Sudden Hearing Loss: Vestibular Schwannomas
Fri, 04/27/12 – 2:43 | No Comment

Hearing loss falls into 2 categories: conductive or sensorineural. Conductive hearing loss (CHL) is caused by wax build-up, foreign bodies, middle ear fluid buildup or infection or trauma. Essentially there is something that is obstructing …

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Lyme Disease: When To Treat Prophylactically
Mon, 03/26/12 – 3:41 | No Comment

Despite the early season, I’ve already had about a half dozen patients reporting tick bites. So just to review, here are the guidelines for treating with doxycycline 200mg, as a prophylactic measure:

  1. The tick must be a proven deer tick in the nymph or adult tick stage
  2. The tick has been attached for at least 36 hours
  3. Treatment is begun within 72 hours of removing the tick
  4. You live in an endemic area, described as having a deer tick infection rate of at least 20%
  5. There is no contra-indication for taking doxycycline

All five criteria should be met to be given prophylactic treatment although ensuring that can be very difficult in some situations. At that point, the busy clinician will often go ahead and prescribe it even if there is no positive identification of the tick.

Just after I finished this article, I pulled a tick off me that had been attached no more than several hours. This, thankfully, has happened that often to me. Once I was flying over to Plymouth (I’m a private pilot) with a friend of mine, I scratched my neck only to discover a tick. I simply pulled it off, opened the little side window, and threw it out. It wasn’t quite the ride the tick had expected.

Chilblains: What Is It and How Is It Treated?
Mon, 04/23/12 – 2:44 | No Comment
Chilblains: What Is It and How Is It Treated?

Chilblains
The origin of the word Chilblains comes from 2 words: chill and blains and originates in the the early 1500s. Blains is an old English word for “a sore, or swelling”  so the two words …

How Does Oatmeal Lower Cholesterol?
Mon, 04/9/12 – 2:25 | No Comment
How Does Oatmeal Lower Cholesterol?

I’ve recently purchased the course, Nutrition Made Clear, from The Teaching Company and so far, with the exception of the first 2 lectures in this course, I’ve been delighted with the content. LIke many of …

Lyme Disease: When To Treat Prophylactically
Mon, 03/26/12 – 3:41 | No Comment
Lyme Disease: When To Treat Prophylactically

Despite the early season, I’ve already had about a half dozen patients reporting tick bites. So just to review, here are the guidelines for treating with doxycycline 200mg, as a prophylactic measure:

The tick must be …

Skin Lightening Products:Getting More Than You Bargain For
Mon, 03/12/12 – 7:13 | No Comment
Skin Lightening Products:Getting More Than You Bargain For

Mercury containing products
The FDA is warning people to stay away from skin-lightening products manufactured overseas because they likely contain of high levels of mercury – up to tens of thousands times higher than the legal limit.
Mercury has …

Bad Smells: Why We Get Used To Them So Quickly
Mon, 03/5/12 – 2:23 | No Comment
Bad Smells: Why We Get Used To Them So Quickly

Have you noticed that after a while of being exposed to an obnoxious smell, you stop smelling how bad it is? The brain quickly adapts to the bad smell – in fact in as little …

Honey for the Treatment of Wounds
Wed, 02/29/12 – 2:30 | No Comment
Honey for the Treatment of Wounds

Now before you slather honey on your non-healing wound, you need to know that there are only 2 FDA approved honeys which are from the manuka bush in New Zealand (Leptospermum scoparium). Not all honeys …

The History of Medical Treatment for Heart Attacks
Mon, 02/27/12 – 2:56 | No Comment
The History of Medical Treatment for Heart Attacks

One of three active bloodletting photographs known to exist; thanks to biomedicalephemera
The New England Journal of Medicine is celebrating its 200 year old birthday and one of the lead articles, written by Elizabeth Nabel, M.D. …

Breaking Bad Habits: The Afternoon Cookie
Wed, 02/22/12 – 2:32 | No Comment
Breaking Bad Habits: The Afternoon Cookie

The afternoon cookie
The NY TImes Magazine section recently published an article that detailed how habits are formed and the efforts retailers use to get that information to sell us things. The whole article was interesting …

More Reasons to do Interval Training
Mon, 02/20/12 – 2:53 | No Comment
More Reasons to do Interval Training

Recently I read an article about interval training in older adults and those who had coronary artery disease and I was trying to find the article when I came across this research reported on NPR …

How Often Should Bone Density Testing Be Done?
Mon, 02/13/12 – 2:05 | No Comment
How Often Should Bone Density Testing Be Done?

Bone density testing
Screening for osteoporosis is recommended to begin for women at the age of 65. There is no consensus however on how often the bone mineral density testing (BMD) should be done. To this …