Skip to main content

HPV Vaccine: Cause for Concern?

By Preventive Medicine No Comments

An article and editorial in the New England Journal of Medicine of August 21, 2008 questioned the efficacy and appropriateness of the HPV (human papilloma virus) vaccine in young women, which concerned many parents in our practice. The article actually focused on the cost and health care policy implications of the vaccine rather than its safety and effectiveness in individuals. Both Dr. Kanner and Dr. Isselbacher believe the public policy concerns that were raised in that article do not trump the HPV vaccine’s continued usefulness for our young women.

Read More

Cardiac CTA v. Cardiac Calcium Score

By Heart Disease, Preventive Medicine No Comments

The NYTimes today had an excellent and long piece on the use and probable overuse of the cardiac CT angiogram. The essence of the argument was that the CT angiogram of the heart was only occasionally helpful while costly in money and radiation exposure. The cardiac calcium score, which I have and continue to recommend frequently, differs in important ways, including much lower radiation and lower cost. Most important, we use it primarily to reaffirm the negative, that healthy “risk factors” really are accurate, because the cholesterol and blood pressure predictors of cardiovascular health are good but hardly infallible. Even the Framingham Heart Study is incorporating cardiac calcium scores in their risk evaluations.

Read More

100 Suggestions for Healthy Eating

By Nutrition No Comments

A member of the OHC weight management program sent this compendium of nutritional and behavioral suggestions to me. The list of 100 items constitutes a good reminder of the large and many smaller points that can be helpful in achieving a realistic and sustainable nutritional balance. It is worth a quick run-through. Thanks to Don Engelman.

Read More

Do Statins Subvert Muscle Mitochondria?

By Heart Disease No Comments

The Story: The Boston Globe on February 25, 2008 cited a recent paper in the journal Nature Biotechology that indicated that certain statin medications (used for control of high cholesterol) might impair the functioning of critical cellular components called mitochondria. The mitochondria are tiny structures that generate the necessary energy (in the form of a substance called ATP) for our…

Read More

Great Costa Rican Coffee

By Nutrition No Comments

Q: We really like the coffee you serve. Where is it from? A: Our coffee beans are from the Doka plantation in Costa Rica. Dr. Kanner visited there in 2006. We usually serve the peaberry, but occasionally the Italian roast. The distributor is Tico foods from Texas, who can be found at http://www.otnfinefood.com. About $10 per pound delivered.

Read More