Primecuts – This Week In The Journals

January 4, 2017
Primecuts – This Week In The Journals

By Derek Moriyama, MD

Peer Reviewed 

It is official. The members of the electoral college have cast their votes and Donald Trump will be the next President of the United States. As he continues to use twitter as a platform to inform the world of his beliefs, including a reference to the direction of our nuclear program , we are all left guessing how his Presidency will affect the future of our country and the world.

Aside from U.S. political news, there have been shocking …

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Primecuts-This Week in the Journals

December 19, 2016
Primecuts-This Week in the Journals

By B. Corbett Walsh, MD

Peer Reviewed

As many of us reflect on the festivities that occurred during the Department of Medicine Holiday Party this past weekend, all can agree that winter is not only coming, but that it has arrived. Earlier this week those inside New York University’s Langone Medical Center Tisch Hospital may have thought the excessive heating was premature, only to realize that a fire had broken out on 7th floor of the currently-under-construction Kimmel Pavilion. No injuries were reported, and the …

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Primecuts – This Week In The Journals

December 13, 2016
Primecuts – This Week In The Journals

By Shriram Alapaty, MD

Peer Reviewed

This week, America’s president-elect Donald Trump continued to defy expectations by selecting Mr. Scott Pruitt, a close ally of the fossil fuel industry, to head the Environmental Protection Agency. In stark contrast, Google has targeted 2017 as the date by which to completely run on renewable energy. The environment has been a subject of global attention, with Paris opting to make all public transport free in the face of the worst air pollution in 10 years. While America continues …

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Primecuts – This Week In The Journals

December 8, 2016
Primecuts – This Week In The Journals

By Robert Freilich, MD

Peer Reviewed

Levels of smoking have dropped to record lows in the United states. Per a NY Times article1, the CDC reports that smoking levels are down in Americans from 21% in 2005 to 15% in 2015. This represents a reduction of almost 9 million Americans who are smoking. Encouragingly, smoking declined the greatest among the youngest age groups. Fifteen percent is the lowest level since the US began recording levels of smoking 50 years ago. Moving from population changes leading …

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Balancing patient information with our professional and relational duties to patients and families without appealing to paternalism.

December 2, 2016
Balancing patient information with our professional and relational duties to patients and families without appealing to paternalism.

A commentary by Antonella Surbone, MD PhD FACP, Ethics Editor on  yesterday’s article “Is There Such a Thing as Too Much Information?”

The insighftul and challenging piece Is there such a thing as too much information? by Mariya Rozenblit addresses a key issue in today’s medicine: how much information do we need to provide to our patients to enable them to make autonomous informed choices about their health, illnesses and treatments. She provides many data and examples from the literature to illustrate the potential damages …

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Is there such a thing as too much information?

December 1, 2016
Is there such a thing as too much information?

By Mariya Rozenblit, MD  

Peer Reviewed

On my first day of internship I was faced with the seemingly simple task of consenting a patient for a blood transfusion. I went over the informed consent form with the patient, explaining the benefits and possible risks, and asked the patient if he had any questions. He did not and happily signed the form. However, I was left wondering if he truly comprehended the information. How much did he know about hepatitis C and HIV and how these …

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Mystery Quiz-The Answer

November 28, 2016
Mystery Quiz-The Answer

Before you read the answer, please review the original Mystery Quiz posted 11/18/16.

Vivian Hayashi MD, Robert Smith MD

The answer to the mystery quiz is aspiration pneumonia.  The CXR (Image 1) shows a total opacification of the right hemithorax.  Importantly, the tracheal air column is deviated to the side of the opacification.  This indicates loss of volume of the right lung due to endobronchial obstruction from aspiration (e.g. gastric contents), endobronchial tumor or foreign body.  Although one might consider pleural effusion, chylothorax and empyema …

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Glucagon People/Insulin People

November 23, 2016
Glucagon People/Insulin People

By Michael Tanner, MD

Glucagon: a 29-amino-acid polypeptide secreted by the alpha cells of the pancreas in response to hypoglycemia or starvation. 

Insulin: a 51-amino-acid polypeptide secreted by the beta cells of the pancreas in response to nutrient consumption. 

It’s December 13th, 1932, Camden, New Jersey. You are playing alto sax and clarinet in the reed section of Bennie Moten’s Kansas City Orchestra. It’s the low point of the Depression, and your boss is feeling it: the financial challenges of running a …

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