Monique Tello, MD, MPH
Posts by Monique Tello, MD, MPH
The history of medicine is filled with remedies that were relied upon for hundreds of years until they were eventually proven ineffective or possibly even dangerous, while legitimate practices and treatments were disregarded or ridiculed until evidence outweighed skepticism. The bottom line is that medical interventions — from tests to treatments — should neither be recommended nor condemned without considering and weighing the evidence. A future post will discuss what physicians look for when evaluating “the evidence.”
While a new study found that a significant percentage of people who had been diagnosed with asthma did not meet the official criteria for a diagnosis, the behavior of asthma can make diagnosing it a challenge.
When there are so many articles, books, and TV pitches on how to lose weight, how do you know what works and what’s a gimmick? When life is busy and you don’t want to completely give up the joys of the occasional treat, what’s a person to do. This story combines science and a physician’s personal experience to shed light on the basics of how to really lose weight.
A new approach to treating the large numbers of people with opioid use disorder involves using medications to prevent withdrawal symptoms, and has been shown to be safer and more effective than traditional detox treatment, but some question the replacement of one drug with others.
When one person in your household catches a stomach bug, it seems the rest of the household becomes sick almost instantly. This winter has been particularly difficult, which makes it all the more useful to know more: Why does this bug spread so quickly? And how do I prevent it?
Considering the range and severity of health problems caused by diabetes, the focus on treating prediabetes in order to prevent it from becoming diabetes is sensible, and a large study found that it is possible. A healthy diet and adequate physical activity can help most people side step this condition. For some, medication is also necessary.
It is sadly true that people of color cannot necessarily expect to receive the same quality of medical care in this country as whites. And unfortunately, discrimination by patients toward doctors is another problem that the medical community needs to address. To overcome the racism and discrimination that lead to health care disparities, doctors and patients need to identify and manage our own implicit biases.
No one wants to deal with the misery of a cold, and nothing is guaranteed to prevent you from catching one, but some basic precautions can help reduce the risk. If you already have a cold, certain treatments are definitely more effective than others.
Agreement on the adequate level of vitamin D is difficult to come by in the medical community, with respected organizations offering widely divergent guidelines on how much is enough for most people. All that said, most experts agree that doctors should be checking vitamin D levels in high-risk people — those most at risk for a true deficiency.
The preparations necessary for a colonoscopy can be as unpleasant as the test itself, if not more so. A new test can be completed at home and requires no special prep, but the test is more likely to return a false positive, requiring further testing. In addition, some of the research supporting this test was done by the company or co-inventors, so more research is needed.