Primecuts – This Week in the Journals

April 11, 2017
Primecuts – This Week in the Journals

Susan Creighton, MD

Peer Reviewed

Judge Neil M. Gorsuch was confirmed to the Supreme Court after Senate Republicans voted to lower the threshold required for Supreme Court nominations. Last week Senate Democrats used a filibuster to block the nomination, which would have required 60 votes before the rule change. At 49 years old, Justice Gorsuch could have a long tenure on the Supreme Court and shape the legal landscape for decades. Reproductive rights groups oppose Justice Gorsuch’s nomination because as part of the 10th Circuit …

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How Reliable Is Hemoglobin A1c?

April 6, 2017
How Reliable Is Hemoglobin A1c?

By Alexa Yuen

Peer Reviewed 

According to the CDC, there are 22 million people with an established diagnosis of diabetes mellitus in the United States, but more frightening is that the rate of diabetes continues to rise both nationally and globally, with predictions that 7.7% of the world’s adult population will be afflicted with the disease in 2030., Preventing, monitoring, and managing this disease is of utmost importance in responding to the growing epidemic. The hemoglobin A1c (HbA1c) blood test has become a powerful tool …

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Primecuts – This Week in the Journals

April 4, 2017
Primecuts – This Week in the Journals

By Jillian Diuguid, MD

Peer Reviewed

On Friday, March 31, New York City Mayor Bill de Blasio announced his support for a plan to shutter Rikers Island, the controversial East River island jail known for its history of violence by both inmates and corrections officers.  Per the Mayor, the closure plan will be complicated and difficult, taking 10 years, with significant reductions necessary in the number of jailed city inmates in order to make it possible.  The Mayor hopes this will be the end of …

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Book Review: in-Training: Stories from Tomorrow’s Physicians

March 31, 2017
Book Review: in-Training: Stories from Tomorrow’s Physicians

By Amar Parikh, MD

Peer Reviewed

“Wounded healers. It’s a concept…inspired by the story of Chiron, a centaur in Greek mythology who was renowned for his skills as a healer. Chiron was wounded by a poisoned arrow but his immortal status sustained him…He was thus condemned to spend eternity roaming the earth in agonizing pain, healing everybody but himself….the phenomena of depression and suicide among medical students and doctors suggest that we…fit into this archetype. “

The above selection is an excerpt from a moving …

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Why Does Our Hair Turn Gray?

March 30, 2017
Why Does Our Hair Turn Gray?

By Chio Yokose, MD and Aaron Smith, MD

Peer Reviewed 

All but a lucky few of us will one day see our locks lose their color. But what is the physiologic basis for this unsightly transformation, known scientifically as canities? Why does our hair turn gray?

Hair pigment is derived from the compound melanin, which is formed during melanogenesis in lysosome-like organelles called melanosomes, found in the cytoplasm of melanocytes . Melanocytes are ectodermal cells that migrate from the neural crest to the skin during …

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Primecuts – This Week in the Journals

March 28, 2017
Primecuts – This Week in the Journals

By Stephanie Charles, MD 

Peer Reviewed

This week marked an important point in our national health care debate. The American Health Care Act put forth by the Republican party failed to pass by Congress, allowing for the continuation of the Affordable Care Act, at least for now. Read below to learn of the important work published by the medical community this week. 

Trial of Pregabalin for Acute and Chronic Sciatica

Pregabalin (Lyrica, Pfizer) is an antiepileptic medication that has been shown to reduce symptoms of …

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Does Loneliness Contribute to Morbidity and Mortality?

March 24, 2017
Does Loneliness Contribute to Morbidity and Mortality?

By Katherine Otto

Peer Reviewed

What medications do you currently take? Do you have any allergies? What medical conditions did your parents live with, or die from?

As physicians in training, we are conditioned to drill every patient with a standard list of questions whose answers could literally save a life. We investigate for drug toxicities, medication interactions, daily exposures, and family histories that shed light onto present illness.

Within our standard interview we also check off mandatory boxes to describe a patient’s “Social History”—Do …

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Gamechanger? Should Steroids be Added to Treat Community Acquired Pneumonia?

March 23, 2017
Gamechanger?  Should Steroids be Added to Treat Community Acquired Pneumonia?

By Martin Fried, MD

Peer Reviewed

Welcome to Gamechangers, a series that takes a critical look at the latest in medical literature to answer one important question: would the results of this article change my practice? Featuring thorough evidence-based review as well as expert commentary, our aim is for this series to help you decide if the results of a given study are, in fact, a gamechanger. 

Why does this matter?

Community-acquired pneumonia (CAP) is a common and potentially serious infection that can lead to …

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