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Latest Posts

Disappointing Findings About Ovarian Cancer Screening

If you want to create an outcry of indignation,  just inform people that certain screening tests are of no value and do not increase time on this earth.  People love the idea that if they do all the right things and get all the medical tests at the right time, they can prevent disease ( ….uh…no, tests don’t prevent anything) or catch cancer early and cure it.

The furor over the lack of benefit for men of the screening Prostate Specific Antigen test (PSA) is still being heard.  It seems everyone knows someone who was “saved” by getting a PSA and don’t try to tell me there is evidence to suggest otherwise, dammit!

There is a new report in the Journal of the American Medical Association (JAMA) that Read more »

*This blog post was originally published at EverythingHealth*

Criminal Trial For Michael Jackson’s Physician Is Underway

The 2nd degree manslaughter trial of Dr. Conrad Murray, the doctor who attended Michael Jackson at the time of his death June 25, 2009,  is now underway in LA.  The testimony that is taking place is certainly revealing of the last day of Mr. Jackson’s life.  Michael Jackson died of an acute Propofol overdose and the toxicology report also revealed Valium, Lorezepam, Versed, Lidocaine  and Ephedrine in his system.  There were no illegal drugs.

Propofol is used as a powerful anesthetic and is given intravenously.  It is not a drug that would be used outside of a medical facility or hospital.  Versed (Midazolam) is also a drug that is used for conscious sedation for procedures in hospitals.

Dr. Conrad Murray is a cardiologist and served as Michael’s personal physician.  He was trained at Meharry Medical College and did post graduate work at Mayo Clinic and Loma Linda University Medical Center in California.  He studied Cardiology at Read more »

*This blog post was originally published at EverythingHealth*

Migraine With A Visual Aura: It Might Be Scintillating Scotoma

Nothing like experiencing a medical condition first-hand to really help a doctor understand it from the patient’s point of view. After all these years, I had my first (and hopefully last) scintillating scotoma while sitting on the couch playing “words with friends” on my ipad and watching TV. A scotoma is a partial loss of vision in a normal visual field. Scintillate is flashing, sparkles. Put them together and you have moving, flashing sparkles with a blind spot in your eyes.

This visual aura was first described in the 19th century by a Dr. Hubert Airy who had migraine headaches. The visual sparks and flashes are in a zig-zag pattern and they can precede a migraine headache or occur without any pain. The scotoma affects both eyes and closing one or the other does not make it go away. Sometimes Read more »

*This blog post was originally published at EverythingHealth*

Preventing Future Listeria Outbreaks

If you have watched any news over the past week you know there is a listeria outbreak from contaminated cantaloupes that has been traced to Jensen Farms in Colorado. The CDC has confirmed 72 illnesses, including 13 deaths linked to the melons and three other deaths may be involved.  By now most of the cantaloupes should be gone as they usually last only a couple of weeks.  The recalled cantaloupes were shipped between July 29 and Sept 10.

Listeriosis is a serious infection caused by eating food contaminated with the bacterium Listeria monocytogenes. It causes fever, muscle aching and sometimes diarrhea.  It feels like a bad flu with headache, stiff neck, confusion, loss of balance and in severe cases, convulsions.  As with many infections; babies, pregnant women, people with weakened immune systems and older adults are more likely to have severe illness.  There are about Read more »

*This blog post was originally published at EverythingHealth*

Land Mines Continue To Harm Soldiers And Civilians Around The World

We must not turn a blind eye to the shocking facts about land mines and the damage they cause to civilians and our own troops.  The fact that modern warfare involves buried explosives that are completely untargeted  should shock the conscience of the world.  The number of severe wounds that affect our servicemen is on the rise and the Army’s Landstuhl Regional Medical Center in Germany is filled with casualties from Iraq and Afghanistan.

There have been 79 cases of multiple amputations this year for our U.S. soldiers…more than any previous year and through July, 134 servicemen and women lost limbs.  The year is only 1/2 over!

Doctors treating the troops said there is often damage to lungs, kidneys and livers from massive blood loss and shock.  Infection is rampant and 90 soldiers lost Read more »

*This blog post was originally published at EverythingHealth*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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