About Daniela Lamas

Daniela Lamas

Daniela is a pulmonary/critical care fellow at Harvard. She spent a year at the NEJM from 2011-2012 as an Editorial Fellow, working on projects for the Journal's 200th anniversary. She finds that writing for the Now@NEJM blog is a great opportunity to become familiar with research that doesn't have to do with the lungs.

All posts by Daniela Lamas

Outcomes of Pregnancy After Bariatric Surgery

• February 25th, 2015

Your patient has been trying to lose weight for years. But no matter how many grapefruits she eats, whether she goes ‘gluten free’ or replaces her snacks with lean meats and long walks on the treadmill, the 35-year old’s weight has hit a plateau. And with the weight have come a series of troubling health effects,… Read More…

Atenolol versus Losartan in Children and Young Adults with Marfan’s Syndrome

• November 25th, 2014

When French pediatrician Antoine-Bernard Marfan first described the syndrome that would bear his name in 1896, doctors knew little about the management and prognosis of the connective tissue disorder. In the century since that first description, what was once a fatal syndrome due to the risk of aortic dissection is now a condition that can be… Read More…

Anti–Interleukin-5 Monoclonal Antibody to Treat Severe Eosinophilic Asthma

• September 24th, 2014

Most asthma patients who come to your pulmonary office get better. With a regimen of inhaled therapies and possibly a short course of oral corticosteroids, the wheeze and cough and shortness of breath remit. But the patient you are seeing in clinic today is still struggling. She’s tried every inhaler at its maximum dose and still… Read More…

Long-Term Colorectal Cancer Mortality after Adenoma Removal

• August 27th, 2014

Your patient had thought it would be a relief to get the colonoscopy over with. “Not for another ten years,” she had vowed as she chugged that dreaded colonoscopy prep. But then there was a polyp – low-risk, she was told – but with it, recommendations to return for another colonoscopy in as few as three… Read More…

Novel Ways to Detect Creutzfeld-Jacob Disease?

• August 6th, 2014

Anyone who has eaten a burger has had a sneaking fear, however irrational: Could I have been exposed to mad cow? And how could I possibly find out before symptoms of the disease take hold? As it is, the way to confirm the diagnosis of the fatal disease is by direct examination of brain tissue, which… Read More…

Niacin with Laropiprant in High-Risk Patients

• July 16th, 2014

Your patient, a 70-year-old man with a history of a heart attack three years ago, sits across from you at his regular outpatient follow-up appointment. He’s doing well. He’s exercising and taking the medications you prescribed, including his statin, but he’s wondering if there’s anything more he should be doing to lower his “bad,” or LDL… Read More…

Glucocorticoid Injections for Spinal Stenosis

• July 2nd, 2014

Spinal stenosis is a pain – both for those who suffer it, and the doctors who treat it. As surgery is a potentially risky option with uncertain benefit, many doctors turn to glucocorticoid injections for their patients, to decrease pain and increase mobility.  An estimated ten to eleven million such injections are performed in the US… Read More…

Pharmacology and the Treatment of Complicated Skin and Skin-Structure Infections

• June 11th, 2014

Treating skin and soft tissue infections isn’t the most glamorous job in medicine. But as these infections – ranging from cellulitis to abscess and often accompanied by fever and other signs of systemic illness – lead to nearly 900,000 hospital admissions annually, it’s an essential one. And with the emergence of strains of methicillin-resistant Staphylococcus… Read More…

A New Hope for Idiopathic Pulmonary Fibrosis

• May 28th, 2014

It seemed benign at first. But the dry cough didn’t go away, despite a course of antibiotics and a prescription for an inhaler. Then your 55-year-old patient started to get winded while walking up the stairs at his home, and a work-up – chest x-ray, CT scan and pulmonary function testing – led to a pulmonary… Read More…

A Randomized Trial of Protocol-Based Care for Early Septic Shock

• April 30th, 2014

Over a decade ago, a trial revolutionized how patients with septic shock are treated in the early hours of their hospital stay. In 2001, with the premise that existing interventions in septic shock occur too late in a patient’s course, Emanuel Rivers and colleagues reported that patients treated in the emergency department with a protocol called… Read More…