Tag Archives: virus

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 11

Measles Overview Again
From the CDC: As of this week, there have been 35 cases of measles, the Centers for Disease Control and Prevention (CDC) reported including seven direct importations of measles by international travelers and two outbreaks with more than five cases each. Most of these cases were among children and adolescents who had not received a measles-containing vaccine (MMR or MMRV), even if age eligible. (Site) In 2023, there were 58 total cases. A far cry from the 1274 cases in 2019, but still a sign that risk persists for some unvaccinated and immune compromised people.
What is measles – a refresher?
Measles is a serious, highly contagious and potentially deadly viral infection. It is caused by an RNA paramyxovirus. It is spread by contact with droplets from an infected person’s nose, mouth or throat. Sneezing and coughing can aerosolize the droplets and increase the range of infectious spread.
Enjoy, Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 49

Respiratory Syncytial Virus
RSV is a 150 nanometer RNA virus that comes from a human orthopneumovirus that circulates in the winter primarily. Young children and infants infected with RSV mostly have upper respiratory tract symptoms where a subset develop lower respiratory tract disease known as bronchiolitis with the primary infection. It is the most common reason for hospitalization in infants between 0 and 6 months of age. Bronchiolitis appears as a wheezy, cough centric illness that rarely may progress to increased respiratory effort noted by wheezing, rales (lung crackles – sounds like stepping on leaves), chest wall rib retractions, grunting, fast breathing, nasal flaring and eventually respiratory hypoxia. If it persists, the event can rarely lead to respiratory collapse and death. Annually, 150 children under 5 years of age die from RSV in the US. Most of these children are premature births and have cardiopulmonary disease issues. Term healthy children rarely succumb to RSV in a serious way. A recent study of German infants and children hospitalized with RSV identified these risk factors: age <6 months, birth at 28–37 weeks gestational age, congenital defects, perinatal respiratory and cardiovascular disorders, and various other comorbidities as significant risk factors for ICU admission and death. ( Cai et. al. 2020) plus a mini lit review and a discussion on thanksgiving.
Enjoy
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 23

Literature Review: This week we discuss articles about the Inhalation of polyamides or nylon in microsizes, masking and effectiveness, cannabis use in youth and covid 19 versus influenza and more. Part two is a look at research related to pollution and the risk of cardiac disease.

Enjoy,

Dr. M

 

Dr. M’s Women and Children First Podcast #43 Subinoy Das, MD – Ear Infections and Sinus Disease

This weeks guest is Dr. Subinoy Das. Dr. Das is the chief executive officer and medical director at US institute for advanced Sinus Care and research. He is the former Director of The Ohio State University Sinus and Allergy Center, and an Assistant Professor at The Ohio State University. He is widely recognized as one of the nation’s best sinus surgeons and has received multiple awards as a U.S. board-certified otolaryngologist including a Presidential Citation in 2015 from the American Rhinology Society. In addition, he is a former Research Associate of the Center of Microbial Pathogenesis at the Research Institute, Nationwide Children’s Hospital. His NIH funded research was awarded the 2013 Fowler Award (top basic science research award in otolaryngology) for his work on detecting the cause of sinus infections.
We crossed paths at the University of Virginia where Dr. Das received the Alfred Burger Award for the top pre-medical student at the University before completing his medical degree at the University of Virginia School of Medicine, where he was elected President of his class, received Alpha Omega Alpha Honors, and received the Richard Bowman Scholarship for the top clinical performance. He then attended the University of North Carolina for residency and completed a fellowship in advanced sinus surgery and anterior skull base surgery at the Medical College of Georgia.
He is a leader in minimally invasive sinus surgery, does not use nasal packing, and has helped to develop leading instruments/techniques used in sinus surgery including working on diagnostic tests and therapies to reduce the use of antibiotics for sinus disease, advanced computer guided surgery systems, hydrodebridement therapies for sinus disease, and custom molecular-based therapies to avoid sinus surgery.
Today, we dive into the upstream causes of sinus and ear disease of children and adults. This is especially interesting because of the changes that occurred during COVID leading to new understandings of viral induced disease in humans.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 9

Coronavirus Update 81 plus other stuff
We continue to have a highly infectious Omicron endemic national state with new strain XBB.1.5 accounting for 75% of our cases now with absolutely no signs of worsening disease severity or morbidity. Having had a previous Omicron natural infection is beneficial towards preventing moderate to severe disease from current circulating Omicron strains, but not helping against getting mild infection at all. This week we look at the residual data that is of interest. It is thinning out for me. We also look at men’s health and the micronutrient iodine.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 7

This week we look at the quick hits related to Covid science. This information stream is fading, however, I am still finding some important science worth sharing in the literature. We also look at the disease underpinnings from the perspective of Marty Makary. Finally, we finish up with the micronutrient selenium.

 

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 5

 

Covid update #79 – This week we do a literature review looking at Covid and the post illness effects on lipid metabolism, chemical clearance and general long term health. We look at the effects of different mask types. We have a lifestyle Covid illness mitigation strategy moving forward. We finish with a look at liver and a recipe using liver as a main ingredient.   Enjoy, Dr. M

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