Myths and Realities: Ginger Ale in Treating Nausea and Vomiting

September 3, 2009
Myths and Realities:  Ginger Ale in Treating Nausea and Vomiting

Chau Che MD

Faculty peer reviewed

Despite the numerous medications available for the treatment of nausea and vomiting, some patients and doctors insist that ginger ale will alleviate gastrointestinal symptoms. As early as the first century AD, the Greek physician Dioscorides praised ginger root because it “gently stimulates the gut and is profitable for the stomach” (4). During the 16th century, the physician Lonicerus similarly wrote, “Ginger does good for a bad stomach” (4). Ginger has long medicinal roots in both India and China and …

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How Should You Approach a Geriatric Insomniac?

September 2, 2009
How Should You Approach a Geriatric Insomniac?

Gilda Boroumand, MS4

Faculty Peer Reviewed

Chronic insomnia, defined as difficulty with the initiation, maintenance, duration, and quality of sleep for at least one month, is a common complaint with significant impact on an individual’s daytime functioning and quality of life. It is particularly prevalent in the elderly, affecting between 23% to 34% of individuals over the age of 64. This same group is also more likely to experience adverse effects from various treatment regimens, thus leaving physicians with the task of weighing possible benefits …

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PrimeCuts: This Week in the Journals

August 31, 2009
PrimeCuts: This Week in the Journals

Christina Adaniel MD

Faculty peer reviewed

The country mourned over the loss of Senator Kennedy this week, 15 months after his diagnosis with malignant glioma. As plans for healthcare reform undergo increasing scrutiny and the American public becomes ever more disillusioned, Mr. Kennedy’s passing reminds us of his vision for a nation in which “every American…will have decent, quality healthcare as a fundamental right and not a privilege.”Healthcare policy, however, seems to move in the opposite direction of science. While policy often calls for less …

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Can you offer a liver transplant to a patient with HIV?

August 28, 2009
Can you offer a liver transplant to a patient with HIV?

Faculty Peer Reviewed

Uzma Sarwar MD

Coincident with greater use of highly active antiretroviral therapy (HAART), chronic liver disease has become one of the leading causes of death amongst HIV patients. This reflects the high prevalence of chronic liver diseases in the HIV-infected; almost a third of HIV-seropositive patients are afflicted with liver disease, predominantly as a result of hepatitis B and/or hepatitis C co-infection. Given their increased life-span, many HIV-infected patients now progress to end-stage liver disease, where they used to succumb to the …

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Diseases 2.0: Calcific Uremic Arteriolopathy (CUA)

August 26, 2009
Diseases 2.0: Calcific Uremic Arteriolopathy (CUA)

Rebecca Hall MD

Faculty Peer Reviewed

Diseases 2.0 – Bringing you the latest updates on disease pathophysiology and treatment

Patient S.J. is a 36 year old female with a 20 year history of lupus and lupus nephritis now with end stage renal disease (ESRD) on hemodialysis. She presented with indurated, violaceous skin lesions with ulceration on both thighs. The lesions worsened and became increasingly painful over the last 6 months. Her extensive four month hospital course has been complicated by numerous episodes of superinfection and …

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PrimeCuts: Week of August 24th

August 24, 2009
PrimeCuts: Week of August 24th

Jon-Emile Kenny

Faculty Reviewed

Roughly 40,000 women die each year in the United States from breast cancer, and nearly 200,000 will be newly diagnosed; we have all been affected by this disease, and this week’s PrimeCuts looks at the latest in the treatment, diagnosis and molecular pathophysiology of this common malignancy.

Four years ago, the BIG 1-98 study compared, tamoxifen monotherapy and aromatase inhibitor monotherapy (letrozole) among postmenopausal women with receptor-positive breast cancer. This early study revealed that aromatase inhibitor given alone, as compared with …

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CT Colonography-The Future of Colorectal Cancer Screening?

August 21, 2009
CT Colonography-The Future of Colorectal Cancer Screening?

Ely R. Felker


Faculty Peer Reviewed

The patient is a 52 year-old white male who presented to his internist for a routine examination. He has no family history of colorectal cancer. He has not previously been screened. He recently heard about CT colonography and would like to know how it compares to conventional colonoscopy. Colorectal cancer (CRC) is the third most common cancer and the second most common cause of cancer death in the United States(1). Multiple studies have demonstrated that most colorectal cancers develop …

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Tales of Survival: Hot Air

August 20, 2009
Tales of Survival: Hot Air

Bellevue Hospital, the nation’s oldest public hospital and the heart of our residency program, provides unique and unforgettable training for new physicians.  It is probably safe to say that every resident who trains at Bellevue graduates with a lifetime of stories about the experience. “Tales of Survival” was created to convey some of those stories.

Benjamin Bergman MD

 

Sometimes surviving a hospital stay is not so easy and the reasons are not so obvious. This is the story of how I realized that doctors frequently …

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