geoffrey modest medical blogs

A recent article highlighted an outbreak of a mass sociogenic illness (MSI) of Tourette-like symptoms spread solely through social media, a mass social media-induced illness (MSMI), see  mass sociogenic illness brain2021  in dropbox, or orcid.org/0000-0002-7181-7419   Details: --this report was from a specialized Tourette outpatient clinic in Hanover Medical School in Germany, revealing a large number of young people across different countries having a “Tourette-like” MSMI outbreak -- a German YouTube channel, launched by 22-year-old Jan Zimmermann (who has a mild form of Tourette syndrome), depicts countless numbers of movements, vocalizations, words, phrases, and bizarre behavior that Zimmermann claims are tics -- his YouTube channel spread rapidly on social media, reaching 1 million subscribers in less than three months, making Zimmermann the second most successful YouTube creator in Germany in 2019. Currently subscriptions are 2.23 million people and 296 videos have b...

  A recent study assessed the outcomes of adults with Nonalcoholic Fatty Liver Disease (NAFLD) across the histologic spectrum (see   nafld prospective outcome study nejm2021  in dropbox, or DOI: 10.1056/NEJMoa2029349 )    Details:   -- 1773 adults with NAFLD in a perspective cohort study, from the NAFLD Database Study Phase 2 non-interventional registry of the NASH Clinical Research Network (NASH = Non-Alcoholic Steatohepatitis) -- all had liver biopsies that found NAFLD and had at least one follow-up visit after 48 weeks  -- to differentiate NAFLD from Alcoholic Fatty Liver Disease, a questionnaire was used to establish consumption of less than 20 g of alcohol daily for women and less than 30 g for men [biopsy analysis of NAFLD vs alcoholic fatty liver disease can be indistinguishable] -- median age 52,  36% male, 85% white, 12% Latinx, BMI 33, mean time since NAFLD diagnosis 2.7 years --75% of those with NAFLD had NASH --mean ALT 51 , ...