Category: Infectious disease

Why is the toilet seat the gold standard for germs?

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 …

Are antibiotics needed for your child with an ear infection?

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…

The horrors of the diseases that vaccines prevent

In October of 2016, I returned to Bernard Mevs Hospital in Port Au Prince, Haiti. Hurricane Matthew, a category 4 hurricane, had touched down near Jeremie only four days prior. Hurricane Matthew caused significant devastation with over 2 million people…

The breakthroughs and failures of medicine

There is a pervasive tendency to turn to medicine looking for magic. Patients and health care professionals alike generally expect medicine to be able to cure diseases, alleviate symptoms, and relieve suffering. Historically, medicine has met and excee…

The rise and fall of measles vaccinations

Ten years ago it would not have been worth my time to write about measles nor yours to read about it. In the year 2000, thanks to a very effective 2-shot childhood vaccination program using a combined measles-mumps-rubella (MMR) vaccine, the U.S. was d…

Should adults receive another dose of MMR?

While the vast majority of measles cases in the U.S. and worldwide are occurring in unvaccinated children, a fair percentage is also occurring in adults.  With more-widespread transmission of measles, it’s becoming more important for all of us – yes, t…

MKSAP: 44-year-old man with HIV, hypertension, and hyperlipidemia

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 44-year-old man is evaluated in the office during a routine visit. Medical history is significant for HIV diagnosed at age 25 years, hypert…

Should we write that patients are “pleasant” in medical notes?

When writing medical notes, some clinicians include an appreciation of their patient’s personality and disposition in their opening line (the “chief complaint”), or when they’re wrapping up (in the “assessment and plan&#82…

How non-video telehealth can be a cure for overprescribing antibiotics

When Dr. Fleming found penicillin mold in his Petri dishes in 1928, he had no idea of the impact he — and it — would have on global health. Penicillin and the antibiotic revolution that it triggered have saved countless lives and change world history. …

Our terrifying chickenpox problem

A Kentucky judge rejected the claims made by a teenager who sued his local health department for temporarily barring students at his school who aren’t immune against chickenpox from attending classes and participating in extracurricular activitie…