Medical
Assisted reproductive technology helps good things happen to good people
It is hard to imagine an age in which assisted reproductive technology (ART) did not exist. The CDC reported that 1.7 percent of U.S. births in 2017 were attributable to ART, with approximately 285,000 ART cycles reported that year. In reality, the process is not as straightforward as it may seem on paper. As a…
Read MoreMedicine, fast and slow
Thinking, Fast and Slow is a well-known masterpiece of psychology by the formidable Daniel Kahneman. He diligently illuminates two different pathways of thought, which he arbitrarily titles System 1 and System 2. System 1 describes our quick thinking, our snap judgments, our gut feelings. System 2 encapsulates our deeper thoughts, the way we systematically review…
Read MoreWhat if health care went through a mindset shift?
Very few people sit down and think about their mindset. And even fewer doctors or health care workers contemplate mindset. But if there were ever a time in human history to think about our minds and how we use them to process what is happening around us, it is now. As an unexpected gift from…
Read MoreConnecting health care, voting, and our communities
It has been eight years since I registered patients to vote in the Bronx. I remember the clinic, nestled in a busy commercial neighborhood with its modest windowfront facade. Inside, the flyer was posted everywhere. Among quilts of signs and reminders, it vied for attention with its large block letter logo, “I VOTE, I COUNT.”…
Read MoreWhy are so many community hospitals transferring children to larger facilities?
A recent edition of Pediatrics has some disturbing research: “Trends in Capability of Hospitals to Provide Definitive Acute Care for Children: 2008 to 2016.” What the paper really does is document what many of us who work in referral hospitals have noted for some time: More and more community hospitals are transferring children who appear in their…
Read MoreA palliative care physician’s brain bleed [PODCAST]
“As a runner, my pulse rests around fifty, but the ICU team had worried when it dipped to thirty-five, and my blood pressure hovered around ninety over fifty. Understandably, bags of saline were hung, and steroids were added. My headache improved, but my ankles disappeared, and I was often short of breath. Upon discharge, I…
Read MoreAnalyzing the Biden health plan. Will it work?
If the Democrats capture the White House, keep the House, and take over the Senate, the Biden health care outline stands a good chance of being enacted. The Biden health care proposal directly takes on the big things that haven’t worked in Obamacare. Here are the things that are most broken in Obamacare: The individual…
Read MoreWhat to consider when choosing an online mental health provider
The stresses of the ongoing COVID-19 pandemic are taking a significant toll on not only physical health but also mental health and wellbeing. A recent study published on JAMA Network Open found that symptoms of depression were three times more prevalent among the U.S. adults surveyed during the pandemic than before it. Those with lower…
Read MoreTrained immunity in the fight against COVID
It is probably a very good friend right now. COVID-19 vaccine trials are underway in an unprecedented fashion. But lately, questions about the integrity of Operation Warp Speed have started to linger. A vaccine availability deadline prior to phase 3 data has not helped, and many think that immunity, while feasible, is still distant. While awaiting proof of vaccine reliance, immune training could act…
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