10 rules to keep physicians on time
The key to staying on time in a busy clinic and to finish the day unscathed is to be in battle mode from the get go. The ten rules outlined below will help you to achieve that goal.
1. Make sure your bladder is empty, and that you are well hydrated. This goes without saying. You don’t want to finish the day with hydronephrosis or a kidney stone. This would lead to sick days and bite into your productivity pie.
2. You may be loaded with caffeine, your compassion tank may be full, and you may feel motivated in the early hours of the day when you are still fresh, but don’t fall into the trap of socializing with your patie...
Source: Kevin, M.D. - Medical Weblog - November 8, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/drizzlemd" rel="tag" > DrizzleMD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs
She sees difficult patients, but is a difficult patient herself
The patient is a 27-year-old Caucasian woman: slender, well-groomed. She is sitting in the office of her urologist, and she is unconsciously twisting her hands as she interrupts the doctor, having finally worked up the nerve.
“I know you told me to expect some pain for a while after the lithotripsy. But I’ve been having pain in my bladder, even when I don’t think there are any stones. It started two years ago, before the stones. It feels like pressure, and it really stings when I urinate. It especially hurts when I’ve taken naproxen or loratadine, or if I have caffeine, or if I get dehydrated at all...
Source: Kevin, M.D. - Medical Weblog - November 8, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/kristin-puhl" rel="tag" > Kristin Puhl < /a > Tags: Education Primary Care Urology Source Type: blogs
The Undoctored protocol to prevent and alleviate calcium oxalate kidney stones
People who have had the painful experience of passing a kidney stone remember well what this feels like, as sufferers describe it as one of the few pains worse than childbirth. Over 7 years, 50 percent of people who have had an episode will experience a recurrence, with a greater proportion experiencing a recurrence over a longer period. The majority of kidney stones are made from calcium oxalate. I have developed the Undoctored protocol to help you prevent these painful stones from forming.
This is one Undoctored Protocol among many provided in the Undoctored book, further expanded in the growing list of Protocols in the ...
Source: Wheat Belly Blog - November 7, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle bowel flora diy health Dr. Davis Source Type: blogs
We Simply Won ’ t Go To Mars Without Digital Health
“It’s 2017, we should have a lunar base by now,” noted Elon Musk when he revealed his grandiose plans about going to Mars in at least five years. “What the hell is going on?”, he asked clearly not being satisfied with the current state of astronautics. However, I say, we should not only concentrate on the development of space technologies but devote more focus to advancing technologies to keep people well and alive on the Red Planet. Digital health opens amazing horizons there. That’s what I detailed in my paper in New Space.
We’ll colonize Mars
There are plans for human missions to Mars by the United ...
Source: The Medical Futurist - October 11, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Telemedicine astronautics digital health elon musk gc3 Healthcare Innovation mars NASA Personalized medicine space space travel SpaceX technology wearables Source Type: blogs
VisualDx + Derm Expert, a Deep Learning App to Help Diagnose Skin Conditions
When a person develops an unsightly skin condition, the first person to assess it is typically not a dermatologist. A lack of expertise in dermatology too often leads to misdiagnoses. General practice physicians, for example, get very little training on skin conditions. Now, thanks to a new feature inside the latest Apple iOS for iPhones and iPads, any physician can have access to an impressive image recognition platform that identifies skin conditions and recommends further actions. We spoke with Dr. Art Papier, CEO of VisualDx, about the VisualDx + Derm Expert app that the company is making available.
The new app is cert...
Source: Medgadget - September 26, 2017 Category: Medical Devices Authors: Editors Tags: Dermatology Exclusive Medicine Source Type: blogs
Funtabulously Frivolous Friday Five 199
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 199.
Question 1
What does this pastry have in common with cardiology?
http://www.waitrose.com
+ Reveal the Funtabulous Answer
expand(document.getElementById('ddet1872942130'));expand(document.getElementById('ddetlink1872942130'))
The french call it a “Chocola...
Source: Life in the Fast Lane - July 28, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Bazett's formula chocolate torsade gentamicin myasthenia gravis pimped renal colic rollercoaster torsades de pointes william harvey Source Type: blogs
Citrate salts for treating and preventing kidney stones
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - July 24, 2017 Category: Internal Medicine Tags: nephrology urology Source Type: blogs
Vitamin D: Finding a balance
Over the July 4th weekend, my non-physician husband with a history of skin cancer tried to justify not wearing sunscreen in order to get some vitamin D. My husband, of course, has no idea how much vitamin D he needs or why, and I suspect he is not alone.
Why do we need vitamin D?
The easy answer is for bones. Vitamin D facilitates absorption of calcium and phosphate, which are needed for bone growth. Without sufficient vitamin D, bones become brittle (in children this is called rickets and in adults it is called osteomalacia) and break more easily. Vitamin D is likely beneficial for other parts of the body as well; studies...
Source: Harvard Health Blog - July 21, 2017 Category: Consumer Health News Authors: Emily S. Ruiz, MD, MPH Tags: Drugs and Supplements Health Prevention Source Type: blogs
Why is magnesium so important?
One of the six core strategies in the Undoctored Wild, Naked, and Unwashed program for health and weight loss is restoration of magnesium.
Magnesium deficiency is alarmingly common in today’s world. Why? Our reliance on filtered water that has had all of the magnesium removed, the reduced content of magnesium in modern crops, and the widespread use of proton pump inhibitors—-drugs prescribed to treat acid reflux and ulcers while reducing magnesium absorption.
Remember those darned phytates in wheat and other grains that bind magnesium and other positively charged minerals in the intestinal tract, preventing absorp...
Source: Wheat Belly Blog - July 18, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle a fib constipation Dr. Davis grain-free grains health healthcare heart rhythm hydrochlorothiazide kidney stones oxalate sudden death Source Type: blogs
Pulsed High Intensity Ultrasound Removes Calcified Buildup from Prosthetic Heart Valves
Image via: American College of Cardiology
Prosthetic heart valves that fit inside failed natural valves have now been used for years to treat thousands of patients. As time passes following implantation, the man-made valves tend to accumulate calcified debris over their leaflets. This slowly degrades their functionality and eventually requires revision procedures that may involve replacement of the prostheses, or valve-in-valve procedures that fit new prosthetic valves inside of old ones. A team of French researchers are proposing using pulsed cavitational ultrasound, also known as histotripsy, to clean the original impla...
Source: Medgadget - June 19, 2017 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Source Type: blogs
Trial By Error, Continued: The CMRC Affirms Full Support for Libelous Esther
By David Tuller, DrPH
For the last couple of weeks, I have been hammering the CFS/ME Research Collaborative to take a position on the actions of its deputy chair, Libelous Esther—better known as Dr. Esther Crawley. As I reported in several previous posts, Dr. Crawley falsely accused me of writing “libelous blogs” and Dr. Racaniello of posting them. To keep members of the CMRC board in the loop, I have sent them e-mails with links to these posts. In these e-mails, I have tried to be direct and pointed, but reasonably polite. I have mostly succeeded, although the recipients might have their own perspective.
At first, t...
Source: virology blog - May 15, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information CFS/ME Research Collaborative chronic fatigue syndrome CMRC libel libelous mecfs myalgic encephalomyelitis PACE Source Type: blogs
MKSAP: 28-year-old man is evaluated for recurrent nephrolithiasis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 28-year-old man is evaluated for recurrent nephrolithiasis. Medical history is significant for Crohn disease complicated by multiple small bowel strictures requiring resection. He began developing kidney stones 3 years ago following his last bowel surgery. Analysis of the stones has consistently shown calcium oxalate, and he has been adherent to a low oxalate diet, oral hydration to maintain urine output of at least 2 L/d, and intake of 2 g of calcium carbonate with each meal. However, he has continued to have...
Source: Kevin, M.D. - Medical Weblog - May 13, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Nephrology Source Type: blogs
New Undoctored book hits bookstores today
My new book, Undoctored: Why Health Care Has Failed You and How You Can Become Smarter Than Your Doctor, hits bookstores today, May 9th, 2017. I will be hosting a Facebook LIVE event today, also, at 5 pm Eastern/4 pm Central/3 pm Mountain/2 pm Pacific.
I want Undoctored to spark a revolution, a revolt against the healthcare system and its predatory ways. Undoctored sums up the lessons learned from the six years of the worldwide Wheat Belly experience that witnessed hundreds of thousands, even millions, of people achieve slenderness and health. Undoctored expands the discussion to show readers how even greater levels of hea...
Source: Wheat Belly Blog - May 9, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored costs drugs grains health healthcare medical devices medicines wheat Source Type: blogs
Fear as a Teacher
“You gain strength, courage, and confidence by every experience in which you really stop to look fear in the face. You must do the thing which you think you cannot do.” – Eleanor Roosevelt
Taking a deep breath as I am typing these words about a topic that is inherent in the human condition. I consider myself a pretty brave person, having faced deaths of family members and friends, injury, an ectopic pregnancy, financial challenge, a heart attack, shingles, kidney stones, job layoff, illness, relationships ending, and loss of my home in a hurricane. These are all common life events; some expected, most arriving o...
Source: World of Psychology - May 3, 2017 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Anxiety and Panic Self-Help Success & Achievement Source Type: blogs
Welcome to planet medicine
, where four rides around the sun earns you a golden ticket to study more, to train more, and to enjoy splicing two sacred letters onto the end of your title. The days are long, the weeks go fast, and sleep is optional. In this world, all-star draftees leave their immaculate collegiate careers as masters of memorization and intellectual puzzle solvers only to still be no more qualified to check a pulse than a two-year-old. Day one is the first and last day you will ever wear your pristine and spotless white cape — soon to be decorated with pen marks, coffee stains, and HIPAA-protected body fluids. It all begins as yo...
Source: Kevin, M.D. - Medical Weblog - April 21, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/bevan-johnson" rel="tag" > Bevan Johnson, MBA < /a > Tags: Education Medical school Source Type: blogs
