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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From the Archives: Myth vs. Reality: The July Effect

July 3, 2014
From the Archives: Myth vs. Reality: The July Effect

Please enjoy this post from the archives dated August 12, 2012

By Mark Adelman, MD

Faculty Peer Reviewed

Another July 1st has come and gone, marking the yearly transition in US graduate medical education of interns to junior residents, junior residents to senior residents, and senior residents to fellows. With this annual mid-summer mass influx of nearly 37,000 interns and other trainees taking on new clinical responsibilities, learning to use different electronic medical record systems and navigating the other idiosyncrasies of unfamiliar institutions, one…

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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…

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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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Primecuts – This Week In The Journals

June 17, 2014
Primecuts – This Week In The Journals

By Christopher Maulion, MD

Peer Reviewed

The last week was certainly a treat for sports fans. Thursday marked the start of the World Cup, and the month where the United States begins to care about fútbol. Martin Kaymer set a US Open record by beating the field at Pinehurst No. 2 by 8 strokes. Last but not least, Lebron James and the Miami Heat’s attempt at a three-peat was thwarted by Timmy and the Spurs. As we watch these exciting events unfold, let us turn…

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