SKU: 5597336568

Never Bet Against Occam: Mast Cell Activation Disease and the Modern Epidemics of Chronic Illness and Medical Complexity

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Never Bet Against Occam: Mast Cell Activation Disease and the Modern Epidemics of Chronic Illness and Medical ComplexityDr. Afrin earned a B. S. in computer science at Clemson University in 1984 and then an M. D. at the Medical University of South Carolina (MUSC) in 1988, where he also pursued internal medicine residency and hematology oncology clinical and research fellowships. While on faculty at MUSC from 1995 2014, he was active in undergraduate and graduate medical education, educational and information technology administration, and practice and research in

Dr. Afrin earned a B.S. in computer science at Clemson University in 1984 and then an M.D. at the Medical University of South Carolina (MUSC) in 1988, where he also pursued internal medicine residency and hematology/oncology clinical and research fellowships. While on faculty at MUSC from 1995-2014, he was active in undergraduate and graduate medical education, educational and information technology administration, and practice and research in hematology/oncology and medical informatics. Since the mid-'00s, his clinical work has increasingly focused in hematology, especially mast cell disease. In 2008 Dr. Afrin started coming to understand that a newly recognized type of mast cell disease, now called mast cell activation syndrome (MCAS), was the underlying diagnosis in many patients he was seeing who were each suffering large assortments -- quite different from one patient to the next -- of chronic multisystem inflammatory illnesses of unclear cause. Dr. Afrin soon gained experience that MCAS is far more prevalent than the only mast cell disease previously known to medicine (the rare disease of mastocytosis) and that most MCAS patients, once accurately diagnosed, can eventually find significantly helpful medications targeted at the disease. The frequency and magnitude of the improvements Dr. Afrin has seen -- even the relief that comes from finally having a unifying diagnosis other than "psychosomatism" -- have spurred him to focus in this area, not only tending to the needs of his patients but also pursuing research to advance our understanding of the disease and helping to educate other professionals who in turn can help even more of the many people who have long been suffering not only the symptoms of the disease but also the natural concern of not understanding why one would be so "unlucky" to have acquired so many medical problems. As it turns out, such patients are not so unlucky and truly have just one root issue (and a very common one at that) which has the biological capability to develop, directly or indirectly, into most or all their previously diagnosed problems. There is a great deal yet to learn about this, but even with just the present very limited understanding, the opportunity to diagnose and help patients with MCAS seems to be enormous and Dr. Afrin felt a description of the disease, written for the general public, might help lead some MCAS patients on a journey to diagnosis and improvement sooner rather than later. He joined the University of Minnesota in 2014 to further his interests in this area. He has an extensive record of peer-reviewed publications and has spoken widely in his areas of interest.

If you have questions pertaining to Dr. Afrin's book, or would like more information, please email [email protected].

You can also visit www.mastcellresearch.com. Or, find us on Facebook @facebook.com/mastcellresearch/, and Twitter @MastCellHelp.



Binding Type: Hardcover
Publisher: Sistersmedia, LLC
Published: 03/15/2016
ISBN: 9780997319606
Pages: 472
Weight: 2.27lbs
Size: 10.00h x 7.01w x 1.00d
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SKU: 5597336568

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Amazon Customer
Pawtucket, US
★★★★★ 5
Great value for my money.
Strong and durable and just the right length my puppy can't bite my hand while playing with him
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Reviewed in the United States on April 28, 2026
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Samantha Miller
Battle Creek, US
★★★★★ 5
These are NOT meant for regular play like the other reviews seem to think.
First things first, ignore 90% of these reviews. The reviews saying these balls didn’t last very long clearly don’t know what they’re meant for. These are not “drop and play” kinds of toys. They’re meant to be used as reward toys. Meaning they get used during training sessions for a quick game of tug to reward the dog for good behavior. These are NOT meant for unsupervised play, and not meant for dogs who don’t have reliable recall or drop/Aus commands. That being said, my dog is 95 pounds and stands 29” at the shoulder. She’s a big girl who plays rough. Immediately after opening the package, we did a quick training session with these reward toys. They held up EXTREMELY well. They are made of rubber which means she doesn’t shred them in one short game of tug unlike some of the foam reward toys you will come across. I did have to tighten the knot below the ball before using them, but that’s to be expected with any rope style toy. If your dog does not have a reliable drop command and they are any larger than maybe 25lbs, I would not suggest using the smaller ball. If Nikita didn’t have a reliable drop command, it would be incredibly easy for her to wind up choking on the smaller ball. Even the large ball is pushing it on choking hazard size for a large dog, but again, reliable drop commands are important.
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Reviewed in the United States on August 6, 2020
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Vincent Grossi
Carnegie, US
★★★★★ 5
Good quality. 3 month review
My dog likes them more than the more expensive versions we have. Still in one piece and they get beat on, tugged with me and a dog or by 2 dogs both about 70lbs
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Reviewed in the United States on April 1, 2026
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Noah Davis
Massapequa, US
★★★★★ 3
Dog doesn’t like how it slams into his face from the weight
The balls were heavier than I expected and my dog does not like to engage with it even when I drag and throw them around to play with. To heavy duty for cattle dog
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Reviewed in the United States on October 5, 2025
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Héctor
Louisville, US
★★★★★ 5
Great Training tool!
These things are great! I have a power chewing 8 month old Doberman who DESTROYS toys and he LOVES these balls. I use them on walks as a training reward and it has been a game changer. He loves these more than treats. Its not something I would leave for him to chew on his own in the house, but that's not what they're meant for. You use the rope to dangle and animate the ball so you become the most interesting thing on the walk. Then a clear drop command and you're back at whatever task you were working on. It's great to train recall, leave it, and reward for any good behavior. Highly recommend as a training tool, just remember to tighten the rope before you use it. Do not leave these things lying around your house and think you'll have a great result if you have a power chewer. Use as intended and you will be a happy camper!
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Reviewed in the United States on April 24, 2021

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