December 26, 2013 |
Another medical guideline. Another controversy. This time, a group of experts wants to redefine high blood pressure - it's now OK for some of us to be a little higher, they say - and other doctors are resisting the change. Raymond Townsend, a kidney specialist at the University of Pennsylvania who helped write the new guidelines, said the group's work is based on the best available evidence from high-quality clinical trials. Published last week in the Journal of the American Medical Association (JAMA)
November 17, 2013 |
Medical guidelines are meant to unify doctors and standardize care for patients around treatments supported by the best available science. But the latest guidelines on the use of statins, a class of drugs used to reduce cholesterol, are already generating significant pushback from doctors. The controversy is likely to confuse patients. The new rules released this week by the American Heart Association and the American College of Cardiology would expand the number of people getting statins to prevent heart disease, heart attacks, or stroke while eliminating specific numeric goals for LDL, or bad cholesterol.
June 10, 2013 |
What society does to its children, its children will do to society. - Cicero, 106 B.C.E. A radical change in the underlying beliefs of what causes and accelerates adult diseases and childhood health is underway. It's a paradigm shift - a transformation in the practice of pediatrics. On a recent Friday, I had a full panel of patients. A jumpy 7-year-old with ADHD. A 12-year-old weighing more than 150 pounds. A teenager with a flat affect. It was a typical day for a pediatrician, except that this diverse group most likely has one unifying factor that predisposes them to their health issues: ACEs.
August 19, 1995 |
State Rep. David P. Richardson Jr. - a relentless advocate for African Americans, the impoverished and the disenfranchised - died suddenly yesterday of a heart attack. He was 47 and had a history of heart disease and diabetes. From the time he was a teenager - when he fought to make African American history part of the public school curriculum - through more than 20 years in the House of Representatives, Richardson threw his heft and his voice into causes he saw as just. In his own neighborhood of Germantown, he had a reputation as the community's moral compass, said U.S. Rep. Chaka Fattah.
February 19, 2013 |
Heart disease in women Does a heart attack really feel like an elephant on your chest? Not always, particularly if you are a woman. A study last year in the Journal of the American Medical Association found that women, especially those under 45, were less likely than men to have chest pain before a heart attack. Symptoms can be more subtle: nausea, fatigue, shortness of breath, and discomfort in the neck or back. Subtlety can be dangerous: For both sexes, the absence of the classic chest ache was linked to delayed hospital trips, slower care and a higher death rate.
May 2, 2012 |
The blood-pressure-lowering drugs known as ACE inhibitors are a mainstay of treatment for many diseases. But with growing use of these heart-helping medications, more and more patients are winding up in emergency rooms with a rare side effect that most have not been warned about: swelling around the face and neck. In the worst cases, the patient's tongue and throat become hugely bloated, closing the airway. No medications can slow or reverse this swelling, called angioedema.
August 1, 2013 |
Joe Yourshaw was 93 and in hospice care at his home in Pottsville, Schuylkill County, in February when he asked his visiting daughter for his bottle of morphine. That much appears undisputed. Now, Barbara Mancini of Philadelphia is facing prosecution for allegedly aiding her father's suicide - an allegation she denied through her lawyers. "Prosecution of Mancini is an assault on a loving daughter and a violation of a dying patient's constitutional right to pain relief," said Kathryn Tucker, a lawyer with Denver-based Compassion and Choices, an end-of-life advocacy group that is helping Mancini.
September 17, 2008 |
A chronological list of the former Steelers who have died since 2000 under age 60. Steve Furness: Feb. 9, 2000, 49, heart attack. Tyrone McGriff: Dec. 9, 2000, 42, heart attack. Joe Gilliam: Dec. 25, 2000, 49, heart attack. Mike Webster: Sept. 24, 2002, 50, heart attack. Ron Shanklin: April 17, 2003, 55, cancer. Fred Small: June 24, 2003, 39, his motorcycle collided with two cars on the Pomona (Calif.) Freeway. James Parrish: March 10, 2004, 35, cancer.
November 19, 1987 |
Smoking causes about half of all heart attacks among young and middle-aged women, and even three or four cigarettes a day sharply increase the risk, researchers conclude in a newly published study. In a separate study, a scientist reported that living in a home where one or both parents smoke may accelerate the development of hardening of the arteries in young boys and raise their risk of coronary heart disease as adults. The results of both studies should provide more incentive for smokers to quit, researchers said.
August 10, 2001 |
Three city residents died yesterday as the result of the heat wave, according to the Philadelphia medical examiner's office. The three were: Robert Chandler, 71, of 76th Avenue near Ogontz; Dorothea Gledhill, 66, of Wagner Avenue near 10th Street, who also suffered from heart disease and cancer; and Elda diMaria, 79, of 16th Street near Reed, who suffered from heart disease. These deaths bring the total heat-related deaths this week to four and the total for the summer so far to nine, according to Health Department spokesman Jeff Moran.