Why I Went for My Screening Mammogram

I was afraid to get a mammogram because I didn’t want to learn I had cancer….I feared having a “false positive,” and undergoing multiple tests to evaluate abnormal images that would turn out to be nothing…I didn’t have time for all that…

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A Walk, or Race, for the Cure

“You can get discomboobulated in this place,” a NYC police officer told me today.

This morning, some 25,000 or so men, women and children converged on Central Park for the Susan G. Komen Foundation’s 20th annual Race for the Cure. It was my first time witnessing the event:

Posted in Annals of Pink, Breast Cancer, cancer awareness, cancer survival, Life as a Patient, Life in NYCTagged , , , , , , 2 Comments on A Walk, or Race, for the Cure

A Visit to Suffragette City

For two days I’ve been traveling on a short road-trip with my family in Upstate New York. As far as this turning to a medical lesson, all I can say is that for the first time in my life I witnessed, first-hand, the vaguely digital, elongate and eponymous geography of the fine Finger Lakes…

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Why Physicians Shouldn’t Tweet About Their Patients Or O.R. Cases

As a patient who’s been there, under anesthesia more times than I care to remember, I can’t imagine anything much worse than knowing while I’m unconscious my doctor might be on-line or even just dictating tweets instead of concentrating on me, my arteries and veins and spine and…

Posted in Communication, Health IT, Life as a Doctor, Medical Ethics, Privacy, Social MediaTagged , , , , , 6 Comments on Why Physicians Shouldn’t Tweet About Their Patients Or O.R. Cases

Another Take On An Ordinary Day

…Live Each Day Like There’s a Lot of Them Left….What she articulated is the idea that maybe the best thing to do after cancer is to live, essentially, as you would do otherwise, except with a bit of added balance:

Posted in cancer survival, Essential Lessons, Life, Life as a Patient, Patient Autonomy, Women's HealthTagged , , , , , , 2 Comments on Another Take On An Ordinary Day

Eye Care

…the office has expanded and become so systematized that when I go there I don’t feel like I’m visiting a doctor, the kind of professional who sincerely cares about my health. Instead I feel like a commodity, which I suppose I am.

Posted in health care delivery, Life as a Patient, Patient-Doctor Relationship, Physical ExaminationTagged , , , , , , , , 1 Comment on Eye Care

Back to Basics – But Which Ones?

A front-page story on the Humanities and Medicine Program at the Mount Sinai School of Medicine, here in Manhattan, recently added to the discussion on what it takes to become a doctor in 2010. The school runs a special track for non-science majors who apply relatively early in their undergraduate years. Mount Sinai doesn’t require […]

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Living Like It’s Shark Week!

Today is the start of this year’s Shark Week on the Discovery Channel. Dialog from NBC’s 30 Rock, Season 1, Episode 4 “Jack the Writer” (2006)*: Tracy Jordan: But I want you to know something… You and me, it’s not gonna be a one-way street. Cos I don’t believe in one-way streets. Not between people, and not […]

Posted in cancer survival, from the author, Life, Life as a Doctor, Life as a Patient, Patient Autonomy, TVTagged , , , , , Leave a Comment on Living Like It’s Shark Week!

What the Dermatologist Did Right

Kudos to my newest doctor, a dermatologist whom I met yesterday for evaluation of a small, benign-appearing mole I recently noted on my right leg. What she did right: 1. She saw me promptly, at the time of my scheduled appointment. (Thank you, you seem to value my time, as I do yours.) 2. In […]

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Staying Healthy in Hot Summer Travel

Hiking, or even just walking, in the hot summer heat to see ancient ruins, national monuments or spectacular vistas can sap the energy of healthy people. For someone who’s got a health issue – like chronic lung disease, reduced heart function or anemia – or anyone who’s pregnant, elderly or just frail, summer travel can knock you out in the wrong sort of way….Don’t plan

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Avoiding Blood Clots During Long-Distance Travel

A few years ago my family took a trip to China. Even before we arrived, I learned something about an unfamiliar health care culture. What I observed en route was that many of the older passengers on that long flight to Beijing were getting up from their seats and stretching. Not just once, but regularly […]

Posted in Empowered Patient, Hematology (blood), Life as a Patient, TravelTagged , , , , 4 Comments on Avoiding Blood Clots During Long-Distance Travel

A Tapestry, and Double-Dose of Magic (on Carole King and James Taylor, Troubadour and Breaking Addiction)

My plan for today was to write on evidence-based medicine. But that can wait, at least until the morning comes. I came upon the most wonderful recording of a concert by Carole King and James Taylor played in November, 2007 at LA’s Troubadour Club, a place I’ve never been. PBS aired the video, about an […]

Posted in Life, Life in NYC, Music, Psychiatry, ReviewsTagged , , , , , , , , , , , 1 Comment on A Tapestry, and Double-Dose of Magic (on Carole King and James Taylor, Troubadour and Breaking Addiction)

About Those Skipped Heart Test Results

Harlem Hospital Center stands just three miles or so north of my home. I know the place from the outside glancing in, as you might upon exiting from the subway station just paces from its open doors. The structure seems like one chamber of its neighborhood’s heart; within a few long blocks’ radii you’ll find rhythms generated in the Abyssinian Baptist Church; readings at the Schomburg Center and artery-clogging cuisine at the West 135th Street IHOP.

So I was saddened to hear about the missed heart studies. Or should I say unmissed? No one noticed when nearly 4,000 cardiac tests went unchecked at the Harlem center,

Posted in Cardiology, Communication, health care costs, health care delivery, Ideas, Life in NYC, Medical News, Patient Autonomy, Under the RadarTagged , , , , , , , 2 Comments on About Those Skipped Heart Test Results

The Checklist and Future Culture of Medicine

…Poka-yoke, a Japanese term for rendering a repetitive process mistake-proof, is familiar to some business students and corporate executives. This concept, that simple strategies can reduce errors during very complex processes, is not the kind of thing most doctors pick up in med school. Rather, it remains foreign.

Posted in Future of Medicine, health care costs, health care delivery, Life as a Doctor, Medical Education, Policy, Public HealthTagged , , , , , , , , 6 Comments on The Checklist and Future Culture of Medicine

A Routine Visit

Yesterday I visited my internist. I had no particular complaint. My back hurt no more than usual. The numbness in my left foot was neither better nor worse than it was last month. I wasn’t suffering from vertigo or abdominal pain. I went because I had an appointment to see her, nothing more.

Until just a few years ago, I rarely

Posted in cancer survival, health care delivery, Life as a Patient, Patient-Doctor Relationship, Primary Care, Women's HealthTagged , , , , 1 Comment on A Routine Visit

Uncertainty Rules (on Eyjafjallajokull, volatility and a patient’s prognosis)

As pretty much anyone traveling in Europe this week can tell you, it’s sometimes hard to know what will happen next. Volcanologists – the people most expert in this sort of matter – simply can’t predict what the spitfire at Eyjafjallajokull will do next.

It comes down to this: the volcano’s eruption could get better or it could get worse…

Posted in Communication, Diagnosis, Life, Life as a Patient, Oncology (cancer), ScienceTagged , , , , , , , , Leave a Comment on Uncertainty Rules (on Eyjafjallajokull, volatility and a patient’s prognosis)

An Ordinary Day

If there’s one obvious thing I didn’t learn until I was well into my forties it’s this:

Don’t let a day go by without doing something you feel good about.

This message is not unusual, cryptic or even interesting. It’s simple, really so trite you could find it in most any “how having cancer changed my life” book available in bookstores and on-line.

Why say it again? Everyone knows we should relax and enjoy sunny weekend days like this.

Because it’s a reminder to myself, as much as for some readers and maybe a few fledgling doctors out there. One of my…

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The High Cost of Food-Borne Illness, and Some Steps To Avoid These in Your Home

A new report from the “Make our Food Safe” project, based at Georgetown University, makes clear that food-borne illnesses – from bacteria, parasites and a few viruses – are ever-present and costly.

The study, authored by Robert Scharff and funded by the Pew Charitable Trusts, finds that food-borne illnesses tally nearly $152 billion per year. This huge sum includes some subjectively-measured expenses like pain, suffering and missed work. Even without those, the toll registers above $100 billion – it’s a big sum, either way.

The main culprits are

Posted in Homemaking, Infectious Disease, Medical NewsTagged , , , , , , , 1 Comment on The High Cost of Food-Borne Illness, and Some Steps To Avoid These in Your Home
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