By Kevin Zhang, MD
Peer Reviewed
This last week saw yet another school shooting when a student in Texas opened fire on his classmates, killing 10, fueling the ongoing debate about our nation’s gun laws as well as skepticism that any meaningful action would be taken to prevent future tragedies. Perhaps the most poignant comment in came from satirical news site The Onion who wrote, ‘No Way To Prevent This,’ Says Only Nation Where This Regularly Happens.
On the other side of the Atlantic, Meghan …
By Daniel Sartori MD, Marty Fried MD, Shreya Trivedi MD; Illustration by Michelle Lo MD and Amy Ou MD. Quiz yourself on the 5 Pearls we will be covering:
A special thank you to Dr. Josh Farkas for peer-reviewing this podcast!
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By Michael Tamimi, MD
Peer Reviewed
At a mere 104 years old, famed ecologist and botanist David Goodall, who was frequently touted as Australia’s oldest scientist, ended his own life via assisted suicide in Switzerland with family and friends at bedside. A proponent of Exit International, Dr. Goodall, just prior to his death, spoke about how he “regret reaching that age,” and noted the “sadness” attributed to his wishes, is not sadness in the desire to die, but rather the fact that “one is prevented” …
By Jasmine Nee and Martin Fried, MD
Peer Reviewed
LEARNING OBJECTIVES
1. What is metformin-associated lactic acidosis?
2. How does severe acidemia lead to acute kidney injury?
3. How do you treat metformin-associated lactic acidosis?
CASE SUMMARY
The patient is a 40-year-old man with alcohol dependence and type II diabetes who presented to the emergency department for alcohol intoxication. After arriving hemodynamically stable with reassuring labs, he become tachypneic, confused, and lethargic a few hours later. At this point, he admitted that he took “a …
By Nicolas Gillingham
Peer Reviewed
Over 30 million Americans—9.4% of the population—live with diabetes, six million of whom are at least partially dependent on exogenous insulin. Insulin can be self-administered by subcutaneous injection, either classically via a syringe, an insulin pen, or using an insulin pump. However, patients with diabetes report that these daily injections can feel particularly burdensome, not to mention stigmatizing, when compared to oral medications like metformin, which is one reason why insulin carries a lower rate of adherence. What if our …
By Gregory Rubinfeld, MD
The thick and sultry August outside,
The stale ammonia scented inside,
James The Poet, bedridden, writing in a fury,
Charlotte on a chair next to him, yawning.
So too have I become…
My whole frame taken, turned,
The very color of my flesh
Yellowed like the pages of an old book.
Moribund, we living antiques,
At the eternal doorway.
The snickering sardonic Footman ever beckoning.
The deep blue ink on the napkin ran some
But the words were still clear, burnished.…
By John Hwang MD, Cindy Fang MD, Neha Sathe MD, Michael P. Janjigian MD || Audio Editing and Graphic by Amy Ou, MD
Time Stamps
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Mother Spring has arrived in New York this week and she is lovely. Flowers are blooming, birds are tweeting, rodents are merrily scurrying to and fro in full view just as we humble folk have at long last emerged from our musty hovels to share the majesty of this sun-drenched city nestled between the fresh waters of the Hudson and the salty straits of the East.
With this sense of beauty and appreciation in mind, let us now turn our attention to medicine, and to …
