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Scientists Uncover New Treatment for Diabetic Neuropathy
submitted by: admin on 01/09/2017
An article published in May of 2012 in Nature Medicine reported that a chemical (methylglyoxal) that is produced excessively in people with painful diabetic neuropathy, appears to attack and modify a protein in nerve endings that causes nerves to become hypersensitive to pain, heat and cold. This may lead to investigating ways to increase an enzyme, glyoxalase,...
Screening Does Not Reduce Prostate Cancer Deaths
submitted by: admin on 10/14/2013
Screening does not significantly reduce prostate cancer deaths but it does lead to overdetection and overtreatment. The cancer detection rate is 40% higher with testing, but to prevent one death from prostate cancer more than 1400 men would need screening and 48 would be unnecessarily treated. The era of the PSA is over.
Screening for Heart Disease
submitted by: admin on 11/23/2024
needs
Selling Cancer Screening
submitted by: admin on 06/18/2016
Medical professional groups and cancer advocacy groups need to refocus on educating rather than persuading about cancer testing. The harms of screening have been largely dismissed. It is easy to sell screening, just magnify the benefit, minimize the cost, and hide the data about their value.
These tests are big business and there are conflicts...
Senator Ted Kennedy
submitted by: admin on 10/14/2013
Senator Kennedy's life of public service and dedication to bringing health care to all Americans is celebrated. It is ironic that it was his seat that was lost to the Republican Party and was the vote that made the process more challenging.
Sensible Protection Against Skin Cancer
submitted by: admin on 10/14/2013
The American Academy of Pediatrics, the World Health Organization, and the American Academy of Dermatology are urging MD's to counsel fair-skinned youth about sun protection. They are pushing for tanning booth regulation for minors. The risk for vitamin D deficiency is highlighted. One person in 50 will get melanoma and there are 3.5 million skin...
Serum B12 Levels Do Not Assess Deficiency Adequately
submitted by: admin on 10/14/2013
A new study documents that poor vitamin B12 status is a risk factor for brain atrophy and cognitive impairment and highlights the importance of its metabolites that are not routinely assessed. Higher levels of several markers of vitamin B12 deficiency, especially methlmalonic acid (MMA), homocysteine, 2-methycitrate, and cystathionine, are associated with...
Should Doctors Follow their Intuition?
submitted by: admin on 10/14/2013
The October 10, 2012 issue of the British Medical Journal reported that MD gut feelings should be seriously considered because they have valuable diagnostic value. It is interesting that the validity of gut feelings was the same for both new and highly experienced MDs. Where does this information come from? Do we have a connection with spirit?
Dr. Len and...
Should MDs be Paid for Performance?
submitted by: admin on 10/14/2013
Pay-for-performance schemes financially reward MDs for hitting special numerical targets such as hospital stay, readmissions, use of certain drugs, and cost controls. An article in the August issue of the British Medical Journal take the position that pay-for-performance will do more harm than good by changing the mindset of the physician. The Accountable Care...
Should Medical Journals Release Articles to the Public?
submitted by: admin on 11/23/2024
Our taxes pay for NIH's research, so what is published is really our property. Why then should we have to pay for access to this information. The conflicts of interest between medical journals and NIH are discussed.
Should Medical Research Forego Placebo Testing?
submitted by: admin on 10/14/2013
The results of a randomized placebo-controlled clinical trial re-opened debate on whether it is ethical to conduct placebo-controlled studies because it puts those in the placebo group at the disadvantage of not being in the treatment arm. One could make the point that placebo is not really necessary because all that needs to be done is to see if patients...
Should Participation in Vaccine Trials be Mandated?
submitted by: admin on 11/23/2024
Two MDs from Oxford, England published an article in the AMA's Journal of Ethics stating that they would consider forcibly injecting experimental vaccines "for the greater good of society." However, they preferred that a mandated choice required by law to compel people to state in advance their willingness to participate in vaccine trials.
This...
Should Patients Have Access to Their Medical Records?
submitted by: admin on 10/14/2013
Most patients want access to their medical records including the doctor's notes according to an article published in the December issue of Annals of Internal Medicine. In this study, called OpenNotes, 37,000 patients and 170 physicians were surveyed. Of the MDs 63 refused to participate and 80% of patients liked the idea of having access to their records....
Should Physician Assisted Suicide be Legalized?
submitted by: admin on 10/14/2013
Oregon and Washington have legalized physician-assisted suicide and now Vermont is considering this option as well. Since 1998 in the state of Oregon there have been 1050 requests for doctor-assisted suicide and of those 673 have taken their lives. Both the patient's primary care physician and a consulting doctor must agree and patients must administer...
Should we let crying babies cry?
submitted by: admin on 10/14/2013
Should mothers of newborns let their babies cry it out or rush to their comfort? A study on 1200 infants sleeping patterns was tracked over 36 months. They found that by age 6 months that 2/3 of infants slept through the night. Of the 1/3 that did not, by 15 months they awakened twice a week, and by 15 months only once a week. If sleeping problems last more than...
Should We Use Insects in Medicine?
submitted by: admin on 10/14/2013
Insects have been used as treatment in medicine for centuries. Leeches have been used to manage the pain of osteoarthritis, bee stings for pain, and maggots for skin ulcers. A report in Archives of Dermatology in Dec of 2011 showed that maggots worked to debride large ulcers in diabetic. This treatment was compared to surgical treatment and was superior at one...
Side Effects of Medications
submitted by: admin on 04/12/2015
If you're going to take a medicine, it is also important to ask about side effects. MDs have a tendency to recommend a drug and not emphasize the possible side effects because it is not practical; there are just too many. If MDs disclosed all the complications of medications people would not want them; they'd be far more interested in lifestyle...
Skipping Medications Can Be Dangerous
submitted by: admin on 11/23/2024
Medications all have side effects, but there are times when they save lives. The cost of drugs results in some people skipping them but the consequences can lead to more hospitalizations and more deaths
Sleep Apnea with Dr. Fred Nachtwey
submitted by: admin on 03/24/2015
Sleep apnea has a wide range of negative health effects that include anxiety, fatigue, hypertension, osteoporosis, type 2 diabetes and much more. Dr. Natchtwey is a pulmonary physiologist who explains some of these interconnections and what can be done to manage them.
Sleep Can Be Improved with Essential Fatty Acids
submitted by: admin on 03/21/2014
A study from Oxford University that was published in the Journal of Sleep Research in March of 2014 showed that among 362 children between the ages of 7-9 slept significantly longer when on a course of supplements containing the omega 3 essential fatty acid DHA. It was interesting that among these "normal" kids that 40% had clinical sleep disorders!
Several...
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