Clinical

A closer look at the unapproved peptide injections promoted by influencers and celebrities
Online stores will offer injectable vials for $300 to $600 each. Longevity and wellness clinics offer in-office evaluations and injections, sometimes with membership fees of thousands of dollars per month.
Navigating patient hesitation this flu and RSV season
With headlines about high flu rates in the Southern Hemisphere, unprecedented outbreaks in Japan, the UK bracing for a "cruel winter," and a new H3N2 variant that emerged after this year's vaccine was already locked in, it's not surprising that vaccine confidence may be on shaky ground. Here's how to respond to patient hesitancy.

Hypoxic load a useful marker to detect sleep disorders in children

The measure provides a better understanding of the intensity and duration of hypoxic events than apnea-hypopnea index.
Do you sometimes slip into ‘essentially placebo treatment’ as a way to manage patient expectations?

A new study explores how 'essentially placebo' treatments raise questions about the transparency and trust that underpin the doctor-patient relationship.
A refresher on peripheral neuropathy

Comprehensive JAMA review highlights pathophysiology, clinical presentation, causes, diagnosis, management and prognosis.
Lifelong drugs for autoimmune diseases don't work well. Now scientists are trying something new

‘We’re entering a new era,’ said Dr. Maximilian Konig, a rheumatologist at Johns Hopkins University who’s studying some of the possible new treatments. They offer ‘the chance to control disease in a way we’ve never seen before.’
Emetophobia: what it’s like to have a fear of vomiting

For around 2%-to-7% of the population, vomiting provokes anxiety so severe they’ll do anything to avoid it.
Canadian clinicians create free online mpox image atlas

Online atlas aims to reduce stigma and improve diagnosis of the disease.
Canada may fall short of goal to eliminating cervical cancer by 2040, cancer society says

Data published by the Canadian Cancer Statistics Advisory Committee shows a “concerning plateau” of cervical cancer rates, signalling Canada is moving in the wrong direction.
Case report: How long?

Dr. Robert Dickson at his walk-in finds an example—once again—of the many factors which cause a patient to defer medical care.