Medical
The synergy in obesity and cancer
Over two-thirds of adults in the United States are overweight or obese, and approximately 88 million American adults have pre-diabetes. More than 84 percent of those with pre-diabetes are not even aware that they have it. Both obesity and type 2 diabetes are associated with an increased risk of cancer development. The risk of type…
Read MoreThe ethics of rationing care during COVID
I recently read an opinion by a physician regarding the decision as to which COVID patient would receive care and which would not when hospitals became too full to care for every patient. He suggested that no one need be denied care if some structural changes were made in health care delivery. Given the expected…
Read MoreCan gout be prevented?
To many people, gout seems like a disease of the past. Cartoons from 200 years ago depicted it as a condition afflicting the wealthy (“the disease of kings”), whose gluttonous consumption of food and drink was thought to bring on the attacks of debilitating arthritis. All these years later, much about gout is still misunderstood.…
Read MoreMedicine must create inclusive clinical trials [PODCAST]
“Researchers should make clinical trials more accessible by providing patients with simple explanations of studies at a variety of locations, including community clinics and medical centers. Increased flexibility regarding transportation and visit timing is essential. Researchers should also allow the participation of people who do not speak English and those living with chronic conditions whenever…
Read MoreThe R-word takes away people’s humanity
Some of you may have heard it on the playground. Others might have used it in jest. I’m not going to write it. I’m just going to call it the R-word because it’s that disgusting. It’s a slur against people with intellectual disabilities that you will see peppered in many news stories. NFL player Janoris…
Read MoreWondering about COVID-19 vaccines if you’re pregnant or breastfeeding?
Now that COVID-19 vaccines are rolling out, pregnant and breastfeeding people have many questions around risks and benefits. At first, many of those receiving vaccines in US will be healthcare workers, although the circles for vaccine eligibility are widening. The Centers for Disease Control and Prevention (CDC), the American College of Obstetrics and Gynecology (ACOG),…
Read MoreHormonal therapies for advanced prostate cancer linked to a higher risk of falls and fractures
Falls rank among the top causes of death and injuries among the elderly, and the risk increases significantly in older people being treated for cancer. Now, investigators are reporting that a newer class of drugs for advanced prostate cancer is associated with a significant increase in fall risk. Called androgen receptor inhibitors, or ARIs, these…
Read MoreIt’s time to revisit the 4 R’s of the doctor-patient relationship
“We have met the enemy in medical education, and he is us!” My paraphrase of the “philosophy of Pogo” is pertinent to today’s crop of graduating medical students. We have inserted them into the most toxic environment for learning medicine, ever. Dr. Michael Halberstam once stated that the most powerful treatment the ER had to…
Read MoreSexual health and gender-affirming care
LGBTQ+ people are often considered a cohesive group, but sexual orientation and gender identity are different. Sexual orientation describes who a person prefers to be sexually intimate with. Gender identity, on the other hand, describes their sense of themselves as male, female, or another gender. Transgender and other gender diverse (TGD) people, whose gender identity…
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