Tropical Travel Trouble 002 Rabies
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
aka Tropical Travel Trouble 002
A 19 year old gap year student has returned from India to your emergency department reporting she was bitten by a monkey at a temple. A selfie gone wrong but it scored 1000+ likes on Facebook…
She is concerned because one of the Facebook comments suggested she may have rabies! A quick Google search suggested 60,000 people a year DIE from rabies.
Should she be worried? Should you be worried?
Questions
Q1. What other questions should yo...
Source: Life in the Fast Lane - February 27, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Clinical Cases Tropical Medicine rabies Source Type: blogs
Be ketotic . . . but only sometime
Achieving ketosis by engaging in a very low-carbohydrate, high-fat lifestyle is an effective means of losing weight, breaking insulin and leptin resistance, reversing type 2 diabetes and fatty liver, reducing blood pressure, reversing the inflammation of visceral fat, and may even cause partial or total remission of selected cancers.
So what’s the problem?
The problem comes when people remain ketotic for extended periods. We know with confidence that long-term ketosis poses substantial risk for health complications because thousands of children have followed ketogenic diets over the years as a means of suppressing in...
Source: Wheat Belly Blog - February 2, 2018 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle Source Type: blogs
Fermented raw potato for probiotics AND prebiotics
Here’s an easy way to add both probiotics and prebiotics to your life: Fermented raw potatoes. The mildly tangy flavor of these fermented raw potatoes go well tossed into a salad, though you can just eat them right out of the jar, too.
Because they are raw, there are zero net carbs but plenty of fiber. (When heated, however, fibers depolymerize or break down into sugars. When raw and unheated, fibers remain in polymer form.) Raw potatoes therefore provide you with prebiotic fibers to nourish bowel flora.
When you lactate-ferment these raw potatoes, you also cultivate beneficial bacterial species such as Lactobacill...
Source: Wheat Belly Blog - February 1, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle bowel flora grain-free low-carb prebiotic probiotic Source Type: blogs
What is amyloid?
The following is adapted fromPhenomena, the Phenopath newsletter, Winter 2018 (21:1):Rudolph Virchow, introduced the term “amyloid” to refer to extracellular deposits in human tissues that exhibited a positive blue-violet staining reaction to iodine and dilute acid. Based on this reaction, Virchow mistakenly identified these aggregates as composed of starch (amylum is Latin for starch). Subsequent microscopic studies have shown that amyloid deposits exhibit an affinity for Congo red dyes, which also yield a property known as “dichroic birefringence” in which crossed polarizing filters produce apple-green...
Source: neuropathology blog - January 29, 2018 Category: Radiology Tags: nerve Source Type: blogs
The crucial brain foods all children need
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The first 1,000 days of life are crucial for brain development — and food plays an important role.
The ways that the brain develops during pregnancy and during the first two years of life are like scaffolding: they literally define how the brain will work for the rest of a person’s life. Nerves grow and connect and get covered with myelin, creating the systems that decide how a child — and the adult she becomes — thinks and feels. Those connections and changes affect sensory systems, learning, memory, attention, processing speed, the ability to control impulses and mood, and even the ...
Source: Harvard Health Blog - January 23, 2018 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Brain and cognitive health Children's Health Healthy Eating Parenting Pregnancy Source Type: blogs
Case of the Week 477
This week ' s case was generously donated by Dr. Piryanka Uprety and the excellent Clinical Microbiology and Hematology Laboratories at the University of Pennsylvania. The following structures were initially observed by a hematology fellow in a wet mount (40X) from a BAL specimen. Photographs and videos are courtesy of Joyce Richardson, Vivian Whitener, and Darrin Jengehino from the Hematology Laboratory.Wet preparation of the BAL fluid with iodine showed the following:Identification? (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - January 15, 2018 Category: Parasitology Source Type: blogs
5 More Common Wheat Belly Mistakes
I’ve talked previously about the 7 Common Mistakes people make when they first start out on the Wheat Belly lifestyle, such as eating gluten-free foods or continuing to avoid fat. Make just one of these mistakes and it can impair your weight loss and health-regaining success. Set it right and wonderful things can happen.
There are, however, several additional landmines that can explode in your path and deprive you of the kinds of extravagant successes you see on the Wheat Belly Facebook page. Among the additional common mistakes people make are:
Continuing to consume soft drinks sweetened with aspartame–Big mi...
Source: Wheat Belly Blog - January 10, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle aspartame calories iodine prebiotic resistant starch salt undoctored Weight Loss Source Type: blogs
Do You Have the Visceral Fat of a Wheat Belly?
The consumption and wheat, grains, and sugars provokes release of blood insulin, a process that stimulates accumulation of visceral fat. Although you cannot directly view visceral fat that encircles the abdominal organs, you can see the “spare tire” or “love handles” that commonly accompany deep visceral fat.
Having visceral fat is a very unhealthy factor that raise potential for type 2 diabetes, cancer, heart disease, and dementia substantially. It results from consumption of wheat, grains, and sugar, commonly developing in people who have been told that a low-fat diet is healthy. Low-fat diets are...
Source: Wheat Belly Blog - January 3, 2018 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle gluten-free grain-free grains health Inflammation inflammatory love handles spare tire subcutaneous visceral Weight Loss Source Type: blogs
The 1000th Thread!
Discussion Blog)
Source: Bioethics Discussion Blog - December 24, 2017 Category: Medical Ethics Source Type: blogs
The 1000th Thread!
This is the 1000th presentation to my bioethics blog since starting on Google Blogspot.com in 2004.There has been many topics covered. Though comments by the visitors has always been encouraged and, since as a "discussion blog", comments leading to discussions I have felt was the definitive function here. Virtually none of the thread topics have gone unread and most have had some commentary, some with mainly particularly strong and emphatic opinions http://bioethicsdiscussion.blogspot.com/2013/01/should-pathologists-be-physicians.html, some with extensive up to 12 years long continued discussion http://bioethicsdiscussion....
Source: blog.bioethics.net - December 24, 2017 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs
Philips IQon Elite Spectral CT Scanner with Unique Dual Energy Detector
Philips has launched a brand new true spectral CT scanner, the IQon Elite Spectral CT. Spectral CT provides a more nuanced look at body tissues, which reveals some information about the composition of anatomy and not only its structure. The different frequencies of X-rays in a spectral CT can be compared to different colors of light, which are produced by different frequencies of visible radiation. In a spectral CT, things like iodine show up at lower energies, while the visual impact of metal can be reduced when viewing the higher energy data.
The new device, developed in a partnership with radiologists at Hadassah Hebre...
Source: Medgadget - December 14, 2017 Category: Medical Devices Authors: Editors Tags: Critical Care Emergency Medicine Radiology Surgery Source Type: blogs
A fire, thick socks, and prebiotics to keep you warm
Here’s an interesting speculation: The microbes in bowel flora are metabolically active, generating heat. There are so many microbes inhabiting the human intestine that it is estimated that up to 70% of human heat (at rest) is generated by bowel flora.
In support of this argument, antibiotics have been found to reduce body temperature. Animals raised to have sterile intestines free of microorganisms also have lower body temperature. The pound or so of human bowel flora is therefore a virtual heat factory.
We know that feelings of being cold can be produced by common health conditions such as iodine deficiency, hypoth...
Source: Wheat Belly Blog - December 11, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle bowel flora cold feeling cold Inflammation microbiota prebiotic probiotic Weight Loss Wheat Belly Total Health Source Type: blogs
The Pharmaceuticalization of Americans: Blood Pressure
News headlines are filled with the new advice from the American Heart Association, the American College of Cardiology, and other health organizations: 50% of all Americans now have hypertension, given the new target blood pressure of 130/80 or lower, and more Americans therefore require treatment of their blood pressure.
CNN reports, for instance:
“One in three Americans had previously been diagnosed with the condition, but now 14% more Americans will be diagnosed with high blood pressure. The new guidelines will classify 103.3 million people as having high blood pressure, while the previous guidelines placed only 72...
Source: Wheat Belly Blog - November 14, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat-Free Lifestyle gluten gluten-free grain-free grains hypertension Inflammation low-carb undoctored Weight Loss wheat belly Source Type: blogs
Mild Reduction of Phosphine Oxides with Phosphites To Access Phosphines
AngewchemMild Reduction of Phosphine Oxides with Phosphites To Access Phosphines: A new method for the iodine ‐catalyzed reduction of phosphine oxides with phosphites at room temperature is reported. The mild reaction conditions, scalability, and simple purification requirements render... (Source: Organometallic Current)
Source: Organometallic Current - October 27, 2017 Category: Chemistry Tags: Reduction Source Type: blogs
Who needs rice when you have cauliflower?
Cauliflower is a versatile vegetable: raw, cooked, mashed, roasted, or riced. Using riced cauliflower allows you to recreate many rice dishes easily while maintaining a grain-free, low-carb eating style.
Use riced cauliflower as a substitute for all forms of rice without sacrificing taste or texture. While you can rice the cauliflower yourself in a food chopper or food processor, food retailers such as Trader Joe’s are now selling pre-riced bags for convenience. Our replacement for mashed potatoes is mashed cauliflower, a delicious substitute that tastes every bit as good without the excessive carbohydrate load...
Source: Wheat Belly Blog - October 16, 2017 Category: Cardiology Authors: Dr. Davis Tags: Cauliflower Undoctored Wheat Belly Lifestyle Wheat-Free Lifestyle Dr. Davis gluten-free grain-free grains rice Thyroid Wheat Belly Total Health Source Type: blogs
