Category Archives: Uncategorized

ANNOUNCEMENT

Medical Record Retrieval Update

CNMRI Patient Records

Please be advised that our electronic record provider is experiencing delays in preparing your records for transfer to our medical record custodian, Morgan Record Management. The new expected date for records turnover is February 1, 2026.

Until that date, medical record requests may be submitted directly to CNMRI by:

  • Phone: 302-346-2447
  • Fax: 302-346-2600

Requests for MRI images are handled by Dr. Jay Dave, CNMRI 2.0, who can be reached at 302-315-4011.

Any changes to the planned turnover date will be posted here.

Dementia Update

Alzheimer’s disease affects millions, and new research is changing how we understand dementia. Listen to my latest podcast episode hosted by the Medical Society of Delaware and share this with anyone who might benefit from these critical updates. Who in your life needs to hear this?

https://bit.ly/msd-dementia

Quick Note: iPhone and iPad usage reduces cognitive decline?

“Engagement with digital technology was associated with a 58 percent reduced risk of cognitive impairment in people middle-aged and older, according to a study in the journal Nature Human Behavior.”

https://www.washingtonpost.com/wellness/2025/05/26/seniors-digital-technology-cognitive-impairment/

Think Twice before you get that CAT Scan

CT scans, a widely used medical imaging technology to diagnose diseases, may be more harmful than previously thought, and account for about 5% of new cancer cases annually in the U.S. population, according to new research led by UCSF scientists. 

That puts CT (computed tomography) scans — which expose patients to ionizing radiation, a known carcinogen — on par with alcohol consumption and excess body weight in terms of contribution to cancer risk, according to the study, which is slated for publication Monday in JAMA Internal Medicine.

While the risk of radiation-induced cancer from one CT scan is low, people who get frequent CTs due to chronic conditions like Crohns should be aware of the benefits and risks of the procedure, said first author Dr. Rebecca Smith-Bindman, a UCSF radiologist and professor of epidemiology. 

“The goal is not to scare patients, but to help them understand going forward they need to think about every time a CT is suggested,” Smith-Bindman said. “Do they need it? Do they understand why it’s done and work with their physician? Is this really a test I need now? Maybe it’s a test I can postpone.”

https://apple.news/AwiJRBSYbSLeAql6SJlsQmw

Delaware Online

Dr Varipapa’s opinion piece on medical aid in dying (MAID) got published in Delaware Online.

https://www.delawareonline.com/story/opinion/2025/02/07/pass-end-of-life-legislation-in-delaware-opinion/78215409007/

This common gesture could be a sign of a concussion

A quick shake of the head after a hard hit could signal that a person has a concussion, a new study suggests, based on the experiences of young athletes.

It’s an easily recognizable movement that could help significantly reduce the number of concussions that go undiagnosed if added to official evaluation guidelines, according to researchers from Mass General Brigham and the Concussion Legacy Foundation.

“We describe it in detail as a time that after a hit to the head, someone laterally shakes their head at a speed between two and eight Hertz. But that’s complicated medical terminology for something we’ve all seen,” said Dr. Dan Daneshvar, a study co-author and co-chair of sports concussion at Mass General Brigham.

Cartoons often depict a circle of birds that fly away after the character shakes their head, for example.

“There’s such a strong lay understanding of this being associated with concussions,” he said, but it’s not included in guidelines or medical literature.

Stroke on the Rise

Stroke is preventable by monitoring and controlling blood pressure, cholesterol, diabetes, not smoking, limiting alcohol and engaging in an exercise program.

After dropping in the early 2000s, the overall proportion of people in the U.S. who had survived a stroke rose by 7.8 percent from 2011 to 2022, the U.S. Centers for Disease Control and Prevention reported in May. While strokes typically happen in older people, another CDC report from August found deaths from stroke among Americans aged 45-64 had increased 7 percent from 2013 to 2019—and then risen an additional 12 percent through 2021.

A new study in the Lancet Neurology reveals more people worldwide are surviving after a stroke, with no increases and even some decreases in strokes among adults over 70—but increases in strokes in younger adults, particularly those under 55.

“It’s important to know that stroke can happen at any age,” says Omoye Imoisili, an internal medicine doctor and the lead author of the May CDC study.

Daily multi-vitamin may slow dementia

Taking daily multivitamins appears to slow cognitive aging by about 2 years in older adults, three new studies show.

In the latest study, published Thursday in The American Journal of Clinical Nutrition, researchers observed and tested 573 adults 60 and older in person. In the two previous studies, people taking part in the research responded by phone or online. Overall, about 5,000 people took part in the three studies.

The in-person study showed the multivitamin provided a “modest benefit” on global cognition over 2 years, compared to a placebo. Global cognition includes brain activities such as reasoning, attention, and planning. The multivitamin showed “a statistically significant benefit” for episodic memory, but not in executive function and attention, a news release said.

https://www.webmd.com/healthy-aging/news/20240119/multivitamins-slow-cognitive-aging-seniors-study

https://www.amazon.com/Equate-Complete-Multivitamin-Compare-Centrum/dp/B00DPLZG3W

Apple Vision Pro Game Changer for Disabled

The headset is already changing disabled users’ lives.

In her childhood bedroom, Maxine Collard had a PC connected to a cathode-ray tube monitor so massive it bowed her desk into a smile that grew deeper every year. Collard has oculocutaneous albinism, which means that her hair is naturally bleach white, her complexion maximally fair, and she has uncorrectably low visual acuity with limited depth perception. In order to see the screen, she had to crane her neck until her face was two inches from the monitor.

When Collard was in middle school, her mother bought an iMac for the family. Collard spent hours messing around on the new machine, her nose pressed almost to the glass. One day, deep in the computer’s accessibility settings, she discovered that if she held down the control key while spinning the mouse’s scroll wheel, she could instantaneously zoom the entire screen to whatever magnification level she wanted. There was a rudimentary magnifier app on her Windows computer, but she found the interface difficult to use, and the low-res image on the zoomed-in PC screen, she said, was pixelated, hard to read, “disgusting.” Her experience on the iMac, which allowed her to magnify the entire screen into a much clearer image, came as a revelation.

Earlier this year, Collard had a similar aha moment when she tried the Apple Vision Pro for the first time. Some critics of the AVP were skeptical of a device that pressed two high-resolution micro-OLED screens within millimeters of one’s eyes for hours at a time. But to Collard, the ability to (as she put it) “strap an iPad to my face” was instantly appealing.

See Link for more:

https://nymag.com/intelligencer/article/apple-vision-pro-disabled-users.html

The Mother Who Changed:A Story of Dementia

Across the United States, millions of families are confronting a seemingly impossible question: When dementia changes a relative, how much should they accommodate their new personality and desires?

Katie Engelhart, a writer for The New York Times Magazine, tells the story of one family’s experience.