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Latest Posts

E. Coli Outbreak Is Traced Back To Ready-To-Bake Cookie Dough

The investigation of a multistate outbreak of Shiga toxin-producing Escherichia coli O157:H7 (STEC) that sickened 77 people and hospitalized 35 was traced back to ready-to-bake cookie dough, prompting infectious disease specialists to ask for stronger pasteurization and more consumer warnings.

like smack by Robert S. Donovan via Flickr and a Creative Commons licenseA report in Clinical Infectious Diseases outlined the outbreak and the work done by national and local health officials to track down the source.

No single source could be identified for certain for the outbreak. But one brand of dough was present in 94% of cases, and three nonoutbreak STEC strains were isolated from it, leading to a recall of 3.6 million packages of the cookie dough.

The detective work began with May 19, 2009, through PulseNet, the network of public health and food regulatory agency laboratories coordinated by the CDC. It identified Read more »

*This blog post was originally published at ACP Internist*

A Venn Diagram For Hemorrhoids

It’s quite clear not everyone would like to read long medical reports and text as sometimes a well-designed and structured graph can say more than a hundred words. Do you remember the Wired article about the blood test makeover that described how our blood test results would be designed to show more easily understandable information to patients?

Well, this Venn diagram shows many things about hemorrhoids and related symptoms. And it’s not even a new infographics published on a blog but is from an old textbook which means the concept has been there for a long time but it always disappears in medicine.

*This blog post was originally published at ScienceRoll*

Prometheus Labs Takes Steps Toward Applied Precision Medicine

If you want a glimpse at a company putting precision medicine into practice look no further than Prometheus Labs.  They make diagnostic products for personalized care in digestive disease and oncology.  I use their products to diagnose and target therapy in children with inflammatory bowel diseases (crohn’s disease and ulcerative colitis).

IBD offers a nice place to see the evolution of precision diagnostics:

Early biomarker testing.  Initially we had ASCA and pANCA antibodies to discern crohn’s and ulcerative colitis.

Advanced biomarker testing. Read more »

*This blog post was originally published at 33 Charts*

New Colonoscopy Recommendation Makes Gastroenterologist Consider His Options

The right side of the colon seems to be the Achilles heel of colonoscopy because polyps there tend to be flat and harder to find, and we confer the least protection from later colon cancer in that zone.

A recent article summary in Journal Watch Gastroenterology concludes that when we see a right-sided colon polyp, we may have missed another, so we should go back and look again.

This provocative recommendation represents a major change in the way we normally perform colonoscopy. But the issue is, and always has been, how to identify and remove all polyps from the colon.

So the questions I have Read more »

*This blog post was originally published at Gut Check on Gastroenterology*

Monitoring An API For Your Body: How Could This Tool Be Helpful?

As self-quantification tools becomes more accessible, we’re able to monitor and collect all that’s coming, going and happening with our bodies. Some are beginning to think of this aggregate data as something of a health code, a repository of personal information which can be opened up to others – an API for your body. Once opened and tapped, others can create tools for manipulating and analyzing the data. Aggregated information that’s presented in the right way can give us and our providers valuable information about our physical status.

Loic Le Meur, the founder of Europe’s biggest Internet conference, raised the dialog here. It’s a fascinating concept and one that plays on the themes of personalization, measurement, and mobility.

This has implications in pediatrics, of course. Read more »

*This blog post was originally published at 33 Charts*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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