Here's a question for you: Which causes more deaths, motor vehicle traffics accidents or firearms? I asked a bunch of people that question, including a bunch of doctors, and everyone said that motor vehicles did, by a lot. According to the Centers for Disease Control and Prevention (CDC), in 2013, 33,804 people died from motor vehicle traffic accidents -- and 33, 636 died from firearms. They kill the same number of ...

Read more...

american cancer society Question: What do all these cancers have in common: melanoma, lung, kidney, bladder, ovarian, head and neck, Hodgkin lymphoma, stomach, breast (and others)? Answer: They have all shown evidence of meaningful, durable responses when treated with one or more of the new immunotherapy drugs. And that is truly amazing, not to mention very unexpected, even by the ...

Read more...

shutterstock_93662965 I was asked to consult on a 43-year old female with abnormal liver blood test results.  It took but a few minutes to determine that she was an alcoholic, which was the likely explanation for her abnormal blood results.  She drank several beers daily over several years. My diagnosis was alcoholism, but did the patient concur? “Do you feel that you are drinking ...

Read more...

shutterstock_189429203 Desiree wrote in, “My 15-month daughter and a few other kids at her daycare were just diagnosed with hand-foot-mouth disease. I would like to hear how common it is, what treatments (or ways to soothe) you find helpful, and how you would differentiate this from measles or chickenpox.  For example, my little one has blisters all over her body, not just H-F-M.  ...

Read more...

shutterstock_94423981 A recent series of articles in the Washington Post and a segment on NPR have caused quite a stir. The articles are about what we have called for decades shaken baby syndrome. It can be fatal. We now use the term non-accidental head trauma. This term replaced the older one because it is more specific; children ...

Read more...

shutterstock_128145248 Currently the HPV (human papilloma virus) vaccines are approved in the United States up to the age of 26. This has nothing to do with safety but due to the fact that the studies submitted to the Food and Drug Administration (FDA) involved this age range. The HPV vaccines were primarily studied in women aged 26 years and younger because age ...

Read more...

shutterstock_109841906 Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old man is evaluated for a 5-year history of recurrent headache that occurs several times per month and lasts 12 to 24 hours. He describes the headache as a bilateral frontal pressure associated with nasal congestion and sensitivity to light, sound, and ...

Read more...

I am often struck that those I work with who have enormous reasons to be depressed -- they may be poor, physically ill, uneducated, and very crazy -- are not depressed, not at least as I describe depression, a state of melancholy and dejection.  In my view, there is a terrible, terrible hopelessness in these situations and in these lives.  And then, there is William Jenkins. With William, I find I ...

Read more...

shutterstock_149926556 Note: This case is meant to illustrate the potential negative effects of inappropriate imaging.  It is not intended as a diatribe towards any member of the health care team.  Really the only “mistake” made here was the ordering of the CT scan in the first place. A 37-year-old woman presents to her local emergency department (ED) with a 4-hour history of heartburn ...

Read more...

shutterstock_169002578 Much of medicine is no harder than Mom, a Band-Aid and a scrapped knee. Flu shots save lives, give flu shots. Bleeding causes anemia, give iron or, if severe, blood. There is a fracture, fix it. A boil hurts, lance it.  This is not rocket science. Perhaps medicine is so simple that it can be automated. Instead of a doctor at all, ...

Read more...

Most Popular