Why is Duffy Null status associated with lower neutrophil counts? What if we told you not everyone with a low neutrophil count is at a higher risk of infection? One cause of this fascinating phenomenon is known as the Duffy Null Associated Neutrophil Count, sometimes referred to as Duffy Null or DANC. It’s found inContinue reading “Episode 111 – Null Neutrophils”
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Episode 110 – Salt in the Wound
Why does rubbing salt in a wound hurt so much? As a metaphor, “rubbing salt in a wound” means to make an already-bad situation worse for someone, especially in an unnecessary or gratuitous way. One hears the phrase constantly, about everything from taxes to sports. Perhaps one reason it’s so common is that, even ifContinue reading “Episode 110 – Salt in the Wound”
Episode 109 – The HITS Keep Coming
Why don’t we all get heparin-induced thrombocytopenia? Way back in episode 59, we discussed why heparin, a commonly-used anticoagulant in the hospital, can cause mild hyperkalemia. The more widely-known side effect of heparin, though, is heparin-induced thrombocytopenia (HIT), of which there are two types: Type 1 (non-immune mediated) and Type 2 (immune-mediated). If a hospitalizedContinue reading “Episode 109 – The HITS Keep Coming”
Episode 108 – Alpha Gal Again
How could alpha-gal be used to treat cancer? In episode 61 of The Curious Clinicians, we explored a rather odd complication of tick bites: “Alpha-Gal Syndrome ,” or an allergy to red meat. The culprit was galactose-α-1,3-galactose (alpha-gal), a carbohydrate which many mammals (and ticks) make but humans do not. The alpha-gal in tick salivaContinue reading “Episode 108 – Alpha Gal Again”
Episode 107- The Smell of the Rain
Why do humans have such a sensitive smell for rain? If other animals ever praised humans, they’d probably laud our brainpower, our bipedalism, and perhaps the invention of the air fryer. They’re probably not raving about our sense of smell, but they really should. Not only is the human sense of smell far keener thanContinue reading “Episode 107- The Smell of the Rain”
