Podcast: Is Happiness a Choice?
Are you sad? Just be happy! Does this irritate you? In today’s show, Gabe and Lisa ponder whether happiness really is a choice — especially for people who struggle with mental illness. How do we measure happiness? And what is happiness inflation? Join us for an in-depth conversation on whether or not people can actually choose happiness. (Transcript Available Below) Please Subscribe to Our Show: And We Love Written Reviews!  About The Not Crazy podcast Hosts Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, Mental Illness is an Asshole a...
Source: World of Psychology - October 6, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: General Happiness Mental Health and Wellness Not Crazy Podcast Source Type: blogs

Podcast: Life with Binge Eating Disorder
  At one point, Gabe weighed more than 550 pounds. Today, he and Lisa remember and discuss the extreme pain and slow healing process of living with binge-eating disorder. Gabe shares his shame in being so overweight, his intense relationship with food, the story of his gastric bypass and the difficult process of learning new coping mechanisms. How did Gabe’s bipolar and panic attacks tie in with his binge eating? And, importantly, how is he managing the illness today? Join us for an open and honest discussion on living with an eating disorder. (Transcript Available Below) Please Subscribe to Our Show: And We Lov...
Source: World of Psychology - July 21, 2020 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Binge Eating Disorders Eating Disorders General Not Crazy Podcast Source Type: blogs

I Joined Twitter to Teach
I joined Twitter to teach. In May 2016, I started tweeting “questions of the day” for my inpatient hospital medicine team at Thomas Jefferson University Hospital from @RJmdphilly. #GreenQOD (“Green” is our teaching service, and “QOD” for question of the day) was born in the days of only 140 characters per tweet (now expanded to 280), which placed a potentially daunting onus on brevity in phrasing—and answering—clinical questions. My inaugural question? “What’s the real story with beta blockers in reactive airway disease? If increase risk is real, how do you balance risk/benefit?” Rules of t...
Source: Academic Medicine Blog - June 30, 2020 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective social media teaching Twitter Source Type: blogs

Weight loss can help head off lasting damage caused by fatty liver
Non-alcoholic fatty liver disease is the most common cause of liver disease in the United States, and is estimated to affect up to a quarter of adults in the world. It is defined by excess fat accumulating in the liver and usually occurs in people with obesity, high blood sugars (diabetes), abnormal cholesterol or triglyceride levels, or high blood pressure. These disorders often run together and as a group are called metabolic syndrome. The “non-alcoholic” part of “non-alcoholic fatty liver disease” is important to distinguish it from alcohol-related liver disease, which can also cause excess liver fat. How fat ca...
Source: Harvard Health Blog - April 30, 2020 Category: Consumer Health News Authors: Irun Bhan, MD Tags: Diet and Weight Loss Digestive Disorders Source Type: blogs

Weight-loss surgery may lower risk of heart disease in people with diabetes
Obesity is a serious, chronic, treatable, and global disease epidemic. Over 98 million people currently have the disease of obesity, and in a recent New England Journal of Medicine article, Harvard researchers predicted that by 2030, 50% of the population in the United States will have the disease of obesity. Type 2 diabetes (T2D) is significantly associated with obesity. While many people with obesity do not have diabetes, most people with T2D have the disease of obesity. Excess adiposity (body fat storage), which is present in obesity, contributes to many chronic diseases beyond T2D. These include high blood pressure, he...
Source: Harvard Health Blog - April 16, 2020 Category: Consumer Health News Authors: Angela Fitch, MD Tags: Diabetes Diet and Weight Loss Health Heart Health Surgery Source Type: blogs

Podcast | Chronic Illness and Depression
 After receiving two chronic illness diagnosis by the age of 24, it really was no surprise that host Jackie Zimmerman also started to experience depression. Unable to tackle both, Jackie chose to focus on her physical health, letting her mental health deteriorate quickly — and dangerously. In this episode, we discuss the mind-body connection and how when your body is sick, your mind can quickly follow.   (Transcript Available Below) SUBSCRIBE & REVIEW About The Not Crazy Podcast Hosts Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book...
Source: World of Psychology - December 2, 2019 Category: Psychiatry & Psychology Authors: Not Crazy Podcast Tags: Antidepressant Depression Medications Not Crazy Podcast Stress Suicide Trauma Source Type: blogs

Bariatric surgery . . . . for kids?!
  That’s precisely what the American Academy of Pediatrics (AAP) is recommending: more weight loss surgery for overweight kids. This sort of perverted advice reflects the deep and widespread failure of the healthcare system to address nutrition and health, resorting instead to an awful surgical “solution” that, contrary to the AAP’s declaration that it is a proven safe option, is filled with complications, nutritional deficiencies, dysbiotic alterations in bowel flora, hormonal disruptions, and—not all that rarely—death. (Granted that it was over 10 years ago, but the first patient ...
Source: Wheat Belly Blog - October 31, 2019 Category: Cardiology Authors: Dr. Davis Tags: Open bariatric surgery gastric bypass lap bad Weight Loss wheat belly Source Type: blogs

High Risk Surgical Patients Have Lower Mortality Rates at Major Teaching Hospitals
I firmly believe that it's important to get oneself to a major teaching hospital if you fall into the category of a high risk, general surgery patient. A recent article put some numbers to this advice (see:High risk patients have lower mortality rates at major teaching hospitals). Below is an excerpt from the article:New research published in the Annals of Surgery shows that high-risk general surgery patients have greater survival rates at major teaching hospitals than at non-teaching hospitals....The 30-day mortality rate for these high-risk patients was 15.9% at major teaching hospitals, compared with 18.2% at ...
Source: Lab Soft News - October 30, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Delivery Hospital Financial Medical Research Population Health Public Health Quality of Care Source Type: blogs

Podcast: Bad Habits and Vices Related to Mental Illness
 Everyone has bad habits. Even your sainted Granny who seems perfect to you has some bad habit that only your grandfather knows about. Bad habits, like everything, exist on a spectrum, from biting your nails to snorting cocaine – and everything in between. In this episode, our hosts discuss bad habits that many people with mental illness seem to have – from smoking, to alcoholism, to drug use and, you guessed it, everything in between.   SUBSCRIBE & REVIEW “90% of people with schizophrenia smoke.” – Michelle Hammer   Highlights From ‘Bad Habits Mental Illness’’ Episode [0:...
Source: World of Psychology - April 15, 2019 Category: Psychiatry & Psychology Authors: A Bipolar, a Schizophrenic, and a Podcast Tags: A Bipolar, A Schizophrenic, and a Podcast Addiction Habits Schizophrenia Stress Source Type: blogs

Confusion after gastric bypass with Roux-en-Y
At at recent case conference, we discussed a woman who had had a gastric bypass 20 years previously, and now had confusion. To remind you of the details of a gastric bypass: First, a small stomach pouch, approximately one ounce or 30 milliliters in volume, is created by dividing the top of the stomach from the rest of the stomach. Next, the first portion of the small intestine is divided, and the bottom end of the divided small intestine is brought up and connected to the newly created small stomach pouch. The procedure is completed by connecting the top portion of the divided small intestine to the small intestine furt...
Source: DB's Medical Rants - April 1, 2019 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

How to Use MRI for Measuring Liver Fat Levels in Patients Who Have Undergone Bariatric Surgery
Magnetic resonance imaging (MRI) is an effective method for measuring liver fat levels in obese patients who undergone weight loss surgery, according to researchers from the University of Wisconsin School of Medicine and Public Health.In their  studyrecently published inRadiology, the researchers set to out to determine how bariatric surgery influences changes in liver fat. Gastric bypass and sleeve gastrectomy have successfully helped obese patients lose weight. However, physicians are mostly in the dark about how these surgeries lower liver fat, since it ’s challenging to quantify liver fat non-invasively, and biopsie...
Source: radRounds - December 28, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs

Weight Loss Implant Simulates Food Inside Stomach
There are millions of clinicians fighting on the front lines of the obesity epidemic every day, but there doesn’t seem to be a winning strategy. The population of seriously overweight people around the world is rising and will soon reach one billion. At the University of Wisconsin-Madison researchers may have a technological, drug-free solution to the problem for many of those afflicted. The team developed a tiny battery-free implant that’s only about a centimeter across, which stimulates the vagus nerve, and in turn the brain. The device is attached to the stomach, which it can sense moving, as happens when fo...
Source: Medgadget - December 20, 2018 Category: Medical Devices Authors: Editors Tags: GI Medicine Neurology Rehab Source Type: blogs

PCOS: A man-made situation
Most mainstream doctors believe that polycystic ovary syndrome, PCOS, is a disease. PCOS is, after all, associated with markedly increased risk for type 2 diabetes, hypertension, endometrial cancer, and heart disease, in addition to outward signs that include excessive facial and body hair, tendency to being overweight or obese, irregular menstrual cycles, infertility. A crisis of self esteem commonly and understandably results. Mainstream doctors tell you to not worry because they have plenty of prescription drugs to “treat” it, not to mention various hormones, fertility procedures, and gastric bypass. PCOS is a situa...
Source: Wheat Belly Blog - September 6, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates acne facial change facial hair gluten-free grain-free grains Inflammation pcos polycystic ovary testosterone undoctored Weight Loss wheat belly Source Type: blogs

MKSAP: 49-year-old woman with obesity, hypertension, and type 2 diabetes mellitus
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 49-year-old woman is evaluated during a follow-up visit. She is overweight and has hypertension and type 2 diabetes mellitus, both of which are well controlled. For several years, she has attempted to lose weight through various commercial diets; dietician-monitored, calorie-restricted diets; and physical activity. She has worked with a behavioral therapist, and although she has not achieved weight loss, her weight has remained stable. She exercises 30 minutes daily. Medical history is also remarkable for glau...
Source: Kevin, M.D. - Medical Weblog - September 1, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Obesity Primary Care Source Type: blogs

My exit ramp from medicine
One day, I was full of moderate despair, overworked, befuddled by the EHR with a tinge of burnout, staring at my computer, I treated myself to something I’ve not done before. It was my 62nd birthday that day, and I gave myself a birthday present. Before rising from that swivel chair, I had written down on a sticky pad the day that would be my retirement date, exactly one year after the expiration of my contract which I would be willing to extend no more than another year. We try to keep ourselves productive in life because it is finite. Having my professional years identifiably finite would keep the remaining time focuse...
Source: Kevin, M.D. - Medical Weblog - July 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/richard-plotzker" rel="tag" > Richard Plotzker, MD < /a > Tags: Physician Endocrinology Practice Management Source Type: blogs