By Wayne PerskyThe role of family doctors, once the cornerstone of American healthcare, is rapidly diminishing. Dylan Scott’s article “What happened to the family doctor?” published by Vox, highlights the profound transformation and ongoing challenges within the primary care system (Scott, 2023, September 14).[1]
Dr. Gerard Weigel’s career in Somerset, Kentucky, exemplifies the bygone era of family doctors who managed all aspects of patient care. From the 1960s through the 1980s, doctors like Weigel were integral to their communities, building deep, personal relationships with patients. This model fostered continuity and trust, essential elements of effective healthcare.
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By Wayne PerskyIn an era dominated by ultra-processed foods, the use of additives by food processors is probably at an all-time high. Among these additives, emulsifiers—commonly found in a range of processed and packaged foods—have recently drawn attention for their possible role in the development of increasing worldwide health issues.
Emulsifiers are a class of food additives used by food processors and manufacturers to improve the texture, consistency, and stability of various food products. These substances have the ability to form and stabilize emulsions, which are mixtures of two or more immiscible liquids, such as oil and water, that would otherwise separate over time. Emulsifiers achieve this by reducing the surface tension between oil and water molecules, allowing them to mix more evenly and remain dispersed throughout the food product. By Wayne PerskyRemember that old campaign slogan? Many of us are surely old enough to remember when it was widely publicized, and some of us are old enough to remember when the U.S. government launched an ambitious campaign based on that slogan in the mid-20th century.
The campaign aimed to galvanize public support and funding for cancer research, leading to significant advancements in understanding and treating the disease. Yet, despite remarkable progress in treating certain types of cancer, a recent report from the American Cancer Society (ACS) indicates that the global fight against cancer is far from over, with cancer cases expected to rise significantly in the coming decades. By Wayne PerskyA recent article published in JAMA, describing research conducted at Brigham and Women's Hospital discusses the association between cardiovascular health and kidney function (Ostrominski, et al., 2024).[1] Focusing on heart failure, particularly, the article discussed how the function of the two organs are linked by shared risk factors, hemodynamic effects, and complex biochemical interactions. Statistically, compromised function of both organs frequently coexists, and when it does, the functional issues of one organ tends to negatively affect the function of the other in a self-perpetuating, mutually compromising cycle in which the deteriorating condition of one tends to exacerbate the dysfunction of the other.
This condition is frequently seen in older adults who are hospitalized because of heart failure, and it's referred to as a cardiorenal syndrome. The study found that a significant portion of these patients developed acute kidney injury, or progressed to end-stage kidney disease (requiring dialysis) within a year of their hospitalization. The cycle appears to be driven by the following issues: |
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April 2025
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