Among the questions that remain unasked of the doctor by most patients, one of the foremost involve the effect of medications and the ailments that they are used to treat upon the activities of daily life, one of which is sexual activity, at almost all ages. This sometimes leads to misunderstanding and sometimes bizarre or fascinating behavior... Read more
"Disease exists, if either sleep or watchfulness be excessive" (Hippocrates, Aphorism LXXI, from a worthwhile article on sleep disturbance in The Lancet 2004; 364: 1959-1973). I had mentioned in a previous column that not feeling well in the morning was a sign that all things might not be well with your body, and have been asked to... Read more
A single issue of the Archives of Internal Medicine (http://www.archinternmed.com/) in December 2007 contained the following information on cardiovascular disease:Following physical activity guidelines is associated with a lower risk of death.Transient ischemic attacks are associated with a high early risk of stroke.Nearly three fourths of adults... Read more
A 90 year-old lady came to my office with a totally black arm from the shoulder to the elbow. She had gotten up in the morning and been shocked to see it when she was washing here face in front of the mirror. No pains, no aches, no recent injuries, she was sure that this represented the beginning of a catastrophic ending to her life. She had heard... Read more
Every doctor has patients that he or she has treated over a lifetime that can be recalled to memory. Often, it is because the circumstances of their care were particularly troubling or difficult. These memories pop up at unexpected times. Many years ago I was called to the emergency room to see a very pleasant 50 year-old woman for chest pain.... Read more
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