Don’t Tie Me Down! Do Neckties Spread Infection?

February 24, 2016
Don’t Tie Me Down! Do Neckties Spread Infection?

By Gabriel Campion

Peer Reviewed

For over a century, neckties have been a staple accessory in the wardrobe of the American professional man. Although white-collar dress codes have trended toward a more casual style, the quintessential physician still wears the white coat, a stethoscope draped around the neck, and, if male, a necktie. This is understandable. No one would accuse a profession using an oath that originally swore “by Apollo the Physician and by Aesculapius ” to be one that easily strays from tradition. However, …

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Primecuts – This Week In The Journals

February 22, 2016
Primecuts – This Week In The Journals

By Edson Carias, MD

Peer Reviewed

For politicos, the ongoing buzz for potential Supreme Court justice nominees following Justice Scalia’s sudden death last week keeps them in suspense .  For music lovers, the suspense was over after winners were announced at this year’s annual Grammy awards.  Lady Gaga paid tribute to David Bowie in grand style, while Kendrick Lamar gave a performance that many are still praising .  For movie buffs, awards season will continue with the 88th Annual Academy Awards next week.  Awards for …

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Could Metformin be the First Anti-Aging Drug?

February 11, 2016
Could Metformin be the First Anti-Aging Drug?

By Amy Shen Tang, MD

Peer Reviewed

“I would pay you if you took it away from me. I’d try to buy it back,” said Irving Kahn, the late Wall Street investment advisor when asked if he would ever retire from work . Mr. Kahn, who founded Kahn Brothers Group, Inc. with his sons more than 40 years ago, took an active role as chair of his company until his passing last winter at the ripe age of 109 years. Kahn and his siblings all …

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Primecuts – This Week In The Journals

February 9, 2016
Primecuts – This Week In The Journals

By Nicole Van Groningen, MD

Peer Reviewed

Last week we watched Hillary Clinton become the democratic favorite in the Iowa caucus – only narrowly avoiding getting Bern’ed. On the GOP side, Rand Paul, Mike Huckabee and Rick Santorum pulled out of the Republican race and Donald Trump, who came in second to Ted Cruz, demanded a do-over . The New England Journal of Medicine maintained political relevance this week with its release of a study examining the impact of Texas’ ban on Planned Parenthood services. …

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From The Archives: Nothing QT (Cute) about it: rethinking the use of the QT interval to evaluate risk of drug induced arrhythmias

February 4, 2016
From The Archives: Nothing QT (Cute) about it: rethinking the use of the QT interval to evaluate risk of drug induced arrhythmias

Please enjoy this post from the archives dated April 27, 2012

By Aneesh Bapat, MD

Faculty Peer Reviewed

Perhaps it’s the French name, the curvaceous appearance on electrocardiogram (EKG), or its elusive and mysterious nature, but Torsades des pointes, a polymorphic ventricular arrhythmia, is certainly the sexiest of all ventricular arrhythmias. Very few physicians and scientists can explain its origin in an early afterdepolarization (EAD), and fewer still can explain its “twisting of the points” morphology on EKG. Despite its rare occurrence (only 761 cases …

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The Persistent HIV Crisis: HIV Prevalence Among Black Men Who Have Sex With Men (MSM)

February 3, 2016
The Persistent HIV Crisis: HIV Prevalence Among Black Men Who Have Sex With Men (MSM)

By Ofole Mgbako, MD

Peer Reviewed

In July 2010, the much-anticipated “National HIV/AIDS Strategy for the United States” was released to the public. In its introduction, the president declared, “Our Nation is at a crossroads…unless we take bold actions, we face a new era of rising infections, greater challenges in serving people living with HIV, and higher health care costs” . Indeed, the incidence of HIV infection in the U.S. has fallen dramatically over the last few decades, from initially 130,000 new infections annually in …

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Primecuts – This Week In The Journals

February 1, 2016
Primecuts – This Week In The Journals

By Kevin Hauck, MD

Peer Reviewed

Last week, the nation focused on the Northeast, as it was battered by winter storm Jonas. This week, the nation again turns its collective attention eastward. The Iowa caucuses start Monday, and with them the race to the White House begins in earnest. Clinton continues to hold the lead over Sanders and O’Malley, while Cruz and Trump are battling for a last minute advantage . The less politically inclined have another contest to look forward to. This one in …

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When and How Should We Examine the Spleen?

January 28, 2016
When and How Should We Examine the Spleen?

By Jenna Tarasoff

Peer Reviewed

A 65-year-old African woman presents with two months of fevers and 25-pound weight loss along with a month of nausea and retching, accompanied by left-sided abdominal pain. The exam is significant for axillary lymphadenopathy, abdominal distension, splenomegaly, and palpable purpura on her arms, legs, and back. Labs are significant for leukocytosis, lymphopenia, microcytic anemia, increased ferritin, and positive hepatitis C virus PCR. Abdominal CT shows multiple enlarged nodes and an enlarged spleen (splenomegaly). 

As I prepare to present my diagnosis …

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