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Articles by Daniel Pierce
When Academic Politics Trump Scientific Rigor
The expression “just one more thing” may earn its place as the leading catchphrase of modern healthcare. We all know the scenario: The patient encounter is over. You addressed the patient concerns, adjusted medications, and reviewed lab results. Then comes the familiar phrase, “just one more thing …” Every clinician knows what happens next. It may be something as simple as a medication refill. Sometimes it’s chest pain that somehow never made it into the first 20 minutes of the visit.
How A New Case Redefines The Birthright Citizenship Battle
By Daniel Pierce and Daniel Schaeffer ( October 14, 2026, 5:01 PM EDT) -- Did the U.S. Supreme Court resolve the supposed controversies over birthright citizenship once and for all this past term? Perhaps not entirely.... Law360 is on it, so you are, too. A Law360 subscription puts you at the center of fast-moving legal issues, trends and developments so you can act with speed and confidence.
We Are Physicians of Function, Not Functional Medicine
Prostate cancer presents a unique clinical challenge, not because it is always immediately life-threatening, but because it often isn’t. For men with early-stage disease, decisions about when and how to treat are rarely straightforward. Intervening early may offer disease control but can come with lasting effects on urinary and sexual function. Deferring treatment helps preserve those functions but introduces the psychological burden of living with a known cancer.
PREVAIL Analysis Reveals Broad Benefits of Gefurulimab in Generalized Myasthenia Gravis
Every interview season, I ask residency applicants why they want to match into our physical medicine and rehabilitation (PM&R aka physiatry) program. They often respond with personal stories of family members who benefited from aggressive rehabilitation interventions, a lifelong interest in sports and exercise, or a healthy work-life balance. Recently, however, I have had more medical students say that they are applying to our field so that they can practice functional medicine.
We Are Physicians of Function, Not Functional Medicine
The first thing I noticed wasn't on the monitor. It was the smell. I was walking into the room of a teenager in status asthmaticus in our pediatric ICU, and the air carried artificial blue raspberry and cotton candy, the unmistakable residue of a flavored vape. Her chest had gone silent. Every clinician who cares for children knows what that silence means: the wheeze you can hear is air still moving; the wheeze that disappears is the sound of airways closing entirely.
We Are Physicians of Function, Not Functional Medicine
Everyone knows a narcissist. Their ex, their boss, their mother-in-law, a coworker who takes credit for other people’s work — the word has become the default explanation for anyone who is self-absorbed, difficult, or unkind. It shows up constantly in casual conversation and on social media, almost always applied by someone describing another person rather than by a clinician making a diagnosis.
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