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Genetically Informed Medicine

  As many readers will remember from an earlier editorial entitled “What’s in a Word? Using Words Carefully,”1 I pointed out the danger in using words without first carefully considering the implications of the written or spoken terms for individuals and for society. In this editorial, I described one of my patients who had mistakenly been […]

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Nutraceuticals: Evidence of Benefit in Clinical Practice?

Nutraceuticals, according to Wikipedia, are food substances or nutritional supplements that have beneficial effects on health. They are not usually considered to be part of a normal diet, such as fruit, vegetable, fish, and meat. Rather, they are additives, usually derived from plants, which are said to be beneficial at preventing or treating illnesses. The term nutraceutical, […]

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man holding chest and woman offering him water

To Supplement or Not: A Role for Antioxidant Vitamins in the Management of Heart Failure?

  There is an epidemic of heart failure occurring in advanced industrial nations. The number one diagnosis for payment by Medicare in the US is heart failure. Because heart failure is increasingly prevalent among the elderly, and because the population of individuals older than age 65 years is increasing rapidly in the US, patients with […]

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Joseph S. Alpert

‘If You Are Not a Liberal When You Are Young, You Have No Heart, and If You Are Not a Conservative When Old, You Have No Brain’

I have often heard the above headline quoted by politically conservative friends here in the United States. I think of it more and more these days not with respect to any political issue, but rather with respect to my daily rounds in the hospital. When I cite this quote to residents and friends, I am […]

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Joseph S. Alpert

We Have Come a Long Way

When one of my principal mentors, Lewis Dexter, retired, he passed on to a number of his closest colleagues, medical texts that he had acquired during his long and illustrious career. I was delighted when Dr Dexter (I never could get used to calling him Lew, even when I became a professor myself!) gave me […]

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