Top stories in health and medicine, August 16, 2013

From MedPage Today:

  1. Psoriasis Often Goes Untreated. As many as 30% of patients with severe psoriasis received no treatment, and many others received only topical therapy.
  2. Breastfeeding Baby May Delay Breast Cancer. Breastfeeding for a longer period of time might have helped protect women from breast cancer, although the effect didn’t appear to overcome the higher risk for women who smoked.
  3. Fluoroquinolones Linked to Hypo-, Hyperglycemia. Fluoroquinolone antibiotics are associated with an increased risk of blood glucose swings in diabetic patients.

Top blogs:

  1. Vulvodynia is not associated with oral contraceptives: new study. Unless other evidence arises, women and their providers should not be concerned that vulvodynia is associated with contraceptive pills.
  2. Gupta Gets Positive On Weed. Now before people get on my case about being a hardass or why not just let them have it or weed never kills anyone and on and on, let me remind you of the next debacle that will occur once you open these flood gates.
  3. How Social Media and Digital Health Technologies Will Redefine Death and Dying. It is my hope that social media and digital and mobile technologies serve to help us improve the quality of our dying and death as well as our lives.
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  • querywoman

    My dermatologist is a psoriasis specialist. He is an activist for his patients. I hope to do some of my own activism.
    I have atopic eczema, but get some of the same treatments as psoriasis patients. I have a lifetime story of medical ridicule and neglect. Neglect is the standard.
    It is not true that all skin disease is caused by “picking at it,” and that skin conditions will heal if a patients starts picking.
    I get an occasional cortisone shot. I know for a fact that my doctor is VERY CHINCHY with the cortisone shots.
    I told an internist once that he gives me an occasional cortisone shot.
    She kneejerked that, “He shouldn’t be doing that.”
    I was thinking, “Yeah, right, I’m not supposed to be getting anything. You had them put the worthless Bactobran on my lesions in the hospital when I had cellulitis.”
    I explained more. She admits to not knowing much about skin. She learns good, and is a good doctor. Sometimes she has blamed me for my skin problems. I cut her slack on the skin problem because she’s no different than most other doctors.
    Last year when I had pneumonia, she called in a pulmonologist. In my followups with him, which have mostly been about using asthma inhalers, he has stated that if I got worse, I could come in for a cortisone shot.
    I told him what she said about the derm and the cortisone shots. He did a little followup on when I saw him a week after getting my only IM cortisone shot from derm. He looked at the worse lesions and took my BP.
    Asthmatics are supposed to often have atopic eczema. I can tell this pulmonologist doesn’t know diddly squat about skin.
    I cut him some slack too.
    The last time I went to the derm, I saw psoriasis for the first time and knew what it was. A woman in a wheelchair had nasty skin lesions, kind of hairy and like warts, all over. She said she gets chemo for hers.
    We each looked intently at the other’s lesions. Mine isn’t always as visible in critical places as her. Luckily, my face isn’t devastated. I normally cover most of his body, something very common in his patients.

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