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How should salespeople sell to doctors?
Two device salesmen recently came unannounced to our small private gastroenterology practice. They were hawking a product that could quickly and non-invasively determine how much scar tissue had formed in a patient ’s liver, a useful tool for assessing patients with hepatitis and many other liver conditions. We are physicians, not entrepreneurs. We do not regard […]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 21, 2019 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michael-kirsch" rel="tag" > Michael Kirsch, MD < /a > Tags: Physician Gastroenterology Practice Management Source Type: blogs

Wheat Belly and Autoimmune Diseases
The Wheat Belly lifestyle begins with elimination of the worst and most dominant of all grains in the diet, semi-dwarf wheat products, followed by elimination of its closely-related brethren in other grains. This alone is a powerful start in reversing the 200-some diseases of autoimmunity. We now know that the gliadin protein of wheat and related proteins in other grains trigger increased intestinal permeability that initiates the process, as highly inflammatory compounds, such as lipopolysaccharide from bacterial cell walls, are permitted entry into the body. We also know that gliadin itself gains entry into the bloodstr...
Source: Wheat Belly Blog - January 11, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates autoimmune Gliadin gluten-free grain-free grains Inflammation wheat belly Source Type: blogs

Fatty liver disease: What it is and what to do about it
Non-alcoholic fatty liver disease (NAFLD), a condition of extra fat buildup in the liver, is on the rise — it now affects roughly 20% to 40% of the US population. It usually doesn’t cause any symptoms, and is often first detected by accident when an imaging study (such as an abdominal ultrasound, CT scan, or MRI) is requested for another reason. A fatty liver may also be identified on an imaging test as a part of investigating abnormal liver blood tests. NAFLD is intimately related to conditions like diabetes and obesity. It’s also linked to an increased risk of cardiovascular disease. Understanding NAFLD and its cau...
Source: Harvard Health Blog - January 10, 2019 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Digestive Disorders Health Source Type: blogs

The IVF Checklist
IVF can seem to be a demanding and complex treatment, which is why it helps if you are well organised !1. Make sure you have completed all your testsWife□ Ovarian reserve testing ( AMH, prolactin, TSH, antral follicle count)□ Infectious disease screen: HIV, Hepatitis, RPR , Rubella□ Vaginal ultrasound scanHusband□ Semen analysisInfectious disease screen: HIV, Hepatitis, RPR/VDRLPlease note how short this list is !Don't waste your money on useless and unnecessary tests such as sperm DNA fragmentation, TB testing, ERA, genetic testing or hysteroscopy !2. Make sure you know how much you have to p...
Source: Dr.Malpani's Blog - January 1, 2019 Category: Reproduction Medicine Source Type: blogs

MKSAP: 53-year-old woman with hypertension and chronic active hepatitis B infection
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old woman is evaluated during a routine follow-up visit. Medical history is significant for hypertension and chronic active hepatitis B infection. Her hepatitis B infection has been treated with tenofovir for the p ast 5 years with suppression of her serum […]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 - December 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Nephrology Source Type: blogs

Hepatocellular carcinoma risk, cirrhosis and hepatitis C
High profile public health strategy needed Related items fromOnMedica Overweight teens more likely to have severe liver disease later Scotland reveals target of halving child obesity by 2030 JCVI recommends universal HPV vaccination Lower cancer risk in people with higher vitamin D levels Public drastically underestimates cannabis risks (Source: OnMedica Blogs)
Source: OnMedica Blogs - December 3, 2018 Category: General Medicine Source Type: blogs

The Migrant Caravan, Central America, and Vaccination Rates
Many commentators have recentlywritten andsaid that members of the migrant caravan and Central American immigrants in general are diseased. Former Immigration and Customs Enforcement agent David Ward claimed that the migrants are “coming in with diseases such as smallpox,” a disease that the World Health Organization (WHO) certified as beingeradicated in 1980. One hopes Mr. Ward was more careful in enforcing American immigration law than in spreading rumors that migrants are carrying one of the deadliest diseases in human history nearly 40 years after it was eradicated from the human population. But even on oth...
Source: Cato-at-liberty - November 1, 2018 Category: American Health Authors: Alex Nowrasteh Source Type: blogs

Fight Aging! Newsletter, October 15th 2018
This study suggests that exocrine glands can be induced from pluripotent stem cells for organ replacement regenerative therapy. Replacement of Aged Microglia Partially Reverses Cognitive Decline in Mice https://www.fightaging.org/archives/2018/10/replacement-of-aged-microglia-partially-reverses-cognitive-decline-in-mice/ Researchers here report on a compelling demonstration that shows the degree to which dysfunctional microglia contribute to age-related neurodegeneration. The scientists use a pharmacological approach to greatly deplete the microglial population and then allow it to recover naturally. Th...
Source: Fight Aging! - October 14, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Immune System Aging and Risk of Lymphoma
Cancer is an age-related condition in large part because the immune system declines with age. One of the many important tasks undertaken by the immune system is suppression of cancer. This is achieved by destroying cancerous and potentially cancerous cells quickly, before they can establish a tumor that will go on to subvert the immune system's normal responses to errant cells. This process of cancer eradication (and tumor development when eradication fails) is enormously complex in detail, but straightforward enough to understand at the high level. How does this interaction between aging, the immune system, and cancer ris...
Source: Fight Aging! - October 11, 2018 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

TWiV 513: Double-stranded in Belgium
From the 13th International Symposium on dsRNA viruses in Belgium, Vincent speaks with Harry Greenberg about his career and his work on rotaviruses, noroviruses, hepatitis B virus, and influenza virus. <span data-mc...
Source: virology blog - September 30, 2018 Category: Virology Authors: Vincent Racaniello Tags: This Week in Virology gastroenteritis Harry Greenberg hepatitis b virus norovirus rotavirus vaccine viral viruses Source Type: blogs

Rwanda and the Dreamers of Digital Health in Africa: Wakanda Is Real
Rwandans in remote villages are using an artificial intelligence-based algorithm on their mobile phones to get a diagnosis for their health problems, doctors in Kigali consult their colleagues in the Western Province about radiology cases through telemedicine, blood is delivered by Zipline’s medical drones, and a central electronic health records system ensures data is collected about health activities. Rwanda is a pioneer in digital health in Africa – a real Afrofuturistic embodiment of Black Panther‘s Wakanda. Let’s see how and why that happened. Wakanda gets real in Rwanda Black Panther’s Wakanda...
Source: The Medical Futurist - August 29, 2018 Category: Information Technology Authors: nora Tags: Future of Medicine Healthcare Policy Africa AI artificial intelligence chatbot development digital health drones government medical drone mobile app mobile health regulation rwanda smartphone telemedicine Source Type: blogs

Travel tips: What you need to know before, during, and after you go abroad
Summer may be winding down, but travel isn’t! Getting ready for a big trip abroad can be a lot of work — especially for people with health concerns. This travel tips checklist can pave the way for a smooth journey. Before your trip Check for travel advisories You should be aware of health or political circumstances relevant to your destination(s). The US Department of State has a number of resources for the traveler, including postings on health and security alerts for specific countries. Check the CDC’s traveler health information There is a wealth of information here, including general advice for travelers...
Source: Harvard Health Blog - August 27, 2018 Category: Consumer Health News Authors: Wynne Armand, MD Tags: Health Source Type: blogs

Why this gastroenterologist decided to treat hepatitis C patients
In a prior post, I shared my heretofore reluctance to prescribe medications for my hepatitis C (HCV) patients. In summary, after consideration of the risks and benefits of the available options, I could not persuade myself — or my patients — to pull the trigger. These patients were made aware of my conservative philosophy of medical practice. I offered every one of them an opportunity to consult with another specialist who had a different view on the value of HCV treatment. I do believe that there is a medical industrial complex that is flowing across the country like hot steaming lava. While I have ev...
Source: Kevin, M.D. - Medical Weblog - August 24, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michael-kirsch" rel="tag" > Michael Kirsch, MD < /a > Tags: Conditions Gastroenterology Source Type: blogs

MKSAP: 30-year-old woman with HIV infection
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 30-year-old woman is evaluated in follow-up after being recently diagnosed with HIV infection. She is asymptomatic. Medical history is unremarkable, and she takes no medications; she has not yet started antiretroviral therapy. She received all scheduled childhood immunizations. On physical examination, vital signs are normal. She has shotty cervical lymphadenopathy, but the examination is otherwise unremarkable. Laboratory studies: Absolute CD4 cell count 461/µL HIV viral load 44,874 copies/mL Hepatiti...
Source: Kevin, M.D. - Medical Weblog - August 20, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Infectious Disease Source Type: blogs