Teen Vaping: “I Did Not Have Sexual Relations with That Woman”
By some reports, as many as 20 percent of high school students vape. And they often begin in middle school. Juul is the top-selling e-cigarette brand (and very cuul among kids). A single Juul pod can contain as much nicotine as a pack of 20 regular cigarettes. Nicotine harms the developing adolescent brain. Moreover, e-cigarette aerosol is not harmless water vapor. It’s a chemical cocktail that’s inhaled deep into the delicate lungs. We don’t yet know the long-term effects. The Tip of the Teen Vaping Iceberg CDC is in the process of investigating multiple cases of severe pulmonary disease in people who use e-cigarettes. So...
Source: Conversations with Dr Greene - November 7, 2019 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog Teen Behavior vaping Source Type: blogs

Vicodin Withdrawal: Symptoms, Timeline and Treatment
What is Vicodin and What Does It Do? According to MedicineNet, Vicodin is a combination of Hydrocodone and Acetaminophen. Hydrocodone is a narcotic pain-reliever and a cough suppressant, similar to codeine. Hydrocodone blocks the receptors on nerve cells in the brain that give rise to the sensation of pain. Acetaminophen is a non-narcotic pain reliever and fever reducer. Acetaminophen works by elevating the threshold to pain. Essentially, in order for pain to be felt, s greater stimulation of the nerves responsible for the sensation of pain is necessary. It reduces fever through its action on the temperature-regulating ce...
Source: Cliffside Malibu - October 30, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction Recovery Detox Resources for Alcohol and Drugs/Opiates Drug Rehab Information Drug Treatment anxiety in withdrawal vicodin withdrawal symptoms Source Type: blogs

What ’ s on USMLE Step 1?
By BRYAN CARMODY Recently, I was on The Accad and Koka Report to share my opinions on USMLE Step 1 scoring policy. (If you’re interested, you can listen to the episode on the show website or iTunes.) Most of the topics we discussed were ones I’ve already dissected on this site. But there was an interesting moment in the show, right around the 37:30 mark, that raises an important point that is worthy of further analysis. __ ANISH: There’s also the fact that nobody is twisting the arms of program directors to use [USMLE Step 1] scores, correct? Even in an era when you had clini...
Source: The Health Care Blog - October 21, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Education Medical Practice Physicians Bryan Carmody Step 1 USMLE Step 1 Source Type: blogs

What is Vicodin Withdrawal Like?
When someone has an addiction to Vicodin and is ready to become sober, there are many questions that may arise. These can include: Where should I go for treatment? How much will it cost? How long will treatment take? What is Vicodin withdrawal like? Since there are many unknowns when it comes to getting treatment for addiction, it is very important to do research and find out as much as you can. This way, you will feel more prepared when you enter treatment and will be able to become much more comfortable throughout the process. This includes knowing what to expect when you are detoxing from Vicodin and what it might feel...
Source: Cliffside Malibu - October 15, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction to Pharmaceuticals Substance Abuse anxiety in withdrawal detox opioid opioids vicodin withdrawal symptoms Source Type: blogs

The Gazillion Of Health Data You Can Measure
From SWOLF through EDA until heart rate, heart rate variability, respiratory rate, single-lead ECG, period tracking, sleep pattern analyzing: dozens of vital signs demonstrate that there’s no single square centimeter of the human body without quantifiable data. As an experiment, we tried to collect every trackable parameter to draw the boundaries of your “health data self”. Let us know if there’s anything left out. Why is measurement useful? To know thyself The famous ancient Greek aphorism was inscribed on a wall in the Temple of Apollo at Delphi, the oracle, which was believed to tell humans about the plan...
Source: The Medical Futurist - September 26, 2019 Category: Information Technology Authors: nora Tags: Health Sensors & Trackers Personalized Medicine Portable Diagnostics activity blood body brain breathing data fitness health data heart health heart rate lifestyle lung measure measurement meditation quantified self s Source Type: blogs

Breathtaking: The Future Of Respiratory Care And Pulmonology
Smoke-measuring smart shirts, breath sound analyzing algorithms, and smart inhalers pave the way of pulmonology and respiratory care into the future. As the number of patients suffering from asthma, COPD, or lung cancer due to rising air pollution and steady smoker-levels will unfortunately not decrease any time soon, we looked around what technology can do to help both patients and caregivers. The results are breathtaking. Attacks of breathlessness are too common The diseases which pulmonologists and respiratory care specialists attempt to fight are among the most common conditions in the modern world – and the n...
Source: The Medical Futurist - September 25, 2019 Category: Information Technology Authors: nora Tags: Artificial Intelligence Future of Medicine Health Sensors & Trackers AI asthma cancer cancer treatment care COPD diagnostics inhaler lung lung cancer management medical specialty pulmonology respiratory respiratory care Source Type: blogs

Unusual: Troponin Trajectory to Help Determine Ongoing/Recurrent Infarction vs. Completed Infarction.
A 40-something male with no PMH of any kind presented  to urgent care on a weekend (cath team is at home) with cough starting 2 weeks prior and SOB one week prior.He underwent a chest x-ray:As this was consistent with " pulmonary edema vs. viral infection, " and he was transferred to the EDThe faculty physician did an immediate cardiac and lung ultrasound:Many B lines (probable pulmonary edema)Parasternal short axis cardiac ultrasound:The anterior wall is closest to the transducer and shows an obvious wall motion abnormalityFurther history:The patient denied chest pain but stated that he had had about 3 epis...
Source: Dr. Smith's ECG Blog - September 16, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

Bad viruses travel fast: Measles vaccine important for travelers
(This post has been updated with relevant recent information.) The United States was declared free from ongoing measles transmission in 2000. But we may be at risk for joining the UK Greece, Albania, and the Czech Republic, four countries recently stripped of measles elimination status by the World Health Organization. Since the beginning of 2019, more than 1,234 measles cases have been reported in 31 states, with active outbreaks in upstate New York and El Paso, Texas. New York has just declared the end of its yearlong outbreak, which required a massive public health response to control. Minnesota had a major measles outb...
Source: Harvard Health Blog - September 8, 2019 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Health Infectious diseases Prevention Travel health Source Type: blogs

Bad viruses travel fast: Measles vaccine important for travelers
The United States was declared free from ongoing measles transmission in 2000. But we may be at risk for joining the U.K, Greece, Albania, and the Czech Republic, four countries recently stripped of measles elimination status by the World Health Organization. Since the beginning of 2019, more than 1,234 measles cases have been reported in 31 states, with active outbreaks in upstate New York and El Paso, Texas. New York has just declared the end of its yearlong outbreak, which required a massive public health response to control. Minnesota had a major measles outbreak in 2017. In 2015, 125 cases of measles occurred in Cali...
Source: Harvard Health Blog - September 5, 2019 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Health Infectious diseases Prevention Travel health Source Type: blogs

Fight Aging! Newsletter, September 2nd 2019
In conclusion, in the absence of obesity, visceral adipose tissue possesses a pronounced anti-inflammatory phenotype during aging which is further enhanced by exercise. Methods of Inducing Cellular Damage are Rarely Relevant to Aging, and the Details Matter https://www.fightaging.org/archives/2019/08/methods-of-inducing-cellular-damage-are-rarely-relevant-to-aging-and-the-details-matter/ One of the major challenges in aging research is determining whether or not models of cellular or organismal damage and its consequences are in any way relevant to the natural processes of aging. One can hit a brick wit...
Source: Fight Aging! - September 1, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

MKSAP: 64-year-old woman with severe COPD
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old woman is evaluated during a posthospital visit for severe COPD with an FEV1 of 30% of predicted. She has been admitted three times during the last year with acute exacerbations characterized by cough, increase d purulent sputum production, and dyspnea. She […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 31, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Infectious Disease Pulmonology Source Type: blogs

A Large Polypill Clinical Trial Shows a Third Reduction in Cardiovascular Events
The research and medical communities are slow to undertake work on combination therapies. Regulation makes it exceedingly expensive to assess multiple combinations, and there are numerous other perverse incentives to challenge any effort to build combination therapies with components developed and manufactured by different groups. Short of working around the existing system of regulation, and methods of doing this at scale are lacking at the present time, this is a challenging problem to solve. People follow incentives. Given this, it it is entirely plausible that there are many largely unexplored instances in which existi...
Source: Fight Aging! - August 30, 2019 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

MKSAP: 35-year-old man with persistent heartburn
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated during a follow-up appointment for persistent heartburn with chronic cough. He has a 1-year history of gastroesophageal reflux disease and takes pantoprazole twice daily. He reports no nausea, vomiting, or dysphagia. Upper endoscopy performed 1 year […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 10, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs