Whispers of forgotten history, traced in bacterial filigree

I’ve been thinking a lot about resilience lately, that ineffable quality of being able to withstand trickling insults and outright catastrophe. It characterizes the Japanese ability to remain civil and calm throughout their ongoing weeks of dread, and the ability of some natural systems to bounce back after even the most egregious of impacts. It […]

My Coffee Problem

On Friday I woke up too early with a splitting headache and chest pain. This was alarming. In the shower, I tried to come up with a list of plausible explanations, but my mind found only one: the four cups of coffee I drank the day before. I wondered, is this how a heart attack […]

The myth of choice in medicine

I’m probably not the only one who has noticed a shift in the way we talk about health care these days. It’s no longer about patients taking the advice of their doctors. It’s about “consumers” making “choices” about care. We’re shifting away from the old model of medicine, in which doctors guided medical decisions because […]

Brooklyn Takes its (Unnecessary) Medicine

Last week, my neighborhood health food store ran out of potassium iodide, a compound that can prevent thyroid cancer in people exposed to high doses of radiation. When I called the store, an employee told me demand has been high “ever since the incident in Japan.” I live in Brooklyn, New York, nearly 7,000 miles […]

Seeking clarity for the toughest decisions of all

Making decisions about your own medical care is tough. Making decisions about a child’s medical care is tougher still. But making decisions about care for your unborn child? Nothing is harder than that. And these days, there is no end to the decisions that must be made: genetic testing? Birth attendant? With or without medication? […]

Mapping Baltimore’s Addiction

Baltimore has a hard-core drug problem. The evidence is unmistakable. Head down an alley in the wrong part of town and you’re liable to find a discarded needle, some broken vials, and maybe even a shell casing or two. Why, yes. That was a gunshot. See that guy on the corner? No, he’s not tired. […]

Who’s Afraid of Virginia’s Genes?

The email was the opposite of scary. Subject: “Your Genetic Profile is Ready at 23andMe!” Six weeks earlier, I had mailed the genetic testing company a tube of my own spit. Now it was time for me to “start exploring” the results. I was terrified. I read a lot about genetics, so I knew that […]

Ancient Forms of Biological Warfare

“The object of war is not to die for your country but to make the other bastard die for his.” – George S. Patton Early American warfare has always seemed — to me, at least — rather quaint. Men in uniforms line up in a grassy meadow. They march toward one another. They fire, reload, […]