Singer Selena Gomez just published to her Instagram account that she was the recipient of a kidney transplant. The 25 year-old previously revealed her Lupus diagnosis and attributed this latest development to complications of that condition. Last year, she told People other side effects she struggled with included depression, anxiety and panic attacks.

Her story must resonate to many as these facts alone provide some insight into the chronic and complex nature of this disease. I will shortly address the complicated clinical course of patients with more severe disease along with the wide spectrum of severity individuals experience.

But, first, in Selena Gomez’s own...

Who among us hasn’t been tormented by the itch after a mosquito bite? This is due to the histamine release at the offending site. In some, it is a bit more exaggerated and an oral antihistamine or topical cream with the passage of time does the trick to provide optimal relief.

Now imagine that intensity and urge to scratch diffusely spread over your entire body in a constant and unrelenting fashion. Night and day. Where a more significant underlying cause won’t be benefitted and cured by time or a Benadryl, for instance.

That is called chronic “generalized pruritus” and its etiologies can range from the readily fixable to the necessitation of a liver transplant in those where treatment for the symptom might be refractory. In the extreme, sleep is impaired and even...

It isn’t hard to imagine that as our enlarging and ever-stiffening polarized political spheres come to a head, an article about what maintains the penis’ potency might be a kind of crowning glory.

To start, let’s give you a sturdy grasp of what prompts erectile dysfunction (ED) firming up any confusion.

More than 30 million men in the United States are affected by ED to some extent, so prevalence is certainly high (1).

The mechanism to control a man’s ability to get erect and maintain it is quite complex.  The point and shoot components are controlled by your sympathetic and parasympathetic nervous systems.  When there is impairment in either arena, there is a flawed rigidity or ejaculation.  

When nerves are firing and blood is flowing, this pleasurable...