Posted in disease, flu, Health, news

This Year’s Flu Season Has Begun

Although flu season officially starts in October, public health officials in Riverside, California have already reported the first “flu-related” death this year, a 4 year-old child.

And being that Australia’s flu season began a couple weeks early and was more “severe” than previous years, US health experts are bracing for a rough one of our own.

We still, however, cannot predict how “severe” this year’s flu season will be, but here are answers to the most commonly asked questions about the flu.

When does flu season begin and how long does it last?

Flu season has begun already. It typically starts in the Fall, and ends late Spring.  So the range is described as October to May with it peaking December to March.

How bad will this flu season be?

It is difficult to predict, but already this early in the season we’ve had a flu-related death.  As the season unfolds, more cases will be reported by the CDC’s Flu View.

What is the flu?  How can one die from it?

The flu is caused by a virus. Multiple strains of virus’ can cause the flu.  The virus itself can be lethal, however the greatest risk comes with what it does to your immune system, thereby putting one at risk of secondary infections.  Pneumonia is the number one cause of flu-related deaths.  Secondly, it can exacerbate existing conditions such as asthma, seizures, even promote preterm birth, hence those who are pregnant or have preexisting medical conditions are urged to get vaccinated against the flu.  Moreover those who qualify should get the pneumonia vaccine as well.

 

h1n1-swine-flu-virus
h1n1 virus

 

What does this year’s flu vaccine cover?

According to the CDC, the trivalent vaccine covers for these three strains of flu virus:

  •  A/Brisbane/02/2018 (H1N1)pdm09-like virus
  • A/Kansas/14/2017 (H3N2)-like virus
  • B/Colorado/06/2017-like (Victoria lineage) virus

Quadrivalent influenza vaccines will contain these three viruses and an additional influenza B vaccine virus, a B/Phuket/3073/2013–like virus (Yamagata lineage).

These vaccines are aimed at providing protection against the Swine flu, and some influenza A and B strains.

What about older individuals?

This year, those over 65 will have three options for their flu vaccine.

Fluzone High-Dose – a higher dose flu vaccine that will hopefully allow their immunity to protect against the flu longer

FLUAD – the trivalent flu vaccine with an adjuvant to stimulate more of an immune response.

Flublock Quadrivalent – provides protection against 4 strains.

What about the nasal spray vaccine?

This year, the CDC allows use of the nasal spray vaccine as it has shown to have improved efficacy from  prior years. However it is only recommended for  those who are between the ages of 2 and 49 and cannot be given to those who are pregnancy or who have compromising medical conditions as outlined by the CDC.

Who should get the flu shot?

All individuals 6 months old and older unless specified by their medical provider.

How long does it take the flu shot to “kick in”?

The average immune system takes a couple weeks of to prime, so we suggest getting the flu shot before the season starts…or peaks.  However, experts recommend to still get the flu vaccine to anyone who missed early vaccination.

What if I’m allergic to eggs?

Most individuals allergic to eggs can still get the flu vaccine, but if the allergy to eggs is severe (anaphylaxis, angioedema, difficulty breathing), the CDC recommends notifying your medical provider and being in a facility to monitor you if you do get the flu vaccine.

Will I get the flu from the flu shot?

No.  The flu vaccine has a “killed” version of the virus meaning it’s not an active virus (as opposed to a live attenuated vaccine, a weakened down version of it).   A “killed” or “inactivated” vaccine merely has the pathogen particles to induce an immune response.  Additionally, when one states they got the flu despite the flu shot it could be that the flu shot only protects against 3 – 4 strains and they were infected with a more rare strain not covered by the vaccine.

How effective is the flu vaccine?

The average effectiveness each year hovers around 60%.  Last year’s efficacy was much lower and this year’s has not been predicted as of yet. Australia is still reporting active cases on their Department of Health website.

I feel sick after the flu shot, why?

For some, the immune response that ensues can make one feel mildly ill, but should not resemble the flu. Those who state they got the flu “immediately” after receiving the shot, might have already been exposed and had not had a chance to produce immunity prior to their exposure.

sneezing

 

What are symptoms of the flu? How is it different from a cold?

A cold comes on slower and less severe.  Flu symptoms are more abrupt and can include:

  • Fever
  • Body Aches
  • Cough
  • Sneezing
  • Sore Throat
  • Shortness of Breath
  • Fatigue
  • Headache
  • Nausea
  • Vomiting

Are there medications to treat the flu? Will antibiotics work?

There are antiviral medications available, such as Tamiflu, to treat the flu.  Antibiotics, however, will not work since the flu is not caused by a bacteria but rather a virus. However if a secondary bacterial infection takes over, antibiotics may be used.

How can I prevent getting the flu?

Besides vaccination, avoid being around those who are sick, thorough hand washing, and take good care of yourself.  A balanced diet, exercise and sleep regimen can help boost your immune system.

Wishing you health this season!!

 

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Great Gift!!!

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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in COMLEX 2 PE, Education, Health, medical school, news

Failed Your COMLEX 2 PE/Step 2 CS? Here Are Your Next Steps…..

Image above from Riverside Community College District

 

Failing an exam is not easy, especially if it’s one of your boards.  However, these tests have been failed many times before by multiple students who go on and become very successful in their field.  So what do you do when you get the crushing news?  We take it step by step…..

COMLEX 2 PE Failures: Your Questions Answered

 

Know You’re Not Alone

Considering the countless exams you’ve taken throughout your schooling, you’re sure to wind up stumbling on a few.  And none of the boards have a 100% pass rate. So there are numerous students right now in your same shoes.  The majority of them succeed on their next attempt so odds are in your favor.  Failing a set of boards should never stop your path of becoming a physician, because odds are you will succeed next time around.

 

Data Gathering Prep Guide For The Boards

Data Gathering Prep Guide For The Boards

 

Expect to Go Through the Five Stages of Grief

As soon as you receive the failing grade you will immediately be in a state of denial.  As described above you will also feel isolated, but remember, you’re not alone.  Then you’ll become angry that a testing service or grader thought you were not worthy to become a doctor.  You’ll learn that’s not the case but it will still ruin your day, week, or month nonetheless.

Next you may go through a period of bargaining, thinking you could reach out to the testing center to appeal the grade, or pray the grade away, and when the score doesn’t change, you may fall into a depression. Finally you realize the grade is here to stay and you reach acceptance, which is a good sign and necessary to recover and eventually succeed.  Once you’ve accepted what has happened you can start planning how to rectify the situation.

Many students feel they shouldn’t go through the above stages, but how else will you begin to heal from a such a traumatizing incident?  Which brings us to….

 

Take a Moment for Yourself

Being told you fail a test hurts, and you’ll want to scream or cry. That’s normal, being you busted your butt in school for years and an exam is trying to get in your way of you reaching your goal.  But when we fall we need to get back up and brush ourselves off.   The most satisfying thing you can do at this stage is prove the testing centers wrong by passing it the next time around.  Remember you are in your final years of medical school and you overcame much bigger obstacles than this.   You got this. So now what do you do next…..

 

Notify Your School Immediately

Some programs are made aware of a time frame in which test scores come out but may not know what exact day scores are released.  So if you failed and are expecting to hear from them checking in on you, don’t. Reach out to them first but realize that not hearing from your medical school is not a sign of indifference.  Once they know you failed they can start setting up a remediation program if they have one or get you in touch with valuable resources.

 

humanism book cover final

Humanism Prep Guide For the Boards

 

Be Open To Criticism and New Instruction

Medical students are told their whole life how “smart” they are so we sometimes persist in the disbelief that we failed a test. However, if you failed, chances are you did something wrong.  So take instruction and learn from it.  Even if other doctors in your clinical rotations have taught you differently, those professors in your institution who understand the boards will have insight to help you pass the boards, which is your primary goal.

If you failed humanism/communications – practice bedside manner, confidence building, questions patient’s commonly ask their doctor, as well as making sure the patient understands what you’re thinking and about to order for them.

If you failed SOAP notes – practice typing speed, write out notes for multiple cases, have others grade your work to see what you’re missing.

If you failed data gathering, practice coming up with differentials or body systems and common questions to ask, and review cases of all chief complaints offered in study guides.

Passing a test is a game..it always has been. We learned how to play the game early on in our grade, middle and high school years but now we’re playing pro and the stakes are higher when it comes to medical boards.  Realize you need help and be open to it.

Phone a Friend

You will need support from those you love and have your back.  Don’t be embarrassed discussing this one stumble in a long line of schooling successes.  No one makes it through medical school alone, so leaning on someone is par for the course.  Plus you feel better opening up.  I’ve heard from countless students who failed their PE and CS and am here as well.

Medical students and professionals aren’t perfect and shouldn’t be expected to be.  But we are strong, resilient, and hard working.  So approach your board failure as you’d do anything in medicine.  Evaluate, assess and treat…….You got this!

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

 

 

Posted in cancer, Health, medications, news

Ranitidine Being Evaluated For Cancer Causing Chemical

The FDA has announced that samples of ranitidine, an H2 Blocker used for stomach upset, reflux and ulcers sold generically and under the brand name of Zantac, were found to have the contaminant N-nitrosodimethylamine (NDMA).  This is one of the chemicals that prompted the generic ARB blood pressure medication recalls last year.

There have been no reports of users becoming ill and no recall has been suggested at this time. In animals, NDMA is known to cause liver and lung cancer.  In humans its carcinogenic risk is unknown, however the CDC states it may cause liver function impairment and cirrhosis.

The FDA writes:

The FDA is not calling for individuals to stop taking ranitidine at this time; however, patients taking prescription ranitidine who wish to discontinue use should talk to their health care professional about other treatment options. People taking OTC ranitidine could consider using other OTC medicines approved for their condition. There are multiple drugs on the market that are approved for the same or similar uses as ranitidine.
Consumers and health care professionals should report any adverse reactions with ranitidine to the FDA’s MedWatch program to help the agency better understand the scope of the problem:

The investigation is ongoing and more needs to be looked at when it comes to this manufacturing process suspected to result in these “impurities” being made.

Last year NDEA was also found in the generic  blood pressure medications that were the subject of recall, however has not yet been suggested as being being present in ranitidine.

N-Nitroso-N-methyl-4-aminobutyric acid (NMBA) was the third chemical detected resulting in the latest two recalls of losartan, an angiotensin receptor blocker commonly used to treat hypertension (high blood pressure).  It is believed to have been created during the manufacturing process of the generic drug.

pills.jpg

NMBA, according to Toronto Research Chemicals, is a known carcinogen in a wide range of animal species.

Last Fall, ScieGen Pharmaceuticals, Inc. recalled certain lots of irbesartan, a similar angiotensin receptor blocker used in blood pressure management.

The recalls initially began last summer when FDA recalled a number of lots of valsartan due to an “impurity”, N-nitrosodimethylamine (NDMA) that is known to cause cancer in animals.  Weeks later they additionally found traces of N-nitrosodiethylamine (NDEA).

According to Reuters, earlier last summer, the MHRA, Medicines and Healthcare Products Regulatory Agency, located in the UK, said the appearance of the impurity, N-nitrosodimethylamine (NDMA), came after a change in the process for making valsartan at one facility owned by Zhejiang Huahai Pharmaceuticals, a company in Linhai, China.

With NDEA, data is limited, but due to its classification as a nitrosamine and its prevalence in tobacco smoke it is classified as a probable human carcinogen.

According to New Jersey Department of Health’s website, NDEA has been linked to liver, lung and gastrointestinal tract cancer in animals.

Losartan, valsartan and irbesartan are medications in the class of angiotensin receptor blockers (ARBs) used for high blood pressure and congestive heart failure.

Those taking either tablet for their blood pressure are urged to not abruptly stop their medication but rather check with their medical provider and pharmacy to see if their particular prescription is involved in the recall.

I suspect more recalls will follow as processes may be similar across multiple pharmaceutical facilities and NMBA, NDMA and NDEA are byproducts that may not be individually unique to just one “brand” of medication manufacturing.

 

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Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Health, Hepatitis, news

Is Friday the 13th Risky For Your Health?

When Friday the 13th comes around tales of its unluckiness pervade the workplace, school, home and anywhere someone feels like warning others that doom is pending.

But as a doctor, I have yet to find scientific evidence that a certain day of the week landing on the number “13” would incite Armageddon.

Its roots have been hypothesized to come from Jesus’ last supper, in which he had 12 apostles at his dinner table, with Judas being the 13th member to arrive.  And when Jesus was crucified on a Friday, both “Friday” and “13” have since inspired negative emotions.

The “fear” aspect to “Friday the 13th” might have originated centuries ago but most notoriously was dramatized by the movies starring Jason, a mass murderer.  Hence today we have the notion that Friday the 13th will bring bad luck in any way, shape or form.

So the question lies, is this day attributed to health risks?

Well in 1993, Scanlon et al looked at car accidents in the UK that occurred on Friday the 6th vs Friday the 13th and found despite less cars on the road, hospital admissions for accidents were significantly higher on the latter day. They concluded: Friday 13th is unlucky for some. The risk of hospital admission as a result of a transport accident may be increased by as much as 52%. Staying at home is recommended.

Funny-Car-Accident-On-Tree-In-India.jpg

Then a study done in Finland in 2002 found women to be more at risk than men on Friday the 13th when it came to traffic accidents.  They state:

An estimated 38% of traffic deaths involving women on this day were attributable to Friday the 13th itself.
CONCLUSIONS:
Friday the 13th may be a dangerous day for women, largely because of anxiety from superstition. The risk of traffic deaths on this date could be reduced by one-third, although the absolute gain would remain very small: only one death per 5 million person-days.

However Dr. Bruce Lo from Eastern Virginia Medical School and colleagues looked to dispel the myth of Friday the 13th health risks and found the date did not make a difference when it came to multiple different medical conditions, with the one exception of “penetrating trauma.”

So my opinion…..superstition breeds anxiety and anxiety breeds accidents.  Chilling when it comes to the odd number Friday would probably be what this doctor orders.

 

ultimate book cover final

Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

 

 

 

 

Posted in cancer, Entertainment, Health, news

Eddie Money Dies at Age 70 After Battling Esophageal Cancer

70 year-old music legend, Edward Mahoney “Eddie Money”, who last month revealed in a video released by his realty TV series “Real Money” that he had stage 4 esophageal cancer, has sadly passed.

Per Variety: A statement provided by his family reads: “The Money Family regrets to announce that Eddie passed away peacefully early this morning. It is with heavy hearts that we say goodbye to our loving husband and father. We cannot imagine our world without him. We are grateful that he will live on forever through his music.”

 

He recently underwent heart valve surgery and reports say he also battled pneumonia.

Despite the cancer having had spread to his liver, lymph nodes and stomach, he appeared optimistic in a recent interview saying cancer has come a long way since the 1950’s and 60’s and “everyday above ground is a good day.”

What is esophageal cancer?

Esophageal cancer can occur anywhere along the gullet/food pipe.  There are different types such as adenocarcinoma (lower portion near the stomach), more commonly seen in Caucasians, and squamous cell carcinoma (middle to upper esophagus) more commonly seen in African Americans.  It’s the 6th common cause of cancer death worldwide and comprises 1% of all cancers diagnosed in the US.

According to the American Cancer Society, estimates for 2019 include:

  • ABOUT 17,650 NEW ESOPHAGEAL CANCER CASES DIAGNOSED (13,750 IN MEN AND 3,900 IN WOMEN)
  • ABOUT 16,080 DEATHS FROM ESOPHAGEAL CANCER (13,020 IN MEN AND 3,060 IN WOMEN)

a-medical-illustration-of-esophageal-cancer-original.jpg

 

What are the symptoms of esophageal cancer?

Early esophageal cancer may not exhibit any signs. However if it progresses, symptoms may include any of the following:

  • abdominal pain
  • heartburn
  • feeling full despite not eating
  • nausea
  • vomiting blood
  • weight loss
  • loss of appetite
  • chest pain
  • cough

 

What are the risk factors for esophageal cancer?

Although esophageal cancer appears to afflict men more than women, risk factors  include:

  • Smoking
  • Alcohol use
  • Frequent imbibing of hot liquids
  • Obesity
  • Chronic GERD or heartburn that may have led to esophagus lining changes such as Barrett’s Esophagus disease
  • Vitamin deficiency
  • Drinking liquids that contain lye, an alkaline  chemical present in many soaps
  • Prior radiation to the chest

 

What is the prognosis of esophageal cancer?

If caught early and localized, the 5-year survival rate is over 45%. However, if it has spread, the 5 year survival rate can range any where from 5-20%.

 

How is esophageal cancer treated?

There are a variety of treatments for esophageal cancer including surgery, chemotherapy and radiation.

 

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Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in cancer, Health, news, Sports

Golden Knights Shea Theodore Reveals He Has Testicular Cancer

The 24 year old defenseman for the Golden Knights is recovering from surgery after being diagnosed with testicular cancer.

Shea Theodore in a story in the Player’s Tribune stated that during routine screening an hCG hormone test came up positive which commonly is seen in pregnant women, but could also be a sign of testicular cancer. This triggered his doctors to look for an abnormality.  A testicular ultrasound confirmed a 5mm X 5 mm lump, half the size of a pencil eraser and was set up for surgery.

He writes:

After the surgery, when the doctors were able to do a biopsy on the mass in my testicle, they found that it was a mixed germ cell tumor: embryonal and seminoma, stage I. While the embryonal component can be very aggressive and spread to abdominal lymph nodes, mine was caught early because of the comprehensive blood testing they conduct at the Worlds. 

Stage I testicular cancer (not spread beyond the testicles), found early has a 99% survival rate after 5 years.

This is a developing story…..

 

Testicular cancer is the most common type of cancer to affect young men, aged 15-44.

Yet the USPSTF has reviewed the evidence for screening for testicular cancer and has recommended AGAINST routine screening.

However, many medical providers still urge young men to do self testicular checks monthly.

Symptoms of testicular cancer may include any of the following:

  • Testicular lump
  • Testicular pain or heaviness
  • Testicular swelling
  • Numbness or tingling in the area of the testicle
  • Breast swelling
  • Back pain
  • Abdominal or groin pain
  • and more

 

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The earlier testicular cancer is found, the higher the survival rate.  This year, cancer.net predicts 9,310 men will be diagnosed with testicular cancer in the US.

 

 

 

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Health, news, vaping

Vitamin E Acetate Linked to Vaping Illness

The CDC is currently investigating close to 450 cases of vaping related illness and 5 reported deaths.  A recent study in the New England Journal of Medicine has found evidence of a lipoid pneumonia in a case where a 21 year old became sick after vaping nicotine and tetrahydrocannabinol (THC) daily.

Macrophages, which are scavengers that rid the body of pathogens and other harmful substances in the body, were found to be “lipid-laden”, or full of a fatty substance. They suspect this fatty substance to be caused by inhalation of Vitamin E acetate that was only present in marijuana vaping products and not the average nicotine e-cig.  Vitamin E is commonly used in hand creams, moisturizers and as a supplement due to its oily nature, but is not to be inhaled.

Since the lungs are designed to oxygenate the lungs and exchange out carbon dioxide, oily substances can clog the works.

Experts say the Vitamin E acetate is not believed to be apart of regular e-cigarettes that do not vape THC, the psychoactive component to marijuana.

This is a developing story….

____________________________________________

 

Vaping linked to seizures

The FDA is investigating 127 reports of seizures in e-cigarette users (up from 35 this Spring).

Many were teenagers and young adults.

Since 2010 the agency has received multiple reports but is unclear if e-cigarettes actually caused the seizures or if there were underlying medical conditions predisposing the neurological disorder.

The 92 additional cases since this April is concerning and the FDA is working to determine if vaping contributes contributes directly to serious neurological conditions.

In April FDA Commissioner Dr. Scott Gottlieb tweeted:

While we’re still learning about the long-term potential benefits and health risks of e-cigs, existing scientific research offers some clear evidence that several of the dangerous chemicals in tobacco smoke are also present in the aerosol of some e-cig products.

Dr. Ned Sharpless, current acting FDA Commissioner, is encouraging people to report adverse events as, “Additional reports or more detailed information about these incidents are vital to help inform our analysis and may help us identify common risk factors and determine whether any specific e-cigarette product attributes, such as nicotine content or formulation, may be more likely to contribute to seizures,” (Reported by CNBC).

What is a seizure?

A seizure occurs when there is abnormal electrical activity in the brain.  If the electricity doesn’t conduct properly, brain function gets disrupted. This could lead to convulsions  (involuntary jerking movements), loss of muscle tone, changes in senses such as vision, hearing and smell, loss of bladder control, loss of consciousness and sometimes stroke, brain damage and death.

HGT0066_neurons-seizure-brain_FS.jpg

 

Nicotine toxicity has been linked to seizures.  E-cigs sometimes contain more nicotine than cigarettes alone.

 

_________________________________________________________________________________________

A study published by the American Heart Association found nine different E-cig flavors  to impair blood vessel function, which can impair heart health.

Endothelial cells, which delicately line blood and lymph vessels, were found to become inflamed at low concentrations of some vapor flavors.  And at high concentrations of others, exibited cell death.  Nitric oxide production, necessary for vessel dilation to improve blood flow, was impaired as well. These are often the same changes seen in early heart disease.

sample_01001118_110141.jpg

The 9 flavors (and the chemicals within) cited in the report to cause the endothelial inflammation and/or damage were:

  • Mint (menthol)
  • Vanilla (vanillin)
  • Clove (eugenol)
  • Cinnamon (cinnamaldehyde)
  • Strawberry (dimethylpyrazine)
  • Banana (isoamyl acetate)
  • Butter (diacetyl)
  • Eucalyptus/spicy cooling (eucalyptol)
  • Burnt flavor (acetylpyridine)

Strawberry flavoring appeared to have the most adverse effect on the cells.

Now many other flavors were not included in this study, so its unknown how safe they may be.

For more on the study, read here.

An alternate study published last November looked at vaping flavors and their effects on heart muscle cells.

For more on this study, read here.

The moral?  Just because we love the taste of something, doesn’t mean its safe to inhale.

___________________________________________________________________

Vaping Linked to Heart Disease and Cancer

 

A study from New York University found the nicotine in electronic cigarettes to cause DNA damage similar to cigarette smoking.

Dr. Moon-shong Tang and his colleagues exposed mice to e-cig smoke during a three-month period, 5 days a week for three hours a day.  They found these mice, compared to those breathing filtered air, to have DNA damage to cells in their bladders, lungs and hearts. The amount of nicotine inhaled was approximately 10mg/ml.   That dose would be commonly consumed by many humans who vape.

nicotine.jpg

They then looked at human bladder and lung cells and found tumor cells were able to grow more easily once exposed to nicotine and vaping chemicals.

Last May, researchers from Vanderbilt-Ingram Cancer Center in Nashville found e-cig smoke to increase one’s risk of bladder cancer.

In 2015, the University of Minnesota identified chemicals commonly found in e-cig vapor to include:

  • Formaldehyde (human carcinogen)
  • Acetaldehyde (carcinogen related to alcohol drinking)
  • Acrolein (highly irritating and toxic)
  • Toluene (toxic) NNN, NNK (tobacco carcinogens related to nicotine)
  • Metals (possible carcinogens and toxins)

Although electronic cigarette “juice” may appear safe, it could produce harmful chemicals once heated to become a vapor.

A lethal dose of nicotine for an adult ranges from 30-60 mg and varied for children (0.5-1.0 mg/kg can be a lethal dosage for adults, and 0.1 mg/kg for children).  E-cigs, depending on their strengths (0 – 5.4%) could contain up to 54 mg of nicotine per cartridge (a 1.8% e -cig would contain 18mg/ml).

The topic of nicotine increasing one’s vulnerability to cancer is nothing new as decades ago researchers found nicotine to affect the cilia (brush border) along the respiratory tree, preventing mucous production and a sweeping out of carcinogens trying to make their way down to the lungs.

More research needs to be performed but this recent report reminds us that exposing our delicate lung tissue and immune system to vaping chemicals may not be as safe as we think.

For more on the study read here.

Toxic metals found in vaping liquid

Last week, experts warned that many chemicals in vaping liquid may change to toxic substances (once heated) that can irritate the lungs.

Last year one study reported that toxic levels of lead and other metals may leak from the heating coil element into the vapor inhaled during e-cig use.

Researchers at Johns Hopkins Bloomberg School of Public Health found these metals to include:

  • lead
  • nickel
  • manganese
  • chromium
  • arsenic

We’ve known for some time that vaping fluid could contain chemicals that turn toxic once heated, but this study shed light on e-cig metal components causing metal leakage to the vapor making contact with delicate respiratory epithelium (lining).

Reported by Forbes, Rich Able, a medical device marketing consultant, stated the following, “the FDA does not currently test any of the most popular vaping and e-cigarette instruments being manufactured at unregulated factories in Asia that source  low-grade parts, batteries, and materials for the production of these devices,” suggesting that “the metal and parts composition of these devices must be stringently tested for toxic analytes and corrosive compounds.”

These chemicals may act as neurotoxins, affecting our nervous system, cause tissue necrosis (cell death) and even multi-organ failure.  Moreover they can affect how our immune system reacts to other chemicals as well as foreign pathogens, affecting our ability to fight other diseases.

Although studies have suggested e-cig vapor to be safer than tobacco smoke, not enough research has been done, in the relatively few years vaping has been around, looking at how heat-transformed chemicals and leaked metals affect our breathing, lungs and other organs once absorbed into the body.

 

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Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.