No, Half a Beer Won't Shrink Your Brain

By Cameron English — Mar 14, 2022
A recent study found that moderate alcohol consumption — even one drink a day — could shrink your brain. The explosion of context-free headlines predictably followed. Let's dive a little deeper and examine what most reporters missed.

A recent study found that moderate alcohol consumption — even one drink a day — could shrink your brain. The explosion of context-free headlines predictably followed. Let's dive a little deeper and examine what most reporters missed.

To Operate or Not

By Chuck Dinerstein, MD, MBA — Mar 14, 2022
You receive a phone call that one of your parents, no longer at “the top of their game,” has fallen in a nursing home. Not only fallen but broken their leg. Without surgery, they will be confined to a bed or chair; with surgery comes an increased risk of dying in the immediate “aftermath” of the procedure. What should you do? A new study considers those issues, which unfortunately are more common than we like to believe.

You receive a phone call that one of your parents, no longer at “the top of their game,” has fallen in a nursing home. Not only fallen but broken their leg. Without surgery, they will be confined to a bed or chair; with surgery comes an increased risk of dying in the immediate “aftermath” of the procedure. What should you do? A new study considers those issues, which unfortunately are more common than we like to believe.

Every Picture Tells a Story: Nurses Head to the Exits

By Chuck Dinerstein, MD, MBA — Mar 13, 2022
Nurses, more so than physicians, are joining the Great Resignation. 32% say they are heading for the exits, up from 22% just a few months ago.

Nurses, more so than physicians, are joining the Great Resignation. 32% say they are heading for the exits, up from 22% just a few months ago.

Religion, Politics and Public Health: A Toxic Combination

It seems that COVID-19 is, finally and hopefully, waning from the American scene. Before we face another wave or a new threat, it might make sense to review some of the legal fallout, notably the interplay between freedom of religion, the obligation of the state to protect public health, and the prevalence of changing attitudes championing solidarity versus those advocating autonomy.

It seems that COVID-19 is, finally and hopefully, waning from the American scene. Before we face another wave or a new threat, it might make sense to review some of the legal fallout, notably the interplay between freedom of religion, the obligation of the state to protect public health, and the prevalence of changing attitudes championing solidarity versus those advocating autonomy.

AMA Statement on 'Test to Treat' Does Not Align Well With Patients’ Interests

By Jeffrey Singer — Mar 10, 2022
Should the COVID drug Paxlovid be available without a prescription? Some argue that pharmacists should be able to distribute the drug to people who have tested positive for COVID while others, including the AMA, believe that only physicians should be able to prescribe the drug because of some potentially dangerous drug-drug interactions. Cato Institute's Dr. Jeffrey Singer weighs in.

Should the COVID drug Paxlovid be available without a prescription? Some argue that pharmacists should be able to distribute the drug to people who have tested positive for COVID while others, including the AMA, believe that only physicians should be able to prescribe the drug because of some potentially dangerous drug-drug interactions. Cato Institute's Dr. Jeffrey Singer weighs in.

CDC's Revised Opioid Guidelines: Devil is in the Details

By Red Lawhern — Mar 10, 2022
Upon first glance, the revision of the atrocious 2016 CDC opioid prescribing guidelines would seem to be an improvement – a low bar by any measure. But it doesn't take long to see that the 2022 version still leaves much to be desired.

Upon first glance, the revision of the atrocious 2016 CDC opioid prescribing guidelines would seem to be an improvement – a low bar by any measure. But it doesn't take long to see that the 2022 version still leaves much to be desired.

Commentary: On Lead and IQ

By Susan Goldhaber MPH — Mar 10, 2022
This article, which complements the one by my colleague Chuck Dinerstein, discusses the broad findings of a provocative study that ties IQ loss directly with childhood lead exposure. The study estimates that 90% of the children born between 1950 and 1980 had clinical concerning blood lead levels, resulting in decreased IQ levels. Certainly, these results will cause great concern among us baby boomers, and some might even say that this finding helps explain many of the world’s problems.

This article, which complements the one by my colleague Chuck Dinerstein, discusses the broad findings of a provocative study that ties IQ loss directly with childhood lead exposure. The study estimates that 90% of the children born between 1950 and 1980 had clinical concerning blood lead levels, resulting in decreased IQ levels. Certainly, these results will cause great concern among us baby boomers, and some might even say that this finding helps explain many of the world’s problems.

What I'm Reading (Mar. 10)

By Chuck Dinerstein, MD, MBA — Mar 10, 2022
MIT’s first female student and professor, why nutritional studies go awry, a Carl Sagan Moment, and “clandestine” Chinese scientists and our northern neighbor.

MIT’s first female student and professor, why nutritional studies go awry, a Carl Sagan Moment, and “clandestine” Chinese scientists and our northern neighbor.

Getting the Lead Out

By Chuck Dinerstein, MD, MBA — Mar 09, 2022
While the concerns from Flint, Michigan about contaminated water has renewed interest in how lead pollutes our environment, lead pollutants go back many decades. A new study tries to calculate the IQ points the population has lost because of lead. A more careful read does point out some of lead’s history – the good and the bad.

While the concerns from Flint, Michigan about contaminated water has renewed interest in how lead pollutes our environment, lead pollutants go back many decades. A new study tries to calculate the IQ points the population has lost because of lead. A more careful read does point out some of lead’s history – the good and the bad.

Racial Disparities in Prostate Cancer

By Chuck Dinerstein, MD, MBA — Mar 09, 2022
“Compared with white men, African American men are more likely to develop prostate cancer and are twice as likely to die from the disease.” National Cancer Institute [1] The underlying “reasons” are biological, cultural, and societal. A new JAMA Oncology study looks at societal causes.

“Compared with white men, African American men are more likely to develop prostate cancer and are twice as likely to die from the disease.” National Cancer Institute [1]
The underlying “reasons” are biological, cultural, and societal. A new JAMA Oncology study looks at societal causes.