Out of the Routine
Our patient was having an uneventful and ordinary day. He got his children off to school, and spent the morning at the office completing paperwork. By noon he had eaten lunch, and went to the company workout center. It was Wednesday, so it was arms day. He started as he always did with 20 minutes of cardio on the elliptical machine, then shoulders, biceps, triceps, forearms — big muscle to small muscle. It was at the end of his first rep of triceps that things changed.   He felt some dizziness, and the nausea began within 30 seconds or so. He couldn't hold himself upright, and slouched sideways off the bench onto the ...
Source: Spontaneous Circulation - July 7, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Out of the Routine
Our patient was having an uneventful and ordinary day. He got his children off to school, and spent the morning at the office completing paperwork. By noon he had eaten lunch, and went to the company workout center. It was Wednesday, so it was arms day. He started as he always did with 20 minutes of cardio on the elliptical machine, then shoulders, biceps, triceps, forearms — big muscle to small muscle. It was at the end of his first rep of triceps that things changed.   He felt some dizziness, and the nausea began within 30 seconds or so. He couldn't hold himself upright, and slouched sideways off the bench onto the gr...
Source: Spontaneous Circulation - July 7, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Sleep Better with Food and Fitness
Just as sleep is important to our body, what we do with our body in terms of food and exercise plays a major role in the way we sleep (or don’t sleep).  Good nutrition and exercise can help you sleep, but poor sleep leads to poor eating and exercise decisions immediately. A lack of shut-eye is linked with ditching your workout. It’s one thing to skip the workout to get more sleep once in awhile, but if you ditch your workout and cheat yourself of sleep, then you aren’t breaking the cycle. Contrary to what we have all been told, eating prior to bed is not such a bad thing after all.  In fact, a light snack contai...
Source: Balanced Health and Nutrition Rebecca Scritchfield's Blog - June 11, 2014 Category: Nutritionists and Food Scientists Authors: rebeccascritchfield Tags: adult health eating healthy food fruits life nutrition recipes food myths hormones sleep sleep inducing foods Source Type: blogs

MKSAP: 32-year-old woman with nonproductive cough
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 32-year-old woman is evaluated for a 6-month history of nonproductive cough. She has no history of recurrent upper respiratory tract infections and has never smoked cigarettes. She has no fever, dyspnea on exertion, hemoptysis, heartburn, or wheezing. She has worked in the same office for 7 years and has lived in the same house for the past 20 years. She has not traveled out of the area for more than 2 years. She has no pets at home, no occupational or other exposure to toxic chemicals, and no family history o...
Source: Kevin, M.D. - Medical Weblog - June 7, 2014 Category: Journals (General) Authors: Tags: Conditions Pulmonology Source Type: blogs

Wheat Belly now in paperback!
The book that triggered a 9.5 Richter scale earthquake in the nutritional world, caused heartburn to flare in thousands of dietitians, increased Preparation H sales among my colleagues, and caused nervous breakdowns among grain executives, is now available for preorder in paperback. The paperback edition contains a new foreword that updates all that has happened since Wheat Belly was first released in August, 2011. The Wheat Belly paperback edition is available from Amazon, Barnes and Noble online and in stores, and from Indie Bound. (Source: Wheat Belly Blog)
Source: Wheat Belly Blog - April 27, 2014 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly--The Book Source Type: blogs

The Wheat Belly Book Is Now Available In Paperback
Wheat Belly Wheat Belly was the original book that turned the nutritional world topsy-turvy and exposed “healthy whole grains” as the genetically altered Frankenwheat imposed on the public by agri-cultural geneticists and agribusiness. The tidal wave of astounding health and weight loss successes, many of them recounted in Wheat Belly social media, has created a nationwide movement away from the destructive effects of wheat products. The book that triggered a 9.5 Richter scale earthquake in the nutritional world, caused heartburn to flare in thousands of dietitians, increased Preparation H sales among my colleagues, a...
Source: Wheat Belly Blog - April 27, 2014 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly--The Book Source Type: blogs

Gastrointestinal Recovery After The Wheat Battle Is Won
Josie posted this comment that addresses the issue of bowel health recovery post-grain removal. “I have been wheat-free for almost a year now and I no longer fall asleep during the day, and my mental fog has disappeared. My wheat-free life is great! However, I am experiencing major digestion problems. I went to see a dietitian and explained to her I do not eat wheat and try not to eat grains. She emphasized that I need fiber in my diet and based on my current food intake I was not receiving an adequate amount, which was most likely the cause of my digestion problems. She respects that I do not eat wheat, but is enco...
Source: Wheat Belly Blog - April 26, 2014 Category: Cardiology Authors: Dr. Davis Tags: Bowel flora Gastrointestinal effects of wheat Source Type: blogs

Gastrointestinal recovery after the wheat battle is won
Josie posted this comment that addresses the issue of bowel health recovery post-grain removal. I have been wheat-free for almost a year now and I no longer fall asleep during the day, and my mental fog has disappeared. My wheat-free life is great! However, I am experiencing major digestion problems. I went to see a dietitian and explained to her I do not eat wheat and try not to eat grains. She emphasized that I need fiber in my diet and based on my current food intake I was not receiving an adequate amount, which was most likely the cause of my digestion problems. She respects that I do not eat wheat, but is encouraging...
Source: Wheat Belly Blog - April 26, 2014 Category: Cardiology Authors: Dr. Davis Tags: Bowel flora Gastrointestinal effects of wheat Source Type: blogs

A brief list of fibromylagia symptoms
[Note I did not write this list. It was on Facebook shared by Creaky Joints. But I find it to be very true.]I have highlighted the ones that I experience regularly. So if you ever wonder how my day is going, just think about this list. PAIN- in the muscle: often described as aching, burning, throbbing, gnawing, shooting, tingling. Almost always exacerbated by exercise and may or may not be present at rest. Can be migratory and differing from day to day.FATIGUE- From feeling tired to exhausted and requiring rest periods during the day.SLEEP DISTURBANCE- not being able to fall asleep and or able to stay asleep. Unrefreshing ...
Source: Caroline's Breast Cancer Blog - February 26, 2014 Category: Cancer Tags: being a patient coping fibromyalgia Source Type: blogs

Reuters Exclusive: Bayer, Novartis, others eye Merck's consumer health unit - sources
By Olivia Oran, Soyoung Kim and Anjuli DaviesNEW YORK/LONDON (Reuters) - A handful of consumer and healthcare companies including Bayer AG and Novartis are exploring a deal for Merck & Co Inc's consumer healthcare business, as they seek to gain scale in a fragmented industry, according to several people familiar with the matter.Reckitt Benckiser Group PLC and Procter & Gamble Co are also among the parties that have held discussions with Merck about buying the unit, best known for Coppertone sunscreen and Claritin allergy medicine, the sources said this week.The Merck business, which also includes Dr. Scholl's ...
Source: PharmaGossip - February 20, 2014 Category: Pharma Commentators Authors: insider Source Type: blogs

How to survive wheat withdrawal
During my recent appearances in British Columbia, speaking to crowds in Kelowna, Penticton, Kamloops, and Vernon, I received many questions about how to better deal with the unpleasant symptoms of wheat withdrawal. Because this question came up so many times, I am re-posting a discussion I posted in 2013 about this issue. It remains as true today as it was then: Wheat withdrawal, for the 40% of people who experience it, cannot be entirely avoided, but the full intensity can be softened. Let’s discuss a number of ways to go about doing that: Wheat withdrawal can be unpleasant business. Read the many thousands of comm...
Source: Wheat Belly Blog - January 23, 2014 Category: Cardiology Authors: Dr. Davis Tags: Gliadin Wheat withdrawal Source Type: blogs

Waking up from cardiac arrest
I nearly died a month ago on a treadmill halfway through a stress test. The short story is this: I had just gone to bed and was about to go to sleep when I started to have some chest pain that I told myself was just my usual heartburn, only worse. As a gastroenterologist, I knew better. It was bad enough that I couldn’t go to sleep. After two sleepless hours of denial and mounting pain, I conceded that it was time to get help. I woke my wife and called 911 for ambulance to the ER. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. ...
Source: Kevin, M.D. - Medical Weblog - December 24, 2013 Category: Family Physicians Tags: Physician Heart Source Type: blogs

Proton pump inhibitors and B12 deficiency: What to do now
We can now add vitamin B12 deficiency to the growing list of risks of long term use of the proton pump inhibitors (PPIs). The New York Times had an article outlining the evidence that prolonged use of both proton pump inhibitors (PPIs) like Prilosec, Protonix, Prevacid and others, as well as the less potent H2 blockers like Zantac and Pepcid, can lead to vitamin B12 deficiency.  This is in addition to previously documented concerns about reduced calcium absorption that can lead to osteoporosis, increased risk of pneumonia and increased risk of Clostridium difficile colitis. It seems simple to ask patients to just stop ...
Source: Kevin, M.D. - Medical Weblog - December 20, 2013 Category: Family Physicians Tags: Meds GI Medications Source Type: blogs

The Ideal IVF Patient !
The attitude of the patient plays an important role in successful IVF treatment. One of the little known secrets of IVF treatment is how much a patient can contribute to their IVF success ! When an infertile couple is advised to have IVF, they move heaven and earth to get treatment from the best possible IVF clinic. Sadly, very little time and effort is spent on thinking about what they can do to maximize their chances of IVF success. A well informed patient can be a boon for the IVF doctor ! A highly qualified competent doctor with an able team is crucial to the success of IVF. The patient can contribute to this success ...
Source: The Patient's Doctor - December 18, 2013 Category: Obstetricians and Gynecologists Source Type: blogs