MKSAP: 38-year-old man with dyspnea on exertion
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Current medications are lansoprazole and amlodipine. On physical examination, vital […]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 - November 30, 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 Pulmonology Source Type: blogs

Thanking a lot of people - all the Acknowledgement sections from all my papers
This article was written using the Authorea scientific writing platform.The authors would like to thank the Coronado Pop Warner Islanders for initial collection of the sample and participation in Project MERCCURI, as well as Kris Tracy who assisted in the etymology of the proposed species name.The 16S rRNA sequence analysis was performed under the MiSeq Com- petition MkIIm by New Zealand Genome Limited and with the assistance of Patrick Biggs (NZGL) for MiSeq sequence processing. We thank Alex- ander Forrest for the loan of the Brancker CTD. We are grateful to three anonymous reviewers for their comments and suggestions. W...
Source: The Tree of Life - November 28, 2019 Category: Microbiology Authors: Jonathan Eisen Source Type: blogs

Living with Crohn ’s disease: Recognizing and managing flares
Crohn’s disease is an inflammatory condition that can affect any part of the gastrointestinal tract. Together with ulcerative colitis, Crohn’s is one of the two main types of inflammatory bowel disease (IBD). Crohn’s affects approximately 500,000 Americans and is a chronic, lifelong condition that typically alternates between periods of relatively stable or absent symptoms (remission) and periods of symptom flare-ups that can last for days, weeks, or even months. The goal of treatment is to induce remission and then to maximize the chance that patients stay in remission. However, almost everyone with Crohn’s diseas...
Source: Harvard Health Blog - November 26, 2019 Category: Consumer Health News Authors: John Garber, MD Tags: Digestive Disorders Health Source Type: blogs

The Digital Health Future of Oncology
It’s in the early morning of April 15th, 2030 that when looking at your smart mirror, the latter beeps a warning notification: that new mole on your chin should be checked by your dermatologist. That was to be expected. After all your genetic test revealed that you possess a mutation in the CDKN2A gene. But you also get the recommendation to have your esophagus and stomach checked as your connected smart scale registered a noticeable drop in weight and this mutation also carries an increased risk of gastrointestinal (GI) tract cancer. With such increased awareness and early stage diagnosis methods, will the cancer de...
Source: The Medical Futurist - November 26, 2019 Category: Information Technology Authors: Prans Tags: Future of Medicine Personalized Medicine cancer digital health cancer treatment digital technology oncology cancer research cancer care digital health technologies Source Type: blogs

Fight Aging! Newsletter, November 25th 2019
This study demonstrates for the first time that senescent cells secrete functional LTs, significantly contributing to the LTs pool known to cause or exacerbate idiopathic pulmonary fibrosis. Against Senolytics https://www.fightaging.org/archives/2019/11/against-senolytics/ There is no consensus in science that is so strong as to have no heretics. So here we have an interview with a naysayer on the matter of senolytic treatments, who argues that the loss of senescent cells in aged tissues will cause more harm to long-term health than the damage they will do by remaining. To be clear, I think this to be a...
Source: Fight Aging! - November 24, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Targeting α-Synuclein in the Gut to Turn Back the Progression of Parkinson's Disease
Like most neurodegenerative conditions, Parkinson's disease is driven in large part by the pathological aggregation of misfolded proteins, in this case α-synuclein. These solid deposits of protein spread from cell to cell, and are accompanied by a surrounding halo of harmful biochemical interactions. There is evidence for the protein aggregation of Parkinson's disease to start in the gut and then spread to the brain. You might look at a recent paper that discusses whether or not we should consider Parkinson's to be two diseases with a similar outcome, one in which the α-synuclein aggregation originates in the gut, and th...
Source: Fight Aging! - November 20, 2019 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

What Are Sleeping Pill Side Effects?
Insomnia can be a disruptive condition that affects your entire life. When you aren’t able to sleep at night, it can negatively impact issues in almost every area of your life and well-being. If you are taking sleeping pills or are thinking about starting to take sleeping pills, make sure you know as much as possible about all the sleeping pill side effects. What Are Sleeping Pills and How Do They Work? Sleeping pills are used to treat insomnia. According to the National Sleep Foundation, insomnia is described as difficulty falling asleep or staying asleep, even when a person has the chance to do so. People with insomni...
Source: Cliffside Malibu - November 15, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction to Pharmaceuticals Sleep healthy sleep insomnia sleep aids sleep and chronobiology laboratory sleep deprivation sleep disorder treatment sleep disorders sleep duration sleep habits sleeping sleeping pills sleeplessness Source Type: blogs

Should speed-eating contests be banned?
This eating contest season, there was only one death this year, as far as I can determine. A 41-year-old California man died in August while participating in a taco eating contest at a minor league baseball game. The  coroner said he choked to death. In case you were wondering, the Associated Press thoughtfully stated: “It was not […]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 - November 13, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs

Debunking the myth that life gets easier once you finish medical training
Residents and fellows around the country have bought into the“medical training myth.” The myth states:“Life will get so much better when I finish residency/fellowship.” Sadly, too many house staff buy into this false belief and experience tremendous letdown when they graduate. Residents often see their attending stroll into the team room with a […]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 - November 11, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/brent-lacey" rel="tag" > Brent Lacey, MD < /a > < /span > Tags: Physician Gastroenterology Hospital-Based Medicine Source Type: blogs

Wheat Belly: Revised & Expanded!
In the original Wheat Belly, I recounted how agribusiness and geneticists altered modern wheat from traditional strains, yielding the high-yield semi-dwarf strain that now dominates supermarket shelves. Consuming modern foods made from this plant yields peculiar health effects, while dramatic benefits develop upon removing it from the diet. If you’ve been following the Wheat Belly conversations, you are no stranger to the huge successes people have shared on this lifestyle. But lessons have been learned along the way in the marvelous worldwide grain-eliminating experience, lessons shared in subsequent books: Wheat Be...
Source: Wheat Belly Blog - November 8, 2019 Category: Cardiology Authors: Dr. Davis Tags: Open Dr. Davis gluten-free grain-free grains wheat belly Source Type: blogs

Why diverticulitis can be an elusive diagnosis
I have been treating diverticulitis for 30 years the same way. When I suspect that a patient has this diagnosis, I prescribe antibiotics. This has been the standard treatment for this disorder for decades. I have found that diverticulitis is a slippery entity that has two trap doors waiting for physicians to fall through. It […]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 - November 7, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/michael-kirsch" rel="tag" > Michael Kirsch, MD < /a > < /span > Tags: Conditions Gastroenterology Source Type: blogs

GI Genius Automatically Identifies Possible Polyps During Colonoscopy
At the UEG (United European Gastroenterology) Week event in Barcelona, Spain, the first automatic polyp assistance system was unveiled by Medtronic. The GI Genius intelligent endoscopy system monitors the live video feed from a colonoscope, outlining in real time potential signs of polyps. It certainly doesn’t diagnose anything, but serves, in Medtronic’s terms, as “an ever vigilant second observer”. The software inside uses artificial intelligence algorithm techniques to spot abnormal tissue patterns that may be indicative of cancer or other diseases. Medtronic reports that the GI Genius...
Source: Medgadget - November 4, 2019 Category: Medical Devices Authors: Medgadget Editors Tags: GI Oncology Surgery Source Type: blogs

MKSAP: 28-year-old woman follows-up after a pre-employment physical examination
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old woman undergoes follow-up consultation regarding a pre-employment physical examination. She reports feeling well, with no recent illness. Medical history is notable for gastroesophageal reflux disease. Her only medication is omeprazole. She is black. On physical examination, vital signs and […]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 - November 2, 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 Oncology/Hematology 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