A wise professor of medicine always told me as a young physician, “Eighty-year olds are to be revered and not messed with.” This is especially true for those 90 or older. Here in South Florida, there is always some senior citizen telling us today’s …
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 19-year-old man is hospitalized with a 6-day history of lightheadedness and nightly fevers. He also reports sore throat, headache, joint an…
“We believe that the current entrepreneurial development model for antibiotics is broken and needs to be fundamentally transformed.” This provocative opinion is from a recent editorial in the New England Journal of Medicine. The introductio…
Flu vaccination prevents millions of flu-related illnesses and deaths annually, but vaccination rates are low for many reasons. During the 2018-2019 flu season, the Centers for Disease Control and Prevention reported that about 45% of U.S. adults recei…
An episode pitting top administrators at the National Institutes of Health (NIH) against senior scientists at the organization serves as a vital reminder of the importance of academic freedom and the need to communicate and express concerns about scien…
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three ti…
There have been over 1,000 cases of measles in the first half of 2019–the most since 1992, according to the CDC. For comparison, 2018 had 372 cases. With New York at the center of the outbreak, it’s reasonable to have questions–from how to know if you’…
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman undergoes follow-up evaluation in the office. She was evaluated in the emergency department 3 nights ago with fever and f…
Google that phrase, and you will come up with lots of hits. The following is a partial list of things that have been found to have more germs than a toilet seat: Kitchen cutting boards, sponges and sinks, refrigerators, spatulas, pet food bowls, clean …
The common practice in this country (although not everywhere — Europe, for example) has long been to treat all acute middle ear infections (otitis media) with antibiotics. This is not necessarily needed. We now know that for many children another…
