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Utility of Urine Drug Testing in Outpatient Addiction Evaluations
https://journals.lww.com/journaladdictionmedicine/Abstract/2019/06000/Utility_of_Urine_Drug_Testing_in_Outpatient.5.aspx Comment; Urine Drug Screening/point of care doesn't always change my care plan initially, but gives a clue as to what's going on. Repeated...
Characteristics of US Counties With High Opioid Overdose Mortality and Low Capacity to Deliver Medications for Opioid Use Disorder
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2736933 Comment; This article touts the value of primary care as well as the other risk factors for high and low risk of opioid overdose/death. Great to know the high and low risk factors! Rebecca...
Malaria and Lyme disease – the largest vector-borne US epidemics in the last 100 years: success and failure of public health
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7069-6 Comment; Great comparison between Lyme & Malaria in terms of how we have approached both illnesses and the successes we've had as well as the differences in clinical presentations. We...
A Case of Babesiosis in a Pregnant Patient Treated with Red Blood Cell Exchange Transfusion
https://www.hindawi.com/journals/criog/2019/9869323/ Comment; Interesting case! Great care! How many places in the world would have been able to provide this level of such great care?...
Lyme Disease Bill Would Change Coverage Amid Controversy Over ‘Chronic’ Condition
https://www.wesa.fm/post/lyme-disease-bill-would-change-coverage-amid-controversy-over-chronic-condition#stream/0 Comment; Hard to diagnose, numerous false-negative lab tests, numerous treatment regimens with nebulous outcomes in a chronic, indolent illness that can...
Treatment Strategies for Neuroretinitis: Current Options and Emerging Therapies
https://link.springer.com/article/10.1007%2Fs11940-019-0579-9 Comment; So many options with treatment--there should not be a "cookbook" approach; an individualized approach on a "per patient" basis is needed. Steroids may be useful with severe vision loss due to...
Atypical Lyme Neuroborreliosis, Guillain-Barré Syndrome or Conversion Disorder: Differential Diagnosis of Unusual Neurological Presentations
https://www.karger.com/Article/FullText/499901 Comment; So hard to diagnose, false-negative labs, incredible variety of presentations--high index of suspicion needed. Case Rep Neurol 2019;11:142–147https://doi.org/10.1159/000499901 AbstractFullTextPDFReferencesExtras...
Prevalence of Lyme Disease Attributable to Military Service at the USMA, West Point NY: FY2016–2018
https://academic.oup.com/milmed/advance-article/doi/10.1093/milmed/usz156/5524322 Comment; Good to know that the US Army's efforts to protect their troops with uniform treatment is effective--sad to know that family members of those troops are still endangered--more...
The Association Between Hunter-Killed Deer and Lyme Disease in New Jersey, 2000–2014
https://link.springer.com/article/10.1007%2Fs10393-019-01401-x Comment; Good strategy & plan for tracking & predicting disease risk!...
Modeling the Distribution of Medically Important Tick Species in Florida
https://www.mdpi.com/2075-4450/10/7/190 Comment; Great approach to predictive geography/cartography & epidemiology using the factors the FL team used to predict tick density! William H. Kessler 1,* ,Claudia Ganser 1 andGregory E....
Multiple sclerosis in Japan: Nationwide surveys over 30 years
http://www.neurology-asia.org/articles/20082_131.pdf Comment; Fascinating article published in 2008 in Asia. I suspect there's a strong dietary and gut microbiome link that the article doesn't directly address--though it appears that latter birth date is linked--which...
Critical role of mast cells in inflammatory diseases and the effect of acute stress
https://drive.google.com/file/d/18Anhz5IoDlFvcAploWAZgi7owXA7mdTZ/view?usp=sharing Comment; Good summary article, even though it's 6 years old, this material is widely unknown in "traditional" medical circles. So many organ systems involved, so many diseases that are...
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