Summer ReMarks 2026
it’s heating up out there and I wanted to pass on some helpful summer advice that I have given before, but it’s worth repeating. It’s a mixture of some old information with some new updates. I will be doing some…
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Continuing Medical Education
I get over 200 hours of continuing medical education annually. Most of this comes from researching subjects online. It doesn’t include hours spent reading The New England Journal of Medicine, The Annals of Internal Medicine, JAMA, The Medical Letter or…
Preventing Heat Illness
Avoiding Heat Stroke Summer is heating up. As we get older, our thermostats may not function as they did when we were younger making us more vulnerable to heat related illness. Here is some information from Up To Date on…
It’s a Trap!
Star Wars fans will recognize this iconic line from Star Wars Episode VI, Return of the Jedi. It came to mind when I was reading this editorial from the Journal of the American Medical Association. I had previously mentioned the…
Gone Viral 2
The FDA cancelled their meeting today to discuss next year’s flu vaccine. No explanation given. This is very disturbing as it was announced that this is the worst flu season in 15 years. Here is some data from infectious disease…
New Covid 19 Vaccine Update
My advice to take precautions against mosquitoes was timely. America’s most famous infectious disease specialist, Dr. Anthony Fauci, was hospitalized with West Nile Virus. I believe he has been released from the hospital. As expected, the FDA approved two new…
Using Expired Covid Tests
As Covid 19 cases have risen, I checked under my sink, which is where I have kept my supply of Covid 19 tests, to see if any were expired. Many of them were and I haven’t found any useful advice…
New Insights Into Susceptibility to Covid 19
Since the beginning of the pandemic, we (the medical community) have wondered why some people get very sick from the virus and others do not. W assumed that there must be subtle genetic differences that account for this. Now there…
Antibiotics, Less is More
I was watching a lecture on YouTube, another adaptation to the pandemic. I am a member and past president of the Texas Club of Internists, an almost 100 year old organization dedicated to continuing medical education for Texas internists. https://www.texasclubofinternists.org/.…
Do Statins Prevent Cardiovascular Disease in Older Patients?
Bottom line: Maybe. The jury is still out. It may come as a surprise that we don’t have a lot of proof that treating older individuals with cholesterol lowering medications in a class called statins, reduce cardiovascular disease and mortality. …