A recent article in the Wall Street Journal focuses on the increasing use of nurse practitioners (NPs) and physician assistants (PAs) in filling patient care gaps in our medical system. There are now 461,000 NP active, an increase in 61% since 2019. They function in much the same way as do family practitioners; the same…
The recent outbreak of Hantavirus infections aboard the Dutch expedition cruise ship MV Hondius, which had been sailing from Ushuaia through the South Atlantic toward the Canary Islands, combined with the painful memory of the COVID pandemic, has raised public awareness and fear to levels probably beyond the boundary of reality. Below are a few…
In the 2025 American Heart Association/American College of Cardiology hypertension guideline, management of hypertension in adults ≥65 years has shifted from an age-based to a risk-based approach. Unlike prior guidance, age alone no longer mandates pharmacologic therapy for stage 1 hypertension (130–139/80–89 mm Hg). Instead, treatment is recommended if the patient has ≥7.5% 10-year cardiovascular…
Every January the American Cancer Society releases the latest data about cancer in the United States. The full report can be downloaded below. As is typical for the society their press release highlights the increase in cancer survival. Below is a quotation from an article in the lay press: The five-year cancer survival rate in…
Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease where the immune system attacks healthy tissues and organs, causing widespread inflammation affecting skin, joints, kidneys, heart, lungs, and brain, with symptoms like fatigue, fever, rashes (especially a butterfly-shaped facial rash), joint pain, and mouth sores that vary in severity and occur in flares and remissions,…
As if the strike zone were not big enough, nature keeps throwing spitballs at us. One such pitch is a relatively new fungal infection, Candida auris. The pathogen was first identified in a Japanese patient in 2009. Unlike most Candida species, C. auris is often resistant to many antifungal drugs. It can persist on surfaces…
A White House memorandum from President Trump’s physician, Captain Sean P. Barbabella, stated that the MRI scan of the president’s heart and abdomen was “perfectly normal”. The memo, released in December 2025, explained that the advanced imaging was a preventative measure standard for a man of Trump’s age to assess his cardiovascular and abdominal health. The…
Most physicians are content to note the condition of their patients’ oral hygiene and then leave its management to the dentist. But poor oral hygiene is a state of chronic inflammation with all the attendant ill effects that follow in its wake. It’s a very accurate forecast of serious health problems in the near future….
Relying on the lay press for medical advice can often lead to incorrect conclusions or misguided directions. The article linked below is a good example of how well-meaning but improperly thought out reporting can lead to conclusions not based on solid experimental design or reasoning. Drinking More Than 1 Can of Any Soda Daily Linked…
Confusion now hath made his masterpiece Politics and medicine make for a bad amalgam under the best of circumstances. The Trump administration’s warning that acetaminophen (best known as Tylenol, but widely available under other marques) might cause autism has created a mess – there’s no other word for the situation. There are so many things…