The “Test for Everything”? A Real-World Look at Multi-Cancer Early Detection (MCED) Tests

Multi-cancer early detection (MCED) tests are emerging blood-based screenings designed to detect multiple cancers by analyzing cell-free DNA and methylation patterns. While these tests are already available (despite lacking FDA approval), current evidence shows high specificity (~99%) but relatively low sensitivity (~40%), meaning false reassurance from negative results is a real concern. Additional challenges include lengthy diagnostic...

By Micaela Bowers, MD on

June 02, 2026

A Practical Approach to Memory Loss: Differentiating Dementia, MCI, and Normal Aging

It happens at the worst possible time. You’re wrapping up a visit, already running behind and just as your hand reaches for the doorknob, your patient says:

By Micaela Bowers, MD on

May 28, 2026

Managing Financial Toxicity with Prescription Drug Costs

Let’s be honest: most of us in healthcare didn’t learn about how much medications actually cost our patients when we trained. The system is opaque, the rules are ever-changing, and even the language is confusing. 

By Micaela Bowers, MD on

September 01, 2025

The Magic of Magnesium: What You Need to Know Before Recommending Supplements

Magnesium has been making waves in the wellness world, with claims ranging from improved sleep, mood, gut health, and brain function. As healthcare providers, patients often ask us whether magnesium supplementation is a good idea. Is it really “magic,” or is it just another wellness trend? In this blog post, we’ll break down what the literature says about magnesium, review who might benefit from supplements, and offer practical advice on...

By Micaela Bowers, MD on

February 21, 2025

The Beginners Guide to Menopausal Hormone Therapy (MHT)

Menopausal hormone therapy (MHT) is having a moment, and patients are taking notice. With more women seeking relief for vasomotor symptoms of menopause, the demand for evidence-based conversations and clear guidance is growing. Yet, many of us were taught little about how to prescribe MHT confidently. If you’ve ever hesitated at the prospect of prescribing hormone therapy, this guide is here to help. Here we will provide you with practical...

By Micaela Bowers, MD on

January 13, 2025

Potty Training: Practical Guidance for Clinicians

Today, we tackle the topic of potty training, an important milestone in child development that often raises questions for parents. As clinicians, we're well-positioned to offer valuable guidance and support to families embarking on this journey. Let’s explore some practical tips to assist families in navigating toilet training with confidence.

By Micaela Bowers, MD on

October 23, 2024

Things I Do but Should I? – Supportive Care Recommendations for Croup

By Micaela Bowers, MD on

October 02, 2024

X-Rays and Pneumonia: The Great Follow-Up Debate

Ah, pneumonia – the not-so-welcome guest that always seems to overstay its welcome. But what happens when pneumonia lingers? Do we whip out the trusty X-ray machine for a follow-up, or do we cross our fingers and hope for the best? Today, we're diving into the mysterious waters of follow-up imaging after pneumonia. 

By Micaela Bowers, MD on

November 30, 2023