Interesting @NYPost story—do street lamps cause thyroid cancer? We asked endocrinologist Dr. Pinar Smith to give perspective. Thread 1/6 nypost.com/2021/02/08/str…
"The article raises the question: does 'light at night' specifically means city lights? Could someone watching TV or using their computer/device at night also influence risk? Maybe the study could have also incorporated 'screen time' after dark as a variable." 2/6
The study reports “adjustments made for sociodemographic, lifestyle, & other environmental factors.” Specifically, normalizing data for factors like poverty, hours of sleep. Perhaps, a follow-up study might include local air quality, as poor air quality is a known carcinogen? 4/6
Dr. Smith also notes that the study introduction states breast cancer has a similar hormone etiology to thyroid cancer, which is alluding to the fact that estrogen exposure increases the risk of breast cancer. 5/6 acsjournals.onlinelibrary.wiley.com/doi/10.1002/cn…
According to some of the references cited, there is some correlation also found in thyroid cancer. Could this be the reason why women, in general, have more thyroid disease than men? 6/6
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Heart failure deaths are increasing rapidly, and one key factor in the rise? The majority of treatment in the U.S. is stuck in the past, most physicians' mindsets haven't evolved. (thread)
"You know, [the rise in heart failure deaths] is a critical question not enough people are addressing," says @NirUrielMD. "Heart failure historically was a disease that a primary physician or cardiologist could treat, or theoretically, every doctor could. But it's evolved."
"Instead, [the majority of physicians] think they can take care of these patients, and when they identify that they cannot anymore and the patient is too sick, they offer the patient hospice care. Yet that patient missed out on the near entirety of treatment," says @NirUrielMD.
Donna Farber is an immunologist who studies the immune response to respiratory viruses, lung immunity, and human immunology. The COVID-19 and Immunology webinar starts now! Follow along #FarberCOVID19
COVID-19 symptom breakdown (based on 72,314 cases in China)
-1% asymptomatic
-81% acute disease w/out pneumonia
-14% severe disease
-5% critical
Case mortality=2.3% (*23 times more lethal than influenza) #FarberCOVID19
Risk factors for severe disease: middle to old age; male; comorbidities (heart disease, diabetes, hypertension)
Less than 10% of cases are under 30 years old.
Treatment is supportive care, no anti-viral or vaccine therapies #FarberCOVID19