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Who doesn’t love a very good thriller?
For 15 years, medical reporter Sandra G. Boodman has chased down essentially the most uncommon, quirkiest and weirdest medical circumstances for her month-to-month Medical Mysteries collection. Latest tales have targeted on a young person who couldn’t get up, a lady wrongly recognized with ALS, and a whole household and visitor felled by a wierd flu-like sickness.
I checked in with Sandra to search out out extra about how she writes the column and the teachings we are able to study from it.
Right here’s our edited dialog.
Q. How do you select your concepts?
A: It must be one thing I haven’t written about. It must be a solved case. I have to know the last word analysis. Although it’s a solved case, there must be a thriller. And there must be a human story.
Q. When you decide a case, how do you report it?
A: I ask for a chronology of occasions and medical information that affirm the analysis. The medical information and chronology allow me to see whether or not, certainly, this can be a thriller, whether or not it unfolded in an fascinating method. Will this be an fascinating case?
Then, I interview the affected person, typically the mum or dad, typically the partner. The final step is to speak to the physician who made the analysis or the present treating physicians. Any step alongside the way in which, the method can fail.
Q. Do you write about unsolved circumstances?
A. No, it must be a solved case. Lots of people write to me and say, “I’ve this downside, are you able to assist me?” Sadly, that’s not what I do. I did as soon as write a few lawyer in Detroit who had gone to the undiagnosed-disease program on the Nationwide Institutes of Well being. He’s seen greater than 100 medical doctors and nonetheless doesn’t have a solution. However I believed his case was so uncommon and fascinating, I did make an exception that point.
Q. What are a few of your most memorable medical mysteries?
A: I wrote a few household that saved getting recurrent strep throat. They couldn’t determine it out. An enterprising veterinarian obtained concerned. It turned out their cat could have been the vector. After they lastly handled the cat, no one has had strep.
One of many weirder ones — there was a lady who had severe kidney and coronary heart issues. It turned out she was consuming an excessive amount of licorice. That was actually odd.
And I nonetheless vividly keep in mind a State Division employee who had horrible itching on her head at evening. She had even been labored up for a sort of most cancers. She had seen a number of dermatologists. It turned out she had head lice for a complete yr. How did they miss that? That was actually beautiful.
Q. What have you ever discovered concerning the medical system from writing about medical mysteries?
A. Medical care has turn into more and more specialised. Docs are acquainted with a small slice of what’s occurring, but analysis is an inherently complicated course of. I additionally assume time pressures are worsening. It’s like: “You’ve obtained 10 minutes. Go.” That’s not going to work with a sophisticated downside.
I additionally assume typically sufferers aren’t good at describing the issues. The individuals who are likely to do higher are organized and may describe their signs in a method that’s intelligible for a physician.
Q. What’s your finest recommendation to sufferers for getting higher medical care?
A. Major-care medical doctors can actually assist a affected person. I typically see individuals who go proper to specialists. They could not have a primary-care physician, or they use pressing care once they’re sick. That may be problematic. Folks actually undervalue the position of a very good primary-care physician.
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Feeling full? Don’t fear. Your abdomen in all probability gained’t explode.
This week, a reader requested: I at all times really feel like my abdomen goes to blow up after I eat on Thanksgiving. Can that truly occur?
Whereas theoretically potential, this can be very unlikely in your abdomen to blow up from overeating, mentioned Sophie Balzora, affiliate professor of medication at New York College Grossman Faculty of Drugs and a gastroenterologist at NYU Langone Well being. She writes:
Your abdomen is a troublesome organ, with thick muscle partitions and a wealthy blood provide that may simply face up to even a hearty Thanksgiving meal.
The abdomen additionally has a exceptional means to stretch from its resting quantity with out a lot change in strain. Even earlier than that first chew of turkey hits your mouth, the anticipation of it — whether or not via odor or sight — sends a sign to your mind that’s delivered to your abdomen, telling it to organize for meals. As you eat, the abdomen stretches, making an increasing number of room.
However abdomen rupture has occurred. One case report concerned a 24-year-old feminine affected person who visited an emergency room in Turkey with sudden belly ache, vomiting and nausea after consuming an extreme quantity of fruit. An belly surgical procedure revealed her abdomen was perforated and held practically 5 liters of partially digested meals, together with grapes and pomegranate — clearly exceeding a quantity that the majority human stomachs can tolerate.
To study extra, learn the total reply from Balzora in Ask a Physician: If I eat an excessive amount of, will my abdomen explode?
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My mom’s weight-reduction plan affected me, too: My mom’s obsession with weight shouldn’t be distinctive. Researchers have studied how a mom’s restricted consuming habits can have an effect on her kids, notably daughters.
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Why it looks like your physician doesn’t care about you: Many sufferers outline caring as listening, investigating, following up on outcomes and advocating for them. This type of caring takes time and sources that many medical doctors aren’t given, says doctor Shirlene Obuobi.
Please tell us how we’re doing. Electronic mail me at [email protected]
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