What I'm Reading (Dec. 7)

By Chuck Dinerstein, MD, MBA — Dec 07, 2023
Let’s Eat Grandma – more than just an error in punctuation Take-out pizza Hospitals as Hotels Candy Land’s origin story

Let’s Eat Grandma – more than just an error in punctuation
Take-out pizza
Hospitals as Hotels
Candy Land’s origin story

COVID Exposures in Confined Spaces

By Fred Lipfert, PhD — Dec 07, 2023
Bioaerosols generated by infected patients constitute a significant source of transmission of SARS-CoV-2 and other infectious agents. COVID-19 epidemiology has been limited to large populations in which varying behavior, living conditions, and life views may influence exposures. As a result, it's difficult to distinguish personal characteristics from concomitant levels of viral exposure.

Bioaerosols generated by infected patients constitute a significant source of transmission of SARS-CoV-2 and other infectious agents. COVID-19 epidemiology has been limited to large populations in which varying behavior, living conditions, and life views may influence exposures. As a result, it's difficult to distinguish personal characteristics from concomitant levels of viral exposure.

The Media and I: Approving COVID Vaccine, and Unreliable Marijuana Testing

By Henry I. Miller, MS, MD — Dec 07, 2023
In this radio interview with John Batchelor, our conversation includes (1) the approval of the latest COVID vaccines; and (2) the problem – especially for people in some occupations – with testing for the presence of marijuana and other drugs.

In this radio interview with John Batchelor, our conversation includes (1) the approval of the latest COVID vaccines; and (2) the problem – especially for people in some occupations – with testing for the presence of marijuana and other drugs.

Podcast: Derek Chauvin's 'Excited Delirium' Defense; Will 10,000 Steps Make You Fit?

By Cameron English — Dec 06, 2023
Was Derek Chauvin's use of force against George Floyd justified? The former police officer's attorney said yes, pointing to a controversial syndrome known as "excited delirium" to explain Floyd's frenzied behavior while in custody. Does this defense withstand scientific scrutiny? Meanwhile, 10,000 steps: it's a magic threshold often used to pinpoint fitness, but there's little evidence behind this popular idea.

Was Derek Chauvin's use of force against George Floyd justified? The former police officer's attorney said yes, pointing to a controversial syndrome known as "excited delirium" to explain Floyd's frenzied behavior while in custody. Does this defense withstand scientific scrutiny? Meanwhile, 10,000 steps: it's a magic threshold often used to pinpoint fitness, but there's little evidence behind this popular idea.

Gov. Newsom Claims FLA Has More Per-Capita OD Deaths Than CA. He’s Right.

By Jeffrey Singer — Dec 06, 2023
In last week’s “Red State/Blue State” square-off between the governors of Florida and California, CA's Gavin Newsom touted his state’s lower per-capita overdose death rate. It might have to do with how the different states compare on harm reduction.

In last week’s “Red State/Blue State” square-off between the governors of Florida and California, CA's Gavin Newsom touted his state’s lower per-capita overdose death rate. It might have to do with how the different states compare on harm reduction.

You Need a Quija Board

By Chuck Dinerstein, MD, MBA — Dec 06, 2023
A recent study from JAMA Internal Medicine documents that in many cases in which a patient has died, the electronic medical record – the baseline truth for Big Healthcare Data – lists them as alive. Does the term "garbage in, garbage out" ring some bells?

A recent study from JAMA Internal Medicine documents that in many cases in which a patient has died, the electronic medical record – the baseline truth for Big Healthcare Data – lists them as alive. Does the term "garbage in, garbage out" ring some bells?

Radiating the Failing Heart

By Chuck Dinerstein, MD, MBA — Dec 05, 2023
Congestive heart failure refers to the inability of the heart to perform its basic function, which is pumping blood throughout the body. It comes in various forms, causing swelling of the legs and shortness of breath. It is a very debilitating condition that few outside medicine are aware of. A new study offers a unique treatment, but more importantly for our discussion, it sheds light on how “science” advances and looks at an infrequently used term, hormesis.

Congestive heart failure refers to the inability of the heart to perform its basic function, which is pumping blood throughout the body. It comes in various forms, causing swelling of the legs and shortness of breath. It is a very debilitating condition that few outside medicine are aware of. A new study offers a unique treatment, but more importantly for our discussion, it sheds light on how “science” advances and looks at an infrequently used term, hormesis.

Sickle Cell Anemia: Bad Luck and Simple Chemistry

By Josh Bloom — Dec 05, 2023
Sickle Cell Disease is an awful genetic disease that disproportionally affects black people. It's caused by a single-point mutation in DNA, which results in a modified hemoglobin protein, differing by only one amino acid. While this may sound insignificant, it's anything but. Simple organic chemistry explains why this change profoundly affects those unfortunate enough to inherit the disease, which is characterized by abnormal hemoglobin.

Sickle Cell Disease is an awful genetic disease that disproportionally affects black people. It's caused by a single-point mutation in DNA, which results in a modified hemoglobin protein, differing by only one amino acid. While this may sound insignificant, it's anything but. Simple organic chemistry explains why this change profoundly affects those unfortunate enough to inherit the disease, which is characterized by abnormal hemoglobin.

COVID Vaccines in Pregnancy Lower the Risk of Neonatal Complications

By Henry I. Miller, MS, MD — Dec 05, 2023
COVID-19 vaccination significantly lowers the risks of severe neonatal morbidity, neonatal death, and admission to the neonatal intensive care unit in infants during the first month after birth. Protection continues for six months after birth. 

COVID-19 vaccination significantly lowers the risks of severe neonatal morbidity, neonatal death, and admission to the neonatal intensive care unit in infants during the first month after birth. Protection continues for six months after birth. 

Traffic, Air Pollution and Hypertension

By Chuck Dinerstein, MD, MBA — Dec 04, 2023
Anyone who has spent time in a traffic jam waiting to “get somewhere” can easily accept the premise that traffic can raise your blood pressure. If you don’t believe me, spend 30 minutes going 4 miles in Los Angeles or trying to go over the George Washington Bridge in New York at rush hour. A new study suggests that the creeping elevation of your blood pressure is not so much due to your fellow drivers but to pollutants in the air. Obviously, they haven’t driven in Jersey. What could they be thinking?

Anyone who has spent time in a traffic jam waiting to “get somewhere” can easily accept the premise that traffic can raise your blood pressure. If you don’t believe me, spend 30 minutes going 4 miles in Los Angeles or trying to go over the George Washington Bridge in New York at rush hour. A new study suggests that the creeping elevation of your blood pressure is not so much due to your fellow drivers but to pollutants in the air. Obviously, they haven’t driven in Jersey. What could they be thinking?