"For every complex problem, there is a solution that is simple, neat, and wrong." - HL Mencken
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"I hear and I forget. I see and I remember. I do and I understand." - Confucius
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"The good physician treats the disease; the great physician treats the patient who has the disease" - Sir William Osler
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" The best test of a person's character is how he or she treats those with less power." - Bob Sutton
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"Those are my principles, and if you don't like them - well, I have others." - Groucho Marx
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"The difference between genius and stupidity is that genius has its limits." - Albert Einstein
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"It is hard enough to remember my opinions, without also remembering my reasons for them" - Friedrich Nietzsche
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"Anyone can make the simple complicated. Creativity is making the complicated simple." - Charles Mingus
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"Not everything that can be counted counts, and not everything that counts can be counted." - Albert Einstein
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"A foolish consistency is the hobgoblin of little minds, adored by little statesman and philosophers and divines. With consistency a great soul has simply nothing to do." - Ralph Waldo Emerson
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"This ain't no party, this ain't no disco, this ain't no fooling around." - Talking Heads, Life During Wartime
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"What is hateful to you, do not do to your neighbour. This is the whole Torah; all the rest is commentary. Go and learn it." - Hillel, Talmud, Shabbath 31a
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"You will never understand bureaucracies until you understand that for bureaucrats procedure is everything and outcomes are nothing." - Thomas Sowell
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"An idealist is one who, on noticing that a rose smells better than a cabbage, concludes that it will also make better soup." - HL Mencken
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"If you only have a hammer, you tend to see every problem as a nail." - Abraham Maslow
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"A great teacher is one who realizes that he himself is also a student and whose goal is not to dictate the answers, but to stimulate his students creativity enough so that they go out and find the answers themselves." - Herbie Hancock
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"There are no facts, only interpretations." - Nietzsche
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"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you do know and what you don't." - Anatole France
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"In character, in manner, in style, in all things, the supreme excellence is simplicity." - Henry Wadsworth Longfellow
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Workouts by month - Goal 200 from 11/1/09 through 10/31/10
The ACP Advocate Blog by Bob Doherty: "There once was a man named O'Bama ..." http://ow.ly/1nUH3 - HCR limericks and a cold one for BobMarch 18, 2010 5:24
http://ow.ly/1mYi7 - ABIM MOC program - two differing viewpoints - you can guess my voteMarch 16, 2010 5:06
RT @yejnes: My thoughts on the annual exam, etc., final letter ACP Internist, March 2010 http://bit.ly/9FNcXn wel-stated & importantMarch 15, 2010 12:47
A note to the professors, from the "real" world, on the use of ICDs in a fee for service community... http://ow.ly/1jaPy - great postMarch 13, 2010 2:19
RT @paulinechen: New "Doctor and Patient"; Learning to Keep Patients Safe in a Culture of Fear http://nyti.ms/bYA14V - blog post comingMarch 12, 2010 1:35
RT @tom_peters: @kevinmd Spoken like an MD. - true primary care is very complex - it is not simple care -March 11, 2010 12:43
RT @efalchuk: Seriously, what is Nancy Pelosi Talking About? http://bit.ly/9sHSc2 #healthreform #hcr #healthcare think Dazed and ConfusedMarch 10, 2010 7:53
Obama Says Health Overhaul Should Trump Politics - http://nyti.ms/bwKRyo - and he is correctMarch 8, 2010 7:28
Reggie White died last night. For the non-sports fans he was probably the greatest defensive end in the history of the NFL. He was 43. White dies Sunday morning
Through the family pastor, Sara White confirmed her husband’s death, saying that she believes White died of respiratory failure related to his sleep apnea. An autopsy is to be performed to determine the exact cause of death, which was not immediately known.
Long time readers know that I often use the death of athletes as a teaching device in medicine. I will refrain from commenting on the cause of the death until we have the autopsy results. As usual, we should examine Reggie’s death to see what medical lessons we might learn. More after the autopsy results become available.
Reggie White — Cause of Death?
DB’s Medical Rants ? Reggie White, RIP I’m anxious to hear the details about this myself, being a CPAP patient and being extremely compliant. I’ve seen two causes listed now, but nothing official and we probably won’t get official results…
BLACK FOLKS REALLY DO NEED TO KNOW ABOUT SARCOID. I’VE HAD IT SINCE BIRTH. I AM NOW 47. THERE IS SO MUCH DISCRIMINATION AGAINST PEOPLE WITH THIS DISEASE. IT IS NOT AIDS. AND PEOPLE DO LIVE PRODUCTIVE LIVES WITH THIS DISEASE AND DO MANAGE TO LIVE PAST 50 & BEYOND.
I believe this horrible loss can be ofgreat importance because the publication of sarcoidosis due to Reggie whites status in the world may bring reconition to this disease. I have sarcoidosis and have had it for 27 years. Sarcoidosis is not a black disease or a disease caused by doing something wrong. It is not contagious and it is alot more intence and serious then much of the population realizes. Although my prayers are with Reggie Whites family I hope and pray that this tragedy can help other people with this serious disease that can effect any and all human organs and cause life long disabilities and death. Maybe It will allow science study of this disease at a more intence rate or spike curisioty in the medical scientific community causing a chain effect allowing for more study towards a cure to this crippling often fatal disease.
I can not believe that someone would suggest that it is not important for people of any group or groups to have knowledge of
this or any disease. Sarcoidosis is not just a disease that effects Blacks anyone of any race can get Sarcoidosis. It may be more common in black men and white women but anyone can get this disease. This disease attacks people of all races ages and genders. Sarcoidosis is not simply a disease of the lungs it is a very serious debilitating multi organ granuloma disease that is really hard to identify. It is a silent diseases that not only attacks people who feel sick but it attacks people who appear physically normal in every way until deeper investigation is done. Many people with this disease are often misdiagnosed allowing the disease to go unrecognized until there is permanent damage to the lungs, heart, liver, spleen, kidneys, brain, muscles, joints, bones, skin, eyes and nerves that can not be reversed. Once thought to be a short term disease lasting only a few months it is now known that Sarcoidosis is a life long chronic illness with long sporadic remissions. With out any warning it becomes active again attacking the same or a different body organs then originally thought to be involved on its victims. A disease where ones immune system attacks their own bodies organs as foreign. It is often more severe then MS because it’s progression is slow over many years with out being noticed until scarring or the organs damage is irreversible. Many patients with Sarcoidosis end up with organ transplants. Those who do not end up with a transplant often succumb to the immortality due to side effects of this eventually fatal disease. Yes, many people do live normal lives for many years with this disease so it is not considered fatal. But most of its victims eventually succumb to its complications. There is no known cure for this disease and very few people of status have been diagnosed with this disease so it is rarely in the public eye. Karin Duffy did bring Sarcoidosis into the public eye for a short time, but without anyone else who is in the public eye coming forward to tell there stories as well, the topic of Sarcoidosis dissipated. A few years ago one of our presidents was diagnosed with this disease, I wont state which one in the hopes that this alone may spark someones interest and allow themselves to research the topic further. But when researching this disease be careful the internet is full of incorrect and misleading information making Sarcoidosis out to be less danerious then it really is. I suggest in your research you check out people with the disease such at those involved in support groups on line, One good one is on msn called the Sarcoidosis connection. With the president, after the disease went into remission it was dismissed as a misdiagnoses. This however is probably incorrect. Because of its mysterious ways the disease appears and then disappears it is often misdiagnosed as other diseases. When it does finally comes out of its long remissions making its ugly reappearance it is even harder to track because people don’t realize it is Sarcoidosis attacking a new part of their body until it attacks over and over, often for many years that Sarcoid was truly the culprit from the beginning. Diagnosis is often very hard with this disease because there is no one blood test to determine that this is the culprit. Often people are told they have MS, Fybromialgia, Lupus, and other Immune System diseases over and over before being properly diagnosed. Patients are often accused of being depressed and hypochondriacs, because of the frequency of the diseases attacks on so many parts of the body at random. No two people with sarcoid have the same exact symptoms in the same sequence. Noone truley knows what where when or how the disease will attack next. Although many medical journals state stages of Sarcoidosis, this information is incorrect because the disease attacks at random and often bounces back and forth between any of these stages. This makes tracking this disease even more complex.
Public awareness of the frequency if this disease not only in blacks but people of every race and origin is extremely important if we are to ever get the government to give grant monies needed to study this disease further. We also need the scientific communities interest to peek if we are to ever want studies to be done towards a cure for this disease. A lot of scientific study needs to be done on this disease, but funding for rare disease often is not available. Unfortunately this disease is no longer as rare as people once through. Curiosity by the scientific community to relate to a disease that is without public figures to spike interest is rare in itself, therefore study for such is often pushed aside. Over the last 20 years it seems that this disease is becoming more frequent suggesting an environmental link.
With the computer age and a deeper look you can see the frequency of this disease and how much of the population is affected. The public health department needs to start tracking this disease so that the community at large will realize the serious implications of this disease and how much of the public is effected by Sarcoidosis.
Although this diseases lack of recognition and Reggie Whites death in itself is tragic, maybe good can come out of this if people make sure this tragic loss gets into and stays in the public eye.
I have been suffering with this illness for 8 years now, I am blind in one eye, I have dformed hands and my right leg is severely swollen due to Sarcoidosis, I am sad that reggie White died, but like Lou gerigh maybe this disease will be spotlighted now. There is very little knowledge in the general public about this illness and very little research towards a cure.
Hey get up off your sorry arses. Sarcoids is just an auto-immune response. Of course when the doctors say it’s a mild disease I’d like to punch him in the face ’cause it sure slowed me down and hurt like hell. I can’t tell you what causes Sarcoids but I can tell you to analyze your environmental conditions and/or stress levels. If you have a lot of allergies like I do get rid of the allergens. I developed Sarcoidosis after moving into and old house and during heavy renovation I devolped the disease. Needless to say I moved out of that house and started drinking Guiness. The symptoms went away! There’s the cure!
I agree with you. With the death of Darrien Chapman of NBC5 News going public, now some of the sports figures are beginning to publicly acknowledge they have “Sarcoidosis.” I have had Chronic Sarcoidosis officially for 30 years, but techically, I had had it for it 52 years. I was misdiagnosis in 1953 with TB, because doctors were not knowledgeable of Sarcoidosis. I have had Vaginal surgery of both legs, major oral surgery, lung surgery, a stroke and thoart surgergy. On top of that my 2 daughters have sarcoidosis, one of the hands and lymph nodes and the other one of the skin in her face. I am Executive Director of the Chicago Southside Sarcoidosis Support Group, Inc. We have monthly meetings every second saturday of the month. We provide educational material-guest speakers and emotional support, telephone support, home visit to the sick and shut in. Your 6th Statement was right on target.
This is all very interesting. My ending up on this site was prompted by the football game that was on tonight remembering and honoring the late Reggie White. I was researching the cause of death when I came across this site. In reading the postings, #6 posted that they had symptoms until they moved out of an environmentally alergen filled house. My daughter was diagnosed with having a general seizure disorder about 1 year after moving into an old house. It has been being treated as epilepsy, however after reading this information and doing additional internet research I am wondering if there could be some link to Sarcoidosis that is being caused by her environment. If anyone has any additional information please post and I will check back. I will be talking with her neurologist this week but I have a feeling that he will poo poo this.
8 Responses to Reggie White, RIP
Living With Diabetes
December 26th, 2004 at 8:38 pm
Reggie White — Cause of Death?
DB’s Medical Rants ? Reggie White, RIP I’m anxious to hear the details about this myself, being a CPAP patient and being extremely compliant. I’ve seen two causes listed now, but nothing official and we probably won’t get official results…
gloria davis
December 28th, 2004 at 12:20 pm
BLACK FOLKS REALLY DO NEED TO KNOW ABOUT SARCOID. I’VE HAD IT SINCE BIRTH. I AM NOW 47. THERE IS SO MUCH DISCRIMINATION AGAINST PEOPLE WITH THIS DISEASE. IT IS NOT AIDS. AND PEOPLE DO LIVE PRODUCTIVE LIVES WITH THIS DISEASE AND DO MANAGE TO LIVE PAST 50 & BEYOND.
Terry Kuchera
December 28th, 2004 at 9:07 pm
I believe this horrible loss can be ofgreat importance because the publication of sarcoidosis due to Reggie whites status in the world may bring reconition to this disease. I have sarcoidosis and have had it for 27 years. Sarcoidosis is not a black disease or a disease caused by doing something wrong. It is not contagious and it is alot more intence and serious then much of the population realizes. Although my prayers are with Reggie Whites family I hope and pray that this tragedy can help other people with this serious disease that can effect any and all human organs and cause life long disabilities and death. Maybe It will allow science study of this disease at a more intence rate or spike curisioty in the medical scientific community causing a chain effect allowing for more study towards a cure to this crippling often fatal disease.
John E LaLama IV
December 28th, 2004 at 10:54 pm
I can not believe that someone would suggest that it is not important for people of any group or groups to have knowledge of
this or any disease. Sarcoidosis is not just a disease that effects Blacks anyone of any race can get Sarcoidosis. It may be more common in black men and white women but anyone can get this disease. This disease attacks people of all races ages and genders. Sarcoidosis is not simply a disease of the lungs it is a very serious debilitating multi organ granuloma disease that is really hard to identify. It is a silent diseases that not only attacks people who feel sick but it attacks people who appear physically normal in every way until deeper investigation is done. Many people with this disease are often misdiagnosed allowing the disease to go unrecognized until there is permanent damage to the lungs, heart, liver, spleen, kidneys, brain, muscles, joints, bones, skin, eyes and nerves that can not be reversed. Once thought to be a short term disease lasting only a few months it is now known that Sarcoidosis is a life long chronic illness with long sporadic remissions. With out any warning it becomes active again attacking the same or a different body organs then originally thought to be involved on its victims. A disease where ones immune system attacks their own bodies organs as foreign. It is often more severe then MS because it’s progression is slow over many years with out being noticed until scarring or the organs damage is irreversible. Many patients with Sarcoidosis end up with organ transplants. Those who do not end up with a transplant often succumb to the immortality due to side effects of this eventually fatal disease. Yes, many people do live normal lives for many years with this disease so it is not considered fatal. But most of its victims eventually succumb to its complications. There is no known cure for this disease and very few people of status have been diagnosed with this disease so it is rarely in the public eye. Karin Duffy did bring Sarcoidosis into the public eye for a short time, but without anyone else who is in the public eye coming forward to tell there stories as well, the topic of Sarcoidosis dissipated. A few years ago one of our presidents was diagnosed with this disease, I wont state which one in the hopes that this alone may spark someones interest and allow themselves to research the topic further. But when researching this disease be careful the internet is full of incorrect and misleading information making Sarcoidosis out to be less danerious then it really is. I suggest in your research you check out people with the disease such at those involved in support groups on line, One good one is on msn called the Sarcoidosis connection. With the president, after the disease went into remission it was dismissed as a misdiagnoses. This however is probably incorrect. Because of its mysterious ways the disease appears and then disappears it is often misdiagnosed as other diseases. When it does finally comes out of its long remissions making its ugly reappearance it is even harder to track because people don’t realize it is Sarcoidosis attacking a new part of their body until it attacks over and over, often for many years that Sarcoid was truly the culprit from the beginning. Diagnosis is often very hard with this disease because there is no one blood test to determine that this is the culprit. Often people are told they have MS, Fybromialgia, Lupus, and other Immune System diseases over and over before being properly diagnosed. Patients are often accused of being depressed and hypochondriacs, because of the frequency of the diseases attacks on so many parts of the body at random. No two people with sarcoid have the same exact symptoms in the same sequence. Noone truley knows what where when or how the disease will attack next. Although many medical journals state stages of Sarcoidosis, this information is incorrect because the disease attacks at random and often bounces back and forth between any of these stages. This makes tracking this disease even more complex.
Public awareness of the frequency if this disease not only in blacks but people of every race and origin is extremely important if we are to ever get the government to give grant monies needed to study this disease further. We also need the scientific communities interest to peek if we are to ever want studies to be done towards a cure for this disease. A lot of scientific study needs to be done on this disease, but funding for rare disease often is not available. Unfortunately this disease is no longer as rare as people once through. Curiosity by the scientific community to relate to a disease that is without public figures to spike interest is rare in itself, therefore study for such is often pushed aside. Over the last 20 years it seems that this disease is becoming more frequent suggesting an environmental link.
With the computer age and a deeper look you can see the frequency of this disease and how much of the population is affected. The public health department needs to start tracking this disease so that the community at large will realize the serious implications of this disease and how much of the public is effected by Sarcoidosis.
Although this diseases lack of recognition and Reggie Whites death in itself is tragic, maybe good can come out of this if people make sure this tragic loss gets into and stays in the public eye.
Rev. Mark Stevens
December 30th, 2004 at 11:40 pm
I have been suffering with this illness for 8 years now, I am blind in one eye, I have dformed hands and my right leg is severely swollen due to Sarcoidosis, I am sad that reggie White died, but like Lou gerigh maybe this disease will be spotlighted now. There is very little knowledge in the general public about this illness and very little research towards a cure.
Anonymous
December 31st, 2004 at 1:07 pm
Hey get up off your sorry arses. Sarcoids is just an auto-immune response. Of course when the doctors say it’s a mild disease I’d like to punch him in the face ’cause it sure slowed me down and hurt like hell. I can’t tell you what causes Sarcoids but I can tell you to analyze your environmental conditions and/or stress levels. If you have a lot of allergies like I do get rid of the allergens. I developed Sarcoidosis after moving into and old house and during heavy renovation I devolped the disease. Needless to say I moved out of that house and started drinking Guiness. The symptoms went away! There’s the cure!
Doris J. Peterson
April 24th, 2005 at 8:35 am
I agree with you. With the death of Darrien Chapman of NBC5 News going public, now some of the sports figures are beginning to publicly acknowledge they have “Sarcoidosis.” I have had Chronic Sarcoidosis officially for 30 years, but techically, I had had it for it 52 years. I was misdiagnosis in 1953 with TB, because doctors were not knowledgeable of Sarcoidosis. I have had Vaginal surgery of both legs, major oral surgery, lung surgery, a stroke and thoart surgergy. On top of that my 2 daughters have sarcoidosis, one of the hands and lymph nodes and the other one of the skin in her face. I am Executive Director of the Chicago Southside Sarcoidosis Support Group, Inc. We have monthly meetings every second saturday of the month. We provide educational material-guest speakers and emotional support, telephone support, home visit to the sick and shut in. Your 6th Statement was right on target.
llj
December 5th, 2005 at 11:48 pm
This is all very interesting. My ending up on this site was prompted by the football game that was on tonight remembering and honoring the late Reggie White. I was researching the cause of death when I came across this site. In reading the postings, #6 posted that they had symptoms until they moved out of an environmentally alergen filled house. My daughter was diagnosed with having a general seizure disorder about 1 year after moving into an old house. It has been being treated as epilepsy, however after reading this information and doing additional internet research I am wondering if there could be some link to Sarcoidosis that is being caused by her environment. If anyone has any additional information please post and I will check back. I will be talking with her neurologist this week but I have a feeling that he will poo poo this.