Two things I have accomplished, in different realms, seem like they would require entirely different skill sets, yet I have discovered an unexpected overlap. The first is overcoming a vicious addiction to prescription painkillers, and the second is training to be a health and wellness coach. The common skills and practices of these two experiences … Read more
When you think about progressive brain disorders that cause dementia, you usually think of memory problems. But sometimes language problems — also known as aphasia — are the first symptom. What’s aphasia? Aphasia is a disorder of language because of injury to the brain. Strokes (when a blood clot blocks off an artery and a … Read more
The blood supply in the US is critically low. Donations dropped off so dramatically during the COVID-19 pandemic that the American Red Cross has declared a national blood crisis. And since donated red blood cells only last about six weeks, supplies cannot be stockpiled in advance. A severe shortage could require difficult decisions about who … Read more
When I worked at Greenpeace for five years before I attended medical school, a popular slogan was, “Think globally, act locally.” As I write this blog about climate change and hay fever, I wonder if wiping off my computer that I’ve just sneezed all over due to my seasonal allergies counts as abiding by this … Read more
Dr. Freeman: “Mr. Vargas, great news on the biopsy results: all negative. It means the workup we have done, including imaging, blood work, and endoscopies, is all normal. You’re all set.” Mr. Vargas: “How can that be? I feel miserable!” What are disorders of gut-brain interaction? The clinical scenario above (names altered for privacy) is … Read more
For my birthday last year, I received paddleboard lessons. I was always curious about the popular water sport and watched in fascination as people stood on almost-invisible boards, paddling along as if walking on water. Paddleboarding was everything I expected and then some. Still, I quickly realized that it is a serious workout, like all … Read more
In parts of the United States and Canada, warming temperatures driven by climate change may be contributing to a rise in tick-borne illnesses. Ticks are now thriving in a wider geographic range, and appearing earlier and sticking around later in the shoulder seasons of spring and fall. That means we need to stay vigilant about … Read more
You were recently started on antibiotics for an infection and you are now doing well. But slowly your skin begins to itch, and the telltale signs of a rash are already popping up — first on your torso, and now spreading to your arms and legs. What do you do? Should you worry? Should you … Read more
Although inflammation serves a vital role in the body’s defense and repair systems, chronic inflammation can cause more harm than good. And that may make you wonder: what can I do about it? In fact, there’s a lot you can do. And you may already be doing it. That’s because some of the most important … Read more
Discovering the cause of a disease is not easy. One reason is that the vast majority of diseases do not have a single cause. Instead, most diseases occur because multiple factors combine to cause the disease. One factor is genes. Some people are born with one or more genes that make them vulnerable to a … Read more