Category Archives: Medicine

Report of the Dietary Guidelines Committee

Tweet The Scientific Report of the 2015 Dietary Guidelines Advisory Committee  has just been released. At 571 pages it is a mind boggling compendium of recommendations and data that go far beyond diet alone. It’s useful as a source of information concerning almost every aspect of American life remotely connected with food and health. You…


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New Dietary Guidlines

Tweet They’re at it again. The federal government is about to issue new dietary guidelines, the first since 2010. The actual report is not yet available, but some of its contents has been leaked to the press. The committee charged with writing the guidelines is an interesting one. There are three physicians on it – a pediatrician,…


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Acute Renal Failure

Tweet   The PowerPoint slides of a talk given by me to the Fall Medical/Surgical Conference of the Lubbock-Crosby-Garza County Medical Society are below . The file can be downloaded by clicking on the link. It is a general review of the various forms of Acute Renal Failure also known as Acute Kidney Injury. Acute…


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A Visit to the Doctor

Tweet A few days ago I went to see an orthopedic surgeon for the care of a minor injury. Actually, I first showed up in his office a week before I saw him. Remember this is the age of the electronic medical record. I was told that before I could be seen I first had to…


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Ezekiel Emanuel and the Purpose of Medicine

Tweet It is amazing how many doctors seem not to have the fuzziest conception of the purpose of medicine. Ezekiel Emanuel who is trained in internal medicine and oncology but who has concentrated on public policy has written an article in the Atlantic that seems to display almost total ignorance of what medicine is about….


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Salt and More Salt

Tweet The August 14, 2014 issue of the New England Journal of Medicine contains three papers on salt intake and health. The third of these is so layered with assumptions that I won’t discuss it. I have previously written about recommendations for optimum dietary intake of salt. In 2011 the American Society of Nephrology endorsed…


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Breakfast – Just Another Meal

Tweet Almost every dietary manipulation that the public has taught to hold onto like a sacrament is based on weak or even non-existent scientific evidence. Breakfast is the most important meal of the day. Eat breakfast and you’ll have more energy and keep your weight down is the supposed reason. Where did these beliefs one come from?…


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Commentary on Deuteronomy 8:3-4

Tweet Verse 3 contains the universally accepted truism “That man does not live by bread alone.” In its fullest manifestation this characteristic is unique to our species. It explains all that is wonderful about mankind – poetry, art, music, science, mathematics, and much more. But there is an evil side to needing more than sustenance…


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Survival Outcomes After Contralateral Prophylactic Mastectomy

Tweet The practice of contralateral prophylactic mastectomy (CPM) has increased in woman with unilateral breast cancer. This highly invasive approach to the management of breast cancer has been done without hard evidence that it conveys a survival benefit. Survival Outcomes After Contralateral Prophylactic Mastectomy: A Decision Analysis by Pamela R. Portschy, Karen M. Kuntz, and Todd M. Tuttle just published in the…


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More About the High Cost of Medical Care

Tweet I recently wrote about the reasons for the extraordinary high cost of medical care in the US – Why is Medical Care So Expensive?. That post is a PowerPoint presentation of a talk I recently gave. The slide below lists the causes that I think are responsible for the extraordinary rise in medical costs over…


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