“He had an intuitive gift as a physician in diagnosing and managing breast cancer. His expertise helped countless patients, and he was deeply appreciated by those he cared for. He felt an enormous sense of gratitude to be able to help his patients and be an integral part of their care.”
I didn’t want to have cancer again, and who would? It was December 29, 2021, just over a year since …
One in six women in the U.S. suffers from chronic pelvic pain (CPP), yet many receive improper treatment for the condition, or no care at all. They’re frustrated – and rightfully so. Their health care providers are frustrated too because what their patients are experiencing has historically been very difficult to diagnose. It is estimated that about 30 percent of patients with CPP suffer from a condition that can be …
With the coming end of the public health emergency, our three-year pandemic will be officially (if not completely) over, and we will be left to contemplate what’s next. As much as we’d all appreciate a return to normal, we may be better off considering a new normal, a better one, in which we focus on “waking up” our brains. An awakened brain just may be the key to shaking off …
Adapted from The Right to Pain Relief and Other Deep Roots of the Opioid Epidemic. Published by Oxford University Press in January 2023.
The 0-to-10 pain intensity scale that has become a familiar feature of clinical care had its origin in experimental psychophysics studies that investigated the relationship between noxious stimulus …
Evidence-based medicine is a term that attendings like to pepper into their teaching rounds, and medical students like to conspicuously incorporate into their assessment and plan. There is so much clinical trial data out there that it is impossible to stay up to date on the most recent guidelines or the newest landmark trial that all of our time goes into scrutinizing the results. However, we rarely delve into the …
An excerpt from Living Medicine: Don Thomas, Marrow Transplantation, and the Cell Therapy Revolution.
Late in the summer of 1960, Dr. Clem Finch invited Dr. Don Thomas to Seattle to give a talk about his early experience with transplantation. Clem, who had been Thomas’s hematology fellowship instructor at the Brigham in …
Her back was mottled, and she could barely sit up. She was weak from her invasive cancer. I visited her on Easter Sunday. Perhaps it was God’s will that I didn’t have an elaborate Easter dinner with ham, rolls, pies, and house decor filled with decorative bunnies. Instead, I went to visit this dear friend I met by happenstance and her dear husband who always seemed to help me out. …
Three months ago, a case was discussed in the multidisciplinary tumor board. A 17-month-old child was admitted through the ER with a posterior fossa tumor (brain tumor) and multi-level spinal cord compression due to tumor deposits. The tumor was so extensive that only a biopsy could be performed rather than maximum safe resection. The biopsy report was discussed in the MDT (it was medulloblastoma), and after considering the neurological deficits …
Mr. Sanchez had been feeling unwell for days before he decided to visit the emergency room. When I walked into his room, I immediately noticed that he was scared and anxious. His sore throat had been persistent for five days and was now so severe that he couldn’t eat or drink anything. He had also developed a rash covering his entire body, which was only getting worse. The lymph nodes …
Eleven-year-old Abby sat nervously in the emergency department, her eyes darting around the room as she clutched Patches, her beloved stuffed sheep. Her guardian sat beside her, anxiety etched on her face as she explained the situation to me. Abby had been diagnosed with depression at the tender age of nine after suffering years of abuse and neglect at the hands of her biological parents.
A few months ago, a loving …
Nearly 290,000 American men will be diagnosed with prostate cancer in 2023. Thankfully, the vast majority will be diagnosed with clinically localized disease and can be cured with either surgery or radiotherapy. Emerging clinical trial data have cemented stereotactic body radiotherapy (SBRT), a form of radiation in which ≤5 daily doses are delivered with high precision in generally five or fewer treatments, as a curative option for most men with …
Millions of Americans are more worried than ever about obesity. And millions are willing to consider weight-loss methods they never had before, including metabolic and bariatric surgery and anti-obesity medications. The reason: a pandemic that put those with obesity in its crosshairs. These are among the findings from a recent survey from the American Society for Metabolic and Bariatric Surgery (ASMBS) and NORC, an independent research organization.
Fears …
An alarming trend has emerged in my medical practice in recent years: I’m seeing more and more young adults with colorectal cancer.
When I began practicing as a family physician 21 years ago, I never saw patients in their 40s and 50s with the disease, much less ones in their 30s. Now, I diagnose two to three people in those age groups every year.
On the heels of National Colorectal Cancer Awareness …
As I look at his obituary pictures, I can’t help but feel a sense of longing. I wish I could have known him – that other side of him that his family, friends, and colleagues are sharing in their photos. They’re all smiling and laughing, hugging each other, and radiating a genuine sense of happiness.
He was one of our main ICU physicians, a brilliant man who could meticulously turn a …
According to the Centers for Disease Control and Prevention, as of 2020, approximately 5.8 million people in the U.S. were living with Alzheimer’s disease, a progressive brain disorder affecting memory, thinking, and behavior. The prevalence of this disease is expected to continue to rise as the population ages. The number of people living with the disease is projected to grow threefold to 14 million by 2060. While there is …
When I was growing up, I remember my father saying the phrase, “Fool me once, shame on you, fool me twice, shame on me.” In today’s world, I find myself often recalling those words. Most of life these days should not be taken at face value.
It also appears that if you shout out falsehoods frequently enough, then it seems that members of extreme political groups will believe it as the gospel truth. …
I write this letter with a heavy heart. Our story began during my sophomore year in college, but after a decade with you, I can’t help but feel our dynamic has changed. Intrusive thoughts of leaving you have etched their way to the forefront of my mind. The harder I try to quiet them, the louder they declare themselves. They’ve grown from whispers to screams, and I can’t ignore them …
The COVID-19 pandemic has been an unprecedented event for worldwide health care. The call to action for organizations included setting up mass testing sites to serve their communities. I helped set up multiple locations across several counties using a mobile model. We tested hundreds of patients each day in various places. Once the vaccine was approved, we began our vaccination efforts using our mobile model and mass vaccine sites, including …
During my night shift at the emergency department, I encountered a 72-year-old decorated war veteran named Mr. Sun. Accompanied by his concerned wife, he came to address a year-long struggle with fatigue and a non-productive cough he’d been experiencing in recent weeks. Initially resistant to seeking medical attention, Mr. Sun finally gave in to his wife’s insistence.
As I entered the room to assess Mr. Sun, it was immediately apparent how …
It was a busy night in the emergency department, as usual. I rushed from one patient to the next, trying to keep up with the constant stream of people coming in with various ailments and injuries.
One patient, in particular, stood out to me that night. He was an older man, probably in his early 70s, who had come in complaining of severe back pain. After a thorough examination and some …
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