Be ketotic . . . but only sometime
Achieving ketosis by engaging in a very low-carbohydrate, high-fat lifestyle is an effective means of losing weight, breaking insulin and leptin resistance, reversing type 2 diabetes and fatty liver, reducing blood pressure, reversing the inflammation of visceral fat, and may even cause partial or total remission of selected cancers.
So what’s the problem?
The problem comes when people remain ketotic for extended periods. We know with confidence that long-term ketosis poses substantial risk for health complications because thousands of children have followed ketogenic diets over the years as a means of suppressing in...
Source: Wheat Belly Blog - February 2, 2018 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle Source Type: blogs
Seeds, popcorn, and nuts in diverticulitis: fact and fiction
Diverticulitis is a common and sometimes serious problem that affects several hundred thousand people each year. Diverticulitis is the condition where small outpouchings or “pockets” in the wall of the large intestine called diverticula become inflamed and infected, and typically presents as a constant lower abdominal pain, associated with fever or chills, and often bloating or constipation symptoms. Despite becoming even more common in recent years, not much is understood about why diverticulitis occurs.
The blue arrows highlight small outpouchings in the colon wall, which are called diverticula.
Diet has long been i...
Source: Kevin, M.D. - Medical Weblog - November 2, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/frederick-gandolfo" rel="tag" > Frederick Gandolfo, MD < /a > Tags: Conditions Gastroenterology Infectious Disease Source Type: blogs
Food Fight
Given the void in dietary wisdom due to the ineffectiveness and blunders of “official” dietary advice, there is no shortage of books or diet programs trying to fill that void, many wildly at odds with each other—paleo, Atkins, vegan, vegetarian, high-carb, low-carb, ketogenic, etc.
The U.S. Dietary Guidelines for Americans, the USDA’s MyPlate and food pyramid, and organizations such as the American Heart Association and American Diabetes Association, as well as many of the diet programs in the popular press, I believe, fail to acknowledge several fundamental principles that really need to be address...
Source: Wheat Belly Blog - October 7, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle atkins carbs Fat gluten gluten-free grains low-carb low-fat paleo protein undoctored vegan vegetarian Weight Loss Source Type: blogs
The Prebiotic Fiber Test
If you have excessive gas, bloating, abdominal discomfort, or diarrhea within the first hour of initiating prebiotic fibers to cultivate healthy bowel flora, it is highly suggestive of a condition called small intestinal bacterial overgrowth, or SIBO.
Confirming, then correcting, SIBO will then be a crucial issue in your full health recovery. Failure to correct SIBO can result in greater risk for type 2 diabetes, increased triglycerides, higher blood pressure, emotional disturbances, autoimmune conditions, and increased risk for diverticular disease and colon cancer.
About Undoctored:
We are entering a new age in which t...
Source: Wheat Belly Blog - September 6, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle acid reflux autoimmune Dr. Davis grain-free grains Inflammation prebiotic probiotic resistant starch sibo small intestinal bacterial overgrowth Weight Loss Source Type: blogs
Dr Ferrari
Kevin Williamson wrote a piece last month in the National Review bemoaning the hand wringing he sees occurring across America surrounding the threat of millions of Americans losing their health coverage with the intended repeal of the ACA and its replacement with TrumpCare. He calls this piece: The "Right" to Health Care, with the scare quotes performing the task expected. (What? Did you think you had a "right" to health care when you get sick, silly boy?) appended with the self-answering subtitleThere isn't oneboldly patched in the space before the opening lede.He then goes on to construct a thought experim...
Source: Buckeye Surgeon - June 6, 2017 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Winning the Doctor Lottery
By ANISH KOKA, MD
A poignant piece recently appeared in the journal Health Affairs and was rapidly devoured on social media by the health policy community. The story is a harrowing first person account of a woman’s multiple interactions with doctors. The doctors in the story are either very good or very bad. One pediatrician turns the author and her sick son away on three consecutive days with colic, only to have a more careful partner sound the alarm and discover pyloric stenosis. The author then recounts the tale of her father’s death at age 42 due to a surgeon who operated for diverticulitis unnecessarily.
...
Source: The Health Care Blog - May 30, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Mandate
A few weeks ago I was awakened by a 2 a.m. call from the ED regarding a case of pneumoperitoneum. I barely recall the specifics of the conversation, but I vaguely remember snippets of phrases, words that light the fires and compel immediate action: "free air, tender all over, hypotension". I donned some old scrubs and quickly drove in to the hospital.The patient wasn't much older than me. He looked healthy, had a robust build. No other medical problems. But his vitals were perilously unstable. Heart rate 120's. Blood pressure 70 systolic despite several liters of fluid. The CT showed...
Source: Buckeye Surgeon - May 21, 2017 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs
Appendagitis, a Rare Cause of Abdominal Pain
The differential list of potential causes of abdominal pain is pretty long. Like most differentials, though, it usually boils down to a handful of more common etiologies benign and serious. Potentially life- or organ-threatening conditions such as appendicitis, diverticulitis, or ovarian or testicular torsion simply cannot be misdiagnosed and usually aren't missed.We frequently find ourselves walking into the patient's room at the end of an extensive and exhaustive workup and announcing the good news that the cause of the pain isn't one of these more serious causes. As emergency physicians working in an uncontrolled ...
Source: M2E Too! Mellick's Multimedia EduBlog - May 3, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Should You Take an Anticoagulant for AF? — Applying the 4 questions
This study of nearly 1000 elderly AF patients found that the risk of major bleeding was not different between aspirin and warfarin. I, therefore, side more with the European guidelines. Aspirin confers significant bleeding with either no or minimal stroke prevention effects.
4. What happens if I do nothing?
This is easy. For the patients above, who have two risk factors, the green faces depict what happens if they do nothing. The most likely scenario is that they will not have a stroke (approx 97%) and not have a bleed (98%).
The North American AF treatment guidelines grade the strength of their recommendations. They give ...
Source: Dr John M - April 18, 2017 Category: Cardiology Authors: Dr John Source Type: blogs
Research and Reviews in the Fastlane 162
Welcome to the 162nd edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 5 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check o...
Source: Life in the Fast Lane - November 30, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Clinical Research Education Emergency Medicine R&R in the FASTLANE Toxicology and Toxinology EBM literature recommendations research and reviews Source Type: blogs
Research and Reviews in the Fastlane 125
Welcome to the 125th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check ou...
Source: Life in the Fast Lane - March 10, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology ECG Emergency Medicine Gastroenterology Intensive Care R&R in the FASTLANE critical care EBM Education literature recommendations research and reviews Source Type: blogs
“"I enjoy the fact that colorectal surgery allows you...
""I enjoy the fact that colorectal surgery allows you to care for patients in a broad manner. I can help someone with hemorrhoids, ameliorate symptoms of Crohn's disease or diverticulitis, or cure someone of colorectal cancer or ulcerative colitis," says dpopsmd, a colorectal surgeon on Figure 1. By sharing cases from a variety of categories, including gastroenterology and geriatrics, dpopsmd has captured the attention of our global community. To see colorectal surgery cases like this, follow "dpopsmd" on Figure 1." By figure1 on Instagram Posted on infosnack. (Source: Kidney Notes)
Source: Kidney Notes - February 22, 2016 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
Research and Reviews in the Fastlane 120
Welcome to the 120th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check ou...
Source: Life in the Fast Lane - February 3, 2016 Category: Emergency Medicine Authors: Soren Rudolph Tags: Anaesthetics Clinical Research Education General Surgery Ophthalmology Pediatrics Pharmacology Pre-hospital / Retrieval R&R in the FASTLANE Resuscitation Trauma critical care emergency Emergency Medicine recommendations resea Source Type: blogs
Research and Reviews in the Fastlane 116
This article raises the question of how important MIC is and whether we should be developing and testing alternate ways to assess antibiotic efficacy.
Recommended by: Anand Swaminathan
Emergency Medicine
Piazza G et al. A Prospective, Single-Arm, Multicenter Trial of Ultrasound-Facilitated, Catheter-Directed, Low-Dose Fibrinolysis for Acute Massive and Submassive Pulmonary Embolism: The SEATTLE II Study. JACC Cardiovasc Interv 2015; 24;8(10):1382-92. PMID: 26315743
This is simple prospective data on a highly selected group of patients with massive or sub massive PEs. There were almost as many authors as patients here...
Source: Life in the Fast Lane - January 6, 2016 Category: Emergency Medicine Authors: Nudrat Rashid Tags: Airway Anaesthetics Cardiology Education Emergency Medicine Infectious Disease Intensive Care Pediatrics Radiology Respiratory critical care examination R&R in the FASTLANE recommendations research and reviews Resuscitation Source Type: blogs
