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salmon, eggs, cheese and other low carb foods on a table with veggies

“Dr. Spiegel, why is your institute trashing the Atkins diet?” This was the question angrily posed to me by Congresswoman Anne Northup (R-KY) at the 2003 House Appropriations hearing for the National Institutes of Health (NIH). As director of the National Institute of Diabetes and Digestive and Kidney Diseases, I testified annually (1999–2006) at this Read More

Coronavirus sign surrounded by pills and needles

While we were watching out for the flu, without warning, along came a severe respiratory infection caused by a novel coronavirus imported (without tariff) from China. This is the kind of news that sets the world on edge. But it also underlines how important the field of infectious diseases is in informing us about the Read More

Diversity of the patients we serve is no secret at Montefiore in the Bronx, where I practice. You see it in their faces, clothing, languages, and accents. The people present an extraordinary array of ancestries, making the borough a microcosm of the world. As a healthcare provider, you may wonder about your treatments; maybe one Read More

Female doctor talking to teen girl sitting on exam table

Every Monday during my first year of medical school I joined a team of psychiatrists for Introduction to Clinical Medicine (ICM)—a course focused on developing patient-communication skills. While similar courses abound across the country, I found myself initially doubting the possibility that a class could make someone a better communicator. Wasn’t this an innate skill Read More

About three years ago, I was chatting about pain with a friend at a social function, and she told me she was taking a prescribed opioid for her chronic pain. I quickly got the uncomfortable feeling in my stomach that comes from discussing and prescribing opioids in clinical practice. I responded with my concerns, based Read More

Farmer Spraying Pesticide

A recent article published by The American Heart Association (AHA) featured the headline, “Pesticide exposure may increase heart disease and stroke risk.” That headline and the study which followed resonated in the press, leading to several articles based on it, said epidemiologist Geoffrey Kabat, Ph.D., in a recent post at the Genetic Literacy Project. His Read More