Posts

Showing posts from July, 2011

The Wildebeast

Image
We are off to see the wildebeast cross the river as the great migration is taking place right now in Tanzania.  EverythingHealth will be on vacation for the next few weeks.  Scan the right side of the page for the best of health blogs and happy reading.

Cholera in Haiti

Image
Is anyone paying attention to the plight of Haiti anymore?  Unfortunately the rebuild (after the earthquake on Jan 12, 2010)  never really happened and Haiti seems as poor and troubled as ever.  Over 800,000 people still live in makeshift tent encampments. Now they are plagued with a cholera epidemic that just won't stop.  It is nearly impossible to eradicate cholera when sanitation is poor, clean water is scarce and people have no resources.

Thousands of Haitians live in rural communities that are isolated because of poor roads and no real facilities.  Many of these villages are inaccessible to cars or trucks.  Poor water hygiene is the cause of cholera in these areas and rains flush contaminated soil into the rivers and people get infected.

Cholera strikes very quickly and children especially become dehydrated from massive diarrhea within hours.  Treatment is not difficult if it can be started in time but the death rate has already surpassed 5,500 since the epidemic began in Oc…

Italians Not Following The Mediterranian Diet

Image
For years I have touted the health benefits of the "Mediterranean Diet" and encouraged patients to eat like the Europeans.   Fresh farm vegetables, olive oil, fish and red wine have been linked with longevity and good health.  I just read in NPR news that young Italians are forgoing the eating patterns of their elders and are imitating the "U.S. diet".  The result is soaring obesity, just like in the United States.

According the the article, young Italians ages 6-12 are sitting in front of the TV and are eating fast foods and soda.  In just three generations, the eating habits and activity of kids has changed from their healthy grandparents.  Italian health officials say obesity is reaching epidemic proportions.

Part of the diet changes are a result of the global industrial diet of meat, fat and sugar.  These cheap foods are in abundance and actually make "Mediterranean" food look expensive.  Fish, olive oil, fresh vegetables and fresh fruit are more expe…

Answer to Yesterdays Medical Challenge

Image
The answer to yesterdays medical challenge is #5-medial nail dystrophy due to trauma.  Here is another photo that is from chronic picking of the cuticle and pushing back the cuticle.

The other answers were good guesses but none of them cause the median (middle of nail) changes.  Traumatic dystrophy from nervous picking is actually quite common.  Other traumas to the nail bed can cause the nail to grow abnormally.  If the nail matrix is damaged, the nail will not grow out normally.

Thanks for the great and astute guesses.

This Weeks Medical Challenge

Image
This weeks challenge is from Consultant Live.  This 56 year old man was noted to have these thumbnails at his physical exam.  The remainder of his nails were normal.  He denied trauma and worked as a banker.  What is the diagnosis?

1. Psoriasis
2. Vitamin K Deficiency
3.  Lichen Planus
4.  Onchomycosis (fungus)
5. Median nail dystrophy due to trauma

The answer will be posted tomorrow.  Click on comments and let me know your diagnosis.

Sixteen Pound Baby Born in Texas

Image
A woman in Texas gave birth to a baby boy who weighed in at a whopping 16lbs, 1oz.   The average size of a newborn is about 7 lbs so this one was considered huge.  This was the 4th child for the mom who had gestational diabetes during pregnancy.  Between 2 and 10% of pregnant women develop this condition.  Women who have a body mass index (BMI) over 30 or who have a strong family history of diabetes are most at risk.  Women who gain excessive weight during the first trimester are also at risk but most women have no risk factors.

One of the dangers of gestational diabetes is giving birth to a big baby.  The placenta produces hormones that spur growth of the baby and the baby gets more sugar than he needs.  Large babies are a problem because they usually need to be delivered by Caesarean section.  There is also increased risk of hypertension and preeclampsia.

The largest baby on record, according to the Guinness Book of World Records, was born in Canada in 1879.  That baby weighed 23 lb…

Massage Therapy Relieves Chronic Back Pain

Image
The Group Health Research Institute of Seattle, Washington has published a study in Annals of Internal Medicine that showed massage therapy may effectively reduce or relieve chronic back pain.  I am a big believer and supporter of massage therapy and have wondered why it is not a covered benefit for treating back and neck pain.  Even medical benefits savings plans offered by employers (where you put aside your own pre-tax dollars to be used for medical care) do not allow massage. Patients who get massage for musculoskeletal conditions do better and utilize less pain meds, yet is is seldom prescribed and rarely covered by any insurance plan.

This study confirmed what I have known for a long time.  They looked at relaxation massage and structural massage, which focuses on correcting soft-tissue abnormalities.  At 10 weeks they found that participants (age 20-65 years) who had chronic low back pain responded to both types of massage.  In fact, the patients receiving massage were twice…

Uterine Environment and Autism

Image
Two news events got people talking today.  One was that Casey was deemed not guilty of killing little daughter Caylee ( "O.J. all over again", I heard repeatedly).  I must admit I was rather surprised....

The second was the results of two new studies that were published in the Archives of General Psychiatry.  One of them stated that environmental factors during pregnancy might contribute as much as genetics in the development of autism spectrum disorders.  The 2nd study conducted by Kaiser Permanente Northern California found a 3 times higher risk of autism if the mother took antidepressants in the first trimester of pregnancy. 

With the incidence of autism disorders increasing over time to the current range of 3-6 per 1,000 births, these studies are of interest to millions of parents and professionals.  Autism affects boys at a rate of three times more than girls,  and is usually detected by the age of 3.   The cause has been maddeningly unknown.

While genes certainly play …