Tales of Survival: A Formidable Foe

September 12, 2009
Tales of Survival: A Formidable Foe

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.

Judith Brenner MD

Many years have passed since I was first an intern on the Bellevue wards. The details are blurred into a hodgepodge of images: running to codes, drawing …

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Wheal and Flare: Chronic Urticaria Revisited

September 9, 2009
Wheal and Flare: Chronic Urticaria Revisited

Erin Ducharme MD

Faculty peer reviewed by Rardi Feigenbaum MD

Urticaria is a common cutaneous disorder characterized by transient edematous plaques resulting from acute dermal edema and surrounding erythema. Roughly 20% of the general population will manifest urticaria at some point in their lives, qualifying it as a condition caregivers should be able to recognize and treat. When the unsightly wheal and flare reaction combined with periods of intense pruritis persists for greater than six weeks without an identifiable causative agent, the condition is referred …

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Primecuts-This Week in the Journals

September 7, 2009
Primecuts-This Week in the Journals

Robert Gianotti, MD

Labor Day is upon us and the summer is now officially over…and what a summer it has been! The entire world was gripped with fears of H1N1, we lost two iconic figures from the political and pop worlds, and we saw the Yankees surge into first place behind Derek Jeter and his 2,713 career hits. As our tans fade, and the days shorten I thought it was time to get back to the “heart” of the matter and take a look at …

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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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