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Saturday, May 26, 2018

Centrilobular emphysema: Diagnosis, treatment, and outlook

"A person's lungs absorb the chemicals in cigarette smoke. These chemicals cause inflammation, destroy the small air sacs, and weaken the ability of the lungs to fight off infections. Secondhand smoking can have similar effects. Other toxic inhalants may also pose a risk, and are likely to be more common in certain lines of work. People who work around coal or charcoal may be at risk if they frequently inhale coal dust or other toxic fumes. Regular exposure to exhaust fumes from vehicles or machinery and fumes from fuel may also increase the risk." While tobacco smoke is the poster child for risk of COPD, any source of inhaled smoke into the lungs may be a factor. There are still millions of people worldwide who use biofuels (wood, charcoals, dung) to cook. In addition, the rising use of inhaled marijuana may be the next "big tobacco" with like lung injury sequelae. Basically, by inhaling many substances into the lungs one is creating a high level of air pollution in the lungs--far worse than the worse air pollution days in an urban city. I find it ironic when one of my smoking patients complain about the air pollution on any given day, as each drag on their cigarette is a hundred fold or greated more polluted than each breath of ambient air. Lungs like fresh, natural air without additives. https://ift.tt/1VMjaZw
from Rajesh Harrykissoon, MD

Friday, May 11, 2018

Unlocking the secrets of a cancer-fighting flower

The amazing periwinkle in your garden—medically speaking. However, don’t go making periwinkle tea because vinblastine is amazingly toxic. https://ift.tt/1VMjaZw
from Rajesh Harrykissoon, MD

Tuesday, May 8, 2018

Good news: Tree pollen is on the decline; Bad news: Grass allergies are ramping up

“Trees produce the biggest spike in pollen, which makes this the worst season for allergies. But many people are allergic to grass, too, and unfortunately, grass pollen tends to ramp up as trees are winding down — from late spring to early summer.” https://ift.tt/1VMjaZw
from Rajesh Harrykissoon, MD

Friday, May 4, 2018

BiPAP for COPD: How it works, benefits, and risks

Medicare covers respiratory assist devices (RAD) and home mechanical ventilators (HMV) for the at-home management of COPD. There are specific qualifying criteria which for coverage. Our office is pleased to assess you for such options. Schedule your appointment today. https://ift.tt/1VMjaZw
from Rajesh Harrykissoon, MD

Thursday, May 3, 2018

He was one of millions of Chinese seniors growing old alone. So he put himself up for adoption.

Aging man puts himself up for adoption. Not just a Western issue... https://ift.tt/1VMjaZw
from Rajesh Harrykissoon, MD

Thursday, April 26, 2018

Lawsuit accuses another Michigan hospital of honoring patients' requests for white-only caregivers

I remember a couple of years ago a patient called the office to request an appointment with the preference that she does not want to see a black or a Latino doctor. So the receptionist assigned her to me. I wonder what she thought when I walked into the room. Well, her preferences were met--I'm not black or Latin. 🙂 https://ift.tt/1VMjaZw
from Rajesh Harrykissoon, MD

Tuesday, April 24, 2018

CHI St. Joseph and Texas A&M announce co-branded primary care network

Hopefully this will centralize and standardize the learning experience for the medical students. It is difficult to offer the students a reliable learning experience when they are scattered over six campuses. Across campuses any given student may have very, very different clinical exposures versus a colleague the month before or the month to come. Hopefully this is a standardizing move for A&M medical education. https://ift.tt/1VMjaZw
from Rajesh Harrykissoon, MD