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Dying In A Leadership Vacuum: The NEJM Editorial in Context

By now, you’ve probably read that the editors of the New England Journal of Medicine (NEJM) published an editorial entitled “Dying In A Leadership Vacuum” that asks Americans to work together to vote out Donald Trump because of his dreadful mismanagement of Covid-19 and the subsequent deaths of more than 220,000 Americans. To call the […]

Do You Have Low Testosterone?

For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect…other than raising testosterone levels. The only FDA-approved indication for testosterone is hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Causes of hypogonadism include […]

Diagnosing and Treating “Sewer Breath” via Telemedicine

Those are actually the words patients use to describe their breath, though sometimes it’s “poop breath.” The medical term for bad breath, as you probably know, is halitosis, so if you don’t mind I’ll stick with that. For some people, the self-perception of chronic halitosis is more socially isolating that anything demanded by Covid-19. At […]

DIAGNOSE-IT-YOURSELF: COVID-19

Far and away, the commonest phone call/e mail I receive asks about COVID-19 diagnosis.Just print this out, tape it on your refrigerator door, and stay calm.ALLERGIES• Runny nose• Sneezing• Red, swollen eyes• Itchy eyes and nose• Tickly throat• No fever COLD• Runny nose• Sneezing• Sore throat• Mild muscle aches• Mild dry cough• Rarely a low […]

Diagnostic Tests Chart Path To A Healthful Longevity

Let me start with a piece of disappointing news. You know that battery of blood tests ordered by your family doctor or internist during your dutiful check-up? That complete blood count (CBC), comprehensive metabolic profile (CMP), and so forth? All of them are pretty useless. Yes, they’re almost always covered by insurance, so they’re free, […]

Dandruff, Fungi, and Cancer of the Pancreas

It’s an eye-catching title, I’ll admit. But the links are quite real and further research may guide medicine in new directions of cancer prevention and treatment. It all starts in your gut microbiome, the totality of microorganisms–bacteria, viruses, protozoa, and fungi–present in your gastrointestinal (GI) tract, mouth to anus. Until recently, researchers and clinical physicians […]

Director of IV Therapies Katie McManigal, BSN, ANP

Most people at some point in their lives have had an intravenous (IV) line. An adept nurse warned you about the tiny pinch of the needle as it was smoothly inserted and taped in place.  Then the  fluid dangling above your head slowly started making its way through a tube and into your body. IVs […]

Disappointments With Testosterone

For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are testicular […]

Disappointments With Testosterone

For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are testicular […]

Depression, Inflammation, and You

You might not immediately think conditions as apparently disparate as depression and inflammation could be linked. Right up front, let me say if you’ve got a history of depression or anxiety, you’re not alone. With 11% of Americans over age ten taking antidepressants daily, we can probably triple that percentage to estimate the number who […]