Medical

My patient was a young man who wanted to be placed back on buprenorphine. He had started using again. He often missed appointments, did not pick up phone calls. So when I saw him in the room, I masked my surprise. “What makes you want to start today?” I asked. “I live with my grandma,”…

Drinking the Kool-Aid Across the USA recently, demonstrators wielding, “Stop the madness! It is just a cold virus!” and “Let me work” signs, chanting “Freedom now” and “Fire Fauci,” dangerously demanded an end to social distancing and stay-at-home orders. In Italy, we would assume such demonstrations were fomented by the Mafia. In America, the provocateurs…

Elise loves this book. The protagonist is a girl who, due to a desire to fit in with her friends, denies her love of lima beans. Camilla awakens with stripes on her skin, and no one can explain it. The doctors are called in, then the specialists. The scientists and experts come next, but all are…

“Would an STI cause abdominal pain?” someone in a class discussion asked. “Well, when I had chlamydia, I didn’t have abdominal pain,” I responded truthfully. Instantly, the group went silent. “OK, Jay. That’s … TMI,” someone else in the group quickly retorted with an uncomfortable half-smile. I shuddered. Immediately, I felt pressured to usher in…

We all love a good conspiracy theory. Did a man really walk on the moon? Who really killed JFK? On and on. The medical conspiracy theories have also been around. The anti-vaccine movement has left many children vulnerable to preventable life-threatening diseases. The COVID-19 pandemic has elevated conspiracy theorists to the point that they have…

Life may never be the same after COVID-19.  With tens of thousands of Americans having succumbed to the coronavirus in the United States, some of us are considering our own mortality.  Life insurance companies have plenty of new customers.  Estate planning attorneys are busier than ever.  Many of us are thinking about how our loved…

Like many physicians not initially on the front line of the COVID-19 pandemic, I watched with growing dread as stories from doctors and nurses started coming out from hot spots first in China then in Italy and then Seattle and New York. Seeing their faces and hearing their voices, I was struck by their exhaustion…

One afternoon in clinic, I opened a patient’s chart for a telehealth visit. Within days of the COVID pandemic, all clinic visits had transitioned to telehealth. The young woman had sent a picture through the electronic medical record of a rash on her leg. Upon calling her, the woman explained that the rash started a…

My three-year-old daughter calls it “canolavirus.” To her, it represents the answer to a number of hitherto unprecedented events happening in her life at this time. Her physician mommy working from home for a number of weeks now. The last she remembers mommy being home continuously for such a long stretch of time was never.…