Dr. Bernard Gold, MD

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Physicians & Surgeons, Allergy Treatment, Mental Health Services

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38 Years

in Practice

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Amenities:

Wheelchair accessible

(734) 434-6050Call

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Map & DirectionsDirections4870 W Clark RdYpsilanti, MI 48197 Write a ReviewWrite Review

Accepted Insurance

Aetna
Blue Cross Blue Shield (BCBS)
Cigna
Cofinity
First Health (Coventry Health Care)
Great West Healthcare

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Specialties

Primary: Allergist-Immunologist

Sub-Specialty: General,Allergy

Additional Specialties: Allergist-Immunologist, Allergy & Immunology; Internal Medicine

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Languages

French, Spanish

AKA

Gold Ben L Md

Gold Ben L

Categories

Physicians & Surgeons, Allergy Treatment, Mental Health Services, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Cardiology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Neurology, Physicians & Surgeons, Nutrition, Physicians & Surgeons, Obstetrics, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Pediatrics, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Physicians & Surgeons, Urology

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Specialties: Allergist-Immunologist, Allergy & Immunology; Internal Medicine

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Phone: (734) 434-6050

Address: 4870 W Clark Rd, Ypsilanti, MI 48197

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Dr. Bernard Gold, MD

General Practitioners

Nutritional Counseling
I head to the CCU. It has become a Covid unit with every patient on a ventilator. Next to me is a worker from nutrition services with his meal cart. Normally, he would be transporting trays of food. His cart now holds stacks of cartons containing milky, tan liquid. Tube feeds for all of the intubated patients. Dinner for my unit.
Pediatric Care
What I’m fairly confident about is that the Takatsubo cardiomyopathy greatly weakened her, making what was an already high risk pregnancy extremely risky, weakening her and opening her up to a range of fatal pathologies all stemming from greatly reduced cardiac output. It’s hard to blame the medical droid entirely – I think it was doing its best. But it was probably used to minor scrapes, headaches, the flu, and the occasional broken bone from a mining accident. With limited diagnostics, it just couldn’t get a handle on what was a fairly complex case. I think the obstetrics/pediatrics droid performed very well. Clearly, the babies ended up being fine. They ended up being very close.
Electrocardiogram
I burst into the room, out of breath. It is pure, primordial chaos. I’m hit with the sound first. Bed alarms, blood pressure alarms, and heart rate alarms blare insistently, a Greek Chorus to the unfolding drama. An unanswered, continuous string of questions hangs in the air like a heavy fog. “Can someone page anesthesia?” “Where’s the cards fellow?” “Do we need femoral access?” “Where’s the EKG?” “Chest X ray stat!” “Who spoke to the family?” “Is this guy DNR?” “Who has a hemoglobin?” “Is he on blood thinners?” “What’s his history?” I can hardly hear myself think.
Pneumonia
Breathing, normally so mindless that we forget we are constantly doing it, is a complex, precise sequence that is poorly imitated by mechanical ventilation. The sustained high pressure of ventilation can cause a pneumothorax, or the collapse of lung tissue from air in between the chest wall and the lung. The endotracheal tube is often a source of infection and can lead to aspiration pneumonia. Airway secretions must be suctioned. Acid-base balance can be significantly altered.
Immunizations
14) 27 year old female with family history of incest and preternatural leadership abilities who presents to clinic inquiring about vaccinations for her three pet reptiles.

Obstetrics
Additionally, one wonders what the channels of communication were between the two droids. Could the droids understand eachother? The obstetrics droid did not appear to speak English, and the medical droid did. I’m not sure if it was the culture of the institution to have the medical droid assume all diagnostic responsibility, or if this was shared. Limited communication may have been a factor – the two droids are never shown talking to one another. Perhaps if they spoke a similar language, the delivery droid could have assisted in pointing the medical droid in the right direction (ie heart failure) given its expertise in maternal/fetal medicine.
Pregnancy
Padme is lying flat. There seems to be a screen with diagnostics, probably trended vitals. There are no central lines in her neck or groin, no intravenous lines, no bags of inotropes… nothing. It’s unclear what, if any, labs have been drawn. In fact, there seems to have been no invasive monitoring or intervention done at all. So I don’t know what the medical droid is referring to by “medically” here. My best guess is that it’s probably referring to some method of advanced imaging like a CT scan or MRI. Normal imaging would rule out a lot of major things like tension pneumothorax, pulmonary embolism, and large pericardial effusion causing cardiac tamponade (these things could also be picked up on exam, but I’m assuming the med droid has a decent exam). Also, as I alluded to earlier, it would rule out traumatic injury from the force choke: broken bones, penetrating trauma, vascular injury, and hematoma. It also rules out necrosis from a large scale burn injury, although, again, this would have been evident on exam. Lastly, it greatly reduces the likelihood that there are active issues with her pregnancy – it rules out intrauterine hemorrhage, and likely shows two healthy babies. The medical droid probably would have been alerted to something like placenta previa, which would have been picked up on imaging and made it a high risk pregnancy. In that case they probably would have gone right to C-section.
Labor and Delivery
New, massive pulmonary embolus that wasn’t present on initial imaging that occurred during childbirth causing hypotension, shock, and death.

Internal Medicine
As an internal medicine resident, a large chunk of my time is spent consulting other services to obtain their expert opinions. Sometimes, these consult requests are honored. Sometimes not. Equal parts frustrating and awe-inspiring, denying a consult is something of an art.
Urology
Urology: Trust me, I want to see them. Like I’ll even see them just by myself. But my attending has been super busy this week, and it seems like we just saw them in clinic, so you may have to hold off on the official consult until Monday. I know, man, it sucks, I know.
Prostate Cancer
Internal Medicine: Hey, can y’all see this one today? It’s Jones, the 70 year old with prostate cancer and urethral strictures. Rising Creatinine. You saw him in clinic.

Neurology
I followed McMillian around that day. Confused and betrayed, he sought the advice of his attending, Dr. Rachel Johnson. “What does ‘follow from a distance’ even mean?” the crushed resident asked. “Follow? Do you think that means he still wants to talk to me?” “It’s over, Dave,” Dr. Johnson said, extending a comforting arm around Dr. McMillian’s shoulder. “It’s done. Trust me, I’ve been there. Give it a week or two, and maybe you can consult neurology for some residual weakness.”
Autism

Depression
Psychiatry
Ben- a beautiful tribute to man you did not know well but who loved you and was proud of you despite the severity of his illness. Your grandfather’s essential humanity was not obliterated by the enormity of his suffering. His departure from sanity (and my life at age 2) changed the course of my family’s life. It headed me towards psychiatry to try and understand the catastrophe that had befallen us.. May the gift of your health and wellbeing help fulfill the promise that he was never able to achieve in this world. And may Sidney Zimmer’s extraordinary kindness and compassion be a light for us all.
Anxiety

Endocrinologist

Diabetes Care
Thyroid

Ultrasound
Surgery: What’s her baseline alk phos? What type of pain is is it? When was her last CT? Who diagnosed these gallstones? Is she really a woman? How febrile is she? How long has she had this pain for? Who did the ultrasound? Who won the democratic presidential nomination in 1924? When –
MRI
An interesting consequence of medicine’s collision with modernity has been the devaluation of physical exam findings. Ultrasound, CT, and MRI imaging techniques have all brought the insides of our patient’s bodies into crystal clear focus. What used to be either inferred, missed, or seen retrospectively on dead patients, is now rapidly available, usually in under an hour. Modern imaging is something like a miracle. I dare you to even try to understand the science behind an MRI, for which the nobel prize in medicine was awarded in 2003. A friend of mine is a medical physicist, which is an entire scientific field devoted solely to understanding the physics of medical imaging modalities like MRI and operating them. He once described the science of MRI’s to me as “basically indistinguishable from magic.”
X-Rays
Computed Tomography
His sister told me that he had noticed a worsening cough over the past three months. Some fatigue, some shortness of breath. Most damningly, he’d lost 30 pounds since he noticed the cough. Then he started coughing up blood, and came to the ER. That was five days ago. The CT scan of his chest and abdomen was almost a formality. He had widespread, incurable cancer. It had exploded across his lungs, liver, spleen, bones, and brain in a few short months. The only treatment options available started with the word “palliative.”

Neurosurgery
I caught up with neurosurgery resident Ben Strictland in an attempt to understand the full picture. “It had to end,” said Ben. “It wasn’t going anywhere.” He fidgeted his hands uncomfortably. “We get ten, fifteen consults a day. I can’t just let every bright-eyed consulting physician sweep me off my feet. I have to be strong. Caution, temperance, and patience – those are

Dermatology
Dermatology: Right, but we actually don’t see floor patients, just ER emergencies. If it’s a floor patient, we just schedule them in clinic as outpatient.

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