I’m a practicing internal medicine physician. I take the decisions that don’t have an obvious right answer and break them down the way I would for a patient in my own office. I’ll try to minimize jargon. I won’t pretend these decisions are simple.
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These are the moments where you or your family has to make a decision, and the right answer isn’t written down anywhere.
I’ll go through the behaviors that could indicate a problem, what makes a house safer, and how adult children actually arrive at the decision to move a parent. Often the answer isn’t a move at all.
Learning the name of the thing is a shock, and it’s hard to take in the rest of what your doctor tells you. I’ll cover what it means for you day to day, what’s worth asking at your next appointment, and what can wait.
Colonoscopy prep is the one almost everyone dreads. I’ll tell you what to expect and the tricks that actually make it easier. Your prep sheet and your own doctor always come first.
With the GLP-1 drugs, the question is almost never whether they work. It’s what the side effects are really like, how to afford them, and what happens when insurance drops them or the coupon runs out. And the one everybody asks: does the weight come back if you stop?
Three things I try never to get wrong.
It’s easy to sound certain, and a lot of health advice does. Some of these decisions are genuinely close, and reasonable doctors disagree. When that happens, I’ll say so and explain what the disagreement is about.
Plain doesn’t have to mean incomplete. If a decision has four moving parts, you get all four, explained the way I’d explain them to a patient sitting across from me.
Everything here is educational. It is meant to help you walk into your next appointment knowing what to ask, not to replace the person who has your chart in front of them.
I’m an internal medicine primary care physician in Columbia, Missouri. I finished a three-year residency and I’ve been in practice for the twelve years since.
Most of what I do all day is not diagnosing rare disease. It’s sitting with someone while they decide something: whether to start the medication, whether to have the procedure, whether it’s time to talk to their family about their mother. Those conversations are the best part of the job, and an appointment isn’t always long enough for them.
Here, there’s as much time as they need.
One decision at a time, explained the way I would explain it in the room.
If one of these decisions is sitting on your kitchen table tonight, subscribe, and each new video will land in your feed.