Why this immunocompromised doctor wants you to stay home
I am a middle-aged gastroenterologist almost 15 years out of training. I have a chronic medical disease and had a bout with lymphoma two years ago, both of which require me to stay indefinitely on immunosuppressive drugs. I am certainly not the only health care worker who is scared. Most winters that I will contract […]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 - March 21, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs

Viruses Are Not Quite Alive and Not Quite Dead, and Other Things to Know About COVID-19
What they are capable of is replicating and adapting, and each virus has a unique way of doing that. Viruses are programmed to detect particular surface proteins or channels on the outside of a cell, and make their way in via the favored route. A Cellular Doorway For COVID-19, the favorite avenue to cellular entry appears to be the ACE-2, or angiotensin-converting enzyme 2, receptor. This part of the cell plays a role in regulating blood pressure. Major areas of the body that produce high amounts of cells with ACE-2 receptors include the lungs, the heart and the GI tract. Cells within the lungs contain type 2 pneumocytes w...
Source: Conversations with Dr Greene - March 20, 2020 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog Coronavirus COVID COVID-19 Source Type: blogs

“ Fear ” could be a more deadly virus than Corona !
Viruses are essentially lifeless molecules (A nucleic acid RNA/DNA) .In the case of CoRoNA, it is the inbuilt RNA that acts as a commander in mischief. Ironically, it gets to life only when it attaches to the host cell. How a small bit of nucleic acid with a lipid cap infects a cell and becomes a deadly factory of new viruses and spread through the body remains a deep biological mystery. Someone asked me , “Can we kill the Corona en masse”? The answer is frighteningly simple, we can’t kill them really, because they don’t have life in the first place. At best, we can deactivate or make it dormant and...
Source: Dr.S.Venkatesan MD - March 14, 2020 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs

E-luminations: Racing Cars Helps Me Live With Degenerative Swallowing Disorder
It’s not often that a person growing up among the cotton fields of southwest Oklahoma goes on to become a successful manager of global technology companies, but Leland White is not your average person. During his career, he built and managed semiconductor manufacturing plants around the world and provided management consulting services to large corporations and federal agencies. After a successful business career, he retired in Colorado to pursue two passions: downhill skiing and high-performance driving. Referred to by family and friends as “Lee,” he turned 78 last spring. I talked to Lee about the challenges he...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - March 11, 2020 Category: Speech-Language Pathology Authors: Sharon Baker Tags: Health Care Slider Speech-Language Pathology Dysphagia Swallowing Disorders Source Type: blogs

This patient is more than just a street person
When I first landed this job as a case manager (social worker), I was given Robert R. as a client. He was at his worst then, soiling himself virtually every day, with no change of clothing available. I remember him wearing a piece of colored cloth around his waist, which served as a belt. When […]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 - March 11, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/raymond-abbott" rel="tag" > Raymond Abbott < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs

Peanut allergy: A new medicine for children may offer protection
Of all food allergies, which affect between 5% and 8% of US children, peanut allergy is the one most likely to cause anaphylaxis, a serious type of allergic reaction. For a child with a peanut allergy, eating one peanut can literally be fatal. “When you have an allergy,” says Andrew MacGinnitie, MD, PhD, clinical director of the division of immunology at Boston Children’s Hospital, “your body sees the thing you are allergic to as dangerous. So your immune system tries to protect you by causing hives, vomiting, and other symptoms.” The body does this by releasing histamine and other chemicals that are designed to ...
Source: Harvard Health Blog - March 11, 2020 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Allergies Children's Health Parenting Source Type: blogs

MKSAP: 36-year-old man with abdominal cramping, diarrhea, malaise, and nausea
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He returned 2 weeks ago from a 7-day trip to Lima, Peru. On physical examin ation, temperature is 37.7 […]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 - March 7, 2020 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 Infectious Disease Source Type: blogs

6 months of probation: Taking care of someone with alcohol-related liver disease
“Are you my doctor?” Mary* asked me, as I, a resident physician, approached her bed.“Yes, I am one of the primary medical doctors taking care of you here,” I confirmed with my standard, pre-scripted introduction — with little appreciation of the implications of these words. Mary was a 30-something-year-old woman who transferred to our […]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 - March 5, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/pooja-yerramilli" rel="tag" > Pooja Yerramilli, MD < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs

10 Ways Technology Is Changing Healthcare
The future of healthcare is shaping up in front of our very eyes with advances in digital technologies, such as artificial intelligence, VR/AR, 3D-printing, robotics or nanotechnology. We have to familiarize with the latest developments in order to be able to control technology and not the other way around. The future of healthcare lies in working hand-in-hand with technology and healthcare workers have to embrace emerging technologies in order to stay relevant in the coming years. Be bold, curious and informed! Are you afraid that robots will take over the jobs of nurses, doctors and other healthcare professionals? Are y...
Source: The Medical Futurist - March 3, 2020 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine 3d printing AI artificial intelligence augmented reality genetics Health Healthcare nanotechnology Personalized medicine pharma pharmacology robotics virtual reality wearables GC1 Source Type: blogs

Wheat is not sexy
Here’s another excerpt from my new Revised & Expanded Edition of Wheat Belly, taken from chapter 16, Mr. and Mrs. Wheat Belly: LOOK DOWN AND YOU SHOULD immediately get an idea of where your sexual preferences lay. Well, at least a rough idea. The unnatural situation created when humans try to consume the seeds of grasses, packed with disrupters of human hormones, undo some of those anatomical, pre-programmed tendencies. Once again, eating things that should never have made it onto the human dietary menu defies the script written into our genetic codes, expressed as painful menstrual cycles, excessive body hair, i...
Source: Wheat Belly Blog - March 1, 2020 Category: Cardiology Authors: Dr. Davis Tags: Open Source Type: blogs

As coronavirus spreads, many questions and some answers
The rapid spread of the coronavirus now called COVID-19 has sparked alarm worldwide. The World Health Organization (WHO) has declared a global health emergency, and many countries are grappling with a rise in confirmed cases. In the US, the Centers for Disease Control and Prevention (CDC) is advising people to be prepared for disruptions to daily life that will be necessary if the coronavirus spreads within communities. Below, we’re responding to a number of questions about COVID-19 raised by Harvard Health Blog readers. We hope to add further questions and update answers as reliable information becomes available. Does t...
Source: Harvard Health Blog - February 27, 2020 Category: Consumer Health News Authors: Todd Ellerin, MD Tags: Children's Health Cold and Flu Infectious diseases Men's Health Women's Health Source Type: blogs

The art of diagnosis is like a riddle
“I have a riddle,” Paul says, as the dining room falls silent.“You’re at the bottom of the stairs. And on the wall, there are three light switches labeled one, two, and three. There’s a room upstairs with three lamps, labeled X, Y, and Z. You can turn on and off as many switches as […]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 - February 26, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/raj-waghmare" rel="tag" > Raj Waghmare, MD < /a > < /span > Tags: Physician Emergency Medicine Gastroenterology Source Type: blogs

Post #47 How to Optimally Utilize Tamiflu
Every year in the United States, the CDC estimates that influenza results in between 9 million – 45 million illnesses, between 140,000 – 810,000 hospitalizations, and between 12,000 – 61,000 deaths (approximately 100  – 200 being pediatric fatalities). In the United States, the immense disease burden of the flu is unparalleled with any other pathogen, but fortunately there is a vaccine and antiviral medications which help to mitigate the yearly morbidity and mortality wrought by influenza.Because the flu changes its shape every year by a process called antigenic shift and drift, i...
Source: A Pediatrician's Blog - February 22, 2020 Category: Pediatrics Source Type: blogs

C. difficile (C. diff): An urgent threat
Clostridioides (previously Clostridium) difficile (C. diff) is the most common cause of diarrhea among hospitalized patients and the most commonly reported bacteria causing infections in hospitals. In a 2019 report, the CDC referred to C. diff as “an urgent threat.” Who is most at risk? C. diff infection (CDI) occurs more commonly following antibiotic therapy or hospitalization, and among older adults or patients with weakened immune responses. In 2002, an epidemic strain of C. diff emerged, causing more severe disease with inflammation of the colon (colitis) and an increase in deaths. This strain adheres better to the...
Source: Harvard Health Blog - February 20, 2020 Category: Consumer Health News Authors: Lou Ann Bruno-Murtha, DO Tags: Digestive Disorders Health Infectious diseases Prevention Source Type: blogs

SmartTab Wireless Pill for Targeted Drug Delivery: Interview with CEO Robert Niichel
Velóce Digital Health is working to make pills smarter. The Denver, Colorado company is developing the SmartTab, an ingestible capsule that can be wirelessly controlled via a smartphone to release its contents at precise locations within the gastrointestinal system. SmartTab CEO Robert Niichel “The idea is that [with] the smart capsule, you will have precision medicine and delivered to a very targeted area,” says Robert Niichel, Founder and CEO. This approach, he points out, could reduce drug dosages, adverse effects, and improve patient outcomes. SmartTab works using several key technological features. The ...
Source: Medgadget - February 10, 2020 Category: Medical Devices Authors: Cici Zhou Tags: Exclusive Geriatrics Informatics Medicine Psychiatry Public Health Source Type: blogs