Conditions

Cervical health awareness month: Unveiling inequities in cervical cancer outcomes

Conditions
January 21, 2023

According to the World Health Organization, cervical cancer is among the most preventable and treatable gynecological cancers. Human papillomavirus (HPV) vaccination and longitudinal screening are highly effective modes of prevention and detection, respectively. While statistics on the efficacy of vaccination and screening are promising, the realities surrounding cervical cancer outcomes are anything but. A closer look at the diagnosis and mortality rates paints quite a bleak picture.

The United States’ …

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A physician’s story of survival: the importance of seeking help

Conditions
January 18, 2023

“Remember, today you could be standing next to someone trying their best not to fall apart. So whatever you do today, do it with kindness in your heart.” – Unknown

Today, I want to talk personally from the perspective of a Black, female, physician. I have a confession, I struggle with setting boundaries. I did not know how detrimental this challenge was until I started studying it more deeply. Did you …

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A mundane ultrasound? The emotional weight of diagnostic tests.

Conditions
January 18, 2023

The word mundane is defined as an occurrence that is very ordinary and, therefore, not interesting. However, what may be mundane for one may be monumental for another, especially if one’s health is in question.

An ultrasound provides needed information to trained medical personnel for the evaluation of the health status of an individual. In many situations, it is a means to alert the physician to a potential problem situation for …

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A couple’s journey with a rare neurodegenerative disorder

Conditions
January 17, 2023

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 …

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Lean on me: the power of human connection and the support of a caring doctor

Conditions
January 16, 2023

Sometimes in our lives, we all have pain, and we all have sorrow.

But if we are wise, we know that there’s always a tomorrow.

Lean on me when you’re not strong, and I’ll be your friend; I’ll help you carry on,

for it won’t be long ’till I’m going to need somebody to lean on.

Some might recall these lyrics from the song Lean on Me, written in 1972 by American singer-songwriter Bill …

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Breast cancer surgery: Liking my doctor mitigates the feeling of violation

Conditions
January 15, 2023

On waking up from anesthesia-induced unconsciousness, I was dressed in an unfamiliar pink surgical bra with multiple Velcro straps. As if I were a doll, someone had clothed my limp body without my knowledge, and I had no idea who. Even then, I had a vague sense, groggy and feeling an odd lack of sensation on the right side of my chest that I had been violated.

“Violation” is an …

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The urgent need for widespread CPR and AED access

Conditions
January 9, 2023

Damar Hamlin, Buffalo Bills safety, collapsed on the field during the Monday Night NFL game against the Cincinnati Bengals with nearly six minutes left in the first quarter. The incident rattled sports fans and left everyone emotionally distraught. The game was postponed and subsequently canceled. CPR (cardiopulmonary resuscitation) and AED (automated external defibrillator) were used as part of resuscitation efforts. It is gratifying to hear the good news that Hamlin …

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The dangerous language of “crazy”: How stigma and judgment affect patient care

Conditions
January 9, 2023

“He’s batshit crazy,” fellow physician Karen eagerly confides while describing another colleague, Kevin, in a private office conversation.

I laugh, assuming intended hyperbole.

“No. Really. He is,” Karen says. “He’s been hospitalized — several times. And his kids are crazy, too. They’re all crazy.”

I jolted into an instant somber, “Oh, I’m so sorry to hear that.”

Karen looks disappointed. Her intended collusion collides with my concern. We stare at each other momentarily and …

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The reality of CPR: a powerful tool with serious consequences

Conditions
January 8, 2023

The shocking scene that unfolded during the Bills-Bengals game Monday evening was a play that I’ve seen countless times on a very different stage. Yet as a hospital physician, watching Damar Hamlin’s on-field cardiac arrest was unexpectedly jarring. Seeing the coordinated and professional medical response on the field was inspiring. No doubt, timely and effective CPR and defibrillation saved his life. As I reflect on the events of that evening, …

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Maternalism: a better approach to psychiatric care

Conditions
January 7, 2023

Patient autonomy, one of the pillars of medical ethics, now shines brightest of the four pillars in modern medicine. While medical ethics was meant to take beneficence, non-maleficence, justice and autonomy in equal consideration, the balance is now offset by the digital age and an increasingly skeptical population that has hurdled American culture into striving for autonomy above all else.

Patients have begun to correct physicians on the standard of care …

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Clinicians serving under-resourced populations should seize opportunity for free lifestyle medicine education

Conditions
January 5, 2023

As a pediatrician serving under-resourced families in Washington, D.C., I was glad to see health leaders converge for the White House Conference on Hunger, Nutrition, and Health. Solutions to food insecurity and diet-related diseases are urgently needed to address the crisis of chronic disease, which afflicts six in 10 Americans.

One of the important issues discussed at the conference is the critical need for more education and training in nutrition …

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The emotional side of CPR: Reflecting on the challenges of resuscitation in the wake of Damar Hamlin’s collapse

Conditions
January 5, 2023

First, I want to extend my thoughts, wishes, and prayers to Damar Hamlin, his family, and his teammates. Seeing his collapse on television stirred many emotions in me; I can’t imagine what those who were on the field or in the stadium experienced.

As a pediatric emergency physician, I can tell you that anything related to cardiopulmonary resuscitation (CPR) is difficult. America got a real glimpse of the horrors of CPR …

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My journey parenting with chronic depression as a physician mom

Conditions
January 5, 2023

I remember feeling like I was on an island, and any time I separated from her and put her down, I frantically looked around for her, daydreaming she was lost at sea.

When I was pregnant, everything was contained and controlled. Her womb gymnastics, even at night, were welcome interruptions to my sleep.

It was my first time breastfeeding, and even though I was a pediatrician, getting her to get a good …

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Care aides in long-term care were traumatized during COVID-19

Conditions
January 4, 2023

The COVID-19 pandemic wreaked havoc on long-term care in Canada. During the first two waves in 2020, over 80 percent of all Canadian COVID-19 deaths happened in long-term care homes. While vaccination and policy changes have helped to reduce the number of deaths, long-term care homes are still experiencing COVID-19 outbreaks and severe staffing shortages.

The people who provide front-line care to our most vulnerable seniors in long-term care have experienced …

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From cough to cancer: one woman’s determination to find answers and relief

Conditions
January 3, 2023

My mom is putting garlic oil in her ears because her house cleaner told her it would help with her recent hearing loss. When I asked her why she was continuing to do this even after being assessed by two physicians, including an ear, nose, and throat specialist, she just shrugged and told me she wants to fix the problem.

You see, she has recently been through a difficult six months …

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Keep the faith: Why the role of spiritual care in health care is critical 

Conditions
January 3, 2023

This time of year, advice abounds on how to develop New Year’s resolutions that last. Some assert the need for resolutions and goals that reflect the deep desire for meaning-making, living life to the fullest extent possible, and establishing healthier, fuller lives moving forward.

Spiritual care is an essential part of any health care resolution.

Some describe a recent Journal of the American Medical Association study as “the most rigorous …

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CME Spotlights