Journal of Clinical Medicine

Um, there's all this going on." And rather than look into whether there's a connection between these conditions, the knee-jerk reaction is to say it must be all in your head because of how much is going on, and that is, is absolutely detrimental to every single patient who's ever experienced that.

According to one study published last year in the Journal of Clinical Medicine, participants with hEDS reported an average of 24 other health conditions, and it took on average about 22 years to get diagnosed.

Experts say one reason for delays is the lack of education and awareness of EDS within the medical community.

Doctors can use diagnostic criteria released in 2017 to help identify the condition and determine which subtype a person may have.

And the risk behaves like a compounding curve with each subsequent surgery.

Now, these figures are from the Journal of Clinical Medicine, which was published in 2025.

So if you have one previous cesarean, the likelihood of a placenta accreta occurring is 0.3%.

If you've had two previous cesareans, it's 0.6 to 1.1%.

Let's dive in.

Our first paper comes from Bernhard Zaplatel and colleagues, published in the Journal of Clinical Medicine in 2026.

They ask a very practical question.

How safe is percutaneous dilatational tracheostomy, or PDT, when therapeutic anticoagulation just simply carries on? Now, therapeutic anticoagulation means when you thin the blood to stop it clotting.

And another one of these things that I wanna make a special note of was highlighted in a study published in twenty nineteen, finding that alcohol consumption can heavily disrupt your metabolism by disrupting your sex hormones.

The study, cited in the Journal of Clinical Medicine, affirmed that excessive alcohol consumption does in fact decrease levels of testosterone in men, and it also increases aromatization of testosterone, which in turn leads to higher levels of estrogen.

I personally don't drink alcohol at all.

I never have.

Today, our topic won't be about the specifics of a recent publication, but rather the general issues that this publication raises.

The paper I'm referring to is by Jingping Fang and colleagues entitled, Adult-Onset Alexander Disease Presenting as Atypical Parkinsonism and Autonomic Dysfunction, a case series which just came out in the Journal of Clinical Medicine.

And the paper talks about four people who had onset of signs from 38 to 53 years, especially involving problems in walking as well as a few other symptoms and signs.

And why I think this is important isn't about the details of these particular patients, but instead the phrase right in the title, atypical Parkinsonism.