Reduce HIGH TRIGLYCERIDES naturally and safely . . . without scam products
High triglyceride levels are as common as muffin tops and man breasts. You will find a triglyceride level among the four values on any standard cholesterol panel. High triglycerides are either ignored by most doctors or reflexively “treated” with drugs, such as fibrates (Lopid, fenofibrate), prescription fish oil (Lovaza, Vascepa) and, of course, statins. But buried in this single triglyceride value is tremendous insight into diet, metabolic efficiencies, and cardiovascular risk, with control using natural, non-medication means easy to accomplish with absolute NO need for overpriced Big Pharma scam products. Why are ...
Source: Wheat Belly Blog - December 28, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates grain-free triglycerides undoctored Weight Loss wheat belly Source Type: blogs

Alcohol use disorder: When is drinking a problem?
Over the past few months, a conversation about alcohol use has been center stage in the national news. Stories about underage drinking, blacking out, and harmful behavior associated with alcohol use are quite common in many families around the world. The rise of the opioid epidemic in the US has rightly caught our attention, but overshadowed a much more common problem. In the United States, from 2006 to 2010 alcohol-associated deaths accounted for 88,000 deaths annually, or almost 10% of all US deaths. While many people are becoming aware that medication assisted therapy can help treat opioid use disorder, very few know th...
Source: Harvard Health Blog - December 20, 2018 Category: Consumer Health News Authors: Marcelo Campos, MD Tags: Health Source Type: blogs

Alcohol and headaches
Alcohol is embedded in our society, and it is difficult to be in a public space without seeing a reference to alcohol or being offered a drink. Alcohol is broken down in the liver by an enzyme called alcohol dehydrogenase. People with a variant in this enzyme have issues with metabolizing alcohol and can develop total body flushing or reddening of the skin. Alcohol consumption has been associated with pregnancy defects, liver disease, pancreatitis, high blood pressure, coronary artery disease, stroke, cancer, addiction issues, and physical injury (trauma to self/others with acute intoxication). The health benefits of alcoh...
Source: Harvard Health Blog - October 26, 2018 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Alcohol Headache Health Source Type: blogs

Judges versus coaches in medical education
I flash a smile as I look up from my notes. “Do it again,” I say, encouraged by his progress, “but this time start with the physical exam.” I am the internal medicine resident leading our “twilight” admitting team, and Vikram, a student on the first day of his medicine clerkship, sits across from me. It is his third time practicing the presentation of Ms. R, a 56-year-old woman with pancreatitis who was recently admitted to our hospital. When I first met Vikram earlier that day, I explained that I viewed my role as both his evaluator and coach as a conflict of interest and admitted that I could only choose one ...
Source: Kevin, M.D. - Medical Weblog - October 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/muthu-alagappan" rel="tag" > Muthu Alagappan, MD < /a > Tags: Education Medical school Surgery Source Type: blogs

The pancreatitis activity scoring system (PASS)
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - October 1, 2018 Category: Internal Medicine Tags: gastroenterology hospital medicine Source Type: blogs

Does your poop float?
There are a number of explanations for poops that float, some benign, some not. If you talk to your doctor or explore online discussions about this, you will encounter talk of malabsorption (i.e., inadequate digestive breakdown of various components of diet), pancreatic insufficiency (e.g., inadequate production of pancreatic digestive enzymes due to prior pancreatitis), lactose or fructose intolerance, or excessive consumption of sugars and/or carbohydrates that increase gas content of stools. But an extremely common and important cause is rarely mentioned: small intestinal bacterial overgrowth, or SIBO. Recall that SIBO ...
Source: Wheat Belly Blog - September 25, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates autoimmune bowel flora dysbiosis fibromyalgia grain-free malabsorption psoriasis sibo small intestinal bacterial undoctored Source Type: blogs

Another review on acute pancreatitis
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - September 5, 2018 Category: Internal Medicine Tags: gastroenterology hospital medicine Source Type: blogs

Talking it Like it is: Advice from a HPM Fellow to all the New Interns
by Christine BridgesThe hallways are full again after a short June reprieve. Starched white coats, cleaner than it ever seemed possible bustle through the hallways, making up in speed what they lack in direction. They fill each space with eager anticipation. It is almost palpable. It is the scent of July. Each furtive glance at the clipboard in the elevator fills me with longing to tell them the advice I wish had been passed out with my first pager.The biggest challenge ahead of you will be communication. Over the next 3-7 years more often than relieving tension pneumothoraxes, performing thoracenteses, or placing art line...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 22, 2018 Category: Palliative Care Tags: bridges communication intern residency The profession Source Type: blogs

Are useful notes in our future – the return of SOAP
CMS is changing note requirements, among other changes.  Bob Doherty has a wonderful summary – FOUR things you should know about Medicare’s “historic” changes to physician payments As always, we really will have a difficult time sorting out the unintended consequences of these changes, but they certainly seem like a move in the proper direction.  To me the most important change is a focus on notes – “allowing medical decision making to be the basis for documentation, requiring physicians to only document changed information for established patients and to sign-off on basic information documented ...
Source: DB's Medical Rants - July 16, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

100% blockage of heart
The actual words the doctor used were "100% blockage of natural vessels". What are "natural vessels"? They are the veins in your heart that you are born with. That is what his angiogram showed. The 3 bypass veins have some blockage. They are too fragile to put a stint in. In order to clean out the plaque, they would have to go in with a DRILL and literally drill out the plaque. Instead they are going to use drug therapy to try and increase the blood flow in his heart.Which is at 30%. So during the angiogram they were not able to stint anything.He probably had another heart attack aro...
Source: Wife of a Diabetic - July 11, 2018 Category: Endocrinology Source Type: blogs

Tropical Travel Trouble 009 Humongous HIV Extravaganza
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 009 The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with a low ...
Source: Life in the Fast Lane - July 7, 2018 Category: Emergency Medicine Authors: Amanda McConnell Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs

Teaching new interns and students – stress the basics
I have had the “pleasure” of an interesting attending stretch – June 10 – July 9.  The new interns started Sunday June 24th. New 3rd year students started the next day. The attending job changed dramatically in one day.  The June interns were ready for residency.  All the conversations occurred at a very high level.  We worked on some fine points of internal medicine to help them grow. With new interns and students, it is back to basics.  We must assume very little, but we do have their attention. So for the past 2 weeks we have stressed the basics.  How do we manage pancreatitis? What is th...
Source: DB's Medical Rants - July 5, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Death by donut
I don’t mean that you will be struck down by simply stepping into a Dunkin’ Donuts. I mean that donuts and others things wheat and grains will substantially abbreviate y0ur life, or at least make your time on earth a lot more miserable. I’ve been accused of exaggeration to get the no-wheat, no-grain message through. But if you see what I see every day, I think that you would agree: The consumption of wheat and grains is entirely inappropriate for humans; we exchange near-term calories for deterioration of long-term health that takes numerous forms. And when you see lives completely turned around by banish...
Source: Wheat Belly Blog - May 9, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle autoimmune bowel flora diabetes gluten-free grain-free grains Inflammation joint pain undoctored Source Type: blogs

Death by donut
I don’t mean that you will be struck down by simply stepping into a Dunkin’ Donuts. I mean that donuts and others things wheat and grains will substantially abbreviate your life, or at least make your time on earth a lot more miserable. I’ve been accused of exaggeration to get the no-wheat, no-grain message through. But if you see what I see every day, I think that you would agree: The consumption of wheat and grains is entirely inappropriate for humans; we exchange near-term calories for deterioration of long-term health that takes numerous forms. And when you see lives completely turned around by banish...
Source: Wheat Belly Blog - May 9, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle autoimmune bowel flora diabetes gluten-free grain-free grains Inflammation joint pain undoctored Source Type: blogs