March 9, 2018

Food Preservative for Schizophrenia? | Psychiatric Times

March 8, 2018

Hundreds of Canadian doctors demand lower salaries — Health — Bangor Daily News — BDN Maine

March 4, 2018

Pumping Steroids Reduces Asthma Attacks

We know that doubling inhaled steroids early in asthma deteriorations doesn’t ward off severe attacks. Quadrupling the dose reduces the attacks by 19%.

March 2, 2018

BBC News: Diabetes is actually five separate diseases, research suggests

Diabetes is actually five separate diseases, research suggests_100238003_gettyimages-538364990.jpgScandinavian researchers say a new classification would mean better treatment for patients.

February 25, 2018

NYTimes: Doctors, Revolt!

When Dr. Bernard Lown, author of “The Lost Art of Healing” is the patient.

“What I learned when a famous 96-year-old physician became my patient.”

Read More…

February 24, 2018

Celiac Disease and the Gut-Brain Axis

Gluten free diets have become somewhat of a fad lately, and many people say that they are not offering any health benefits for most people. But, given the wide range of symptoms and conditions that seem to be associated with celiac disease, it makes you wonder.

I had been aware of the physical symptoms claimed to be triggered by gluten sensitivity, but an article in The New York Times by Moises Velasquez-Manoff describes several cases of neurological symptoms – “seizures, hallucinations, psychotic breaks and even, in one published case, what looked like regressive autism, all ultimately associated with celiac disease.”

The mechanism is at least partly understood:

“Scientists at the Royal Hallamshire Hospital in Sheffield, Britain, have identified an antibody that binds to a version of transglutaminase, called TG6, which occurs primarily in the brain. This antibody, they argue, may identify celiac patients at risk for neurological complications. When celiac patients with ataxia adopt a gluten-free diet.”

“Celiac disease differs from most other autoimmune diseases in one critical respect: The trigger, gluten, is known. And in most cases, removing gluten will turn off the autoimmune destruction in the gut. Around 10 percent of people with celiac disease, and possibly more, are thought to suffer neurological symptoms, ranging from headache and nerve pain, to ataxia and to epilepsy.”

Some researchers even claim that 25% of schizophrenics have anti-gliadin antibodies, compared to only 3% of the general public, but not all patients whither neurological symptoms associated with gluten intake carry this marker.

Certainly, food for thought…

February 15, 2018

Anticoagulants may increase risk of stroke for CKD patients, study warns | News Article | Pulse Today

February 15, 2018

Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort | The BMJ

February 4, 2018

The Truth About the Discovery of the Smallpox Vaccine

Jenner didn’t discover that cowpox protected against smallpox, a simple Country Doctor did. The story appears in this week’s The New England Journal of Medicine:

Two hundred fifty years ago, an almost-forgotten country doctor made an observation while inoculating a group of farmers against smallpox. Although John Fewster never appreciated the importance of his discovery, he told his colleagues what he had found, setting in motion a process that led to the development of the smallpox vaccine and the eventual eradication of the virus. All immunizations arguably have their origins in this event.

February 4, 2018

Only Half a Physician

“You’re only half a physician if you’re just good at your craft. Unless it’s coupled with patient-centered care and humanism, it’s suboptimal care.”
– Arnold P. Gold, MD

I happened to read an obituary in The New York Times this morning about a pediatrician who started the tradition of introducing swearing of the Hippocratic Oath at white coat ceremonies early on in American medical schools instead of just at graduation.

I added him to my mental list of imaginary mentors.

“Dr. Gold, who treated patients and taught for more than 50 years at the Vagelos College of Physicians and Surgeons, part of Columbia University Medical Center, had a cheerful but authoritative demeanor. On rounds, he wanted to know about the life of the patient, not just his vital signs. He talked face to face with his young patients, often sitting on the floor and playing with them.
“He enjoyed kids and he dealt with them in a wondrous way,” Dr. David Mandelbaum, a former student of Dr. Gold’s at Columbia who is a professor of neurology and pediatrics at the Brown University Alpert Medical School, said in a telephone interview. “He always sensed what a kid was able to do, not what he couldn’t do.”
He was also concerned with the patients’ parents, spending time, for example, to understand the effects that a neurologically damaged child’s condition had on their marriage and finances. And if he could not give them hope, he gave them answers.”