The following is the summary of a book chapter written by Sandra Sabatini and me in Advances in Pathogensis of Diabetic Nephropathy published by Nova. The chapter details the current state of our knowledge about globular hyperfiltration as a causal event in the glomerulosclerosis that characterizes diabetic nephropathy. The entire chapter is appended below as a pdf file. The pathogenesis of diabetic nephropathy is doubtless…
The first thing we do, let’s kill all the lawyers. Henry The Sixth, Part 2 Act 4, scene 2 Every child should be tested for high cholesterol as early as age 9 – surprising new advice from a government panel that suggests screening kids in grade school for a problem more common in middle age…The…
The above is the title of a presentation I gave today at Medical Grand Rounds at Texas Tech University Health Sciences Center. Below is the PowerPoint file of that presentation. Screening for Disease – When Not to Do It
As almost everyone more sentient than a pillow must now know, a federal advisory panel recommended that all boys be vaccinated against human papilloma virus. Thus the government recommends that, over time, the entire US population be immunized against this threat. I’ll have a detailed presentation up about this and a related topic before long. But for now consider…
Thirty one people in Europe recently died from contamination of bean sprouts by E coli, many more were sickened. The sprouts were grown on an organic farm in Bienenbüttel south of Hamburg in Germany. The strain that causes problems is E. coli O157:H7. This variant of the bacteria produces a toxin that causes the hemolytic-uremic syndrome a disorder…
These article is adapted from a talk given at the graduation dinner for the residents of the Department of Internal Medicine at Texas Tech University Health Sciences Center in Lubbock on May 27, 2011 Specialization is when people concentrate on one thing or another at which they are good. I will limit my remarks to…
The current debate over how Medicare should be structured has seemed to me to be nothing more than each side declaring that their federally funded healthcare program is better than the other side’s. Paul Ryan’s plan to make Medicare (10 years hence) into a voucher system has been hailed by many as a serious and responsible modification…
The Massachusetts Medical society released its 2011 study of the state’s medical insurance plan, often called Romneycare. It’s a pretty damning description of the plan. Wait times for a new patient to see a primary care doctor have increased. Similarly, wait times to see a specialist have also increased. The number of primary care doctors who accept…
The treatment of prostate cancer has been uncertain for some time. A paper in the May 5th issue of the New England Journal of Medicine examines two approaches to the disease – watchful waiting versus radical prostatectomy. A Scandinavian group observed 695 men with early prostate cancer for 15 years. They conclude that Radical prostatectomy was…
Bob Duffy is Director of Ipsos Social Research Institute, is a true believer in governmental social planning.. In an opinion piece in the Wall Street Journal he opines that people are now ready for the government to help us make the “right” choices that will benefit our health. He’s particularly interested in getting people to…
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