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Babesiosis: A Retrospective Review of 38 Cases in the Upper Midwest
https://academic.oup.com/ofid/article/6/7/ofz311/5524452 Comment; Babesiosis is not widely seen, certainly not widely recognized, but remains an important component of the differential diagnosis of fever of unknown origin (FUO). Tick-borne illnesses in general have...
FDA clears new indications for existing Lyme disease tests that may help streamline diagnoses
https://www.fda.gov/news-events/press-announcements/fda-clears-new-indications-existing-lyme-disease-tests-may-help-streamline-diagnoses Comment; Great that we have new Enzyme Immuno Assay (EIA) testing for IgM--short-term antibody & IgG--long-term antibody to...
Lyme myelopathy: Case report and literature review of a rare but treatable disorder
https://www.msard-journal.com/article/S2211-0348(18)30564-9/fulltext Comment; I congratulate the treating team that made the diagnosis and their successful outcome. Unfortunately, it's not always this straightforward...
The Challenge of Diagnosing Lyme Disease
https://www.nytimes.com/2019/07/29/well/family/the-challenge-of-diagnosing-lyme-disease.html Comment; Lyme is a very difficult disease; diagnosis is complex, confusing, contradictory. Many treatment options generally means that none are universally...
With Rural Health Care Stretched Thin, More Patients Turn To Telehealth
https://www.npr.org/sections/health-shots/2019/07/07/737618560/with-rural-health-care-stretched-thin-more-patients-turn-to-telehealth Comment; Telehealth/telemedicine is a technology whose time has come. Unfortunately, there are still many entities, including...
Association of residency work hour reform with long term quality and costs of care of US physicians: observational study
https://www.bmj.com/content/366/bmj.l4134 Comment; I trained before the restrictions were enacted. It was tough, but realistic to what I saw at times in my practice career. Am surprised that there was no significant impact on patient outcomes. Anupam B Jena, Ruth L...
Combined online self-management for pain, associated anxiety and depression works
https://www.regenstrief.org/article/combined-online-management-pain-anxiety-depression-works/ Comment; Online, self-help programs can be helpful, but as this article demonstrates, they cannot completely replace human interaction. My personal bias also includes...
Association of Nonmedical Prescription Opioid Use With Subsequent Heroin Use Initiation in Adolescents
https://jamanetwork.com/journals/jamapediatrics/article-abstract/2737641 Comment; An ongoing necropsy of the opioid epidemic--yet we now know that most opioid abuse is due to "street" drugs, not prescribed pharmaceuticals. Lorraine I. Kelley-Quon, MD,...
Types of Substance Use and Punitive Parenting: A Preliminary Exploration
https://www.tandfonline.com/doi/full/10.1080/1533256X.2019.1640019 Comment; Interesting. I thought the type of preferred substance abuse was more genetically implanted. Some folks prefer alcohol, others stimulants, some opioids and perhaps others hallucinogens or...
Summer as a Risk Factor for Drug Initiation
https://doi.org/10.1007/s11606-019-05176-3 Comment; interesting concept, sensible--most folks start drug use while young, "school's out for summer" means more free time for mischief...
Social Isolation in Early versus Late Adolescent Mice Is Associated with Persistent Behavioral Deficits That Can Be Improved by Neurosteroid-Based Treatment
https://www.frontiersin.org/articles/10.3389/fncel.2017.00208/full Comment; Great that we now appear to have another option to treat refractory depression. Andrea Locci1, Philippe Geoffroy2, Michel Miesch2, Ayikoe-Guy...
Antiepileptogenic Effect of Subchronic Palmitoylethanolamide Treatment in a Mouse Model of Acute Epilepsy
https://www.frontiersin.org/articles/10.3389/fnmol.2018.00067/full Comment; Palmitoylethanolamide (PEA), a simple, inexpensive supplement available over the counter, without a prescription can have profound neuroprotective effects. I wonder what would happen if we...
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