COVID

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 17

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Literature Review – this week we look at topics like: Autism is linked to heart disease!; Machine learning algorithms are going to help us diagnose autism spectrum disorders earlier; Long term gastrointestinal issues post Covid are real and problematical;Celiac disease screening for first degree relatives of a person with celiac disease is warranted;Watching violent video content in early childhood is associated with mental health struggles at age 12 and more… Part two discusses the length of antibiotic needed for pneumonia clearance. And finally a link to a discussion on snakes and bite prevention.
Enjoy,
Dr. M

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

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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

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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 1

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Covid update #77 with quick hits on vaccines in young adults, POTS or hypotension following Covid 19 as well as obesity and Sars2. Non covid research looking at the brain.

From Nature Communications: “Parkinson’s disease (PD) may start in the gut and spread to the brain. To investigate the role of gut microbiome, we conducted a large-scale study, at high taxonomic resolution, using uniform standardized methods from start to end… Here we show that over 30% of species, genes and pathways tested have altered abundances in PD, depicting a widespread dysbiosis.”

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 12 Issue 49

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Covid Update #75

All new omicron based variants are extremely infectious but not really dangerous anymore to immunocompetent people. They are evading prior immunity as well as all vaccines to varying degrees. Morbidity remains very low now. The current bivalent vaccines are not showing any improvement over the ancestral vaccine. Death remains almost zero for all healthy previous infected or vaccinated individuals. This is likely the new norm from here on out.

This week we cover covid, vaccine effectiveness, skeletal muscle and dementia, human protein needs and function.

Dr. M’s SPA Newsletter Audiocast Volume 12 Issue 47

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Covid Newsletter #74. Why are we seeing massive waves of RSV and Influenza A right now? These viruses normally circulate in the winter only. The answer is nuanced, but likely primarily because of the pandemics social distancing and hygiene activity. During the 2020-2022 cycle of Covid fear and mitigation of viral risk, most of us avoided the normal trappings of viral spread. We masked avoiding the viral droplet portal of entry most commonly used. We kept our children semi isolated from other children where most year to year viral transmission events occur. We practiced enhanced hand washing and sanitizing reducing natural viral spread through contact. In essence we stopped the normal propagation of respiratory virus for 2 years. A whole cycle of children between 0 and 2 years old are RSV and flu immune naive leading to a perfect host pool for spread. The 2 to 18 year olds have had a long pause in exposure reducing circulating virus specific antibodies to negligible levels leading to stronger infections and more spread. Anyone who has a child in college (me) has seen infection after infection pound these students this fall. It seems like they are always dealing with a viral illness. Immunity country wide will return in the coming year to these viral illnesses reverting to the old reality of winter predominance.
Quick Covid Hits and other musings –
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 12 Issue 41

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Coronavirus Update #71 A look at the next pandemic

From a recent article, we see a 10 point series of mitigation measures for a future pandemic based on rational thought: “A more realistic public health approach is to adjust current mitigation goals to be more data-driven and to minimize unintended harms associated with unfocused or ineffective control efforts.”
a) Accelerate vaccinations, b) ease restrictions as fast as possible based on science, c) emphasize education and harm reduction, d) Encourage outdoor activity, e) reopen schools, f) avoid lockdowns, g) deemphasize ineffective mitigation measures, h) reassess testing, i) expand treatment and prophylaxis, j) prepare for future pandemics.
And more…
Dr. M

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