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Could A Cure For Lupus Lead To A Cure For Cancer?

Daniel Wallace, MD

The annual American College of Rheumatology conference was held last week in San Francisco. I had the chance to interview Dr. Daniel Wallace, a world expert in lupus (systemic lupus erythematosis) management, to tell me about the latest advances in the treatment of this disease.

Dr. Wallace is currently a Clinical Professor of Medicine at the David Geffen School of Medicine at UCLA. His clinical practice is based at Cedars-Sinai, where he is involved in the care of 2,000 lupus patients, the largest practice of its kind in the United States. The Wallace Rheumatic Disease Research Center currently runs over 30 clinical trials for patients with lupus and other rheumatic diseases. Dr. Wallace is the author of 6 medical textbooks, 15 book chapters, and over 200 medical publications.

**Listen to the podcast of our interview here**

Dr. Val: What is Lupus?

Dr. Wallace: Lupus is what happens when the body becomes allergic to itself. It’s the opposite of cancer and AIDS. There are probably about 1 million people living with lupus in the United States. Ninety percent of them are women, and 90% develop lupus during their reproductive years.

Dr. Val: Historically speaking, what has treatment been like for patients with lupus, and how has that changed over the years? Read more »

How Much Vitamin D Does Your Child Need?

Tanya Altmann, MD

It’s been a little while since I had a “blonde moment” during an expert interview, but this one was pretty funny. I was in the middle of a podcast with Dr. Tanya Altmann, media personality and spokesperson for the American Academy of Pediatrics, about vitamin D – when I thought I heard her say that there were now special formulas of vitamin D for incense.

I knew that Dr. Altmann practiced medicine in Southern California, so I wasn’t terribly surprised about this new method of vitamin delivery. However, I hadn’t heard about vitamin D inhalation previously, so I asked her to explain how this new incense formula worked.

She paused to gather her thoughts and then corrected me: “No, I was saying that there’s a new formula for INFANTS…”

Oh. My bad.

So here’s the rest of our delightful interview. You may want to listen to the podcast, though I did edit out the awkward “incense” section so as not to start a new cult. One doesn’t want to give others too many ideas on the Internet! I hope that Dr. Tanya won’t think less of me for that misunderstanding.

Dr. Val: What is vitamin D, and why do we need it?

Dr. Tanya: Vitamin D is an essential nutrient for your entire body. Although it’s called a vitamin it actually functions as more of a hormone, playing an important role in the immune system. Vitamin D can help to protect people against illness, diabetes, and even cancer, though its role in helping to build strong bones (and protect infants from rickets) is probably its best known attribute.

Dr. Val: Tell me about the new AAP guidelines for infants, children and adolescents. Why did they change?

Dr. Tanya: Based on data collected in several recent research studies, the American Academy of Pediatrics issued new guidelines last month which essentially doubled the recommended daily amount of vitamin D (from 200 to 400 IUs) for infants, children, and adolescents. Historically people were able to get sufficient amounts of vitamin D through sun exposure (the body can create vitamin D when the skin is exposed to sunlight), but now that we need to protect kids from sun’s harmful rays due to future skin cancer risk, vitamin D levels have dropped significantly. Sunscreen, of course, blocks the sun from stimulating the creation of vitamin D in the skin. Read more »

Halloween Party Photos & A Failed Costume

Doug and Heather

Doug and Heather

True story: three years ago in New York City I decided to attend a Halloween costume party dressed as Jackie O. My husband dutifully accompanied me as a secret service agent. I wore a mauve, tweed suit with a three-strand pearl necklace, large sunglasses, a pill box hat, white gloves, and a brown wig. We entered the party with much fanfare. I was quite pleased until someone approached and said,

“Great costume. You look JUST like Monica Lewinsky!”

I started a new diet the next day.

This year I decided to be something that no one would mistake – a vampire from the Underworld movie series. My husband was supposed to join me as a co-vampire, but this year he dug in his heels and decided to do his own thing. What could be better than a vampire escort?

Steve chose to be “Lad Armstrong,” Lance’s older brother. He wore bicycle shorts and a helmet and wrist guards, with an ankle bracelet. He claimed to have taught Lance everything he knows about cycling, but is still sore about him stealing his anklet idea and developing it into a livestrong bracelet cult.

Anyway, I thought you’d enjoy some photos from the party. Someone’s dad dressed up as a flasher. I thought it was pretty clever. Unfortunately my camera was not fast enough to capture the goods during a flash. So I’ll leave that up to your imagination.

I did have a friend help me with my vampire look. Hope you all had a safe and entertaining Halloween! What did you dress up as?

Vampire Val & Lad Armstrong

Vampire Val & Lad Armstrong

The Friday Funny: Happy Halloween

Science Fiction Writing Contest – Sponsored By Epocrates

Attention science fiction buffs… it’s time to put pen to paper (er… keys to keyboard) and create a fictional account of some aspect of the future of medicine. This is Medgadget’s third annual science fiction writing contest. You could win a Palm Tungsten E2 handheld with Epocrates loaded on it – and the glory that only this honor can bring. Please go to the Medgadget blog for contest rules. You have only 2 weeks to submit your entries. Good luck… I’m one of the judges this year!

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