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On Becoming a Woman

It was a cold day in January when I first met him. I was an internal medicine resident at an urban academic center, halfway through intern year and just trying to survive as a young physician. My primary care clinic schedule was filled with hospital follow-ups and urgent visits. The first patient on my schedule […]

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Senator McCain and Our Shared Humanity

  Despite our country’s political divisions, I trust we are all praying for Senator McCain as he confronts his glioblastoma diagnosis. Unfortunately, I can guess the anguish Senator McCain and his family are experiencing. My wife Carolyn, a breast cancer surgeon and a breast cancer survivor, was diagnosed with the same malignant brain tumor in […]

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surgical instruments laid out for use

The Complexities of Iron Deficiency in Patients After Bariatric Surgery

  To the Editor: Iron deficiency is one of the most common micronutrient deficiencies after bariatric surgery and is often overlooked by healthcare providers when patients present with vague symptoms or laboratory results do not demonstrate straightforward iron-deficiency anemia. Thus, it is imperative that providers order tests and interpret laboratory results carefully so they can […]

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view of surgery from above with blood bag in view

Seronegative West Nile Virus Infection in a Patient Treated with Rituximab for Rheumatoid Arthritis

Seronegative West Nile virus infection has been described in organ transplant recipients and patients with cancer receiving rituximab in combination with other immunosuppressive therapies. We describe the first reported case of seronegative West Nile virus meningoencephalitis in a patient receiving rituximab for rheumatoid arthritis. A 49-year-old woman from Colorado with a history of rheumatoid arthritis […]

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Venturing Out on a Limb: Axillary Web Syndrome

  Axillary web syndrome is a poorly understood cause of morbidity after lymph node surgery characterized by visible or palpable cords in the involved axilla extending down into the medial arm and forearm, often accompanied by a sensation of tightness, limitation of movement, and pain. Axillary web syndrome was first described in 2001 as a […]

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