Category Archives: Conditions

The politics and commercialization of fecal transplants

0 Shares Share Tweet Share The New York Times is interested in fecal transplants. This is the euphemistic term for taking feces, poop, crap, sh*t, bowel contents from one person and putting it into another person. There are various procedures for doing this, from drying it and putting it into capsules to making it liquid … Continue reading

Narcotics are not necessary for recovery after plastic surgery

1 Shares Share Tweet Share When it comes to plastic surgery, I have found that many people — doctors included — expect post-surgical pain, so they plan for that assumption. This means preparing for days, weeks, or months of narcotics use. This mode of thinking begins long before any incisions are made, virtually guaranteeing a … Continue reading

MKSAP: 52-year-old woman with shortness of breath

2 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old woman is evaluated during a follow-up visit. She was discharged from the hospital 3 weeks ago following a small non–ST-elevation myocardial infarction treated with drug-eluting stent placement in the right coronary artery. An echocardiogram … Continue reading

How medicine rose up to the challenge of the AIDS epidemic

0 Shares Share Tweet Share A guest column by the American College of Physicians, exclusive to In the run-up to the Academy Awards this year, like many people I made a concerted effort to see most of the top-nominated pictures.  Of particular interest was Bohemian Rhapsody, the biographical film about the lead singer of … Continue reading

Being a nurse: the hardest and the best job of all

862 Shares Share Tweet Share I became a nurse at the age of 23. I was pregnant with my first son and dove into nursing headfirst, accepting a job in the pediatric ICU of the hospital where I worked. I still remember the call when I received the job offer. I hung up and jumped … Continue reading

An emergency physician does a tooth extraction

1 Shares Share Tweet Share I was working a few days ago and pulled a tooth.  Mind you, it’s not something I do with any regularity.  However, it was a very sweet little lady who was too weak and ill to get to the dentist and had other issues.  That lower incisor was loose, and … Continue reading

The carcinogen of excess weight

73 Shares Share Tweet Share What if I told you our children were being exposed to a known carcinogen, and it was increasing with successively younger kids? If that carcinogen were a preservative in packaging or chemicals from industrial waste, there would be widespread outcry. But it’s neither of those things. It’s something far more … Continue reading

Why it’s important to remove the sutures you place

31 Shares Share Tweet Share As a surgeon who has been practicing for more than 20 years, I have had a front row seat to both positive and negative changes that have taken place in our evolving medical field. As a community hand surgeon who values many of the recent advances in hand surgery, there … Continue reading

Do not take medical tests as gospel

5 Shares Share Tweet Share During my time in practice, I had at least eight patients who came to me sure they had systemic lupus erythematosus, also commonly called SLE or lupus. This is an autoimmune disease, characterized by joint pain, that can affect almost any organ, including skin, kidneys, brain, and heart, and can … Continue reading

MKSAP: 60-year-old man with constant low-grade epigastric pain radiating to his back

2 Shares Share Tweet Share Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man is evaluated for constant low-grade epigastric pain radiating to his back that worsens after he eats fatty foods. He has a 2-year history of chronic pancreatitis. The pain has progressively worsened over the … Continue reading