The Art of Clinical Decision Making: Friday Afternoon Dilemmas
By HANS DUVEFELT
The woman had a bleeding ulcer and required a blood transfusion. The hospital discharge summary said to see me in three days for a repeat CBC. But she had a late Friday appointment and there was no way we would get a result before the end of the day. She also had developed diarrhea on her pantoprazole and had stopped the medication. As if that wasn’t enough, her right lower leg was swollen and painful. She had been bed bound for a couple of days in the hospital and sedentary at home after discharge.
She could still be bleeding and she could have a blood clot. There were no openings for an ultrasoun...
Source: The Health Care Blog - March 22, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Hans Duvefelt Source Type: blogs
Functional dyspepsia: Causes, treatments, and new directions
Functional dyspepsia (FD) is a common condition, loosely defined by some physicians as a stomach ache without a clear cause. More specifically, it is characterized by the feeling of fullness during or after a meal, or a burning sensation in the mid-upper abdomen, just below the rib cage (not necessarily associated with meals). The symptoms can be severe enough to interfere with finishing meals or participating in regular daily activities.
Those with FD often go through multiple tests like upper endoscopy, CT scan, and gastric emptying study. But despite often-severe symptoms, no clear cause (such as cancer, ulcer disease, ...
Source: Harvard Health Blog - July 6, 2020 Category: Consumer Health News Authors: Vikram Rangan, MD Tags: Digestive Disorders Mind body medicine Pain Management Source Type: blogs
MKSAP: 38-year-old man with dyspnea on exertion
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old man is evaluated for a 6-month history of dyspnea on exertion. He has gastroesophageal reflux disease and Raynaud phenomenon. He does not smoke and has no cough or wheezing. Current medications are lansoprazole and amlodipine. On physical examination, vital […]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 - November 30, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Pulmonology Source Type: blogs
Seasoned medical professionals prescribe new medicines sparingly
I prescribe heartburn medicines every day. There ’s a gaggle of them now— Prilosec, Nexium, Prevacid, Protonix— to name a few. As far as experts know, their primary effect is to reduce the production of stomach acid. This is why they are so effective at putting out your heartburn fire. In simple terms: no […]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 31, 2018 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/michael-kirsch" rel="tag" > Michael Kirsch, MD < /a > < /span > Tags: Meds Gastroenterology Source Type: blogs
Live the Wheat Belly lifestyle, get off prescription medications
Take a look at the list of medications people have been able to stop by following the Wheat Belly lifestyle.
These represent medications prescribed by doctors to, in effect, “treat” the consequences of consuming wheat and grains. They prescribe drugs to treat inflammation, swelling, skin rashes, gastrointestinal irritation, high blood sugars, airway allergy, joint pain, high blood pressure, leg edema and other abnormal effects caused by wheat and grains.
The list includes anti-inflammatory and pain medication, acid reflux drugs, injectable and oral drugs for diabetes, numerous anti-hypertensive agents, asthma i...
Source: Wheat Belly Blog - October 27, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates autoimmune blood sugar bowel flora cholesterol Gliadin gluten-free grain-free grains Inflammation undoctored Weight Loss wheat belly 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
Did Big Pharma BUY Big Media?
Healthcare is at the top of the list of societal problems in the U.S.
Healthcare interactions are unsatisfying to most people, costs are out of control and cost every American nearly $10,000 per person per year while bleeding 17.5% of GDP, more than any other nation on earth for a system that ranks low or last in quality compared to other developed countries. For a problem as big as healthcare, big enough to cripple the entire economy in addition to bankrupting more and more Americans, you would think that media reporting would be filled with debate, criticisms, and in-depth coverage about the problems in healthcare.
But...
Source: Wheat Belly Blog - May 2, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored abc bias big pharma cbs cnn drug industry fox gluten grains health healthcare illness media nbc pharmaceutical tv wheat Source Type: blogs
Madeline ’ s Wheat Belly success . . . in a real world
Madeline shared her story on our Wheat Belly 10-Day Grain Detox private Facebook page. Her experience highlights many important aspects of this lifestyle, but especially how health can be transformed by sticking to this lifestyle and not being confused by “gluten-free” foods, the misguided advice of doctors, and overcoming stress that is inevitable in everyone’s lives.
Her reward? Magnificent transformation in her health and appearance, all achieved by rejecting conventional dietary advice.
“I’m posting to show that not everyone looses at the same speed–don’t be discouraged. I l...
Source: Wheat Belly Blog - April 5, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle asthma diabetes gluten grains skin rash Weight Loss Source Type: blogs
The Future of Work Part I
Have you ever taken some time to think about what work will look like 5, 10 or even 20 years from now? If you haven’t, it is probably worth the effort because a changing work environment may have dramatic implications for how you are employed in the future. In these two posts, I want to talk about some of the trends I’m seeing and how they may play out in the coming years.
Outsourcing
Companies are getting better and better at spinning off specific business functions and letting them be handled by others. For example, many businesses can’t justify running payroll in-house. It is cheaper to hire a company...
Source: Productivity501 - September 20, 2016 Category: Psychiatry & Psychology Authors: Mark Shead Tags: Misc Source Type: blogs
Can Your Antacid Cause Alzheimer ’s Disease?
Can your antacid really cause Alzheimer’s Disease? Recent research suggests that, indeed, proton pump inhibitors, some of the most common drugs for reducing feelings of heartburn, can cause an increase in the ‘beta amyloid’ deposits in the brain that are indicative of Alzheimer’s Disease.
This is in addition to some of the other serious Proton Pump Inhibitor Side Effects, like osteoporosis, magnesium deficiency and heart rhythm problems; Antacid Medications can Even Ruin Your Gut.
These problems can occur even when these heartburn relieving drugs are taken for short amounts of time. All too often, though, these d...
Source: Immune Health Blog - February 26, 2016 Category: Nutrition Authors: Kerri Knox, RN Tags: Brain Health/ Neurologic Digestive Health Vitamin B12 alzheimers disease causes cause alzheimer's disease cause of alzheimers disease causes of alzheimers omeprazole side effects proton pump inhibitors proton pump inhibitors cause alzhei Source Type: blogs
Can Your Antacid Cause Alzheimer ’s Disease?
Can your antacid really cause Alzheimer’s Disease? Recent research suggests that, indeed, proton pump inhibitors, some of the most common drugs for reducing feelings of heartburn, can cause an increase in the ‘beta amyloid’ deposits in the brain that are indicative of Alzheimer’s Disease.
This is in addition to some of the other serious Proton Pump Inhibitor Side Effects, like osteoporosis, magnesium deficiency and heart rhythm problems; Antacid Medications can Even Ruin Your Gut.
These problems can occur even when these heartburn relieving drugs are taken for short amounts of time. All too often, though, these d...
Source: Immune Health Blog - February 26, 2016 Category: Nutrition Authors: Kerri Knox, RN Tags: Brain Health/ Neurologic Digestive Health Vitamin B12 alzheimers disease causes cause alzheimer's disease cause of alzheimers disease causes of alzheimers omeprazole side effects proton pump inhibitors proton pump inhibitors cause alzhei Source Type: blogs
Can Your Antacid Cause Alzheimer’s Disease?
Can your antacid really cause Alzheimer’s Disease? Recent research suggests that, indeed, proton pump inhibitors, some of the most common drugs for reducing feelings of heartburn, can cause an increase in the ‘beta amyloid’ deposits in the brain that are indicative of Alzheimer’s Disease.
This is in addition to some of the other serious Proton Pump Inhibitor Side Effects, like osteoporosis, magnesium deficiency and heart rhythm problems; Antacid Medications can Even Ruin Your Gut.
These problems can occur even when these heartburn relieving drugs are taken for short amounts of time. All too often, though, these d...
Source: Immune Health Blog - February 26, 2016 Category: Nutrition Authors: Kerri Knox, RN Tags: Brain Health/ Neurologic Digestive Health Vitamin B12 alzheimers disease causes cause alzheimer's disease cause of alzheimers disease causes of alzheimers omeprazole side effects proton pump inhibitors proton pump inhibitors cause alzhei Source Type: blogs
Matthew’s incredible Wheat Belly transformation
Remember Matthew? I previously shared his story and photos, including his 80-pound weight loss and change in cholesterol values.
But there is much more to his story that he has been sharing on the Official Wheat Belly Facebook page. Because the changes he described were so extensive, I’ve collected his comments here. Put together, Matthew’s health transformation is nothing short of astounding. He previously told us that hypertension and pre-diabetes have reversed with now normal blood pressure and blood sugars. But just read on and see how much more happened.
Matthew’s experience is a terrific example of ...
Source: Wheat Belly Blog - November 27, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories acid reflux allergy asthma cholesterol cramps gerd gluten grains heartburn IBS indigestion spastic colon Weight Loss Source Type: blogs
Prescription Drugs And The Slowdown In Health Care Spending
Several studies have examined the underlying sources for the recent slowdown in health care spending. These analyses have focused largely on the role of the 2007-2009 recession, the increasing prevalence of high deductible health insurance plans, and other structural changes in the payment and delivery of care. However, the studies examining these factors do not account for the full decline in spending, or raise questions about the pattern and timing of the slowdown.
Role Of Prescription Drugs In The Health Spending Slowdown
Certainly the recession accounted for a component of the post 2007 slowdown in spending. However, t...
Source: Health Affairs Blog - November 18, 2015 Category: Health Management Authors: Kenneth Thorpe and Jason Hockenberry Tags: Costs and Spending Drugs and Medical Technology Featured Quality generic drugs medication adherence Prescription Drugs Source Type: blogs
What medications have you been able to stop on the Wheat Belly lifestyle?
I posed this question on the Wheat Belly Facebook page recently and received an overwhelming response. Here, I share a partial list of the responses: medications people have been able to stop by following the Wheat Belly lifestyle.
Just take a look at this incredible list: these represent medications prescribed by doctors to, in effect, “treat” the consequences of consuming wheat and grains. They prescribe drugs to treat the inflammation, swelling, skin rashes, gastrointestinal irritation, high blood sugars, airway allergy, and other abnormal effects all caused by wheat and grains.
The list includes anti-inf...
Source: Wheat Belly Blog - October 6, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle asthma cholesterol diabetes drugs gluten grains hypertension prescription medication reflux Source Type: blogs
