Low Value Testing and Unmet Cascades
By ANISH KOKA, MD
Mr. Smith has a problem.
He can’t see.
Even this cardiologist knows why. The not so subtle evidence lies in the cloudy
lens in front of his pupils. He is
afflicted with cataracts that obstruct his vision to the point he can’t really
do his job refurbishing antique furniture safely. His other problem is that he hates doctors.
He hasn’t had reason to see one for more than a decade. He’s 68, takes no medications, smokes a pack
of cigarettes a day, and is a master of one word answers. He’s in my office because
he needs a medical evaluation prior to his cata...
Source: The Health Care Blog - January 21, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Physicians Anish Koka cardiology low-value testing Source Type: blogs
Why sometimes you need to be your family ’s doctor
My uncle died last year. As physicians, we are all too familiar with death. Even if we are practicing primary care, we are touched by death and the line between life and death. That patient who had what statistically should ’ve been acid reflux, but who you found to have stomach cancer. That breastfeeding mom who […]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 - January 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/karen-yeter" rel="tag" > Karen Yeter, MD < /a > < /span > Tags: Physician Oncology/Hematology Source Type: blogs
Long-Term Effect of Binge Drinking on the Body
Most people know about the damaging effects that binge drinking can bring to someone’s life. Loss of enjoyment of life, losing family relationships, financial and career struggles, homelessness, and legal consequences are just the tip of the iceberg. However, it can be more difficult to realize the long-term effect of binge drinking on the body, because you cannot always see it. Frequent binge drinking poses many dangerous health risks, and many of them can lead to death.
Facts on Long-Term Effect of Binge Drinking on the Body
For men, binge drinking is defined as consuming five or more drinks within about two hours, a...
Source: Cliffside Malibu - January 17, 2020 Category: Addiction Authors: Jaclyn Uloth Tags: Alcohol Alcohol Rehab Information Alcoholism alcohol abuse alcohol dependence alcohol treatment alcohol treatment center binge binge drinking Source Type: blogs
“I Want Complete Labs Ordered Before My Physical”
By HANS DUVEFELT, MD
Many patients make this or similar requests, especially in January it seems.
This phenomenon has its roots in two things. The first is the common misconception that random blood test abnormalities are more likely early warning signs of disease than statistical or biochemical aberrances and false alarms. The other is the perverse policy of many insurance companies to cover physicals and screening tests with zero copay but to apply deductibles and copays for people who need tests or services because they are sick.
It is crazy to financially penalize a person with chest pain for going to the ...
Source: The Health Care Blog - January 14, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Education Medical Practice Physicians Primary Care blood tests Hans Duvefelt Labs Source Type: blogs
A young woman with epigastric pain. ECG Crochetage sign? What is the significance?
A former resident texted me this ECG, done for epigastric pain in an 18 year old. The pain resolved immediately with treatment for acid reflux, and in the clinician ' s opinion was clearly GI in origin, but he wanted to know what the strange waves in the QRS were:See the unusual notching in II, III, aVF, and V2-V4.I had no idea what they were. They reminded me of theDelayed Activation Wave associated with circumflex acute MI.See this case: https://hqmeded-ecg.blogspot.com/2018/05/is-there-delayed-activation-wave.html.But they are clearly different from this.I put it on Facebook EKG club and this is th...
Source: Dr. Smith's ECG Blog - January 7, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
Eosinophilic esophagitis: A new food-related allergic condition on the rise?
In the early 1990s, doctors began describing a new condition affecting the esophagus of patients who were predisposed to allergies including food allergy, asthma, and eczema, and who were having trouble swallowing. Today, we call this condition eosinophilic esophagitis (EoE).
What is EoE?
EoE is an allergic inflammation of the esophagus that causes a range of symptoms. Adolescents and adults most often experience it as difficulty swallowing, sometimes feeling like food moves too slowly through the esophagus and into the stomach. In some cases, food actually gets stuck (and may require urgent removal). Children and some adu...
Source: Harvard Health Blog - December 26, 2019 Category: Consumer Health News Authors: John Garber, MD Tags: Allergies Digestive Disorders Health Source Type: blogs
Insights on Feeding and Swallowing Differences for Infants with Cleft Palate/Cleft Lip and Palate
Infants with cleft palate or cleft lip and palate (CP/CLP) have specific feeding needs based upon unique anatomy and swallow physiology. Poor or absent inner oral pressure and compensatory muscle movements affect all phases—oral, pharyngeal, and esophageal—of swallowing, and in some cases, increase risk of aspiration.
These babies expend a significant amount of energy in the act of feeding. They demonstrate an average rate of 109.26 sucks per minute compared to infants without clefts who averaged 75.07 sucks per minute. Increased energy expenditure might lead to fatigue. Under these conditions, infants experience chall...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - December 23, 2019 Category: Speech-Language Pathology Authors: Allyson Goodwyn-Craine Tags: Health Care Private Practice Slider Speech-Language Pathology Dysphagia Early Intervention Feeding Disorders Swallowing Disorders Source Type: blogs
Thou Shalt Not Try to Outsmart Me
By HANS DUVEFELT, MD
Medical researchers and their groupies – early adopters, thoughtleaders, those easily influenced or whatever you want to call them – never seem to learn that when you try to outsmart Mother Nature or Our Heavenly Father, whichever appeals more to your world view, you usually get your hand slapped.
When I was a resident (1981-1984), I got penalized if I didn’t offer postmenopausal women estrogen-progesterone replacement therapy because it seemed obvious that if women with endogenous estrogen didn’t get many strokes or heart attacks and women without estrogen did, all we needed to do was ma...
Source: The Health Care Blog - December 20, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Hans Duvefelt Source Type: blogs
An excerpt from the Revised & Expanded Edition of Wheat Belly
The original Wheat Belly book rocked the nutritional world with its revolutionary ideas. But, as time has passed, I’ve added new strategies and concepts that have expanded the overall program and taken the health, weight, and youth-preserving benefits even further. I have therefore collected all this new material into a new Revised & Expanded Edition. The new Revised & Expanded Edition of Wheat Belly is now available at all major bookstores.
Here is a brief excerpt from the new foreword:
Wheat Belly began as my modest effort to help people with heart disease stop relying on the revolving door of angiop...
Source: Wheat Belly Blog - December 14, 2019 Category: Cardiology Authors: Dr. Davis Tags: Open autoimmune blood sugar bowel flora cholesterol diabetes Dr. Davis Gliadin gluten-free grain-free grains Inflammation low-carb microbiota prebiotic probiotic wheat belly Source Type: blogs
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
Pamela: No more colitis, acid reflux, hypertension, migraines, joint pains and 170 pounds lighter on the Wheat Belly lifestyle
Look at Pamela’s spectacular progress that began with the Wheat Belly 10-Day Grain Detox and posted on the Detox Facebook page, showing her standing in ONE LEG of her old pants! Her experience illustrates just how awful health, weight, and life can get on the wrong way of eating, but also just how dramatic the changes can be when you finally get it right.
“It’s a long one, but hang with me!
“I’ve been debating whether to share this picture or not… I found my ‘before’ pants and decided to see what would happen… I thought I’d take another picture after I put on some makeup and ...
Source: Wheat Belly Blog - November 13, 2019 Category: Cardiology Authors: Dr. Davis Tags: Open autoimmune Detox Inflammation joint pain Weight Loss wheat belly 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
MKSAP: 35-year-old man with persistent heartburn
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old man is evaluated during a follow-up appointment for persistent heartburn with chronic cough. He has a 1-year history of gastroesophageal reflux disease and takes pantoprazole twice daily. He reports no nausea, vomiting, or dysphagia. Upper endoscopy performed 1 year […]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 - August 10, 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 Gastroenterology Source Type: blogs
Is acid reflux really SIBO?
The post Is acid reflux really SIBO? appeared first on Dr. William Davis. (Source: Wheat Belly Blog)
Source: Wheat Belly Blog - July 10, 2019 Category: Cardiology Authors: Dr. Davis Tags: Acid reflux SIBO bowel flora microbiota probiotic small intestinal bacterial overgrowth undoctored wheat belly Source Type: blogs
Into The Future of Gastroenterology With Digestibles And Microbiome Testing
Gluten? Lactose? Stomach pain? Digestive troubles? Way too many people suffer from gastrointestinal issues, and much less are aware of the digital technologies that can come to their aid. Did you know that digestibles could successfully replace the dreaded colonoscopy? Or have you heard about microbiome testing? What about the swarm of health apps supporting dietary restrictions? We took a deep breath and jumped into the universe of digital technologies just to bring you as much information about the future of gastroenterology as possible. Will you jump after us?
IBS,
colorectal cancer, and other animals
Referring to...
Source: The Medical Futurist - July 4, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine Genomics Health Sensors & Trackers diet dieting digestibles digestion digital health gastro gastroenterologist gastroenterology gastrointestinal gluten gut Innovation lactose microbiome stomach techno Source Type: blogs
