The following article Anaphylaxis and Insect Stings and Bites appeared in the July 4, 2017 issue of JAMA, The Journal of the American Medical Association, From The Medical Letter on Drugs and Therapeutics.

Anaphylaxis, a multi-system allergic reaction that is rapid in onset and may cause death, often occurs in community settings where it is typically triggered by a food, insect sting, or medication. The incidence of anaphylaxis is increasing in the US population. The greatest increase has been reported in food-related anaphylaxis, which occurs most commonly in the pediatric population.1 Vaccine-triggered anaphylaxis remains rare.2 Patients at risk for anaphylaxis in community settings should receive printed information about how to avoid their relevant triggers.3 Those who have had an anaphylactic reaction triggered by stinging insects should be instructed in insect avoidance measures and referred to an allergy/immunology specialist for immunotherapy with standardized extracts of insect venom or whole-body extract from fire ants. Click here for the complete article in pdf format.


An article entitled "Raynaud's Phenomenon" appeared in the August 11th, 2016 issue of The New England Journal of Medicine. Raynaud’s phenomenon is common but often comes to medical attention only after many years. This review updates the understanding of the pathogenesis, the approach to management, and current approaches to drug therapy. Click here for the complete article in pdf format.



The following article appeared in the February 2, 2016 issue of JAMA, The Journal of the American Medical Association. Click here for the complete article in pdf format.


"Nonsteroidal anti-inflammatory drugs (NSAIDs) are
a group of medications commonly used
to treat pain and inflammation."


Nonsteroidal anti-inflammatory drugs include ibuprofen, naproxen, diclofenac, meloxicam, and celecoxib, along with many others. They are among the most commonly used medications in the world. Many are available over the counter without a prescription. Aspirin is a type of NSAID that works slightly......more

The following article "Knee replacement delayed
by hyaluronic acid injections"
appeared in the December 2013 Issue of Rheumatology News.

SAN DIEGO – Viscosupplementation using hyaluronic acid injections delayed total knee replacement for patients with knee osteoarthritis by up to a median
2.6 years in a retrospective observational study.

The study, involving analysis of a large commercial health insurance claims database (Truven MarketScan), included all 16,529 patients with knee
osteoarthritis (OA) who made their first visit to a specialist for the condition in 2008-2011 and who eventually went on to total knee replacement surgery.

The following abstract "Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear" appeared in the December 26th, 2013 Issue of The New England Journal of Medicine.

Arthroscopic partial meniscectomy is one of the most common orthopedic procedures, yet rigorous evidence of its efficacy is lacking.

We conducted a multicenter, randomized, double-blind, sham-controlled trial in 146 patients 35 to 65 years of age who had knee symptoms consistent with a degenerative medial meniscus tear and no knee osteoarthritis. Patients were randomly assigned to arthroscopic partial meniscectomy or sham surgery.

The following articles appeared in the April 2013 Issue of The Journal of Allergy and Clinical Immunology. Click on the individual link for the article in pdf format.

Click on the individual images for a full-size pdf version.
Managing Asthma Long Term - Youths >12 Years of Age and Adults

Stepwise Approach
for Managing Asthma
in Youths
12 Years of Age

Classifying Asthma Severity & Initiating Treatment in Youths
12 Years of Age and Adults

Assessing Asthma Control & Adjusting Therapy in Youths
12 Years of Age and Adults

What you should know about
    Low Back Pain

Click on image for article in pdf format.

Tips to reduce asthma attacks

"Bee"careful of stinging insects

Are your allergies affecting your eyes!




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