Signs & Symptoms of Physician Burnout

Physician burnout: Reach out for help Physicians may not know when to reach out for help Physicians care for their patients – working long hours and extra shifts, managing all the usual hassles day after day, caring for sick and sometimes dying patients – generally without complaints. It is easy for them to ignore the…

Read more »

Parents of small children are anxious

Parents are feeling anxious as they struggle to keep their children safe during this second full year of the Covid pandemic. When parents of young children are asked about their feelings, they report balancing fear of Covid with fear of isolation. Parents are feeling disconnected from prior friends because different parents tolerate risk of infection…

Read more »

Stress in children and adolescents

Parents may not know how to recognize stress in their child. Look for these signs of stress in older children & adolescents… Changes in mood (not typical for your child) – irritability, rage, & new conflicts with friends. A new nervous habit, such as nail-biting may indicate anxiety. New fears – such as fear of…

Read more »

How to tell if your teenager has an eating disorder

Updated as of Feb 2024 Understanding and Addressing Eating Disorders in Teenagers Eating disorders in teenagers have become a serious problem in today’s society. Adolescents often face a myriad of challenges, which include issues related to body image and self-esteem. These problems can contribute to the development of unhealthy eating habits. Addressing eating disorders in…

Read more »

Postpartum Depression & Major Life Events

Setting: When I turned forty, I tumbled slowly into the deep hole that is depression. While caring for a six-month-old infant, two older kids, and starting a new job, I was busy (some days nearly frantic). I had always been full of energy and drive, able to handle anything that my NICU practice or my…

Read more »

Stress & alcohol use

Most of us drink alcohol to be sociable or/& to relieve stress. Stress gives us muscle tension & headaches, jaw clenching & teeth grinding, irritability, impatience & negative thinking. It makes us feel tired, like we have low energy. We may feel unable to relax. Stress may cause indigestion, acid reflux, or nausea. When we…

Read more »

The stages of a woman’s life.

What stage of life are you in? The photo below was me at 59, on vacation, thinking about turning sixty. My son snapped the shot & told me later he thought I “seemed pensive, but was aging well.” As women, we go through so many life stages: Adolescence brings those hormones & body changes. We…

Read more »

Tips for air travel with a breastfed baby

Here are some helpful tips for smooth air travel from experienced nursing moms (extracted from “Dr. MILK” group on Facebook): • Organize everything so you know exactly where everything is & you’re not frazzled trying to find your ID or wallet or pacifier with a fussy baby! • Forget about that “get on plane first.”…

Read more »

Alcohol use while breastfeeding

Older mothers with higher educational levels, social class, & income are drinking alcohol while breastfeeding. Alcohol freely gets into breastmilk. When you drink alcohol, it passes into your breastmilk in similar concentrations as your blood. Whatever time you breastfeed or pump, you will have the same amount of alcohol in your blood as in your…

Read more »

Caffeine & breastfeeding

Caffeine boosts energy & mood & makes you more alert. That’s helpful in the morning & when you need to work. More is not always better: too much can push you over the line from alert to jittery and anxious. Caffeine passes from the mother to infant in small amounts through breast milk, but usually…

Read more »