Strokes: COVID-19 infection vs vaccine

Nivedita Jha, M.D., Steven Lippmann, M.D. Many people with COVID-19 infections evidence constitutional and/or respiratory concerns. Neurological, gastrointestinal, and/or cardiovascular presentations are less common. Stroke occurrences among people with COVID-19 illness include ischemic events, intracerebral hemorrhage, and cerebral venous thromboses (1). COVID-19 disproportionately affects certain groups (2). Patients with serious COVID-19 disease evidence an elevated […]

E-cigarettes – harm reduction? – not really

Gurpreet Singh Guliani, M.D., Steven Lippmann, M.D. Electronic cigarettes entered the US market in 2007 (1). They quickly gained popularity with e-cigarette use among an estimated 60,000 students in 2011, rising to about 570,000 by 2018 (2). E-cigarette devices have evolved with the latest ones called “pod mods”. They utilize a heating element at a […]

Tau positron emission tomography as a prognostic marker in preclinical and prodromal Alzheimer’s disease

Leo Sher, M.D. A research report, “Accuracy of tau positron emission tomography as a prognostic marker in preclinical and prodromal Alzheimer disease: A head-to-head comparison against amyloid positron emission tomography and magnetic resonance imaging” has been published in JAMA Neurology online ahead of print (1). Data collected between 2014 and 2021 for an ongoing study […]

Testosterone and suicidal behavior

Leo Sher, M.D. My theoretical paper, “Both high and low testosterone levels may play a role in suicidal behavior in adolescent, young, middle-age, and older men: a hypothesis” was published 5 years ago in the International Journal of Adolescent Medicine and Health online ahead of print (1). Most but not all investigations of the relationship […]

Severe mental illness and course of COVID-19

Leo Sher, M.D. A research paper, “Severe mental illness is associated with increased mortality and severe course of COVID-19” has recently been published in Acta Psychiatrica Scandinavica online ahead of print (1). In Denmark, nationwide administrative registries contain information on various healthcare-related and administrative variables. The unique and permanent civil registration number allows cross-linkage of […]

Dehydration as an end-of-life treatment option

Steven Lippmann, M.D. Assuring good hydration is a goal for physicians. Proper fluid and electrolyte balance is vital. Yet, dehydration in selected clinical circumstances is beneficial and medically indicated, especially in near death terminal circumstances. Providing for comfort is important to all healthcare. And comfort care is the primary treatment plan for sick people near […]

Aluminum: good or bad for brain health? … a speculative reflection …

Steven Lippmann, M.D. Aluminum and psychiatry? Aluminum is the third most common element in the earth. Dementia specialists and others have debated whether aluminum ingestion through the gastrointestinal track or skin is bad for brain health. Does it cause or facilitate cognitive decline or development of other neurologic disorders? The research is not conclusive. Some […]

Post-COVID syndrome and risk of suicide

Leo Sher, M.D. My commentary, “Post-COVID syndrome and suicide risk” was published in the QJM: An International Journal of Medicine online ahead of print on January 24, 2021 and included in the February 2021 print issue of the Journal (1). A summary of my article is below: A significant number of coronavirus disease SARS-CoV-2 (COVID-19) […]

Can heading soccer balls result in an encephalopathy? Should kids play soccer?

Steven Lippmann, M.D. What about young people’s sports-related brain-health? What advice do we offer? Boxing has long been known to induce brain injury from frequent, powerful blows to the head. Serious neuropsychiatric and cognitive sequela occur over time and are recognized. Recurrent damage can result in chronic traumatic encephalopathies (CTE). Neuronal pathology is documented. Chronic […]

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