Denise struggled with migraines for years, experiencing pain, nausea, and sensitivity to light. After a severe episode, she consulted her doctor, who recognized her symptoms as common migraines. He advised maintaining a migraine diary, consistent sleep, and exploring medication options. Denise felt relieved, understanding her condition and feeling more in control of her migraines.More
Author Archives: Simon Downes, MD, PhD
Medical educator
How NYC Is Helping the Homeless in Winter Storms
New York City has activated emergency measures to address homelessness during a severe snowstorm, issuing a Code Blue that mandates shelters for those in need. City officials encourage individuals to seek shelter, with relaxed intake rules and outreach teams helping those on the streets. Warming centers are also available citywide.More
From Shelter to Stability: New York State’s 2026 Homelessness Plan
New York State’s 2026 homelessness plans include the Housing Access Voucher Program with $50 million funding, the Empire State Supportive Housing Initiative providing $46 million for supportive services, and the Homeless Housing and Assistance Program for affordable housing construction. These initiatives aim to decrease homelessness and promote long-term stability through combined housing and services.More
Why talk therapy works
Embark on a transformative journey with talk therapy, where impartial listening creates a judgment-free zone. Experience the power of silence and unconditional positive regard as you unlock insights and emotional clarity.More
Three Approaches to Psychotherapy: The Gloria Films
The Gloria Films, originally named Three Approaches to Psychotherapy, showcase psychologist Gloria’s therapy sessions with Carl Rogers, Fritz Perls, and Albert Ellis. Each therapist employs distinct methods: Rogers uses Person-Centered Therapy, Perls applies Gestalt Therapy, and Ellis practices Rational Emotive Behavior Therapy, emphasizing different strategies for addressing psychological issues.More
Don’t cram for the EPPP
One of the most common ways people fail is by pretending certain sections do not exist. “I’m a clinician, I don’t need stats” is the EPPP equivalent of saying “I don’t believe in gravity.” The exam absolutely believes in statistics, biological bases, and ethics, and it will test them enthusiastically. Ignoring weaker domains or planning…More
The Lingering Question: What We’ve Learned About Long COVID and Cardiac Problems
Long COVID has been linked to significant cardiovascular issues, including heart attacks and strokes, even after mild infections. Research shows persistent inflammation and autonomic dysfunction as primary factors. Treatment emphasizes advanced diagnostic methods and tailored rehabilitation to address ongoing complications, highlighting the lasting impact of COVID-19 on heart health.More
50 Easy USMLE Step 1 Questions With Short Explanations
1. Vitamin A deficiency causes what symptom? Answer: Night blindness Explanation: Vitamin A is required for rhodopsin in photoreceptors. 2. Which enzyme converts glucose → glucose-6-phosphate in most tissues? Answer: Hexokinase Explanation: Hexokinase has low Km and works in most cells. 3. What type of hypersensitivity is anaphylaxis? Answer: Type I Explanation: IgE-mediated mast-cell degranulation.…More
50 easy EPPP questions
1. A reinforcer that naturally satisfies a need (like food or water) is a: A. Secondary reinforcer B. Neutral stimulus C. Primary reinforcer D. Conditioned reinforcer Answer: C — Primary reinforcer Explanation: Primary reinforcers are biologically hard-wired (food, warmth, water). 2. The part of the neuron that receives information is the: A. Axon B. Soma…More
Every-Third-Beat Heart Flutters: Should You Worry, and Can Anything Stop Them?
Heart flutters, often felt as skipped beats or thumps, are usually harmless if heart tests show normal results. This rhythmic sensation, termed trigeminy, can be influenced by lifestyle factors like stress or caffeine. For those with persistent symptoms, catheter ablation may offer relief. Always consult a healthcare professional for concerns.More
Simon R. Downes 