by Brian E. Moore, MD Two neuropathologists are prominently spotlighted in an article by Malcolm Gladwell in the October 19 issue of The New Yorker. The article explores a provocative question raised by autopsy results on football players: namely, should football be illegal? Featured are Dr. Ann McKee, neuropathologist at the Veterans Hospital in Bedford, Massachusetts and Dr. Bennet Omalu, forensic neuropathologist and San Joaquin Valley (CA) chief medical examiner. Drs. McKee ...

Read more...

According to a potential ruling in Massachusetts, tobacco companies will have to pay for smokers' screening CT scans. The Boston Globe (via Doug Farrago) writes that the decision "would allow thousands of other Massachusetts smokers to join the lawsuit, which covers people 50 or older who have smoked at least one pack a day of Marlboro cigarettes for at least 20 years," and, "if a jury sides with the smokers, ...

Read more...

Originally published in HCPLive.com What defines a “disease?” At what point does a collection of symptoms and causes make the transition from “condition” to disease? Is it when a consensus forms around a concrete, observable, and repeatable set of biochemical and/or physiological processes and outcomes? Surely there is little doubt that diabetes or hypertension qualify as a disease under the standard paradigm. ...

Read more...

Depression is bad for your heart

Originally published in Journal Watch Psychiatry by Steven Dubovsky, MD And attaining remission significantly improves mortality risk in patients with acute coronary syndromes. Depression is common after myocardial infarction (MI), and medical outcomes are worse in depressed patients. These researchers addressed long-term survival in a 6.7-year follow-up study of 361 patients with acute coronary syndromes (ACS) and major depression. The patients had participated ...

Read more...

Originally published in MedPage Today by Nancy Walsh, MedPage Today Contributing Writer Opportunities to learn how to perform skin cancer examinations during medical training are inadequate, a survey of residents found. More than half (55.3%) of residents said that they had never observed a skin cancer examination, 75.8% said they'd never been taught to perform one, and 57.4% had never practiced doing ...

Read more...

Originally published in MedPage Today by Michael Smith, MedPage Today North American Correspondent President Barack Obama's declaration that the H1N1 pandemic flu is a national emergency doesn't mean the course of the outbreak has changed, health experts said. But as the volume of cases increases, the declaration allows doctors and hospitals more flexibility in handling the expected surge in patients, they said. "I ...

Read more...

What can unify Glenn Beck and Rush Limbaugh with the progressive anti-vaccine bloggers of the Huffington Post? Both camps are revolting against the H1N1 vaccine. In a piece from Slate, Christopher Beam notes that "the two sides have finally found common cause," and share a worldview where there's "distrust—of doctors and modern medicine or of government." On the right, Mr. Lumbaugh eloquently told the Secretary of Health and Human Services to "screw ...

Read more...

Originally published in Insidermedicine Less-than one third of eligible patients being discharged from hospital with heart failure are being prescribed guideline-recommended treatment, even though the hospitals are participating in a program aimed at improving compliance with treatment guidelines, according to research published in the latest issue of the Journal of the American Medical Association. id="play_continuous_flvs" classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="385" height="239" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0">
Read more...

Originally published in Journal Watch Infectious Diseases by Stephen G. Baum, MD Rapid tests for seasonal influenza generally have relatively low sensitivity; their sensitivity for detecting the 2009 H1N1 virus seems even worse. Many respiratory pathogens can produce an influenza-like illness. With a sensitive and specific rapid test for influenza, the onset of outbreaks could be established and patients could receive appropriate antiviral treatment. Reverse-transcriptase ...

Read more...

Doctors are often compelled to make quick decisions in life threatening cases with only limited information. Unfortunately, pregnant women are now going to be put in the same situation. The H1N1 flu has taken an extraordinary toll among pregnant women. A new vaccine is now available. Because of the nature of the emergency, there has not been time to do any long term studies of the vaccine. Yet pregnant women will ...

Read more...

Most Popular

Join 141,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 141,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.
close-image