MD Whistleblower

To my devoted Whistleblower readers, For 16 years, I've published weekly essays here on Blogspot, What a great ride it's been! A year ago, I transitioned over to Substack, which has brought many more readers to my work.  As always, I love the engagement with all of you.  Will there be a price increase? Nope. It's still free!  I hope you’ll join me there. Please enter your email address  at this link  to receive my posts directly in your inbox.   Let's keep the dialogue going! All the best, MDWhistleblower My first Whistleblower post. 1/1/2009

One of the most common and vexing  medical complaints I see in the office is nausea.  Indeed, not a day goes by that a patient does not lament the presence of this uncomfortable and vague sense of distress.   This symptom is among the most frustrating for both patients and providers.  The reason for this is that in most cases, the complaint cannot be explained. Of course, nausea can have an specific cause which we physicians will try to identify.   In these cases, the nausea is usually a secondary effect of another medical condition.   In other words, the nausea is not typically caused by actual stomach disease.   Patients with viral infections, gallbladder issues, depression, appendicitis, migraines, inner ear disease, pregnancy or marijuana abuse can all experience nausea.   And nearly every medicine will have nausea listed among the long list of potential side effects.   When I see a patient suffering from years of nausea, how might...