Mayo Clinic in Rochester's Internal Medicine Residency Overview

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DEyVQce0BrmI&key=ddaed8f51db7bb1330a6f6de768a69b8

Teen hears mom's voice clearly for first time

A 14-year-old Houston girl who has had hearing loss since she was a baby recently received a cochlear implant. She broke into tears when she heard her mother speak clearly for the first time.

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fvideos%2Fteen-hears-moms-voice-clearly-for-first-time%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Mayo Clinic Minute: When older adults need a hearing exam

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DdiIPngW2clE&key=ddaed8f51db7bb1330a6f6de768a69b8

Study: No evidence that treating early prostate cancer makes a difference

A major new study compares 10-year survival rates in men who chose different treatment options for early prostate cancer

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fstudy-no-hard-evidence-that-treating-early-prostate-cancer-makes-a-difference%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Sober people make drinkers feel drunker

Some surprising factors may influence how people perceive their own level of intoxication

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fsober-people-make-drinkers-feel-drunker%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Hearing-impaired teen in tears after hearing mom's voice clearly for first time

After 14 years of hearing nothing but muffled sounds, girl finally hears something loud and clear

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fhearing-impaired-teen-in-tears-after-hearing-moms-voice-clearly-for-the-first-time%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Squirt of antibiotic gel holds promise for ear infections

Just one dose of an experimental antibiotic gel might one day do the trick when it comes to common ear infections

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fsquirting-antibiotic-gel-into-ear-may-treat-ear-infections-in-kids%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

What Is Vaping and Why Do Teens Do It?

Teen “vaping” (using e-cigarettes) is on the rise. What are the health risks?

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.webmd.com%2Fsmoking-cessation%2Ffeatures%2Fteen-vaping%3Fsrc%3DRSS_PUBLIC&key=ddaed8f51db7bb1330a6f6de768a69b8

An Easier Gel Ear Infection Treatment Someday?

One-time application was highly effective in animal trials, but more study needed, researchers say

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.webmd.com%2Fcold-and-flu%2Fear-infection%2Fnews%2F20160914%2Fgel-antibiotic-an-easier-ear-infection-treatment-someday%3Fsrc%3DRSS_PUBLIC&key=ddaed8f51db7bb1330a6f6de768a69b8

What's your chronotype? How to find the perfect time to do everything

Clinical psychologist and sleep specialist Michael Breus explains how your biological clock can help you live a healthier and more productive life

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fchronotype-michael-breus-perfect-time-to-do-anything%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Why talking about politics at work is a bad idea

Certain workers are more likely to talk about Trump vs. Clinton at the office, and it's taking a toll

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2F2016-presidential-campaign-talking-about-trump-clinton-at-work-is-a-bad-idea%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Back in the Game Sooner: Mayo Clinic Center for the Science of Health Care Delivery

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DegStE2SmeaA&key=ddaed8f51db7bb1330a6f6de768a69b8

Teen dies after contracting brain-eating amoeba in Maryland

The 19-year-old was visiting family and went swimming in freshwater creeks

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fteen-dies-after-contracting-brain-eating-amoeba-in-maryland%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Unique Utah Zika case remains medical mystery

Researchers are still puzzled by a man who caught the illness after caring for his infected father

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Funique-utah-zika-case-remains-medical-mystery%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

Brains of 'Super-Agers' Look Decades Younger

Regions of mentally sharp older folks don't shrink like their peers with memory loss do, study finds

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.webmd.com%2Fhealthy-aging%2Fnews%2F20160914%2Fbrains-of-super-agers-look-decades-younger%3Fsrc%3DRSS_PUBLIC&key=ddaed8f51db7bb1330a6f6de768a69b8

25 Legends: Cristie Field

This year marks the 25th anniversary of two American Diabetes Association® signature fundraising events—Step Out Walk to Stop Diabetes® and Tour de Cure®.

Every dollar raised at these events supports people living with diabetes and funds our life-changing research and programs.

The “25 Legends” blog series highlights personal stories from some of the Association’s most dedicated walkers and riders who are affected by the disease.

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When I cycled in my first Tour de Cure five years ago, I had no idea that it would become one of my biggest passions and an event I look forward to every year.

Cristie Field, pictured right, with husband Joshua Field.

My name is Cristie Field. I am 35 years old and currently live in Chicago. My husband and I began participating in the Chicagoland Tour de Cure five years after I was diagnosed with type 2 diabetes.

The diagnosis came as a huge surprise and completely changed my life—I was only 25 and had recently graduated college. I always lived a reasonably healthy lifestyle and was a ballet dancer for many years. However, the summer after college, my weight fluctuated and I felt constantly exhausted. I just did not feel like myself.

It was Bell’s palsy that finally landed me in the hospital in August of that year—but the doctor seemed more concerned about something else. I vividly remember him asking if diabetes ran in my family, and me telling him to calm down when he mentioned my blood glucose was high. After all, I had just consumed a small Frappuccino® and part of a Rice Krispies® treat. Little did I know that my blood glucose was nearly 600mg/dL and my A1c was 12.6. Needless to say, I had diabetes.

From that moment on, I was forced to constantly count carbohydrates, poke myself with needles and worry about potential complications. I was terrified. However, I channeled those feelings into an effort to get as healthy as I could–and I did! The support I received from my family and friends is more than I could ever ask for. They are patient when I’m “hangry” and always make sure there is something for me to eat in case my blood glucose goes low. More notably, they have supported my small, but mighty, Tour de Cure team, the A1Cyclists, for the past four years.

My initial Tour de Cure left me feeling nothing short of inspired. I became committed to raising funds for research and children’s camps, as well as advocating for all of us in the diabetes community. Each year, my family and friends raise at least $3,000, and my mother and I are proud to be Champion Tour de Cure fundraisers. Not only do I ride for those living with diabetes, but I also ride for my family members and friends who are affected by it daily.

At the Tour this past June, my appreciation for my support system amplified. I was unable to ride because I was 17 weeks pregnant at the time, so I spent the day volunteering in the American Diabetes Association’s Red Rider tent. I cheered on cyclists and provided them with snacks, cooling wraps and all the moral support they could need. I also participated on the local Red Rider Planning Committee this year, raising awareness and helping newly diagnosed individuals. This role enabled me to give back to an organization that gives so much hope and support to those with diabetes.

Being pregnant with diabetes is no easy feat. In fact, the disease held me back from becoming a mother for years. However, with the amazing support of my family and friends, my OB-GYN and my maternal- fetal medicine team, I know I am in good hands and a healthy pregnancy is possible. I closely monitor my blood glucose, visit the doctor every other week and do not give in to late-night ice cream cravings. It is definitely a challenge, but I know that my health—and my growing baby boy’s health—is well worth it.

In 2017, I look forward to rejoining fellow Red Riders on the cycling trail, as well as continuing my involvement on the Red Rider Planning Committee. And I cannot wait to bring my son (due in November) to his first Tour de Cure next year!

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Together, we CAN Stop Diabetes.

The Association is so grateful for our 25 Legends! Their tireless efforts as walkers and riders are a tremendous support and inspiration to people with diabetes.

Sign up today! Learn more about these events and find out how to get involved at diabetes.org/stepout and diabetes.org/tourdecure.

From: American Diabetes Association http://redirect.viglink.com?u=http%3A%2F%2Fdiabetesstopshere.org%2F2016%2F09%2F14%2F25-legends-cristie-field%2F&key=ddaed8f51db7bb1330a6f6de768a69b8

ADA 2016 fees increase after Sept. 16

Beat the deadline.

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.ada.org%2Fen%2Fpublications%2Fada-news%2F2016-archive%2Fseptember%2Fada-2016-fees-increase&key=ddaed8f51db7bb1330a6f6de768a69b8

Making Mayo's Recipes: Grilled Salmon

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DjExDoL2q2PM&key=ddaed8f51db7bb1330a6f6de768a69b8

Genital herpes: The painful facts about a tricky virus

A young woman* came into my office complaining of horrible pain and itching in her genital area. She had recently started dating, and her current boyfriend was her first sexual contact. He, however, had had other partners before her. She had telltale sores and tests confirmed that the cause was genital herpes.

(*This is not one specific person but actually a composite of many patients. When I say we see a lot of genital herpes in our practice, I really mean it.)

Genital herpes is far and away the most common sexually transmitted infection (STI) that we see in primary care. I find myself explaining the diagnosis to distressed patients far more often than I would like. That’s why I was thrilled to see an update on genital herpes in a recent issue of the New England Journal of Medicine.

There are two types of herpes, HSV-1 and HSV-2. Generally speaking, HSV-1 is responsible for those annoying cold sores (skin ulcers) that can pop up during times of stress or lack of sleep. HSV-2 usually causes genital sores. Many people don’t realize that HSV-1 can cause genital ulcers as well, though these tend to be less severe and less likely to recur.

It can take as little as a few days and up to a week after a person has been exposed before any symptoms appear. First, there will be redness and tingling, followed by painful bumps that progress to fluid-filled “blisters.” Eventually these burst to form ulcers which then crust over, healing over several weeks. HSV-2 infections can be more severe, causing terrible pain, as well as flu-like symptoms, and even inflammation of the membrane that covers the brain (meningitis).

You can only get genital herpes if your partner has an active infection with sores, right? Wrong

A person can be exposed to the virus and pass it to someone else without ever having symptoms. It happens more often than you’d think. That’s because the virus can exist in genital fluids even without any ulcers. This is called “asymptomatic shedding of virus.” Although there is a lot more active virus when there are sores, asymptomatic shedding is probably how most people get herpes. What’s more, only one out of four people who tests positive for genital herpes actually knows that they have the virus. That’s a lot of people. Combine the two and you have many people unknowingly infecting others.

As with the couple above, many people who learn they have genital herpes are shocked. They tell me that they didn’t see any sores on their partner (“And I really looked!”) or that their partner had never ever had any ulcers, ever (“And I believe them!”). This is common and true, because people can have genital herpes and not know it.

Got Ulcers? Get Tested

A person with genital ulcers should see his or her doctor. It’s important to confirm whether or not it is herpes and if so, what type. Genital herpes outbreaks are treated with antiviral medications. These medications can help to reduce the number of days of discomfort and have few side effects. They are most effective when taken early in an outbreak. Some people take these drugs daily to prevent outbreaks.

Once someone has had a test that confirms either type of genital herpes, future partners can have a blood test which tells them if they already have been exposed to the same strain of virus. If the person tests negative, the partner with the infection would be advised to take antiviral therapy daily, in order to help prevent infecting his or her partner. Although daily antiviral therapy decreases the chances of spreading the virus, there is no guarantee, so it’s best to have a frank conversation with a new sexual partner.

No ulcers doesn’t equal no herpes, so then what?

If you’ve never had genital ulcers and as far as you know, have never been exposed, is it worth getting tested? That’s a controversial point and in fact, the widely followed official guidelines discourage screening.

Why? Many reasons: Let’s say the test comes back positive for HSV-2. This means that the patient may have been exposed to HSV-2 at some point in their lives, somehow, somewhere. Research tells us that these folks may be periodically shedding virus particles in their genital fluids. These patients would then be diagnosed with genital herpes, encouraged to share their status with future partners, and offered daily antiviral medication to prevent possibly spreading the virus.

All of this can be a tough pill to swallow, so to speak. There is significant social stigma and shame associated with herpes. In addition, there are occasionally false-positive tests. Labeling someone with the diagnosis can be devastating to their future relationships, and asking someone to take a pill for a condition they may or may not have and may or may not spread seems unreasonable.

However, many experts disagree with the official guidelines. I wrote to Dr. John Gnann, professor of infectious disease at the Medical University of South Carolina and co-author of the New England Journal of Medicine article. He has suggested the below guidelines, and outlines the rationale:

“For herpes viruses, there is no ‘past exposure only’ scenario. If a person is HSV-2 seropositive, then that person is HSV-2 infected and will carry the virus forever. That means one of three things:

1. The person has had herpes with symptoms.
2. The person has had herpes with symptoms but didn’t realize the cause.
3. The person has the herpes virus that from time to time can appear in genital fluids. The only way to know if a person is shedding the virus is with daily tests. That’s just not practical.

A lot of people fall into the second and third categories — again, that’s why so many people still get the virus. Dr. Gnann suggests herpes testing for

• people with any other sexually transmitted infection including chlamydia, human papilloma virus (HPV), etc.
• people in a relationship with a herpes-positive partner
• any person who asks to be tested.

He adds: “Anyone who has a positive blood test for HSV-2 (whether or not they have episodes with symptoms) should be told that she or he can potentially give HSV-2 infection to a partner. They should also be told about daily preventive antiviral therapy.”

As a primary care doctor, I found Dr. Gnann’s testing guidelines and rationale to be quite sound, and, I might add, different from my usual practice. To date, I have been following the official guidelines and steering away from the HSV blood test. After researching and writing this piece, I think that what he is suggesting makes a lot of sense. I personally plan on having a more in-depth discussion about the option for HSV blood testing with all of my patients who have been diagnosed with any sexually transmitted infection, as well as anyone who requests testing for such infections, in addition to those with partners with HSV.

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The post Genital herpes: The painful facts about a tricky virus appeared first on Harvard Health Blog.

From: Monique Tello, MD, MPH http://redirect.viglink.com?u=http%3A%2F%2Fwww.health.harvard.edu%2Fblog%2Fgenital-herpes-the-painful-facts-about-a-tricky-virus-2016091410271&key=ddaed8f51db7bb1330a6f6de768a69b8

November conference to focus on translating research into practice

Dental professionals will learn more about ways to help ensure they are using the best evidence to support their clinical decision-making and practice behaviors.

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.ada.org%2Fen%2Fpublications%2Fada-news%2F2016-archive%2Fseptember%2Fnovember-conference&key=ddaed8f51db7bb1330a6f6de768a69b8

Number Of Uninsured Falls Again In 2015

The annual Census report finds that the number of uninsured falls to 29 million from 33 million.

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.webmd.com%2Fhealth-insurance%2F20160913%2Fnumber-of-uninsured-falls-again-in-2015%3Fsrc%3DRSS_PUBLIC&key=ddaed8f51db7bb1330a6f6de768a69b8

This May Ease Teens' Stubborn Concussion Symptoms

Kids with lingering effects may need talk therapy, too, study suggests

From: http://redirect.viglink.com?u=http%3A%2F%2Fteens.webmd.com%2Fnews%2F20160913%2Fnew-approach-helps-ease-teens-stubborn-concussion-symptoms%3Fsrc%3DRSS_PUBLIC&key=ddaed8f51db7bb1330a6f6de768a69b8

Ovarian Cancer Overview

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DxbPQYPXKWD8&key=ddaed8f51db7bb1330a6f6de768a69b8

45 Potential Toxins Found in Household Dust

Chemicals come from everyday products such as furniture, carpeting, electronics and toys, researchers say

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.webmd.com%2Fallergies%2Fnews%2F20160914%2F45-potential-toxins-found-in-household-dust%3Fsrc%3DRSS_PUBLIC&key=ddaed8f51db7bb1330a6f6de768a69b8

Mayo Clinic Minute: What women need to know about stroke

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DqEoMAMKTelY&key=ddaed8f51db7bb1330a6f6de768a69b8

Roturas de Manguito Rotador: Un problema, Varias Soluciones

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DsbOTEW6OB3w&key=ddaed8f51db7bb1330a6f6de768a69b8

Rotator Cuff Tears: One Problem, Several Solutions

From: Mayo Clinic http://redirect.viglink.com?u=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DQaez8OKf-eE&key=ddaed8f51db7bb1330a6f6de768a69b8

1 in 4 Medicare Patients Uses BP Meds Incorrectly

The lifesaving drugs 'only work if they are taken,' CDC director says

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.webmd.com%2Fhypertension-high-blood-pressure%2Fnews%2F20160913%2F1-in-4-medicare-patients-uses-blood-pressure-meds-incorrectly%3Fsrc%3DRSS_PUBLIC&key=ddaed8f51db7bb1330a6f6de768a69b8

Household dust is laced with toxic chemicals, study finds

“We think our homes are safe havens, but what we found is the surprising reality that our homes are being polluted by the products we have every day"

From: http://redirect.viglink.com?u=http%3A%2F%2Fwww.cbsnews.com%2Fnews%2Fhousehold-dust-toxic-chemicals-from-common-products%2F&key=ddaed8f51db7bb1330a6f6de768a69b8