Psychotic and manic depressive disorders can not only disrupt the life of the person suffering with one of these illnesses, but the lives of family and friends as well. You should seek professional advice if you suspect that you, a friend or a relative or even a spouse may be experiencing a psychotic or bipolar disorder. It's important not to attempt a diagnosis yourself. There are many external factors that can ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 45-year-old man is admitted to the hospital for a 2-day history of fever and abdominal pain. His medical history is notable for cirrhosis due to chronic hepatitis C, esophageal varices, ascites, and minimal hepatic encephalopathy. His medications are furosemide, spironolactone, nadolol, lactulose, zinc, vitamin A, and vitamin D. On physical examination, temperature is 36.5 ...

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There is little nutritional advantage to organic food In many of our local supermarkets, there is a section of organic produce in addition to produce that is traditionally farmed. For those of us selecting and preparing food for our families, we often wonder what items, if any, we should purchase with the organic label. When I shop, I typically choose traditionally farmed foods for my family’s meals. There are certain items ...

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Skin cancer does not discriminate For people of color, skin cancer may not be top of mind as a significant health threat. But as I tell my patients in the multi-cultural borough of the Bronx, NY, skin cancer does not discriminate and it impacts all populations regardless of color. While somewhat rarer in skin of color, skin cancers, including potentially deadly melanoma, do occur and can be quite ...

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Ah, the addictive power of modern food.  Never underestimate it. On a recent trip to New York I happened to be flipping through the channels on my in-flight TV when I ran across Mike Huckabee doing an interview on Fox News.  I was surprised to see that he had gained his weight back.  The former governor of Arkansas and presidential candidate had staked quite a bit on the success of his ...

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A woman’s mother dies at age 56. A blood test is done. The woman finds out she has a genetic pre-disposition to cancer. She takes what action she thinks she needs to take. A familiar story repeated over and over again every day. I’ve met many women who have made this choice. While not “normal”, it is a familiar situation. These women’s difficult choices go unheralded. But not Angelina. She ...

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Angelina Jolie: Why her story comes at a crucial time for BRCA testing Dear Ms. Jolie, Thank you for your bravery and leadership in the battle against breast cancer.  In a small way, through my patients, I understand the challenge and pain it took not only to undergo prophylactic mastectomies, because you carry the BRCA1 cancer gene, but also to reveal this deeply personal part of your life to the world.   You had no ...

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Here's a joke I love: A man goes to an old-school psychiatrist who, at the first session, administers some Rorschach tests. "Just tell me the first thing that comes to mind," the doctor instructs the patient as he shows him the ink blots. "Sex," answers the patient. "I see," says the doctor. "And this one?" "Sex." "And this one?" "Sex again." "Well," says the doctor, "I see we will have to work on your obsession with sex." "Me??" ...

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Prostate cancer is the most commonly diagnosed non–skin cancer among U.S. men. It can be life-threatening, and many men have cancer without knowing it. For those reasons, doctors sometimes look for prostate cancer in healthy men (screen for cancer) by measuring blood levels of prostate-specific antigen (PSA), a protein secreted by the prostate gland. High PSA levels can be caused by cancer and may lead a doctor to take a ...

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About half of all children in the United States with an autistic spectrum disorder are diagnosed at age five or older according to a May 2012, NCHS (National Center for Health Statistics) data brief. However, many parents are suspicious much sooner. As part of autism awareness month, we bring you clues in toddler development that can alert you to a potential issue. Pediatricians often use a questionnaire called the M-CHAT (Modified ...

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