Medicine

Physician stress begins long before clinic visits - during training and through system-level pressures like documentation, telemedicine, and administrative demands. Patient behaviors and misinformation add strain. Peer support, boundaries, and system fixes help sustain doctor-patient relationships.

Allergic reactions occur when the immune system misidentifies harmless substances as threats. This article outlines common triggers - seasonal pollen, foods, drugs, insect stings, and pet or dust-mite-related asthma - how to recognize severe reactions like anaphylaxis, and standard diagnostic and treatment options including avoidance, medications, and immunotherapy.

Carpal tunnel syndrome (CTS) happens when the median nerve is compressed at the wrist. Early signs include night-time numbness, tingling in the thumb and first two fingers, and weakening grip. Risk rises with a smaller carpal tunnel, medical conditions (diabetes, hypothyroid, rheumatoid arthritis), pregnancy, obesity, and work that combines force, repetition, and vibration. Ordinary keyboard use alone carries weaker evidence of risk.

R-alpha lipoic acid (R-ALA) is the naturally occurring, more bioactive form of alpha-lipoic acid with antioxidant and mitochondrial roles. Evidence supports use for diabetic neuropathy and possible modest effects on insulin sensitivity; claims about stroke prevention or routine metal detox are not proven. Typical supplemental doses range 100-600 mg/day; consult a clinician if you have diabetes or take medications.