Morgellons: Real Disease or Delusion Turned Internet Meme?

October 3, 2012
Morgellons: Real Disease or Delusion Turned Internet Meme?

By Robert Mazgaj

Faculty Peer Reviewed

Morgellons disease is an “unexplained dermopathy” characterized by fibers emerging from skin lesions, and associated with various cutaneous sensations. Inspired by a curious medical condition reported by a 17th century English physician, Morgellons was actually named in 2002 by Mary Leitao, a layperson, to describe the mysterious set of symptoms reportedly suffered by her then 2-year-old son. Leitao then launched the not-for-profit Morgellons Research Foundation (MRF) along with a (no longer active) website, www.morgellons.org. MRF successfully petitioned members of…

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Primecuts – This Week In The Journals

October 1, 2012
Primecuts – This Week In The Journals

By Joseph Marsano, MD

Faculty Peer Reviewed

This past week marked the meeting of the UN general assembly and with it the resultant heavy traffic stagnating much of east side Manhattan. The topic on everyone’s mind was the impact of Iran’s pursuit of nuclear technology on the relationship between the United States and Israel. As this topic grabbed much of the headlines, and rightfully so, there was less attention paid to the large widening gap between much of the industrialized world and developing nations when…

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How to Get Your Patient a Kidney

September 28, 2012
How to Get Your Patient a Kidney

By Ilina Datkhaeva

Faculty Peer Reviewed

We give hope to patients with advanced kidney disease that a transplant will save them from their Monday, Wednesday, Friday trips to the dialysis unit. But how certain are we that they even qualify to be a recipient? And if they do, are they going to live long enough to get their new lease on life?

 Kidney donation has received its fair share of publicity recently, from the allocation of organs to illegal immigrants to Good Samaritans starting…

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From The Archives – Myths and Realities: Heart and Wine

September 27, 2012
From The Archives – Myths and Realities: Heart and Wine

Please enjoy this post from the archives dated August 26, 2010

By Aditya Mattoo, MD

Faculty Peer Reviewed

Not too long ago, a patient came to my clinic and said (I’m paraphrasing of course), “I never cared for alcohol, doctor, so I haven’t had much to drink since my college days. Maybe champagne or wine on the rare special occasion, but I keep hearing about how wine is good for your heart, so I am thinking I should start drinking regularly.” For years I have…

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Primecuts – This Week In The Journals

September 24, 2012
Primecuts – This Week In The Journals

By Gregory Katz, MD

Faculty Peer Reviewed

This week the presidential race continues to monopolize the news cycle with Mitt Romney’s leaked fundraiser footage dominating the headlines. But as Governor Romney attempts to distance himself from his comments about Americans who pay no federal income taxes and President Obama pounces on his gaffes, a report from the Center for Public Integrity on changes to hospital billing practices that are costing Americans billions got lost in the shuffle. Analysis from Donald Berwick, former head of Centers…

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What Is Andropause? Is Testosterone Supplementation the Answer in Older Men?

September 20, 2012
What Is Andropause?  Is Testosterone Supplementation the Answer in Older Men?

By Kylie Birnbaum

Faculty Peer Reviewed

Women have long bemoaned menopause and its physiological, psychological, and sexual effects. Fortunately, hormone replacement therapy has provided relief for symptomatic women. Less attention is paid to men, who also experience declines in their sex hormones. Decreased testosterone may explain many symptoms experienced by elderly men, such as poor sexual function and libido, decreased bone mineral density, fatigue, and decreased muscle mass and strength. Should physicians treat elderly men with testosterone replacement therapy?

Late-onset hypogonadism, or “andropause,” is the…

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Primecuts – This Week In The Journals

September 18, 2012
Primecuts – This Week In The Journals

By Lakshmi Tummala, MD

Faculty Peer Reviewed

First up, the debate between coronary revascularization and optimal medical management continues. Over the past several years, the role of fractional flow reserve (FFR), a technique used during angiography to assess the functional significance of lesions seen on coronary angiography, has begun to be established. A study published in the NEJM this week looked specifically at the role of FFR in patients with stable coronary artery disease. 1220 patients with stable coronary artery disease and lesions appropriate for…

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Vancomycin Resistance in Staphylococcus Aureus: A Dangerous Dent in Our Armamentarium?

September 13, 2012
Vancomycin Resistance in Staphylococcus Aureus: A Dangerous Dent in Our Armamentarium?

By Bryan Stierman

Faculty Peer Reviewed

Staphylococcus aureus, first discovered in the 1880s, is one of the most widespread human pathogens. It is also a commensal organism, with about 20% of the population permanently colonized and 60% of the population intermittently colonized. There is a wide variety of potential diseases that may develop when S aureus further invades the body, necessitating the use of antibiotics. Since the introduction of antibiotics into clinical practice, S aureus has developed unique ways to combat them. The evolution of…

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