I love helping people understand issues and look at them from a different perspective. In this blog, I hope I can offer you some new insights—bridging the gap between basic science and your medicine chest—as I am still a practicing physician, as well as having had broad clinical research experience. I'm interested in developing new medicines and treatments, as well as caring for patients—and explaining these topics for you.
As medicine has evolved, so have my interests. I have also become increasingly interested in health disparities, social justice issues, and ethics. I invite you to join me as we explore a variety of territories. I hope that reading these posts will encourage you to learn, engage, and above all, work for the forces of good.
If there are topics you'd like to see me cover, please let me know—I welcome your input as to what you would like us to discuss in this column.
Coronavirus - COVID19
Please note that I will be posting Coronavirus Tidbits of news here. You can sign up for updates by clicking the box at the right and subscribe to Covid, Politics, and Science. All Covid posts will go here, and I will upload back issues as I have time. Please share w friends. Thanks!
Updated today’s post on loss of smell: UK ENTs now say if you develop that symptom, you should self-isolate. First US immigration agency employees test positive for coronavirus A staff member at the Elizabeth, New Jersey, facility and one other at an undisclosed location has been confirmed https://www.theguardian.com/world/2020/mar/19/coronavirus-us-immigration-detention-center Op-Ed: Asian countries that have been successful in containing the virus without locking down society, such as Hong Kong, Singapore, and Taiwan, routinely use masks. As of March 17, the three countries together had fewer than 1,000 cases of the coronavirus — despite having close connections to China’s Hubei province, So what needs to be done here in the United States? Cover your face. Nonmedical masks should be worn by everyone going outside. Inexpensive cloth masks are available for purchase online. Alternatively, scarves, bandana-style neck gaiters, and other similar face coverings can work effectively. Masks should be placed over the mouth and nose and removed carefully, without touching the outside surface, and cloth masks should be washed frequently. https://www.bostonglobe.com/2020/03/19/opinion/guidance-against-wearing-masks-coronavirus-is-wrong-you-should-cover-your-face/?p1=Article_Feed_ContentQuery Diagnostics: New rapid test, but not yet validated by FDA http://outbreaknewstoday.com/coronavirus-testing-georgia-researchers-develop-2-hour-test-11076/ Drugs: Small study, not randomized, but combination of #hydroxychloroquine + #azithromycin was more effective at clearing #SARSCoV2 than hydroxychloroquine alone https://www.mediterranee-infection.com/wp-content/uploads/2020/03/Hydroxychloroquine_final_DOI_IJAA.pdf Epidemiology/Infection control: What have other countries done successfully? Singapore,…Read More
My new post @Forbes: An Unexpected Loss Of Smell And Taste In Coronavirus Patients https://www.forbes.com/sites/judystone/2020/03/20/theres-an-unexpected-loss-of-smell-and-taste-in-coronavirus-patients/#4a59103f5101 Epidemiology: From Stanford ER: Of the 562 patients, 127 (22.6%) were positive for other viruses. (24.5% if we use 181+336 = 517 as denominator). Of the 49 positive SARS-COV-2 results, 11 (22.4%) also had a co-infection. Of the 127 positive for other viruses, 11 (8.66%) had a SARS-COV-2 co-infection. These co-infection rate are much higher than previously reported rates. Good explainer on incubation and infectious periods by Ian Mackay, Australian virologist https://virologydownunder.com/politically-infectious-period/ Coronavirus is running so rampant in Colorado’s mountains residents, visitors should “minimize all contact with other people” https://coloradosun.com/2020/03/15/coronavirus-colorado-mountains/ Our health department reports no cases…but refuses to say how many have been tested. https://www.times-news.com/coronavirus/health-department-no-confirmed-covid–cases-in-allegany-county/article_8da0f816-69e0-11ea-8403-ef41c28159a6.html Health care workers: In Italy 9% of all infections are among medical personnel. In Lombardy alone, 20% of providers were infected. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30627-9/fulltext For medical staff: As a MICU pharmacist taking care of COVID patients, one strategy I’ve implemented to minimize the number of times a nurse needs to enter the room (thus saving PPE) is to consolidate and bundle all medication due times. For example… 1/5 Most patients often receive medications no more than QID or every 6 hours (now…Read More
For the past couple of weeks, I’ve been sending out almost daily news “tidbits” to friends and colleagues. I have been asked to share more broadly, so will post here as well. I will post back issues as I have time. This will enable you to share more readily with friends or on social media, if you find the news and tips helpful. Basically, I obsess and read about this all day so you don’t have to, and send you information from sources I feel are most reliable. I am trying to figure out a way to tag individual topics. In the meantime, apparently best to Enter site: www.drjudystone.com/politics-science-and-other-assorted-musings/ and then your specific search term into the search box.* Good news: Smart move: Medicare to cover virtual doctor visits CMS is urging states to expand telehealth services for low-income people in their Medicaid programs. Problem is that many states, esp in the south, refused to expand Medicaid, so a lot of people—the working poor—still won’t be covered. Testing: Ontario’s Public Health Lab at @PublicHealthON has tested more people for Coronavirus than the *entire* US lab system. Epidemiology: Bad news: We are not talking about 2 months and back to normal….Read More
Earlier in September, Reps. Eshoo and Adam Schiff had an op-ed in the Washington Post, “Opinion | China’s grip on pharmaceutical drugs is a national security issue.” I couldn’t have agreed more. I wrote a letter to the editor, “How a trade war could turn deadly,” published September 19. It was based on my detailed article below, which first appeared in Forbes, last spring: Do you know where your medicines are made? Have you been switched between different generic forms of your medicine, only to find that you responded differently? Ma’s pills in a ginger jar. – Judy Stone Two recent books have echoed my longstanding concern about America’s dependence on other countries for basic needs and the security of our supply chain for medicines. My concern has heightened with the news this week of a tightening trade war with China and saber rattling about Iran. Many of the key ingredients for antibiotics are produced only in China. These are called APIs, or Active pharmaceutical ingredients. Medicine and supply shortages As an infectious disease physician, I was regularly hampered by drug shortages. A global shortage of piperacillin-tazobactam, a critically important antibiotic, occurred because of an explosion at a Chinese factory which was the sole source…Read More