Proton Pump Inhibitors and Clostridium Difficile Infection

March 20, 2014
Proton Pump Inhibitors and Clostridium Difficile Infection

By Aaron Smith, MD

Peer Reviewed

First introduced in the late 1980s, proton pump inhibitors (PPIs) have revolutionized the treatment of gastric acid-related disorders and have been described as a miracle drug by patients and physicians alike. As is often the case with miracle drugs, however, long-term use of PPIs has led to unforeseen adverse effects. Chief among the purported side effects of PPI use is an association with Clostridium difficile infection (CDI). CDI, an enterocolitis that leads to voluminous and potentially fatal diarrhea, was…

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Primecuts – This Week In The Journals

March 19, 2014
Primecuts – This Week In The Journals

By Anjali Mone, MD

Peer Reviewed

While the majority of media coverage is focusing on Crimea’s annexation and continued upheaval in the Middle East, also making the news this week was a high school teacher who lost weight while on an unconventional diet. John Cisna, a science teacher from Iowa, managed to lose 56 pounds and more shockingly saw an improvement in his cholesterol profile after eating only at McDonald’s for 6 months. How could a diet of Quarter Pounders, salty fries, Chicken McNuggets,…

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The Blue Phone and the Bow-Tie

March 14, 2014
The Blue Phone and the Bow-Tie

By Joseph Zakhar

Peer Reviewed

The Patient:

Fate is the sound of a ringing phone.

I, however, am growing to hate the sound.

I’m strangled by the words, by the rough sheets, the silence as a stranger far away connects us, sitting in some room. There’s a tension, an unsettling sense of doom as I count the doctors’ blinks and wait for the “bonjourno.” I hope the translator – the one who lets me and my doctors talk – is somewhere warm, like Texas.…

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From The Archives: Intercessory Prayer: What Do Sneezes and Prayers Have in Common?

March 13, 2014
From The Archives: Intercessory Prayer: What Do Sneezes and Prayers Have in Common?

Please enjoy this post from the archives dated September 21, 2011

By Alon Mass

Faculty Peer Reviewed

The overlap between religion and medicine is ancient. On a recent medical volunteer trip to India I met a medical student who proudly wore a school sweatshirt with the saying: In God we trust. The rest we dominate.

This arrogant approach is probably uncommon, but praying to God for healing–self or intercessory–is not.

Intercessory prayer is a form of prayer conducted by a group or individual…

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Can crossword puzzles prevent dementia?

March 12, 2014
Can crossword puzzles prevent dementia?

By Theresa Sumberac, MD

Peer Reviewed

The 2008 US Census Bureau reported that 14 to 16 percent of the adult population enjoyed crossword puzzles and that half of them played crossword puzzles at least twice a week. Wouldn’t it be wonderful if all those hours spent finishing the Sunday crossword puzzle were good for your health? Recent evidence shows that this may be the case. By 2030 the US population over 65 will double to more than 70 million, highlighting the need to…

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Primecuts – This Week In The Journals

March 10, 2014
Primecuts – This Week In The Journals

By Jessica Taff, MD

Peer Reviewed

While the world’s political attention turned to conflict in Ukraine this week, the New York Times turned national attention to several physicians with big political ambitions . Currently, 17 physicians sit in the House or Representatives and 3 in the Senate, numbers that are expected to grow in the near future. While keen medical knowledge may not always translate to savvy political skill, the two fields do have a common theme of perpetual change and controversy. In both, new…

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The Sentinel

March 7, 2014
The Sentinel

By Michael D. O’Donnell

The patient was a 60 year old female with a history heavy chain (AH) amyloidosis with renal and cardiac involvement, nephrotic syndrome, and hyperlipidemia who presented with progressive generalized weakness and fatigue for several weeks and nausea and vomiting for 5 days. The patient was seen in cardiology and hematology clinic one month prior to admission at which time chemotherapy was recommended for treatment of amyloidosis, but the patient needed time to confer with her family. After admission to medicine,…

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From The Archives: Should My Patient with a Solid Tumor be Anticoagulated in the Absence of Venous Thromboembolism?

March 6, 2014
From The Archives: Should My Patient with a Solid Tumor be Anticoagulated in the Absence of Venous Thromboembolism?

Please enjoy this post from the archives dated September 8, 2011

By David Altszuler, Class of 2012

Faculty Peer Reviewed

An empiric association between occult malignancy and thrombophlebitis has been recognized since Trousseau first reported the syndrome in 1865. The mechanism by which cancer predisposes to thrombophilia has not been fully elucidated; however, it is now clear that this is a symbiotic relationship. The second leading cause of death in hospitalized cancer patients (and a leading cause of death in ambulatory cancer patients) is…

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