donna’s best statement?
1) Shhh, stop talking!
2) I’m frustrated with your talking. It’s hard to concentrate, and I’d appreciate it if you would quiet down.
Answer: It depends on the relationships and Donna’s preferences. If Donna has a positive history …
In the world of medicine, the challenges faced by BIPOC physicians are multifaceted. Not only do they contend with the rigor and demands of the profession, but they also navigate unique societal pressures and systemic inequalities. Prioritizing mental health, fostering a strong sense of purpose, and nurturing empowerment become essential tools for maintaining well-being. In this blog post, we will explore the distinct challenges encountered by BIPOC physicians and provide …
She walked in with a cane, bent over like a question mark. She was in her seventies and as sweet as people in that age group tend to be. I think most of the cranky ones don’t make it that far. She was something of an emergency because her doctor had just passed away, and it was time to refill her medications. It would not be safe for her to …
When it comes to addiction treatment, doctors have a superpower. Even if you’re not board certified in addiction (most of us are not), you possess knowledge and skills uniquely suited to caring for patients with addiction. Many professions purport to treat patients with substance use disorder, but the physician’s toolkit makes us uniquely effective at treating people with addiction. I can teach you how to unlock this hidden power if …
An excerpt from The Menopause Menu.
Whether it’s heart disease or cognitive decline, arthritis or diabetes, getting older is linked to an increased incidence of many different chronic diseases. The menopausal journey adds an extra layer of health risks to some of them but is also an opportunity to fine-tune healthy …
Imagine this …
You’re shown a number of words one after another: “lettuce, tomato, green, head, vegetable, cabbage, carrot, food, leaf, salad, hamburger.” Then, you’re shown a different set of words: “thread, needle, shot, nurse, drugs, alcohol, wine, cheese, mouse, cat, dog, bone.” Notice any difference between the two chains of words – or even how you feel?
These two sets of words were part of a groundbreaking Massachusetts General Hospital and …
Most of the time, I enjoy my job as a pediatric nurse practitioner working with chronic headache and pain patients. I enjoy the relationships with the families, figuring out what can help manage the headaches and life issues best to allow optimal functioning. I enjoy performing certain procedures, like Botox for chronic migraines or injection procedures for my patients, which very often improve their headache profile. I can even find …
As a physician, there are moments during the day when you must deliver a disheartening diagnosis to your patient: pancreatic cancer, ALS, leukemia, and unfortunately, the list goes on. The patient must face the harsh realities that are now placed before him/her. Those realities, at times, leave him with a very small window of hope for improvement. Sometimes, solutions cannot be found with the use of a scalpel, chemotherapy, or …
In the realm of leadership development, an array of groundbreaking initiatives is surfacing, igniting profound transformations on multiple fronts. Resilience programs, in particular, are equipping leaders with the agility to navigate our fast-paced world and fostering the internal adaptability essential for constant change. Yet, despite these promising strides, a disconcerting surge in anxiety, stress, and burnout among executives has emerged.
Startling statistics underscore this disconcerting trend. In 2022, a staggering 31% …
Every day, thousands of people lie on a couch and have their arm stabbed with a large needle. Blood from the venipuncture snakes down into a container. In some individuals, this continues until the volume is about a pint – 500 mL; for this, they get a cookie and a glass of juice. In others, the collection is larger – around 2,500 mL; for this, they get between $50 to …
Since the mid-1970s, rates for liver cancer have been on the rise. A 2017 study found that liver cancer increased by 75 percent worldwide between 1990 and 2015, with the highest rate increases occurring in sub-Saharan Africa and Southeast Asia. Worldwide, hepatitis B—a virus that damages the liver and is spread through contact with infected blood and other body fluids—is the most common cause of liver cancer; however, in …
This past week, I was speaking with a patient; let’s call her Marcy, during her regular appointment. “You’re just not like other doctors,” she said. “How is that?” I asked.
This seems like a good place to discuss the reason Marcy comes to see me. Marcy has a history of opioid use disorder. She has been on medication-assisted therapy (MAT) for many years. For those unaware, opioid use can alter people’s …
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