Coastal Direct Primary Care

Coastal Direct Primary Care Coastal Direct Primary Care (Coastal DPC) is your home for family medicine, offering quality healthc

Coastal Direct Primary Care (Coastal DPC) is your home for family medicine, offering quality healthcare for patients of all ages.

Black History Month, Day 2Rebecca Lee Crumpler, MD, was the first African American woman in the United States to earn an...
02/02/2026

Black History Month, Day 2

Rebecca Lee Crumpler, MD, was the first African American woman in the United States to earn an M.D. degree.

Crumpler was born in 1831 in Delaware, but not a lot about her life is known. She did publish a book in 1883, a book of medical advice for women and children.

What little is known of her and her life can be found here:
https://cfmedicine.nlm.nih.gov/physicians/biography_73.html?_gl=1*tegdc1*_ga*MTM0OTU5Mzc1MC4xNzYzMzkwOTA2*_ga_7147EPK006*czE3NzAwMzU4OTIkbzEkZzEkdDE3NzAwMzU5MjUkajI3JGwwJGgw*_ga_P1FPTH9PL4*czE3NzAwMzU4OTIkbzEkZzEkdDE3NzAwMzU5MjUkajI3JGwwJGgw



Ooh, I didn't know this!  I eat a lot of fresh ginger, but it sounds like a little powdered ginger is a good idea, too. ...
02/02/2026

Ooh, I didn't know this! I eat a lot of fresh ginger, but it sounds like a little powdered ginger is a good idea, too. I like the idea of adding it to a smoothie....

Powdered ginger works best for athletes when taken consistently.
When study participants took a teaspoon of ginger before 30 minutes of cycling, they didn’t experience any difference in leg muscle pain. However, taking ginger five days in a row appears to accelerate recovery following a high-load weight-lifting protocol. Putting together all the studies on ginger, although a single dose doesn’t appear to help, a teaspoon or two of ginger for a couple days or weeks (like in a pumpkin smoothie) may reduce muscle pain and soreness, as well as accelerate recovery of muscle strength.

Consuming powdered ginger may offer more benefits than fresh ginger due to increased amounts of one of the most potent anti-inflammatory components called shogaol during the drying process.

Why not just take the extracted shogaol component in a pill? Each of the active components in ginger individually reduces inflammation. Rather than consuming extracts, consuming whole ginger is greater than the sum of its parts.

Raw ginger and cooked ginger seem to offer the same benefits for muscle pain, so why not enjoy it in a smoothie, morning oatmeal, or a warm drink? Want to make taking ginger powder even easier? Fill the powder in empty pill capsules or use an edible film designed for homemade supplements.

See "Ground Ginger to Reduce Muscle Pain" at https://see.nf/gingerforathletes to learn more.

PMID: 19164834, 25787877, 26200194, 19833188, 15996695, 16709450, 20418184

When I used to eat animals (that sounds so barbaric🫢), one of my favorite dishes to make was Indian Lamb with Spinach.  ...
02/01/2026

When I used to eat animals (that sounds so barbaric🫢), one of my favorite dishes to make was Indian Lamb with Spinach. I was craving the flavors, so I made it without the lamb (also no oil). 🌱

I couldn't decide if I should use tofu, tempeh, or soy curls instead of the lamb, so I used all three. An experiment! I think I prefer the soy curls.

What can you do to make some of your favorite dishes healthier? 💗





Black History Month, Day 1Born into slavery, Dr. James McCune Smith was the first African American physician in the US, ...
02/01/2026

Black History Month, Day 1

Born into slavery, Dr. James McCune Smith was the first African American physician in the US, but he was not educated here. He had to go to Glasgow for medical school because our racist ancestors did not admit people of color into medical school, no matter how qualified they were.

Dr. Smith was also the first Black person to operate a pharmacy in the United States.

He was an activist, writer, doctor and intellectual, and he directed his talents to the eradication of slavery.

https://www.smithsonianmag.com/history/james-mccune-smith-america-first-black-physician-180977110/



An activist, writer, doctor and intellectual, James McCune Smith, born enslaved, directed his talents to the eradication of slavery

Friday Funny.  Have a great weekend.
01/30/2026

Friday Funny. Have a great weekend.

Literally, processed crap! 🤢🤮 The company is urging consumers who purchased the affected products to “destroy the produc...
01/30/2026

Literally, processed crap! 🤢🤮 The company is urging consumers who purchased the affected products to “destroy the products as soon as possible,” per the recall announcement.



NEED TO KNOW:
* Thousands of food items, pet foods, beauty products and drugs were recalled in Gold Star Distribution, Inc. December announcement

* The recall was initiated after the FDA determined that the facility had "insanitary conditions," including rodent and bird waste

* Exposure to contaminated products could cause illness like salmonella or leptospirosis

The company is urging consumers who purchased the affected products to “destroy the products as soon as possible,” per the recall announcement

“Rejection doesn’t mean you’re wrong.”An amazing immigrant story that is worth the read.  Her research led to a vaccine ...
01/26/2026

“Rejection doesn’t mean you’re wrong.”
An amazing immigrant story that is worth the read. Her research led to a vaccine that saved millions of lives, and a Nobel price. Amazing!

On her 30th birthday, a Hungarian scientist was fired. She smuggled her life savings in a teddy bear, moved to America, and spent 40 years being told her work was worthless. Then it saved the world.
January 17, 1985. Katalin Karikó turned 30 years old in Szeged, Hungary.
Her birthday gift arrived in an envelope: a termination notice. The Biological Research Centre where she'd worked since earning her PhD had lost its funding. Communist Hungary's collapsing economy was cutting science budgets. She was unemployed.
She had a two-year-old daughter named Susan and a dream nobody else believed in: that a fragile molecule called messenger RNA could revolutionize medicine by teaching human cells to make their own therapeutic proteins.
Karikó had grown up in Kisújszállás, a rural town of 10,000 with no running water or television. Her father was a butcher. Her mother was a bookkeeper. Neither finished high school. But they valued education ferociously, and their daughter loved science—especially watching her father butcher animals, marveling at how all those complex organs worked together to create life.
Now, at 30, with a biochemistry PhD and no job, she sent application letters to laboratories across Europe and America.
Temple University in Philadelphia responded. Professor Robert Suhadolnik offered her a postdoctoral position studying RNA. She accepted immediately.
But leaving communist Hungary wasn't simple. The government restricted currency export—citizens could take only $100 out of the country.

Karikó and her husband Béla sold their car, a Russian-made Lada, on the black market. They exchanged the Hungarian forints for British pounds—about £900, roughly $1,200. Then Karikó sewed the money into Susan's teddy bear.
In 1985, the family boarded a one-way flight to Philadelphia carrying everything they owned inside a stuffed animal.
They arrived with no safety net, no connections, no certainty. Karikó's starting salary was $17,000 a year. Béla, an engineer, took a job managing an apartment complex to help support the family.
At Temple, Karikó threw herself into RNA research. She worked relentlessly—sometimes sleeping in the lab, spending so many hours at her bench that Béla calculated she earned about $1 per hour.
But after three years, everything fell apart.
According to journalist Gregory Zuckerman's reporting, Karikó's supervisor at Temple reported her to immigration authorities, falsely claiming she was in the country illegally. She had to hire a lawyer to fight the deportation threat. During the legal battle, Johns Hopkins University withdrew a job offer.
By 1989, she found a position at University of Pennsylvania. Finally, she could focus on what she believed mRNA could do: deliver instructions to cells to produce therapeutic proteins—essentially turning the body into its own pharmacy.
The scientific establishment thought she was wasting her time.
mRNA was notoriously unstable—degrading almost instantly in laboratory conditions. When Karikó insisted the problem was contamination, not the molecule itself, no one listened. Other researchers had abandoned RNA entirely.
For years, she applied for grant after grant. Every application was rejected. In academia, grants aren't just funding—they're validation. Without them, you're invisible.
By 1995, University of Pennsylvania had seen enough. They gave her a choice: abandon mRNA research or accept a demotion.
That same year, her husband was stuck in Hungary with a visa problem. She'd just been diagnosed with cancer. And now Penn was forcing her off the tenure track.
She chose the demotion.
Her salary dropped below what her own lab technician earned. She lost her path to becoming a professor. She began wondering if she simply wasn't smart enough, wasn't good enough. She thought about leaving science entirely.

Then, in 1997, she met Drew Weissman at a photocopier.
Both were waiting to make copies. They started talking. Weissman, an immunologist, mentioned he was trying to develop an HIV vaccine. Karikó told him she could make any mRNA he needed.
He didn't dismiss her. He listened.
They began collaborating—two scientists working in obscurity on research nobody would fund, publishing papers nobody read.
The breakthrough came in 2005.
Karikó and Weissman discovered how to chemically modify mRNA—specifically, replacing uridine with pseudouridine—so the immune system wouldn't immediately destroy it. This single modification made mRNA usable for vaccines and therapies.
They submitted their findings to Nature. Rejected within 24 hours—a "desk rejection," deemed not even worth sending to reviewers. Nature called it an "incremental contribution."
They submitted to Science. Rejected.
They submitted to Cell. Rejected.
Finally, after multiple revisions and fighting with reviewers, the journal Immunity published their paper in 2005.
Almost no one noticed.
For years, the work sat largely ignored. The scientific community remained skeptical of mRNA technology. Funding continued to elude them.
By 2013, Penn had effectively pushed Karikó out. At 58, after nearly 25 years there, the university evicted her from her lab space and discarded her belongings. No American institution wanted her.
She took a job at BioNTech, a small German biotech company few had heard of. For nine years, she commuted between the United States and Germany, still conducting experiments with her own hands, still believing.
Then January 2020 arrived.
A novel coronavirus emerged in China. Within months, it was a global pandemic. Millions died. Economies shut down. The world desperately needed a vaccine—faster than any vaccine in history had been developed.
And suddenly, the "worthless" technology Katalin Karikó had spent her entire adult life perfecting became humanity's best hope.
BioNTech, working with Pfizer, used Karikó and Weissman's modified mRNA technology to develop a COVID-19 vaccine. Moderna did the same. Both vaccines showed over 90% efficacy—unprecedented for first-generation vaccines.
The vaccines were developed and approved in under a year. They saved millions of lives.
When Karikó learned the clinical trial results showed the vaccines worked, she celebrated alone in her kitchen by eating an entire box of Goobers chocolate-covered peanuts.
On October 2, 2023, Katalin Karikó and Drew Weissman won the Nobel Prize in Physiology or Medicine.
She was, colleagues noted, probably the first Nobel laureate who had never been a full professor. Someone "completely out of left field" who achieved one of science's greatest accomplishments.
When reporters asked how she persisted through four decades of rejection, her answer was characteristically simple:
"I felt successful when others considered me unsuccessful, because I was in full control of what I was doing. Why I didn't stop researching is because I did not crave recognition."
She wants young people, especially immigrants and women in science, to understand something crucial: rejection doesn't mean you're wrong.
"If my example helps them—because I was demoted, rejected, terminated, I was even subject to deportation at one point—if they just pursue their thing, my example helps them wear rejection as a badge."
She still has the teddy bear. The one that carried her family's entire future, sewn inside by a desperate mother who refused to abandon her dream.
That teddy bear traveled from communist Hungary to Philadelphia. It survived immigration battles, career humiliations, cancer scares, and decades of scientific rejection.
And in the end, the work that nobody wanted to fund became the technology that saved millions of lives during humanity's greatest modern health crisis.
Katalin Karikó didn't win because she was the smartest or best-connected. She won because she simply refused to stop working on what she knew was true, even when the entire world told her it was impossible.
Sometimes that's all it takes.

The office will be closed today (Monday, January 27th) due to poor road conditions.  Please, stay home if you can. There...
01/26/2026

The office will be closed today (Monday, January 27th) due to poor road conditions. Please, stay home if you can. There is a lot of ice out there.

Dr. Chris and Matt will be working from home, and virtual visits are available, so please reach out if needed.

Stay warm and stay safe.

Read at Alex Pretti’s vigil today by a Minnesotan doc:For Alex Pretti — From a Physician, For a NurseEvery physician kno...
01/26/2026

Read at Alex Pretti’s vigil today by a Minnesotan doc:

For Alex Pretti — From a Physician, For a Nurse

Every physician knows this:

We do not save lives alone.

We do it arm in arm with nurses.

With ICU nurses.
With the ones who catch what we miss.
Who speak up.
Who stay late.
Who hold families together when the medicine runs out.

Alex Pretti was that nurse.

He chose to serve his country throughout his life.
Working in the ICU at the VA.
Serving veterans.
Serving those who had already given everything.

Standing at bedsides where courage is quiet and exhaustion is constant.

Where nurses don’t get headlines — they get blood on their shoes and families in their arms.

Ask any doctor who worked with him and they will tell you:

He protected.
He taught.
He defended women colleagues.
He bought coffee for broken interns.

He made the ICU more human.
That is what great nurses do.
They don’t just carry out orders.
They carry the unit.

And then, one last time, he served as a nurse outside the hospital.
With a camera in his hand.
With his conscience in front of him.
He stepped toward someone being harmed.

Not as a threat.

Not as a protester looking for chaos.

But as a healer responding to suffering — the same reflex that defines this profession.

His gun was legally holstered.
His hands were occupied filming.

His instinct was the same one every ICU nurse knows:
See harm. Step in. Protect.

As physicians, we talk about teams.

About trust.

About partnership.

Alex was the kind of nurse every doctor hopes to have when things go bad.

The one who has your back.
The one who has the patient’s back.
The one who never looks away.

We didn’t just lose a man.

We lost a nurse.

A protector.

A healer.

And the hardest truth of all:

He spent his life running toward danger for others.

And in the end, that is what killed him.

Rest in power, Alex Pretti.

Medicine and humanity will feel your absence.🙌🏽💔🩺

I don't usually enjoy pancakes or waffles, I much prefer savory foods.  But today is a perfect day for something differe...
01/25/2026

I don't usually enjoy pancakes or waffles, I much prefer savory foods. But today is a perfect day for something different. Something more elevated and comforting. I saw this recipe (in comments) and had the ingredients at home, so I made it. It's good! 😋 I used 1/2 buckwheat flour and 1/2 oat flour, and only 2 tbls of maple syrup. I got 5 waffles from the recipe, 268 calories each + another 74 for the berries. ☕️🍴🧇 🫐🍓

Plant-based eating can be both decadent and healthy! 🌱

We must continue to scrutinize the bad advice and debunk the pseudo science of the current administration. Honorable peo...
01/25/2026

We must continue to scrutinize the bad advice and debunk the pseudo science of the current administration. Honorable people and reputable scientists will continue to do the good, important work of the WHO. Hopefully, one day, when this nightmare is over, the US will be welcomed back.

"WHO remains steadfastly committed to working with all countries in pursuit of its core mission and constitutional mandate: the highest attainable standard of health as a fundamental right for all people."

WHO statement on notification of withdrawal of the United States

As a founding member of the World Health Organization (WHO), the United States of America has contributed significantly to many of WHO’s greatest achievements, including the eradication of smallpox, and progress against many other public health threats including polio, HIV, Ebola, influenza, tuberculosis, malaria, neglected tropical diseases, antimicrobial resistance, food safety and more.

WHO therefore regrets the United States’ notification of withdrawal from WHO – a decision that makes both the United States and the world less safe. The notification of withdrawal raises issues that will be considered by the WHO Executive Board at its regular meeting starting on 2 February and by the World Health Assembly at its annual meeting in May 2026.

WHO takes note of statements from the government of the United States that say WHO has “trashed and tarnished” and insulted it, and compromised its independence. The reverse is true. As we do with every Member State, WHO has always sought to engage with the United States in good faith, with full respect for its sovereignty.
In its statements, the United States cited as one of the reasons for its decision, “WHO failures during the COVID-19 pandemic”, including “obstructing the timely and accurate sharing of critical information” and that WHO “concealed those failures”. While no organization or government got everything right, WHO stands by its response to this unprecedented global health crisis. Throughout the pandemic, WHO acted quickly, shared all information it had rapidly and transparently with the world, and advised Member States on the basis of the best available evidence. WHO recommended the use of masks, vaccines and physical distancing, but at no stage recommended mask mandates, vaccine mandates or lockdowns. We supported sovereign governments to make decisions they believed were in the best interests of their people, but the decisions were theirs.

Immediately after receiving the first reports of a cluster of cases of “pneumonia of unknown cause” in Wuhan, China on 31 December 2019, WHO asked China for more information and activated its emergency incident management system. By the time the first death was reported from China on 11 January 2020, WHO had already alerted the world through formal channels, public statements and social media, convened global experts, and published comprehensive guidance for countries on how to protect their populations and health systems. When the WHO Director-General declared COVID-19 a public health emergency of international concern under the International Health Regulations on 30 January 2020 – the highest level of alarm under international health law – outside of China there were fewer than 100 reported cases, and no reported deaths.

In the first weeks and months of the pandemic, the Director-General urged all countries repeatedly to take immediate action to protect their populations, warning that “the window of opportunity is closing”, “this is not a drill” and describing COVID-19 as “public enemy number one”.
In response to the multiple reviews of the COVID-19 pandemic, including of WHO’s performance, WHO has taken steps to strengthen its own work, and to support countries to bolster their own pandemic preparedness and response capacities. The systems we developed and managed before, during and after the emergency phase of the pandemic, and which run 24/7, have contributed to keeping all countries safe, including the United States.

The United States also said in its statements that WHO has “pursued a politicized, bureaucratic agenda driven by nations hostile to American interests”. This is untrue. As a specialized agency of the United Nations, governed by 194 Member States, WHO has always been and remains impartial and exists to serve all countries, with respect for their sovereignty, and without fear or favour.

WHO appreciates the support and continued engagement of all its Member States, which continue to work within the framework of WHO to pursue solutions to the world’s biggest health threats, both communicable and noncommunicable. Most notably, WHO Member States last year adopted the WHO Pandemic Agreement, which once ratified will become a landmark instrument of international law to keep the world safer from future pandemics. Member States are now negotiating an annex to the WHO Pandemic Agreement, the Pathogen Access and Benefit Sharing system, which if adopted will promote rapid detection and sharing of pathogens with pandemic potential, and equitable and timely access to vaccines, therapeutics and diagnostics.

We hope that in the future, the United States will return to active participation in WHO. Meanwhile, WHO remains steadfastly committed to working with all countries in pursuit of its core mission and constitutional mandate: the highest attainable standard of health as a fundamental right for all people.

Friday Funny. Have a great weekend.
01/23/2026

Friday Funny. Have a great weekend.

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