How Old is Too Old?

Yesterday I saw a 90 year old woman in consultation.  She presented to the emergency room in September with abdominal pain, and in the process of working her up, a chest X-ray was taken which showed an infiltrate in her lingula, part of the left lower lobe of her lung.  As it turned out, there… Continue reading How Old is Too Old?

What Comes Next?

Multi-tasking has never been my forte and so I like to keep my schedule organized.  Mondays, I see all of my on-treatment patients.  Tuesdays and Thursdays I see new patients in consultation.  Wednesdays are reserved for treatment planning and research projects.  But Fridays—well, Fridays are usually the best day of the week.  Not only is… Continue reading What Comes Next?

Really, It’s Not About the Bike

“This is my body, and I can do whatever I want to it. I can push it; study it; tweak it; listen to it. Everybody wants to know what I am on. What am I on? I am on my bike busting my ass six hours a day; what are YOU on?”    Lance Armstrong When… Continue reading Really, It’s Not About the Bike

No Fear of Flying

Written January 6, 2013 The wake-up call this morning came at 3:45 am.  Ecuadorian standards dictate that international travelers must arrive at check in three hours before flight time in order that the luggage can be thoroughly searched for illicit drugs. Apparently, from the condition of my suitcase, this involves peeking at my underwear.  This… Continue reading No Fear of Flying

There Comes a Time

Written while returning from my Galapagos trip, posting now. It’s happening—the moment that we all dread as we age, that point in time where we realize that we are becoming our parents.  When I was a child, my father was a busy man, completing his residency in plastic surgery, establishing a practice, climbing the academic… Continue reading There Comes a Time