The Truth About Food Intolerances
  Ever since the 1990s, food intolerances are proving to be a rapidly growing problem: intolerances to nightshades, so-called FODMAPs, fructose, histamine-containing foods and others. But why? And does just eliminating the food solve the problem? We need to view food intolerances as a warning sign of the process that causes food intolerances in the first place: disruptions of bowel flora and especially small intestinal bacterial overgrowth, SIBO. Unrecognized or ignored and SIBO can lead over time to weight gain, type 2 diabetes, autoimmune conditions, neurodegenerative diseases, even gastrointestinal cancers. Recogni...
Source: Wheat Belly Blog - November 5, 2021 Category: Cardiology Authors: Dr. Davis Tags: Open defiant health food intolerances podcast super gut Source Type: blogs

Digital Health Interests Of Pharma Giants Boehringer Ingelheim, Takeda, Astrazeneca, Amgen And Roche
With their extending reaches, resources and influence, pharmaceutical heavyweights have the potential to shape the digital health landscape to line up with their interests. And to have a better picture of where those interests lie, it is worth taking a look at what moves pharma giants are making in this sphere. With this in mind, we started a series of articles focusing on the digital health efforts of 14 global pharma companies.  The first article explored developments coming from Johnson & Johnson, Pfizer, Bayer and Novartis, while the second article investigated those coming from Merck, GlaxoSmithKline, AbbV...
Source: The Medical Futurist - November 4, 2021 Category: Information Technology Authors: Pranavsingh Dhunnoo Tags: TMF Artificial Intelligence in Medicine Digital Health Research Future of Pharma sleep patient empowerment pharmaceutics roche MySugr Astra-Zeneca DTx takeda Boehringer Ingelheim Amgen digitisation Quire.ai Renalytix Eko Source Type: blogs

Food Intolerances: A Warning of Bad Things Ahead
I’ve recently discussed how the majority of food intolerances, whether to FODMAPs, histamine, nightshades, fructose, etc., are really manifestations of dysbiosis and SIBO. Here is another way to view these phenomena: Food intolerances are your body’s signal to you that serious deterioration in your health is coming. In other words, if all you do is choose to reduce or eliminate the offending food, you are still left with the massive disruption of your intestinal microbiome that caused the food intolerance in the first place, along with increased intestinal permeability and endotoxemia. So say you eliminate ferm...
Source: Wheat Belly Blog - November 1, 2021 Category: Cardiology Authors: Dr. Davis Tags: Open microbiota prebiotic probiotic sibo small intestinal bacterial super gut undoctored wheat belly Source Type: blogs

Gastroenterology Embraces Artificial Intelligence
AI and machine learning have the potential to redefine the management of several GI disorders.John Halamka, M.D., president, Mayo Clinic Platform, and Paul Cerrato, senior research analyst and communications specialist, Mayo Clinic Platform, wrote this article.Colonoscopy is one of the true success stories in modern medicine.Studies have demonstrated that colonoscopy screening detects the cancer at a much earlier stage, reducing the risk of invasive tumors and metastatic disease, andreducing mortality. However, while colorectal cancer is highly preventable, it is thethird leading cause of cancer-related deathsin the U.S. A...
Source: Life as a Healthcare CIO - October 13, 2021 Category: Information Technology Source Type: blogs

Potassium channel suppressed in hypokalemia – Cardiology MCQ – Answer
Potassium channel suppressed in hypokalemia – Cardiology MCQ – Answer Potassium channel suppressed in hypokalemia – Correct answer: 1. Ikr Prolongation of action potential duration in hypokalemia is due to inhibition of the outward potassium current. IKr, the rapid component of the delayed rectifier potassium current, is markedly suppressed in hypokalemia. There is rapid inactivation of IKr during repolarization. Downregulation of IKr occurs in chronic hypokalemia. In addition chronic hypokalemia causes internalization of IKr channels, reducing their surface density on the plasma membrane. Prolongation...
Source: Cardiophile MD - October 9, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?
Written by Pendell MeyersA man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. He had active chest pain at the time of triage at 0137 at night, with this triage ECG:I sent this ECG, without any text at all, to Dr. Smith, and he replied: " LAD OMI with low certainty. V3 is the one that is convincing. " After his response I sent him the baseline ECG (below), still with no context at all except that this was his prior ECG:Dr. Smith replied: " Now high certainty. By the way,...
Source: Dr. Smith's ECG Blog - October 5, 2021 Category: Cardiology Authors: Pendell Source Type: blogs

A Man With Sudden Onset of Gastroparesis
By HANS DUVEFELT Leo Dufour is not a diabetic. He is in his mid 50s, a light smoker with hypertension and a known hiatal hernia. He has had occasional heartburn and has taken famotidine for a few years along with his blood pressure and cholesterol pills. Over the past few months, he started to experience a lot more heartburn, belching and bloating. Adding pantoprazole did nothing for him. I referred him to a local surgeon who did an upper endoscopy. This did not reveal much, except some retained food in his stomach. A gastric emptying study showed severe gastroparesis. The surgeon offered him a trial of metoclopra...
Source: The Health Care Blog - September 16, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Hans Duvefelt Source Type: blogs

Is There A Place For Facebook In Healthcare?
Data privacy scandals, help in rigging elections, spreading fake news on COVID and vaccines: Facebook has been through a lot and users are not happy with the social media giant’s performance. However, Mark Zuckerberg’s company does not only have a political and social impact, but it’s also getting quite relevant in healthcare. We looked around what Facebook currently does in healthcare and evaluated whether those are viable ways to follow in the future. Facebook: from trust issues to healthcare The social media machine built on “sophisticated, computer-driven engines for extracting users’ person...
Source: The Medical Futurist - September 7, 2021 Category: Information Technology Authors: berci.mesko Tags: Bioethics Security & Privacy AI facebook future Health Healthcare Innovation social media technology VR fake news smart healthcare Mark Zuckerberg Source Type: blogs

Update on management of the acute abdomen in critically ill patients
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - August 11, 2021 Category: Internal Medicine Tags: critical care gastroenterology hospital medicine Source Type: blogs

Why do we liberally record ECGs? And what do you think the angiogram showed?
Discussion:This ECG is Aslanger ' s pattern, and the angiogram is exactly what you expect with this ECG pattern, including the inferior OMI attributed to circumflex (more often than RCA).This pattern was recently published in J Electrocardiology: Aslanger and others (including Smith).  A new electrocardiographic pattern indicating inferior myocardial infarction.  https://pubmed.ncbi.nlm.nih.gov/32526537/This newly recognized ECG pattern is defined as:(1) any STE in III (with reciprocal STD in aVL), but not in other inferior leads, (2) STD in any of leads V4 to V6, (but not in V2) with a positi...
Source: Dr. Smith's ECG Blog - August 10, 2021 Category: Cardiology Authors: Steve Smith Source Type: blogs

The pancreas of the future?
Hidden in the epigastric region of the abdomen concealed by a curtain of peritoneum is a moody, often forgettable little organ. Of course, the term organ is a somewhat generous description for this rather overqualified gland. The pancreas has its own set of rules as it mischievously lurks behind the stomach waiting for its cueRead more …The pancreas of the future? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 5, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/thomas-l-amburn" rel="tag" > Thomas L. Amburn < /a > < /span > Tags: Tech Gastroenterology Source Type: blogs

Treatment of infective endocarditis
Discussion of whole list of options of antimicrobials for different varieties of endocarditis is quite a large topic. This discussion is only a broad outline of the antimicrobial treatment of infective endocarditis, meant mainly for exam purpose rather than actual clinical treatment. References to more detailed guidelines have been provided for those who wish to learn more. Inoculum Effect High microbial density as in vegetations cause less antimicrobial activity of some antimicrobial agents. This is known as inoculum effect and has been documented with β-lactams and glycopeptides but not linezolid, in the treatment of St...
Source: Cardiophile MD - July 16, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs

How to pay for women in medicine programs [PODCAST]
“‘That ’s great. You want to start a women in medicine program! How are you going to pay for it?’ This is the most common question and potential barrier from colleagues, leaders, and those who understand the value of these programs. We found that our two-year Women Leaders in Medicine program improved burnout, retention, and engagementRead more …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 - July 6, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Gastroenterology Source Type: blogs

Attention mid-career physicians: Let ’s find our ikigai [PODCAST]
“Mid-career colleagues: it ’s time to go back to the future. Time to learn again. Time to build professional and social networks at work. Take a lunch break. Bring home a few fewer RVUs. I recently started a monthly journal club for our small section of gastroenterologists as a way to recreate some of what IRead more …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 - June 25, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Psychiatry Source Type: blogs