10 signs that you may need a scribe
When I began my tenure at the University of Florida, the departure of a colleague left a very large inflammatory bowel disease practice that involved a lot of work both in and outside of clinic, just as the electronic healthcare record became mandatory. One unanticipated consequence of EHR is that physicians have to review everything before it is final in a patient’s chart. Thus, I spent countless hours in the EHR system, but was always behind on my charting. This had a profoundly negative impact on my academic career, my relationship with hospital administration, and my relationship with my family.
Three years ago I st...
Source: Kevin, M.D. - Medical Weblog - April 3, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/ofor-ewelukwa" rel="tag" > Ofor Ewelukwa, MD, Sarah Glover, DO, and Kevin Fennelly, MD, MPH < /a > Tags: Tech Health IT Source Type: blogs
Progressive Multifocal Leukoencephalopathy: MRI
Case Report: 43 y Male, known retroviral status with altered sensorium for MRI shows-Diffuse non-enhancing T2 and FLAIR white matter hyperintensity in supratentorial white matter in all the lobes, middle cerebellar peduncles, right thalamus, corpus callosum with mild mass effect over sulcal spaces& ventricles with subtle bright signal in DWI with sparing of grey matter& subcortical U fibers with unremarkable flow voids, dural sinuses,optic chiasm/intraventricular extension, midline extension. Prominent subependymal vessels& pachymeninges seen on contrast without nodularity. These findings...
Source: Sumer's Radiology Site - March 6, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
Answering Your Colon Cancer Questions with Dr. Jiang
A new study released by the National Cancer Institute shows colon and rectal cancers have increased dramatically and steadily in young and middle-age adults in the United States over the past four decades. Dr. Yixing Jiang, a Medical Oncologist at the University of Maryland Greenebaum Comprehensive Cancer Center, answers all the questions you’re now asking yourself about colon cancer.
Q. What are the risk factors for colon cancer?
A. The risks for developing colon cancer are: obesity; insulin resistance diabetes, red and processed meat; tobacco; alcohol; family history of colorectal cancer; certain hereditary syndromes (...
Source: Life in a Medical Center - March 6, 2017 Category: Universities & Medical Training Authors: Hannah Braun Tags: Cancer Health Tips colon cancer maryland research study treating colon cancer Source Type: blogs
Undoctored: An Excerpt
Here’s an excerpt from my new book, Undoctored: Why Healthcare Has Failed You and How You Can Become Smarter Than Your Doctor. In Undoctored, I take the lessons learned from the worldwide Wheat Belly experience and put them to work in a new program that helps reverse hundreds of health conditions–because conventional healthcare has abdicated its responsibility and is no longer about reclaiming health.
The Undoctored movement will get you and your family back on track, having cracked the code on health, slenderness, and higher levels of life performance. The book will be released May 9th, 2017, but is available ...
Source: Wheat Belly Blog - February 25, 2017 Category: Cardiology Authors: Dr. Davis Tags: News & Updates gluten grains health Inflammation recipes undoctored Weight Loss wheat belly Source Type: blogs
MKSAP: 55-year-old man with gout
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 55-year-old man is evaluated during a follow-up visit for gout. Two years ago, he had been treated with allopurinol and developed a hypersensitivity reaction. Over the past several months, he has had recurrent attacks of acute, episodic swelling of the first metatarsophalangeal joints with increasing involvement of other joints, including the ankles and knees. Laboratory studies showed significant hyperuricemia. History is also significant for Crohn disease, hypertension, chronic kidney disease (estimated glom...
Source: Kevin, M.D. - Medical Weblog - February 25, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Rheumatology Source Type: blogs
A rare clay used by B.C. aboriginals kills bacteria resistant to antibiotics
Wow. First of all, I would like to thank a blog reader, D., for the bit of news that I “announced” in the title of my post. Here’s the link to the Vancouver Sun’s article: goo.gl/5x8zCf.
And I quote: “The grey-green clay, known as Kisolite, has been used for centuries by the Heiltsuk First Nations to treat a range of ailments, including ulcerative colitis, arthritis, neuritis, phlebitis, skin irritation, and burns. Locals have also historically used the clay for eczema, acne and psoriasis. Now, UBC researchers say the clay exhibits potent antibacterial activity against multidrug-resistant pat...
Source: Margaret's Corner - February 14, 2017 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll kisolite Source Type: blogs
MKSAP: 29-year-old man with ulcerative colitis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 29-year-old man is evaluated during a routine examination. His medical history is significant for ulcerative colitis involving the entire colon, which was diagnosed 4 years ago. His symptoms responded to therapy with mesalamine and have remained in remission on this medication. His family history is significant for a maternal uncle who died of colon cancer at the age of 50 years.
Physical examination is unremarkable.
Serum alkaline phosphatase, alanine aminotransferase, and aspartate aminotransferase levels ar...
Source: Kevin, M.D. - Medical Weblog - January 7, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions GI Source Type: blogs
Colonoscopy Probe for Diagnosing Inflammatory Bowel Disease
Researchers at Vanderbilt University developed a colonoscopy endoscope that performs Raman spectroscopy, giving it the power to spot molecules in the gut related to the presence of inflammatory bowel disease (IBD). Currently, diagnosis of IBD is an inexact science that typically requires the patient to try different therapies that eventually point to which type of IBD (ulcerative colitis or Crohn’s disease) is present. This can take years in some cases, putting a great toll on people suffering from the disease before treatment options are identified.
Ulcerative colitis and Crohn’s disease have been shown to have ...
Source: Medgadget - January 5, 2017 Category: Medical Equipment Authors: Editors Tags: GI Source Type: blogs
What If You Had a Priceless Gift?
This holiday season we are all in search of the perfect gift. What is the one thing you truly desire? Don’t you think we all want it? What if you were handed a beautifully wrapped box containing a miraculous tool that caused dramatic weight loss without limiting calories or requiring exercise?
What if this gift reduced appetite, shrunk belly fat, dropped your dress size into the single digits, and accomplished all of this while sparing you from a Biggest Loser sob fest?
What if that same gift freed you from acid reflux, heartburn, bowel urgency, and diarrhea, but also improved mood, increased energy, deepened sleep, ...
Source: Wheat Belly Blog - December 20, 2016 Category: Cardiology Authors: Dr. Davis Tags: Dr. Davis Priceless Gift Weight loss Wheat allergy Wheat Belly Wheat Belly Lifestyle Wheat Belly Total Health Wheat Watch Wheat-Free Lifestyle Detox diabetes gluten gluten-free grain grains Source Type: blogs
The best gift of all
This holiday season we are all in search of the perfect gift. What is the one thing you truly desire for yourself and your family? Don’t you think we all want it? What if you were handed a beautifully wrapped box containing a miraculous tool that caused dramatic weight loss without limiting calories or requiring exercise?
What if this gift reduced appetite, shrunk belly fat, dropped your dress size into the single digits, and accomplished all of this while sparing you from a Biggest Loser sob fest?
What if that same gift freed you from acid reflux, heartburn, bowel urgency, and diarrhea, but also improved mood, incre...
Source: Wheat Belly Blog - December 20, 2016 Category: Cardiology Authors: Dr. Davis Tags: Dr. Davis Priceless Gift Weight loss Wheat allergy Wheat Belly Wheat Belly Lifestyle Wheat Belly Total Health Wheat Watch Wheat-Free Lifestyle Detox diabetes gluten gluten-free grain grains Source Type: blogs
Can genetic testing help determine the best medications for you?
The saying “if it seems too good to be true, it likely is” applies to so many things in life. As the director of the Clinical Pharmacogenomics Service at Boston Children’s Hospital, I spend a significant amount of time discussing what pharmacogenomics testing cannot tell us. I am sure you are wondering why I would take a negative approach instead of touting the miracles of pharmacogenomics testing, since after all, that is my job. Well, as with many things, it is complicated.
Pharmacogenomics can potentially guide drug choices
Pharmacogenomics is the study of gene expression on the ability to metabolize or break down...
Source: Harvard Health Blog - December 16, 2016 Category: Consumer Health News Authors: Shannon Manzi, PharmD Tags: Drugs and Supplements Genes Health Managing your health care Source Type: blogs
There ’s an “Ome” for That
Have you ever collected coins, cards, toy trains, stuffed animals? Did you feel the need to complete the set? If so, then you may be a completist. A completist will go to great lengths to acquire a complete set of something.
Scientists can also be completists who are inspired to identify and catalog every object in a particular field to further our understanding of it. For example, a comprehensive parts list of the human body—and of other organisms that are important in biomedical research—could aid in the development of novel treatments for diseases in the same way that a parts list for a car enables auto mechanics to...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - December 15, 2016 Category: Research Authors: Chris Palmer Tags: Cell Biology Chemistry and Biochemistry Genetics Cellular Processes Genome Glycobiology Proteins Proteome Source Type: blogs
Why New Crohn ’s Disease Vaccine is a Mistake
Conclusion
Crohn’s disease is a serious disease of the gastrointestinal tract involving inflammation. There is currently no known cause or cure from a conventional medicine perspective, although treatments aim to reduce inflammation and can bring the disease into remission. Holistic approaches address gut dysbiosis, candida and parasites using nutritional supplements, medications and dietary changes.
A new vaccine is being developed in England to treat Crohn’s disease by targeting the bacterium MAP found in most Crohn’s patients. The problem with this idea is that MAP has not been shown conclusively to be the cause o...
Source: vactruth.com - November 26, 2016 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Michelle Goldstein Physical Top Stories Crohn’s disease John Hermon-Taylor MAP (Mycobaterium avium patratuberculosis) St. George’s Hospital Source Type: blogs
Ustekinumab for Crohn ’s Disease via Now@NEJM
Ustekinumab for Crohn's Disease via Now@NEJMPosted oninfosnack. (Source: Kidney Notes)
Source: Kidney Notes - November 16, 2016 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
Can Probiotics Improve Memory in Alzheimer's Patients?
Scientists have shown that probiotics can improve memory and cognitive function in dementia patients.Alzheimer's Reading RoomThis research really caught my attention and I wanted to bring it into your awareness.One of the biggest problems I had with my mom was with the"dreaded bowel movement" in Alzheimer's care. It took me a while to convince my mom to drink prune juice.After a while I added a probiotic.The combination of coffee, prune juice, and a probiotic solved the bowel movment problem and after a couple of years of a constant nerve wracking problem - it never happened again. She went like clock work almost every day...
Source: Alzheimer's Reading Room, The - November 11, 2016 Category: Neurology Tags: alzheimer care brain dementia care dementia help for caregivers family caregiving help alzheimer's help with dementia care memory care probiotics science Source Type: blogs
