She was lying there stretched out, her mouth open, her eyelids sealed, her fingers straight, immobile, and paler than an image made of wax.  From out of her eyes came two streams of tears flowing slowly down onto the pillow … For forty-three days, Charles did not leave her.  He neglected his patients; he sat up every night, he was constantly taking her pulse, applying sinapisms, cold-water compresses.  He sent Justin to ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 54-year-old woman is evaluated for shortness of breath of 3 months' duration and a 4.5-kg (10-lb) weight loss over the preceding 2 months. She has a 35-pack-year smoking history. On physical examination, temperature is 36.9 °C (98.4 °F), blood pressure is 145/82 mm Hg, and pulse rate is 108/min. Oxygen saturation is ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old man is evaluated for pain on the radial aspect of the right wrist that occurs with use of the thumb. The pain has been present for 2 weeks. He has never had this pain before and has not had any trauma. He works as a computer programmer and plays video ...

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An increasing amount of parents are choosing to delay or spread out vaccines for their infants and toddlers. Dr. Allison Kempe and her colleagues at the University of Colorado School of Medicine found that in a typical month, 93 percent of pediatricians and family physicians reported that some parents of children less than 2 years of age requested to spread out their vaccines. The findings, published in the April 2015 edition ...

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People like tests. You get numbers, and maybe a printout, and there’s science and blood and things just feels more ... serious, when testing is done. You can picture Marcus Welby (or perhaps a more modern physician), looking solemn, declaring “We’d better run some tests.” Are medical tests magical and mysterious, and can they unlock the secrets of life? Usually, no. And among the worst and most misunderstood tests we do are ...

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Spring is here. The days are getting longer. The temperature is slowly getting warmer. Green stuff will start poking through the ground and popping out on trees. We’ll see more of our neighbors, since they won’t be trying to get from their cars into their houses (and vice versa) as quickly as possible before they freeze. Pollen allergies will start up again. And grass allergies. So many people suffer from the watery, itchy eyes, itchy, ...

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“I want to hurt myself.”

That was the only thing written on an otherwise blank page. The other day, the mother of a bright second grader, showed me that alarming note.  Apparently the boy wrote it at his school. She went on to tearfully explain that her child has constantly been bullied ever since joining the institution. Sadly, it is not uncommon to encounter such stories when your profession is ...

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It’s hard to miss the headlines and breaking news feeds on the latest medical studies showing the health benefits of plant-based eating patterns: Vegetarian diets lower the risk or colorectal cancer. Dementia can be delayed through a healthful diet, cognitive training, and physical exercise. Folic acid -- a plant-based product of foliage, or leafy greens -- boosts heart health. And that’s just in the past few days. As a primary care specialist ...

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Peanut allergy is a worldwide concern, but especially in Western countries, in which prevalence has doubled in the last ten years, to a rate of 1.4 to 3.0 percent of children.  To prevent the development of peanut allergy, national guidelines have attempted to keep pace with this crisis, with recommendations, at first, of delayed exposure to peanut and, more recently, of earlier exposure.  But a universally accepted and research-supported approach ...

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A drug company recently received FDA approval to peddle its speed-like pill for "binge eating disorder" (the very same pill that is already widely overused for ADHD). And it is sparing no expense pushing the drug -- a former world tennis champ is the shill and commercials are everywhere. Five years ago, I predicted binge eating disorder (BED) would become a new fad diagnosis and a wonderful target for pharma disease ...

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