January 22nd, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips
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Even though its really cold outside in much of the U.S., it’s sunny in northern California and with a hooded sweatshirt, every day is a beach day! So, after a couple of nice days in the snowy mountains, I headed for the coast. On my first step onto the sand, I was reminded to write about a phenomenon that was called to my attention by a reader last April:
“Coast Guard Seeks Tar Source
By Janine Zúñiga
Union-Tribune Staff Writer
CORONADO — The Coast Guard is investigating the source of sticky tar balls that washed up on Coronado’s shores over the weekend. Emergency crews…worked amid bathing-suit-clad beach-goers, picking up pieces of tar that a city lifeguard first noticed Saturday afternoon. Read more »
This post, How To Get Tar Off Your Skin, was originally published on
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January 15th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips
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We’re in ski season and so a few unfortunate individuals will suffer few knee injuries. A while back, a reader asked me to describe an uncommon injury, which is a torn posterior cruciate ligament (PCL).
This injury usually occurs during a fall. As you can see from the drawing, the PCL keeps the lower leg bone (tibia) from moving too far back in relation to the upper leg bone (femur). If a sudden unnatural force is applied, usually a direct blow to the front of the lower leg near the knee while the knee is bent, the tibia is jammed backwards and the PCL may be torn. In the skiing situation, this usually happens during a fall and a tumble, when someone strikes an immovable object, or when the knee is bent or “twisted” and struck forcefully from the side.
The immediate sensation is pain, and there may be a feeling of instability to the knee, particularly when trying to walk or change levels (e.g., walk over the snowpack or on stairs). When the injury occurs, there usually is not the “pop” sensation noted with an anterior cruciate ligament tear. However, the knee will almost always swell, because there is bleeding into the knee joint and/or soft tissue swelling. Read more »
This post, Ski Season, Knee Injuries, And Posterior Cruciate Ligament Tears, was originally published on
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January 5th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips, Research
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Wilderness medicine professionals often discuss which medications should be carried on which trips. There’s usually a limit to the size of the medical kit, and precious space must be allotted to the most important items. The painful passage of a kidney stone as it travels down the ureter, enters the bladder, then exits the urinary tract via the urethra, is “epic” for anyone who has ever suffered this event. So, anything that might be helpful to facilitate the stone’s passage or ease the discomfort is a good thing. Tamulosin (Flomax) is a drug that is often prescribed by physicians to promote the passage of a kidney stone(s). It has not quite become “standard of care” to prescribe the drug, but it is increasing in popularity, largely because of the observations by patients and doctors that it seems to help. Read more »
This post, Can Flomax Help You Pass A Kidney Stone?, was originally published on
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December 28th, 2009 by Paul Auerbach, M.D. in Better Health Network, News, Research
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Most of us have learned that bears use brown adipose tissue (“brown fat”) to assist them in hibernation during the winter, and that other animals use it to regulate body weight and adaptive thermoregulation (control of body temperature). What is less well known is that humans also take advantage of their own version of brown adipose tissue. How it functions in humans may not only have implications for thermoregulation, but for a targeted strategy to combat obesity. The ratio of “white fat” (“bad” fat) to brown fat (“good” fat) may also be important. Read more »
This post, Brown Fat Plays A Role In Human (And Bear) Fat Regulation, was originally published on
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December 24th, 2009 by Paul Auerbach, M.D. in Better Health Network, News, Research
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Vaccination against infectious diseases is perhaps the most important reason why millions of additional persons do not succumb with morbidity and mortality from viral and bacterial infections in the modern world. Vaccines are most effective when they are administered with sufficient distribution and frequency to protect as many people as possible.
In the July 23, 2009 issue of the New England Journal of Medicine (N Engl J Med 2009;361:335-44, there appeared an article reporting a study by Dipika Sur, MD and colleagues entitled “A Cluster-Randomized Effectiveness Trial of Vi Typhoid Vaccine in India.” The premise of the study was that typhoid fever, caused by infection with the bacteria Salmonella enterica serotype typhi (S. typhi), causes up to 600,00 deaths per year, mostly in developing countries. Injectable Vi polysaccharide vaccine has up to this time been used in a limited fashion in public health programs, and there have been unanswered questions about its effectiveness in children (ages 2 to 5 years) and in particular its use to cause “herd” immunity (e.g., if it is given to a large population living in close proximity, will it promote immunity in the nonimmunized “herd” of people). Read more »
This post, Vi Typhoid Vaccine: Safe And Effective For Young Children, was originally published on
Healthine.com by Paul Auerbach, M.D..