Ebola in the US – what’s next!?

Last month, the first Ebola patient was brought to the US – a physician infected in Africa and brought back to the US for treatment.  I reviewed Ebola and that case in a earlier post on 8/2/14. That was a controlled transfer, just as the 2 other known cases transported to the US for treatment were. On […]

Flu shots – Don’t Believe the Hype

It’s that time of year again – just after Labor Day when Flu Season begins! Flu shots are in stock in my office, most chain pharmacies and starting to make the rounds at companies that offer them to their employees. It is also the time of year when I explain to many a worried patient that you […]

Ice Bucket Challenge

For the past month or so we have all seen ice bucket challenge videos of friends, family and celebrities dumping buckets of ice water on their heads, making donations to ALS foundations, and asking others to do the same.  In addition to giving us some good laughs, the campaign has raised over $70 million.  And […]

Language as Medicine

Every culture has its own lingo, a shorthand that allows those in the know to gather information quickly and process it efficiently. I think the first language of medicine I remember is from the 70’s TV show Emergency – “get me an amp of bicarb and D50 STAT!” The language of medicine makes sense to those […]

Ebola Virus – Is truth stranger than fiction?

Earlier today a plane landed in the US carrying a very sick person.  They are being transported to Emory Hospital to be treated for one of the scariest infections that exists – Ebola Virus.  This person contracted the virus in West Africa caring for other victims of the same infection, and is now being brought […]

Personalized Medicine – Back to the Future

Almost every day I get asked a similar question.  “Should I get…”  we fill in the blank with a test – mammogram, stress test, PSA, colonoscopy are common ones.  People are concerned about having a disease and want to know if they can do anything about it.  They are worried and a little scared of […]

Everything Old is New Again

Last week, I had a third year medical student shadow me in the office; something I hadn’t done since leaving my old practice in New York City.  Having a medical student changes your day significantly – I find I may be more formal, I spend time filling the student in on a patient’s history, and […]

Steaks and Statins – weight gain and cholesterol management

Recently there have been several news stories with contradictory  health information; obesity has reached a peak, obesity is still rising.  Running leads to a longer life, but marathon runners don’t live longer.  Supplements don’t work, except when they do. One of the latest stories is that people who take statins are gaining weight faster than those […]

Misdiagnosis – A Second Opinion

Earlier this week, I saw a segment on the Nightly News claiming 1 in 20 people have a misdiagnosis – based on a new study that had come out that day.  That error rate translates into 12 million Americans per year.  As a physician I find that number startling.  As a physician who specializes in making […]

Advanced Lipid Testing – when “bad cholesterol” isn’t good enough

In an earlier post, I reviewed the new ACC/AHA guidelines for treating cholesterol.  These guidelines recommend basing treatment solely on LDL-c or the “bad cholesterol”, treating when it is high but not to a specific target.  Over the last several decades, lowering levels of LDL-c has resulted in a decreased rate of heart disease that […]

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