The Exchange

Commentary and Observations from
the Medical Front Lines

Public Health

<a href='/the-exchange/managing-patients-with-suspected-vape-related-lung-problems'>Managing Patients With Suspected Vape-Related Lung Problems</a>

Managing Patients With Suspected Vape-Related Lung Problems

We have been hearing about more and more cases of lipoid pneumonia linked to marijuana oils in e-cigarettes. According to the CDC, as of November 2019, there have been over 2172 cases of e-cigarette, or vaping, product use-associated lung injury (EVALI) and 42 associated deaths. With so many patients coming in complaining of influenza-like symptoms, as healthcare providers we need to always consider EVALI as a possibility. EVALI remains a diagnosis of exclusion because there are no specific tests or markers. Patients may present with complaints of fever, cough, headache, myalgia, fatigue, or respiratory infection. more >

Found in: Infectious Diseases, Public Health, Pulmonary Medicine

<a href='/the-exchange/multi-agency-information-for-patients-and-providers-e-cigarette-or-vaping-product-use-associated-lung-injury-evali-'>Multi-agency Information for Patients and Providers: e-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)</a>

Multi-agency Information for Patients and Providers: e-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)

By now, we have all heard the news concerning the dangers of e-cigarettes and vaping and have likely received a myriad of updates in our ever-growing e-mail more >

<a href='/the-exchange/november-is-diabetes-awareness-month'>November is Diabetes Awareness Month</a>

November is Diabetes Awareness Month

Along with the colder weather and the promise of holiday season, November brings us the opportunity to raise awareness about diabetes. Both Type 1 and Type 2 more >

<a href='/the-exchange/how-have-carcinogens-tainted-our-generic-drug-supply-'>How Have Carcinogens Tainted Our Generic Drug Supply?</a>

How Have Carcinogens Tainted Our Generic Drug Supply?

In July 2018, the FDA announced that a known carcinogen, called N-Nitrosodiumdimethylamine, or NDMA, had been found in valsartan manufactured by Zhejiang more >

<a href='/the-exchange/-tis-the-flu-season-2020-influenza-updates'>'Tis the Flu Season! 2020 Influenza Updates</a>

'Tis the Flu Season! 2020 Influenza Updates

On August 23, 2019, the Centers for Disease Control and Prevention published Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the more >

<a href='/the-exchange/beware-the-ankle-biter-mosquitoes'>Beware: The “Ankle-biter” Mosquitoes</a>

Beware: The “Ankle-biter” Mosquitoes

It’s the end of summer and the mosquitoes are biting. Two invasive (non-native) mosquito species have been identified in California and other parts of the more >

<a href='/the-exchange/what-s-the-best-way-to-stay-hydrated-'>What’s the Best Way to Stay Hydrated?</a>

What’s the Best Way to Stay Hydrated?

I see patients with acute illnesses in urgent care every week, and many have fever and anorexia, and are a bit dehydrated. As part of the management plan, I more >

<a href='/the-exchange/disaster-preparedness'>Disaster Preparedness</a>

Disaster Preparedness

Since we are in the heart of hurricane season on the East Coast, it is important to be ready. September is National Preparedness Month to promote family and more >

<a href='/the-exchange/do-meal-times-affect-weight-control-'>Do Meal Times Affect Weight Control?</a>

Do Meal Times Affect Weight Control?

In 2009, researchers at Northwestern University conducted a study on mice and timed feeding, later publishing their research in Obesity. For 6 weeks more >

<a href='/the-exchange/a-glimpse-of-what-artificial-intelligence-may-bring-to-medicine'>A Glimpse of What Artificial Intelligence May Bring to Medicine</a>

A Glimpse of What Artificial Intelligence May Bring to Medicine

I’ve always been fascinated by what the intersection of big data, technology, and medicine will bring. While I am a firm believer that IBM’s Watson will more >

<a href='/the-exchange/consider-deprescribing-in-our-older-adults'>Consider Deprescribing in Our Older Adults</a>

Consider Deprescribing in Our Older Adults

We all have patients in our practices who are older and on numerous medications. They are stabilizing their problems but are faced with the reality of nearing more >

<a href='/the-exchange/the-mediterranean-diet-and-cardiovascular-disease'>The Mediterranean Diet and Cardiovascular Disease</a>

The Mediterranean Diet and Cardiovascular Disease

The Mediterranean diet represents the most notable overall dietary pattern in nutritional epidemiology that has been extensively studied over the last 2 more >

<a href='/the-exchange/national-stop-the-bleed-month'>National Stop the Bleed Month</a>

National Stop the Bleed Month

Did you know that May 2019 is the first ever National Stop the Bleed Month? Also, May 23 is the second annual Stop the Bleed® Day. So what is “stop the more >

<a href='/the-exchange/it-s-a-digital-world-screen-time-recommendations-for-children'>It’s a Digital World: Screen Time Recommendations for Children</a>

It’s a Digital World: Screen Time Recommendations for Children

We definitely live in a different day and age than when I was a child… As children, my siblings and I just opened the door and went outside to play all day more >

<a href='/the-exchange/measles-outbreak--a-public-health-concern'>Measles Outbreak – A Public Health Concern</a>

Measles Outbreak – A Public Health Concern

The modern world was turned upside down in 1997 when researcher Andrew Wakefield suggested there was a direct correlation between the MMR more >

<a href='/the-exchange/universal-influenza-vaccine-begins-phase-i-clinical-trials'>Universal Influenza Vaccine Begins Phase I Clinical Trials </a>

Universal Influenza Vaccine Begins Phase I Clinical Trials

The National Institutes of Health have begun the first clinical trial of an innovative universal influenza vaccine candidate. A Phase I trial will examine the more >

<a href='/the-exchange/patient-autonomy-keeping-our-patients-self-determination-preserved'>Patient Autonomy: Keeping Our Patients’ Self-Determination Preserved</a>

Patient Autonomy: Keeping Our Patients’ Self-Determination Preserved

If you’ve practiced in medicine for at least 20 years, you may remember the case of Terri Schiavo, a woman in her 20s who was in a coma for more than a more >

<a href='/the-exchange/who-should-be-responsible-social-media-and-accurate-vaccine-information'>Who Should Be Responsible? Social Media and Accurate Vaccine Information</a>

Who Should Be Responsible? Social Media and Accurate Vaccine Information

The World Health Organization recently listed what they call “vaccine hesitancy”—the reluctance or refusal to be vaccinated despite the availability of more >

<a href='/the-exchange/vaping-what-parents-need-to-know'>Vaping: What Parents Need to Know</a>

Vaping: What Parents Need to Know

So what is vaping? Vaping is the inhaling and exhaling of an aerosol produced by using a vaping device. Vaping is illegal for anyone under the age of 18, and more >

<a href='/the-exchange/substance-use-disorders-in-youth'>Substance Use Disorders in Youth</a>

Substance Use Disorders in Youth

In the United States, about 5% of youth aged 12 to 17 will develop a substance use disorder (SUD) each year, but fewer than 10% of the 1.3 million youth who more >

<a href='/the-exchange/states-involvement-with-medicaid-expansion'>States' Involvement With Medicaid Expansion</a>

States' Involvement With Medicaid Expansion

For a little over 50 years, Medicaid has provided health care as a stop gap to millions of people. With the passage of the Affordable Care Act (ACA), few more >

<a href='/the-exchange/super-bowl-and-food-recovery'>Super Bowl and Food Recovery</a>

Super Bowl and Food Recovery

Super Bowl Sunday is reportedly one of the biggest eating days of the year, behind Thanksgiving. There were lots of parties and celebrations this week, which more >

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