HotSpots: Evidence Based Patient Websites

June 13, 2009
HotSpots: Evidence Based Patient Websites

Welcome to HotSpots. In this series, we highlight unique websites of interest to the medical profession. Feel free to make suggestions for sites that should be featured in this series by clicking the comment field or sending us an email.

Rebecca Hall MD

More and more patients are going online to read about their medical conditions. Patients may not be able to distinguish reputable evidence based medical sites from gimmick type websites promising expensive, useless “cures” and “vitamins” and providing faulty “medical” advice. Having a …

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How Should You Approach a Patient Co-infected with HIV and Hepatitis C?

June 11, 2009
How Should You Approach a Patient Co-infected with HIV and Hepatitis C?

Uzma Sarwar MD

Faculty Peer Reviewed

With advancement in therapy, life expectancy has significantly increased among HIV-infected patients, and patients are now more likely to succumb to chronic disease processes. At present, approximately one third of deaths in HIV patients are related to liver disease, which has become the leading cause of death amongst HIV patients. The risk of death from liver disease in HIV patients is inversely related to their CD4 count. Infection with hepatitis C virus (HCV) accounts for the bulk of this …

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Grand Rounds: Genomic Medicine: Hope, Hype and Reality

June 10, 2009
Grand Rounds: Genomic Medicine: Hope, Hype and Reality

Kristen Lee MD

Please also see the clinical vignette presented before Grand Rounds on the 13th of May.

The Medical Grand Rounds lecture on May 13, 2009 titled “ Genomic Medicine: Hope, Hype and Reality” was presented by Dr. Robert Desnick, M.D., Ph. D. Professor and Chair of the Department of Genetics and Genomic Sciences at the Mount Sinai School of Medicine.

Dr. Desnick began with therapeutic revolutions in the 20th century which include the discovery of antibiotics, vaccines, transplant medicine, laporoscopic and robotic surgeries …

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PrimeCuts: This Week in the Journals

June 8, 2009
PrimeCuts: This Week in the Journals

Kathir Palanisamy MD

Faculty Peer Reviewed

Let’s start the week with an update about the swine flu before turning our attention to tuberculosis. The New York Times reported on 6/5/09 that there have been 623 confirmed cases, 375 hospitalizations, and eight confirmed deaths linked to the swine flu in the U.S. To put that into perspective, the seasonal flu claims 1000 lives, on average. NYC health officials continue to urge those citizens with complicating medical factors as well as those with severe symptoms to seek …

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Commentary on Conscientious Objection in Medicine: A Moral Dilemma

June 5, 2009
Commentary on Conscientious Objection in Medicine: A Moral Dilemma

The following is a commentary  on last week’s post, Conscientious Objection in Medicine: A Moral Dilemma, written by Dr. Bradley.

 Commentary by Antonella Surbone, MD PhD FACP, Ethics Editor

The piece by Dr. Bradley raises a highly controversial issue in today’s medicine, physicians’ conscientious objection. Dr. Bradley reviews recent legislature, as well as medical literature, including the underlying ethical argumentation. Unfortunately, the key issue of ethical and moral justification for conscientious objection in medicine is unlikely to be resolved through abstract debate and argumentation, no …

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Grand Rounds: Primary Aldosteronism, Beyond Conn’s Syndrome

June 4, 2009
Grand Rounds: Primary Aldosteronism, Beyond Conn’s Syndrome

Michael Chu MD

Please also see the clinical vignette presented before Grand Rounds on the 21st of May.

The Medical Grand Rounds presentation on May 21, 2009 titled “Primary Aldosteronism, Beyond Conn’s Syndrome” was delivered by Dr. William F. Young M.D., Professor of Medicine at the Mayo Clinic College of Medicine. Dr. Young’s talk began with the index case of hyperaldosteronism that was described by Dr. Jerome Conn in the 1950’s, through the advances in the diagnosis of hyperaldosteronism, and on to present day treatment …

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Class Act: A Multivitamin a Day – Does It Really Keep the Doctor Away?

June 3, 2009
Class Act: A Multivitamin a Day – Does It Really Keep the Doctor Away?

Does daily use of a multivitamin help prevent illness and chronic disease?

Kate Gibson, MS-4

Faculty Peer Reviewed

A 65 year old male patient with a history of hypertension and hyperlipidemia comes into the clinic for a regular visit. On his way out he asks, “Should I be taking a multivitamin?” You stop and think for a minute and decide, why not? But is there any actual evidence supporting the effectiveness of daily use of a multivitamin?

Multivitamin Use
According to the National Health and …

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PrimeCuts: This Week in the Journals

June 1, 2009
PrimeCuts: This Week in the Journals

Jessica Lambert MD

Faculty Peer Reviewed

One hot topic making news this week is government spending on substance abuse, addiction and its consequences, both medical and legal. As reported in The New York Times, the National Center on Addiction and Substance Abuse issued a report estimating that $468 billion was dispensed in 2005 for smoking, alcohol abuse and illegal drugs, with the majority of this huge financial burden allocated for direct health care costs associated with lung disease, cirrhosis and overdose. This “stunning misallocation of …

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