Vit-a-minute: Are Supplements Worth It?

July 11, 2014
Vit-a-minute: Are Supplements Worth It?

By Aditya K. Sreenivasan

Peer Reviewed

The Huffington Post recently publicized a large study on the health habits of doctors. The study, a survey done by Medscape with 31,399 participants, revealed that more than half of doctors take some form of dietary supplement. The most common form of supplement taken was a multivitamin . With the way doctors find themselves in constant discussions about “evidence based medicine” these days, we can assume that there are solid data showing that multivitamins are beneficial to long-term health. …

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Mystery Quiz- The Answer

July 10, 2014
Mystery Quiz- The Answer

Vivian Hayashi MD, Robert Smith MD

The answer to the mystery quiz is rhabdomyolysis due to legionella pneumonia (LP). The presentation of the patient, namely severe rhabdomyolysis complicated by acute kidney injury, obscured the presence of a subtle retrocardiac density that is visible on the CXR (Image 2, asterisk). The upper axial image from an abdominal CT, obtained one day after the CXR, shows the extent of the LLL infiltrate (Image 3). The infiltrate is contained by the major fissure and is characterized by air …

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Primecuts – This Week In The Journals

July 8, 2014
Primecuts – This Week In The Journals

By Miguel A. Saldivar, MD

Peer Reviewed

Last week the US team bowed out of the World Cup, but not without a valiant final effort. Particularly noteworthy was goalie Tim Howards’ performance, leading some fans to affectionately label him the new “Secretary of Defense” (1). In spite of the US team’s exit from the tournament, “the beautiful game”, as the great Brazilian player Pelé once called it, continues to both entertain and teach in unexpected ways. As proof of the latter, we begin this week’s …

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Mystery Quiz

July 2, 2014
Mystery Quiz

Vivian Hayashi MD, Robert Smith MD

A 51 year old man presented to the emergency room with fever and myalgias for four days. The patient was previously in good health except for occasional asthmatic exacerbations. He noted thigh pain in the few days prior to admission, for which he took about 8 tablets of ibuprofen. Additional symptoms included anorexia, epigastric pain, emesis that was neither bloody nor bilious, and loose stools. The patient also noted that his urine was dark colored and he experienced perioral …

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Primecuts – This Week In The Journals

June 30, 2014
Primecuts – This Week In The Journals

By Dana Zalkin

Peer Reviewed

Former Mayor Michael Bloomberg’s proposal to limit sales of sugary drinks over 16 ounces was rejected by New York’s highest court this week . Given that this was the final appeal, the soda ban is officially over. Although supporters hoped this would be a stepping-stone in the fight against obesity, opponents felt this proposal threatened consumer autonomy. While the soda ban had divided new Yorkers into several factions, one thing that most of us can support this week is the …

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Board Exam Nightmare

June 27, 2014
Board Exam Nightmare

By Michael Tanner, MD

The American Board of Internal Medicine compels us internists to take a 6-hour multiple-choice Maintenance of Certification exam every 10 years. I, by an accident of birth year (being old), am one of the few doctors who have had to take “the Boards” three times—in 1994, 2004 & 2014. The exam tests our knowledge of 500 diseases that we haven’t seen in the 10 years since we last had to take the exam. It’s kind of like a college reunion: a …

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Primecuts – This Week In The Journals

June 25, 2014
Primecuts – This Week In The Journals

By Ian Henderson, MD

Peer Reviewed

This week we lost an outspoken, revolutionary leader in medicine , Dr. Arnold Relman. A former Editor in chief of the New England Journal and professor emeritus of medicine and social medicine at Harvard, Dr. Relman passed peacefully in his home in Cambridge, Mass. at the age of 91. Known for being a for being a pioneering researcher early in his career, Dr. Relman went on to become an out spoken editor of numerous medical journals and won the …

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Inhaled insulin: An Elusive Revolution in Diabetes Management.

June 19, 2014
Inhaled insulin: An Elusive Revolution in Diabetes Management.

By Reed Magleby, MD

Peer Reviewed

For many with type II diabetes, initiation of insulin therapy represents a devastating progression of their disease. Patients who are dependent on insulin require constant blood sugar monitoring, adherence to strict dosing algorithms, and up to 4 self-administered injections every day. According to a 2010 survey of non-insulin adherent diabetic patients, both “injection phobia” and inconvenience were found to be important barriers to initiation of insulin therapy. . In response to these concerns, less invasive administration techniques such as …

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