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Revisiting evolutionary mistakes physicians make

Evolutionary mistakes physicians make fall in three main categories I. Misunderstanding of adaptation in human biology II. Acting as an agent of selection III. Failure to recognize how competition between genomes causes disease. These mistakes occur because most physicians are not taught to think (or communicate) in terms of natural […]

Anorexia and the Acute Phase Response

During sickness it is very common to lose one’s appetite (anorexia) and reduce energy intake. The anorexia during illness is one of a group of symptoms collectively known as sickness behaviors. Whether anorexia and other sickness behaviors are adaptive is uncertain and the optimal amount of nutrition to provide during illness […]

Do we never learn?

In 2001, a paper by van den Berghe and colleagues was published in the New England Journal of Medicine. It described a trial of intensive blood sugar control in critically ill patients and reported improved survival with intensive glucose treatment using insulin. This study led to a substantial increase in […]

Podcast #16 HYPRESS trial and Japan

In this episode, which was recorded a few months ago, I discuss my trip to Japan and make some observations about emergency medicine as it exists in Japan compared to the United States. Pictured above are trainees in emergency medicine from the University of New Mexico and the Sendai City […]

Evolutionary Clinical Briefs

The journal Evolution, Medicine, and Public Health has a section entitled clinical briefs, that are short entries on the evolutionary considerations of common diseases and clinical medical issues. These open access articles are an excellent way to convey evolutionary ideas in a digestible and effective way. One entry that seems […]

Why fiber is good for you

With the dawn of the New Year, it is worth reflecting on the things that make us healthy and happy. Companionship, exercise, and good food are no doubt critical parts of a healthy lifestyle. We should be grateful also for the health benefits of dietary fiber, writes Carl Zimmer in […]