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Tuesday, Sep 27 2016

Full Issue

A Medical Mystery Solved: 'I Didn鈥檛 Know How To Convince Them This Is Not In My Head'

A chance meeting on a hiking trail leads to the restoration of a normal life for one woman who suffered from intense pain every time she ate. In other news, testosterone's bad rap might have a silver lining, patients' fitness levels come under scrutiny before surgery, scientists make strides toward identifying CTE in living victims and more.

The medical team encircled Mackenzie Hild鈥檚 bed, their somber expressions reflecting the gravity of the news they were about to impart to the Harvard sophomore and her mother, newly arrived from California. 鈥淲e鈥檝e done all these tests, and they鈥檙e all normal,鈥 Hild recalls one doctor at the renowned Boston hospital telling them. To treat Hild鈥檚 life-threatening weight loss, which the 19-year-old claimed was the result of searing abdominal pain triggered by eating, doctors were sending her to an inpatient center specializing in eating disorders. (Boodman, 9/26)

Testosterone, the big daddy (if you will) of male hormones, has gotten a bit of a bad reputation, what with it being linked to bluster, aggression, violent offending and a whole raft of behaviors at which men do seem to best women consistently. But in humans, new research suggests that鈥檚 not the whole picture. The testosterone findings that have shaped our common assumptions probably fail to take account of human society鈥檚 exquisite level of social evolution. (Healy, 9/26)

Are you healthy enough to have surgery? More hospitals are asking that question before patients undergo elective procedures such as hip and knee replacements. They are identifying those at higher risk of infections and other complications due to diabetes, heart disease and anemia鈥攐r simply being sedentary and out of shape. And they are steering them to 鈥減re-habilitation鈥 programs that include medical treatments, diets and exercise regimens to improve their chances of a successful surgery. (Landro, 9/26)

One of the frustrations of researchers who study chronic traumatic encephalopathy, the degenerative brain disease linked to repeated head hits, is that it can be detected only in autopsies, and not in the living. Researchers, though, have been trying to solve this problem in two primary ways: by identifying biomarkers linked to the disease that show up on imaging tests in certain locations in the brain, and by trying to locate in the blood the protein that is the hallmark of the disease. (Belson, 9/26)

Two often-overlooked medications might help millions of Americans who abuse alcohol to quit drinking or cut back. Public health officials, building on a push to treat people who abuse opioids with medications, want physicians to consider using medications to treat alcohol addiction. The drugs can be used in addition to or sometimes in place of peer-support programs, they say. (Yasinski, 9/26)

The first three聽months of pregnancy, a time聽that parenting magazines and Hallmark cards often聽portray as magnificent聽and carefree, can actually be a聽wretched experience for many women. As many as 90 percent of mothers-to-be experience some degree of nausea and vomiting, and scientists have long speculated about what, from an evolutionary standpoint,聽the function of all that unpleasantness聽might be. The leading theory has to do with food. (Cha, 9/26)

People who have reached their later years may think it's primarily a time to relax, not to increase their physical activity. Not so. Previous research has suggested that exercise can improve memory and reverse muscle loss in older adults, among other benefits. And a study out Monday finds that a regular program of physical activity reduces the time spent with mobility-limiting disability. (Hobson, 9/26)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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