6 Amazing Benefits of Intermittent Fasting
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I started doing intermittent fasting five years ago after doctors told me to quit the gym for a year. I had injured my abs and back, and doctors advised me not to exercise, not even do cardio, till I`m fully recovered.
Things went down from there since all I was doing, besides work, was eat anything I can get my hands on (I`m a foodie, or that`s how I used to think of myself.) I gained 50 pounds in no time, and I ha...
Source: PickTheBrain | Motivation and Self Improvement - July 10, 2018 Category: Consumer Health News Authors: Marwan Jamal Tags: featured health and fitness self improvement best health advice fitness and health Intermittent Fasting Weight Loss Practices Source Type: blogs
Which of these patients should get a liver transplant?
People with liver failure and cirrhosis die every year because there are not enough livers available. Who should receive the treasured life-saving organ? There is an organ allocation system in place, which has evolved over time, which ranks patients who need liver transplants. Without such a system, there would be confusion and chaos. How can we fairly determine who should receive the next available liver? What criteria should move a candidate toward the head of the line? Age? Medical diagnoses? Insurance coverage? Employment status? Worth to society? Criminal record?
Consider the following six hypothetical examples of pat...
Source: Kevin, M.D. - Medical Weblog - July 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michael-kirsch" rel="tag" > Michael Kirsch, MD < /a > Tags: Conditions Gastroenterology Source Type: blogs
Tropical Travel Trouble 009 Humongous HIV Extravaganza
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 009
The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with a low ...
Source: Life in the Fast Lane - July 7, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
Michelle ’ s Wheat Belly health and weight transformation
Michelle shared her Wheat Belly transformation in health and weight, something that none of her doctors helped accomplish. She accomplished all this on her own–with spectacular results: thinner, no longer a diabetic, reversed fatty liver, rashes, and hormonal distortions.
“Just wanted to share how unhealthy I was pre-Wheat Belly. I did not feel well and had diabetes, high liver enzymes, high cholesterol including high triglycerides, high ferritin levels, rashes and too many other things to mention.
“I started Wheat Belly because my life depended on it. Don’t let your health get that far. I hav...
Source: Wheat Belly Blog - June 28, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates diabetes facial change Inflammation undoctored Weight Loss wheat belly Wheat Belly Total Health Source Type: blogs
Funtabulously Frivolous Friday Five 241
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 241.
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Question 1
Which family shares 4 Nobel prizes? A Nobel prize between wife and husband, followed by a second prize for the wife and a later prize to their daughter.
Reveal Answer
expand(docu...
Source: Life in the Fast Lane - June 14, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five battle of troy burkholderia mallei cannabis cirrhosis CPR greek soldiers irene joliot-curie kiss of life marie curie moroccan fishermen nobel prize peter safar pierre curie pseudomonas mallei Rene Laenne Source Type: blogs
MKSAP: 35-year-old woman is evaluated for intermittent fever
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 35-year-old woman is evaluated for intermittent fever, sweats, fatigue, and dull midchest pain of 2 weeks’ duration. Medical history is significant for liver transplantation 6 months ago for primary biliary cirrhosis; she was seronegative for cytomegalovirus and Epstein-Barr virus, and her donor was positive for both. Results of pretransplant testing for tuberculosis were negative. She received valganciclovir prophylaxis for 3 months after transplantation. Medications are tacrolimus, prednisone, mycophen...
Source: Kevin, M.D. - Medical Weblog - May 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Allergies & Immunology Infectious Disease Source Type: blogs
Insurance denials: the law of the land
It all started out with Malaysian methimazole, and didn’t end until two highly trained medical professionals sat on opposite ends of a telephone call, scratching their heads and wondering how two digits being transposed could lead to so many problems.
Those two transposed digits caused a thyroid uptake scan to become a bone marrow scan (whatever that is). But look at all it took to get there.
Mystery illness, mystery medicine
It started when a new patient came to see one of my colleagues with a mystery illness, and a medication in a pill bottle with a label in another language.
After figuring out what this medicine w...
Source: Kevin, M.D. - Medical Weblog - May 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Primary Care Source Type: blogs
Eponymythology: Atraumatic Abdominal Ecchymosis
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Overview
We review the original descriptions of 5 eponymous signs (n=6) associated with non-traumatic abdominal ecchymosis.
These commonly cited eponyms involving the abdominal wall and flanks (Grey Turner, Cullen and Stabler); scrotum (Bryant) and upper thigh (Fox) may be useful clues directing the examiner to consider potentially serious causes of abdominal pathology.
Cullen sign
Thomas Stephen Cullen (1869–1953) was a Canadian gynecologist
Non-traumatic peri-um...
Source: Life in the Fast Lane - April 18, 2018 Category: Emergency Medicine Authors: Mike Cadogan Tags: Eponymythology Abdominal Ecchymosis Bryant sign Cullen sign fox sign Francis Edward Stabler George Grey Turner Grey Turner sign John Adrian Fox John Henry Bryant Stabler sign Thomas Stephen Cullen Source Type: blogs
Better Understanding Why the Liver is a Highly Regenerative Organ
In adult mammals, the liver is the most regenerative organ, capable of significant regrowth following injury. Why is this the case? Researchers here point to a small subset of liver cells in mice that are distinguished by telomerase expression, and while mice and humans have quite different telomerase and telomere dynamics, indirect evidence suggests that a similar population may exist in our species. Significant telomerase expression is the characteristic of stem cells that allows for unlimited replication: telomerase acts lengthen telomeres, the caps at the ends of chromosomes that shorten with each cell division. When t...
Source: Fight Aging! - April 6, 2018 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
The cirrhosis chalk talk
Some days on ward rounds we have time for relatively short chalk talks. Over the years I have developed many. Learners seem to like this one in particular.
We start with this question – name complications that cirrhotic patients develop for which we have secondary prevention. Knowing this list and the associated drugs allows us to peruse the drug list to add to the PMH when it is not readily available.
Here is my list:
Esophageal varices – most patients with significant varices are taking a non-specific beta blocker. More recently evidence suggests that carvedilol might be better than propranolol or nad...
Source: DB's Medical Rants - April 2, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
MKSAP: 57-year-old man with chronic hepatitis C infection
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 57-year-old man is evaluated during a routine examination. His medical history is notable for chronic hepatitis C infection with cirrhosis, which was diagnosed 3 years ago. He undergoes surveillance ultrasound for hepatocellular carcinoma every 6 months.
On physical examination, temperature is 36.8 °C (98.2 °F), blood pressure is 110/82 mm Hg, pulse rate is 65/min, and respiration rate is 18/min; BMI is 22. Muscle wasting and scleral icterus are noted. There is no flank dullness and no asterixis.
Ultrasound ...
Source: Kevin, M.D. - Medical Weblog - March 31, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Gastroenterology Oncology/Hematology Source Type: blogs
Uncontrollable itching – part II
As we heard the history we stopped, prior to hearing the exam and labs, and developed a differential diagnosis. With the combination of itching, probable jaundice and pale stools we assume either intrahepatic or extrahepatic obstruction. Our differential diagnosis with commentary:
Primary biliary cirrhosis – much more common in women then men – but does often present at this age with uncontrollable itching
Primary sclerosing cholangitis – no history of ulcerative colitis or diarrhea symptoms, but still possible
Gallstone – not all common duct stones cause pain
Cholangiocarcinoma – ...
Source: DB's Medical Rants - March 20, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
“ I have a wheat intolerance ”
I hear this comment with some regularity when, for instance, someone recognizes me as the author of the Wheat Belly series. This is a step in the right direction.
But saying that you have a wheat intolerance is like saying “I have a tobacco intolerance.” The impact of tobacco smoking on health ranges from mild impairment, to incapacitating diseases such as chronic lung disease and abdominal aortic aneurysms, to death. A rare person escapes the ravages of years of smoking, but most people develop at least one, if not half-a-dozen, health problems from cigarettes.
And so it goes with wheat: It’s a rare pers...
Source: Wheat Belly Blog - March 17, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle gluten gluten-free grain grain-free grains health Inflammation Source Type: blogs
Many medical nouns need adjectives
Last week on twitter I wrote a series of tweets about necessary qualifiers. Here are the tweets which represent an incomplete sample of the problem:
1st tweet on importance of qualifiers w/ “diagnoses”
Do not label the patient as COPD exacerbation without saying why: Differential includes acute bronchitis, pneumonia, pneumothorax, left side heart failure, anemia, opiates, PE etc.
2nd qualifier tweet – Never tell me the patient has CKD without giving me the stage and the cause. Corollary – do not give me the eGFR for patients with AKI – the estimates do not work with increasing creatinine levels...
Source: DB's Medical Rants - March 5, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
