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Authored by Board-certified Allergists and Internists in the Great State of Florida, USA

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Showing posts from January, 2012

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First snowmobile front flip landed and winter sport trauma (video)

Sports Trauma Video

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Chronic Diarrhea - Diagnostic Evaluation

Gastroenterology Review

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How to evaluate a patient with chronic cough?

Allergy Pulmonology

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"Doctors make mistakes. Can we talk about that?" ED physician Brian Goldman's TED talk

Malpractice TED Talks Video

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The Rise of the ePatient - presentation by Pew Internet Project

Presentations Social Media

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Blogging is good for you - and for most people who read blogs

Blogging Research

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Lung cancer - Lancet review

Lancet Oncology Pulmonology Review

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Sleepwalking: Lee's story

NHS Sleep Video

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How to investigate mildly elevated liver transaminase levels

Gastroenterology

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Evaluation of suspected dementia: 2-visit approach is effective

Geriatrics Neurology

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Premenstrual syndrome and premenstrual dysphoric disorder (review)

Gynecology Psychology Review

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Scabies - NHS patient education video

Infectious Diseases NHS Video

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How to avoid hidden sodium - a Johns Hopkins dietitian walks through the aisles of a grocery store with you (video)

Diet Johns Hopkins Video

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94% of Americans score at “poor” level on at least one of the 7 factors defining ideal cardiovascular health

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Depression treatment is as effective in older (over 65) as in younger adults

BMJ Depression Geriatrics

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Why Mayo Clinic is a power user of social media: "Our patients are doing it, so this is where we need to be"

Mayo Clinic Social Media Video

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Hands-only CPR videos - The American Way vs. The British Way - Celebrity edition

Cardiology Video

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The Third Component of Genetic Blueprint - Writing in Pen (DNA) vs. Pencil (Epigenetics)

Genetics National Geographic Tax 12

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"The online version is the official journal of record, not the print edition". Start a blog in 2012

New Medical Blog Pediatrics Social Media

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Human psychology: Why do we have equivalents of bogeyman in so many countries around the world?

Bogeyman (also spelled bogieman, boogeyman, or boogie man) is a common allusion to a mythical creature in many cultures used by adults to frighten children into good behavior. This monster has no specific appearance, and conceptions about it can vary drastically from household to household within the same community. Parents may tell their children that if they misbehave, the bogeyman will get them. Bogeymen may target a specific mischief—for instance, a bogeyman that punishes children who suck their thumbs—or general misbehavior, depending on what purpose needs serving. Source: Wikipedia. Examples - by country - listed in alphabetical order: Afghanistan – Bala or Newanay Mama, which means "The Monster or Crazy person", is used to scare children when they don't want to sleep or when they don't want to take their medicine. Albania – There are two similar creatures that are used to frighten children. In the South (Vlore area), there is Katallani, that means "t...

The evolutionary advantage of having hair

Apparently, when our ancestors moved from the trees to the ground in the African savanna, they needed to shed their body hair so they can get cool and they needed to develop hair on their head to keep their brain cool. Hair also plays a critical importance in sharing to the other members of the species our age and physical condition. https://www.wsj.com/science/biology/human-hair-evolution-brain-sun-protection-9f109694?st=HQ5gjr&reflink=article_copyURL_share

Dermatologists are at their best at 10 years of experience - and AI is getting closer in competency

A recent study in JAMA Dermatology provides a realistic view of AI versus human performance in diagnosing skin cancer. Key finding: AI surpassed dermatologists with <3 years of experience, matched those with 3–10 years, but remained inferior to experts with >10 years of experience. The Study Researchers tested modern AI models (including foundation models) against 652 physicians on 1,117 realistic dermatology cases with clinical and dermoscopic images. Top AI accuracy: 72% Humans by experience: <3 years: ~68% 3–10 years: ~72% 10 years: 74.2% (highest overall) Why Experience Still Wins Seasoned dermatologists integrate subtle clinical context, patient history, and rare presentations that current AI struggles with. AI excels as a supportive tool - especially helpful for novices, triage, education, and areas with limited specialist access - but does not yet replace expert judgment. Takeaways Patients: Prioritize experienced specialists for concerning skin lesions. AI may improve ...

The two current heavyweight world boxing champions both have PhDs, believe or not

Believe or not, but the two current heavyweight world boxing champions both have PhDs... The two researchers are the Ukrainian heavyweight boxers and brothers Wladimir and Vitali Klitschko. Wladimir Klitschko, called "Dr. Steel Hammer"(born 25 March 1976, Semipalatinsk, Kazakhstan), currently holds the IBF, WBO, IBO and Ring Magazine world heavyweight titles. His older brother, Vitali Klitschko, is the current WBC world heavyweight champion. In the summer of 1996, Klitschko finished Pereyaslav-Khmelnitsky Pedagogical Institute (Ukraine) and was accepted in the postgraduate study program of Kiev University. On 18 January 2001 in a conference hall of Kiev University of physical science and sports, Klitschko presented his doctoral dissertation and was awarded a Ph.D. in Sports Science. Klitschko speaks four languages: Ukrainian, Russian, German and English. Image source: Wikipedia , GNU Free Documentation License. Vitali Klitschko, called "Dr. Ironfist", (born 19 July ...

About Us

British Medical Journal Editorials, How Web 2.0 is changing medicine, Dean Giustini BMJ 2006;333:1283-1284 (23 December) "One of the best blogs in medicine is Ves Dimov's Clinical Cases and Images - Blog. It contains a rich collection of "presurfed" material for busy clinicians and features interactivity and timely discussion. Dimov is also a supporter of medical librarian bloggers. Why waste time fumbling with search engines when you can consult this blog for timely updates? As well as case discussions, Ves provides links to today's medical headlines from Reuters and clinical images via a dynamic, free photo sharing tool called Flickr. One of his slide presentations "Web 2.0 in medicine" is available on Slideshare (itself a fantastic new 2.0 tool). Clinical Cases and Images is a virtual laboratory for doctors and medical librarians interested in Web 2.0." The blog web site was founded by: Ves Dimov, M.D. Dr. Dimov is an Allergist/Immuno...

How Seasonal Allergies May Trigger Anxiety and Depression - A Possible Link

A new study by our team was published in The Journal of Allergy and Clinical Immunology and revealed a striking seasonal connection between allergies and mental health. We analyzed Google search trends in the U.S. from 2020 to 2025 and found that peaks in searches for “allergies” (especially allergic rhinitis) consistently lined up with increased searches for “depression” and “anxiety.” These mental health search spikes occurred during the classic allergy seasons — spring (March–May) and fall (September–November) — often rising at the same time or within a few weeks after allergy symptoms surged. There are at least two likely mechanisms: - Sleep disruption caused by nasal congestion, sneezing, and itchy eyes - Systemic inflammation from allergy-related cytokines that can affect brain function and mood Even in 2020, when the COVID-19 pandemic added extra stress, the allergy-anxiety pattern was clearly visible. Bottom line for patients and doctors: Allergies aren’t just annoying — they...

Higher fiber intake is associated with lower cancer risk and mortality

If fiber was a pill, you would take it for sure! Higher fiber intake has been associated with better health outcomes in multiple studies. Here is another reminder that fiber has been linked to lower risk of cancer and lower cancer mortality: https://x.com/humanos_me/status/1941128584547950617?s=46

How to give a talk/present a lecture - by MIT/Patrick Winston

Some goods points in the video below. Quality = f (K P t) -- explained at beginning: Patrick Winston's How to Speak talk has been an MIT tradition for over 40 years. Offered every January, the talk is intended to improve your speaking ability in critical situations by teaching you a few heuristic rules. 00:16 - Introduction 03:11 - Rules of Engagement 04:15 - How to Start 05:38 - Four Sample Heuristics 10:17 - The Tools: Time and Place 13:24 - The Tools: Boards, Props, and Slides 36:30 - Informing: Promise, Inspiration, How To Think 41:30 - Persuading: Oral Exams, Job Talks, Getting Famous 53:06 - How to Stop: Final Slide, Final Words 56:35 - Final Words: Joke, Thank You, Examples

Your Face Might Know More About Your Health Than You Think: Mass General FAHR-Face AI Pattern Recognition Model

A new study published this week in Lancet Digital Health is getting a lot of attention for a simple, slightly unsettling claim: a single photograph of your face could help predict biological age and, in cancer patients, risk of dying. I went back to the original paper, not just the headlines, because the details matter. A very old idea This is not a new observation. Around 400 B.C., in the Book of Prognostics, Hippocrates described what he called the face of impending death — what we now call facies Hippocratica: "a sharp nose, hollow eyes, collapsed temples; the ears cold, contracted, and their lobes turned out; the skin about the forehead being rough, distended, and parched; the color of the whole face being green, black, livid, or leaden." For 2,400 years, doctors have been taught to look at the face to judge if someone is failing. What is new is trying to make that look quantitative, consistent, and scalable with AI. What they actually built The team at Mass General Brigh...

Exercise for a minute every 20 minutes every day

Vigorous Intermittent Lifestyle Physical Activity (VILPA) Here is my suggestion for you: Exercise for a minute every 20 minutes every day. Turn on your watch timer to ring every 20 minutes, When the timer goes off, do squats for 1 minute and keep repeating during the day. The first thing you’ll notice is that you may be surprised how much time you spent in inactivity. The second thing you will notice is how much better you will feel 😊

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