Category Archives: Medicine

THE DOCTORS 101 CHRONIC SYMPTOMS & CONDITIONS #34: Human Papillomavirus

Human Papillomavirus, HPV, is a very successful Virus, from the microbial standpoint. It has been around for a long time, specializes in Humans, kills many fewer than it infects and becomes a chronic disease, even if 90% of infections resolve spontaneously within 2 years.

Human Papillomavirus (HPV)

HPV is a DNA Virus. Most of the strains, if they persist, become harmless nuisances, and cause “Verruca Vulgaris”, the common wart of the skin. The voicebox and windpipe area is rarely targeted, but warts can produce problems there because of the location. Non-malignant genital warts can also occur with certain serotypes.

A few members of the HPV family have evolved to generate premalignant lesions that can develop into CANCER. These strains are spread by Sexual contact. In Women, the CERVIX of the Uterus or the vagina are often involved. The anal area, back of the throat and the Lung are occasional sites in both sexes. In Men, the Penis is targeted.

Cancer is generally a delayed effect that occurs after a long infection. Some HPV strains, such a 16 and 18, have evolved to suppress the p53 gene, an ONCOGENE which protects us from malignant progression. Without this protection, a chance cancerous mutation can grow without restraint. Since HPV can invade only the deeper basal stem cells in the skin or lining mucous membranes, some minor trauma or break in the surface is needed to allow Viral entry.

If antibodies are present, the Virus is intercepted, and infection doesn’t take place. This discovery made Immunization with the Cancer-producing strains attractive. It is also why the immunization is recommended in Childhood, before Sexual activity begins. Immunization after the HPV is already inside the body is Ineffective.

The Virus is already in the Nucleus of infected cells and protected from the immune response. The recommendation is to get the immunization in childhood, and use condoms.

–Dr. C.

Covid-19: ‘mRNA Vaccine – How It Works’ (Video)

Its decision time for Covid vaccines, especially for 88-year olds. The choice is among live-attenuated vaccines, whole virus vaccines, Split virus vaccines, and RNA vaccines, and I prefer the latter because of its simplicity. It delivers just the mRNA coding for covid spike protein, without the risk of a live vaccine, and the extra substances in whole and split- virus vaccines.

mRNA utilization for a vaccine is not new technology. The idea has been floating around for decades in cancer immunotherapy research. The sophisticated understanding of the technology is reassuring. It has a high efficacy, approaching 95%. Between the Pfizer and Moderna mRNA vaccines, I prefer the Moderna vaccine, because the Company was already working on a mRNA platform for MERS, a Covid-family virus, and has developed their own lipid capsule as a vector.

The Moderna vaccine does not require the extremely low storage temperatures like the Pfizer product. With all production located within the company, Moderna will be ready to go if a new strain nullifies covid 19 vaccines, or if another virus spreads worldwide. Timing is important. The mRNA vaccine requires 2 doses. I intend to take the first Moderna dose when I can get it locally without standing in line.

Since I intend to continue Masking and Distancing until the cases in my community are low, I will probably delay the second dose until summer, to increase my likelihood of effective antibody levels this coming fall and winter. Also, there will be more information by that time on the Vaccine’s effectiveness and duration in the Elderly.

The pathogenicity of the English, or any other newly mutant strain will be hopefully known by Summer. The rapid Covid test using sputum, and outpatient treatment with monoclonal and convalescent antibodies for early cases will then be available. I want a treatment plan in case I get infected. This is a treacherous, nasty infection.

–Dr. C

WOMEN’S HEALTH: HOW ‘HPV (HUMAN PAPILLOMAVIRUS) LINKS TO CERVICAL CANCER’

This video tells the story of Ana, a cervical cancer survivor, who encourages women to recognize abnormal Paps as an opportunity to speak to your doctor about gynecologic health.

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COVID-19: ‘REDUCING RISK NOW & PREPARING FOR THE NEXT PANDEMIC’ (PODCAST)

Virologist Angela Rasmussen talks about her battle against misinformation in the media, the virus, vaccines, disinfecting surfaces, home testing, and the next pandemic.

Eric J. Topol, MD: Hello, I’m Eric Topol for Medscape, and this is Medicine and the Machine. I’m so glad to have my colleague and partner in this podcast, Abraham Verghese, with me from Stanford. Today, we have the rarefied privilege to discuss the whole pandemic story, the virus and vaccines, with one of the country’s leading virologists, Dr Angela Rasmussen. Welcome, Angie.

Angela L. Rasmussen, MA, MPhil, PhD: Thank you so much for having me, Eric. It’s wonderful to be here.

COMMENTARY:

This podcast rectifies the blizzard of variously valid COVID information blaring on the media today, and adds to the discussion. Virologist Angela Rasmussen talks about several interesting aspects of the pandemic. BSL laboratories are discussed. BSL refers to Biological Safety Level. If a lab is dealing with a dangerous pathogen, like the hemorrhagic fever viruses, a level 4 lab is required.

“Moon suit”- like positive pressure encasements, special hoods and disposal devices are required to ensure containment of the organisms, and to prevent their escape into the environment.

She discussed the differences between live viruses, detected by PFUs (plaque-forming units) on a sheet of living cells, and what the available Covid tests pick up, namely RNA which may or not be infective. Saliva vs nasal swab samples, PCR vs antibody tests were compared. She explained what the “cycle number” in PCR tests refers to, and its significance She then discussed “fomite” transmission, and observed how hard it was to experimentally prove.

Aerosol transmission is thought more likely. Also discussed is how lucky we were that this Pandemic involved a Coronavirus, instead of another viral family that was less studied. Moderna, for instance, was in the process of developing a MERS ( a Coronavirus) Vaccine. She finished up with the observation that distancing and masks, although imperfect, are still useful.

–Dr. C.

ANALYSIS: ‘IS WALMART THE FUTURE OF HEALTH CARE?’

Walmart, America’s largest grocer, launched a primary care clinic called Walmart Health, in September 2019. Analysts say the big box retailer faces several hurdles in its quest to scale up nationally with a roster of highly paid doctors and dentists. But with more than 35 million people uninsured as of 2019, and millions more with high deductible health plans, could Walmart Health’s low price point be the future of healthcare in America?

COVID-19 PODCAST: LATEST ON VACCINE ROLLOUT, NEW MUTATION & FDA APPROVALS

Stephen Hahn, U.S. Food and Drug Administration Commissioner, Sigal Atzmon, founder and chief executive officer of Medix Global, and Roche CEO Severin Schwan, on the pandemic, Covid-19 vaccines and the new mutation.