July 18th, 2011 by DeborahSchwarzRPA in Video
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Lloyd Ratner, MD, Director of Renal and Pancreatic Transplantation at New York-Presbyterian Hospital/Columbia University Medical Center, has released a highly informative YouTube video regarding kidney donation and transplantation. The video is addressed to prospective patients, kidney donors, and families, and provides clear answers to their most common concerns.
In this direct and engaging presentation, Dr. Ratner addresses topics such as the advantages of living donor kidney donation; laparoscopic and open surgical techniques; what donors and recipients should expect during and after surgery; post-operative pain and follow-up; and post-donation pregnancy. The full seventeen-minute video can be seen here:
About Kidney Donation
*This blog post was originally published at Columbia University Department of Surgery Blog*
July 18th, 2011 by Berci in News
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I’ve recently come across this digital cane designed by a Lithuanian designer Egle Ugintaite for the Fujitsu 2011 design award in which he won the grand prize. Great idea!
The cane, which is known as the Aid, has a built-in navigator that provides the user directions to a certain location. So if you get lost, this cane will point the way home.
Additional features include monitors for the user’s pulse, blood pressure, as well as body temperature. These important numbers are displayed on the LCD screen on the cane’s clasp. It even has a button for sending out an SOS in case of emergency.
*This blog post was originally published at ScienceRoll*
July 18th, 2011 by ChristopherChangMD in Health Tips, Video
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Our office has created a new video describing what a patient goes through when they undergo esophageal manometry as well as 24 hour multi-channel pH and impedance testing.
This test is often ordered when a patient is suspected to be suffering from reflux, whether acid or non-acid, or is possibly suffering from abnormal muscle activity of the esophagus.
Symptoms that a patient may experience that may lead to such testing include: Read more »
*This blog post was originally published at Fauquier ENT Blog*
July 18th, 2011 by John Mandrola, M.D. in Opinion, Research
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What should I have told the doctor who recently asked me about dronedarone (Multaq)?
“Supposedly, it’s [Multaq] just like Amiodarone, but without the side effects?” he asked.
Gosh…Should I, or shouldn’t I?
I took a big cleansing breath, reminding myself to stay civil, as at least Sanofi-Aventis, the makers of Multaq, sponsor a cycling team. Then I gave him my long answer:
I started with the fact that Multaq barely made it through the approval process. One of the original studies with Multaq (ANDROMEDA), a randomized trial of Multaq in patients with severe heart failure, showed that patients who took the drug were twice as likely to die.
Multaq eventually won approval for use in patients without significant heart failure and mild forms of AF, based on the results of the ATHENA trial—which randomized 4628 patients with non-permanent AF to either standard therapy or standard therapy plus Multaq. The ATHENA investigators didn’t exactly say that Multaq works, rather they claimed that it reduced a composite of hospitalizations and death.
This started the marketing machine in motion, the likes of which I have not ever witnessed. Read more »
*This blog post was originally published at Dr John M*
July 17th, 2011 by David Kroll, Ph.D. in Opinion, Research
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So, you’re curious about herbal medicine. Is there any truth to this stuff?
Uncle Howie tells you that he read in the National Enquirer about an herb that has better antibacterial effects on cuts and scrapes than Neosporin ointment — never mind that Neosporin is composed of three different antibiotics that come originally from bacteria themselves.
So you set out on a quest to purchase some of this herb, known colloquially as goldenseal. When you go to your local Whole Hippie Dump-a-Load-of-Cash Emporium you find goldenseal alright, in about twenty different forms. On one side of the aisle are containers with loose, crushed up leaves and roots that look like medical marijuana. On a shelf, you find see-through capsules that seem to contain a powdered version of the herb. Down the aisle a bit you find boxes of blister-packs containing a proprietary extract of free-range goldenseal from the Appalachians harvested under moonlight by bare-breasted virgins. The same company also makes an ointment, allegedly procured the same way.
A scraggly young man with a rainbow-colored Whole Hippie tam comes by and says, “Dude, can I help you?” As you wave away the cloud of patchouli oil and three days of body odor, you ask him, “So, this goldenseal — which one should I buy?”
Hippie Boy looks both ways down the aisle and motions with his finger to come close.
“Dude, all this expensive stuff is just a ploy by The Man trying to make a buck with their fancy scientific words and processes. What you want is the whole herb, man — the stuff given to us by the sprites and spirits. Those capsules miss the point. Part of the magic is missing. You pay extra to get less.”
“But, dude,” you say. “I want to try the ointment, you know, for cuts and scrapes. How do I use this herb?”
The fine young man then explains how to make a poultice, an old-fashioned decoction of plant material that one wraps on a cut — sort of like collard greens.
This really seems like more trouble than it’s worth. You’re about a millisecond away from just heading down to the Done-Rite Drugs, Liquor, and Tobacco to buy a simple tube of Neosporin. But hey, it’s an experiment and you’re curious.
While you’re checking out from the health food store, a local scientist friend is in line at the next register, checking out your stash of goldenseal.
“You know, you should really go read Science-Based Medicine to get the straight dope on that stuff.”
And so, here you are. And I’m here for you.
[Note to readers: Apologies to my hippie friends. I love you all. No hippies were harmed in the drafting of this blogpost.]
Is there any scientific evidence to support a common herbalist claim that whole plant materials are “better” than semi-purified extracts or pure, individual chemicals made by the plant? Read more »
*This blog post was originally published at Science-Based Medicine*
