clinical

Is It Pollen, Or Is It COVID?

Is It Pollen, Or Is It COVID?

It’s a gorgeous spring day in May. Trees are flowering, flowers are flowering, and I can’t go a day without antihistamines. I suffer from springtime pollen allergies and asthma, common things that can cause congestion and a cough. This has been anxiety-provoking for me at […]

A Day in Clinic During a Pandemic

A Day in Clinic During a Pandemic

So, here I am in the office, which all but closed in mid-March. While we do have a skeleton crew on site seeing non-COVID-19 urgent care (like abrasions and UTI’s and joint pain), most our ongoing outpatient work is via telehealth. I’m going to talk […]

On the COVID Wards

On the COVID Wards

I was “activated” to duty on the inpatient COVID surge teams last week. I was worried, not only because it’s been a decade since I’ve been in charge of an inpatient service, but more so because SARS-CoV-2 is a new virus, and COVID19* is a […]

Coronavirus: Making Primary Care Cool Again

Coronavirus: Making Primary Care Cool Again

You guys may not know this, but up until this pandemic, primary care has been the runt of the medical litter. Like, if the different branches of medicine were a high school sitcom, outpatient internal medicine would be the dorky intellectual kid who everyone knows […]

Long Day, But It’s Okay

Long Day, But It’s Okay

Here’s a true story from my yesterday, as in, New Year’s Eve 2019: I had wrapped up my clinic and was looking forward to maybe leaving the office earlier than usual. Most of our docs have been away for the holidays, and I’ve been one […]

Time to Talk Lifestyle

Time to Talk Lifestyle

Boston enjoyed the first snowstorm of the season this week, and I was lucky enough to have clinic scheduled smack dab at the height of it. We pretty much never cancel clinic for a snowstorm, though there have been blizzards when I literally couldn’t get […]

A Hospital Angel

A Hospital Angel

My longtime patient told me the story of how she met an angel in our hospital one night. My patient gave me permission to share this story. All identifying details and clinical specifics are omitted, of course. Not only for ethical reasons and HIPAA compliance, […]

Searching for Meaning in Medicine

Searching for Meaning in Medicine

Clinical medicine, and especially primary care, is in kind of a bad place right now. When healthcare systems of all developed countries in the world are compared, the U.S. has the embarrassing distinction of spending the most and being the worst. It’s well-established that our […]

Hello steroids my old friend…

Hello steroids my old friend…

I know I’m overdue for a post, but I’ve got a doctor’s excuse: Please excuse my noncompliant patient from her usual blogging duties, as she’s been self-medicating with various and sundry over-the-counter, prescription, and voodoo treatments for yet another probably-worse-than-it-needed-to-be asthma exacerbation that was likely […]

Billions of dollars are being spent to develop fatty liver drugs, but diet and lifestyle work better

Billions of dollars are being spent to develop fatty liver drugs, but diet and lifestyle work better

I was driving to the train station listening to the morning news report on the radio. I almost spit out my coffee when I heard: “Local biotech company secures additional 70 million dollars in capital, on top of 65 million already raised, for development of […]