LITFL Review 200
Welcome to the 200th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Rick Body and the organising crew in Manchester put on a superb RCEM conference in Manchester this week. Check out what happened in podcasts covering all of the action and supporting blogs at St.Emlyns. [SL]
The Best of #FOAMed Emergency Medicin...
Source: Life in the Fast Lane - October 4, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
What a difference 3 weeks on the Wheat Belly lifestyle can make
Ben shared his 3-week experience living the Wheat Belly lifestyle after being diagnosed with celiac disease:
“My family doctor diagnosed me with celiac and wheat allergies. These pictures were taken 3 weeks apart: prior to the diagnosis and three weeks later, a photo of me after following the Wheat Belly books that my doctor recommended I get.
“I still feel like I eat like a king. I am just a lot more cautious about what I put into my body and I am seeing the results!”
You can see that Ben’s face shows the changes we expect to see as inflammation recedes: reduced cheek and around-the-eyes edema, la...
Source: Wheat Belly Blog - September 3, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories celiac gluten grains Inflammation Source Type: blogs
‘To Alcohol! The Cause of, and Solution to, All of Life's Problems’
A 37-year-old woman is brought into the emergency department by EMS after being found down next to a bottle of an unknown substance. (See photo.) Her family said she was initially tearful and repeatedly mumbling, “I’m sorry,” and became progressively less responsive.
She was obtunded and intubated for airway protection upon arrival to the ED. Her initial vital signs were a temperature of 98.8°F, heart rate 110 bpm, blood pressure 187/118 mm Hg, respiratory rate 22 bpm, and pulse oximetry 98% on ventilator. Initial ABG reveals a pH 6.89, pCO2 16, pO2 174, and bicarbonate 3.1. Pertinent lab results include a meta...
Source: The Tox Cave - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
‘To Alcohol! The Cause of, and Solution to, All of Life's Problems’
A 37-year-old woman is brought into the emergency department by EMS after being found down next to a bottle of an unknown substance. (See photo.) Her family said she was initially tearful and repeatedly mumbling, “I’m sorry,” and became progressively less responsive.
She was obtunded and intubated for airway protection upon arrival to the ED. Her initial vital signs were a temperature of 98.8°F, heart rate 110 bpm, blood pressure 187/118 mm Hg, respiratory rate 22 bpm, and pulse oximetry 98% on ventilator. Initial ABG reveals a pH 6.89, pCO2 16, pO2 174, and bicarbonate 3.1. Pertinent lab results include a metabo...
Source: The Tox Cave - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
LITFL Review 186
Welcome to the 186th LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
The importance of grit in medicine can’t be stated enough. Mike Lauria discusses the concept and its import. [AS]
The Best of #FOAMed Emergency Medicine
Excellent lecture on the non-utility of backboards and collars via Anton Helman and...
Source: Life in the Fast Lane - June 14, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Wheat and grains make you sick
Jennifer shared her “before” and “after” photos after just 3 weeks of following the Wheat Belly lifestyle:
“I am 30. I have been dealing with health issues my whole life. About a month ago, I had to go to the ER for severe abdominal pain and nausea. I still don’t know all that is going on, but I do know the Wheat Belly diet is helping me to get better (docs haven’t been helpful thus far).
“This is a pic of me before Wheat Belly on the left and 3 weeks after starting the diet. I have followed your Facebook and seen all the ‘before’ and ‘afters’ and wan...
Source: Wheat Belly Blog - June 13, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories abdominal pain gluten grains nausea Source Type: blogs
The Latest Study " Proving " that Januvia Does Not Cause Pancreatic Cancer and Pancreatitis Does Not Prove This
(Source: Diabetes Update)
Source: Diabetes Update - June 9, 2015 Category: Endocrinology Source Type: blogs
The Latests Study "Proving" that Januvia Does Not Cause Pancreatic Cancer and Pancreatitis Does Not Prove This
(Source: Diabetes Update)
Source: Diabetes Update - June 9, 2015 Category: Endocrinology Source Type: blogs
The Latest Study " Proving " that Januvia Does Not Cause Pancreatic Cancer and Pancreatitis Does Not Prove This
(Source: Diabetes Update)
Source: Diabetes Update - June 9, 2015 Category: Endocrinology Source Type: blogs
The Latest Study "Proving" that Januvia Does Not Cause Pancreatic Cancer and Pancreatitis Does Not Prove This
(Source: Diabetes Update)
Source: Diabetes Update - June 9, 2015 Category: Endocrinology Source Type: blogs
Mary figured out how to reverse diabetes . . . on her own
Mary shared her story of how she learned–on her own, at first–that foods that raise blood sugar, such as grains, cause you to “need” diabetes drugs. Not eating foods that raise blood sugar causes you to not need diabetes drugs.
“I started going grain-free in December, 2014 as a last-ditch effort to get a handle on my diabetes.
“My extreme reaction to metformin–stomach problems from diarrhea to esophageal spasms–made me give it up for good early last year. My blood sugars were out of control, but my doctor did not want to start me on insulin. My blood sugar numbers were regu...
Source: Wheat Belly Blog - April 16, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories blood sugar diabetes gluten grains Weight Loss Source Type: blogs
Public Citizen Urges FDA To Penalize Drug Makers Over Diabetes Ads, Criticizes the Agency’s “Dismal Record” on Issuing Warning Letters
Consumer advocacy group Public Citizen is calling on the Food and Drug Administration (FDA) to “stop the apparently violative off-label promotional statements” in various Type 2 Diabetes advertisements, which the group argues are being advertised as weight-loss drugs. “[N]one of the drugs is approved for weight loss and, despite the presence of disclaimers that the medications are not weight-loss drugs, the implication is clearly that weight loss is an additional potential benefit of the drugs,” Public Citizen states.
This request comes in the midst of a “drastic reduction” in the past few years of direct-to-co...
Source: Policy and Medicine - April 3, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
MOC – how should we define maintenance
Maintenance – the process of maintaining or preserving someone or something, or the state of being maintained.
Our certification documents that we have trained (in my case in Internal Medicine) and that we can pass a test on the breadth of Internal Medicine knowledge. We accept that the ABIM has developed a test the evaluates our entire exposure to the many diseases and treatments that reflect our patients.
The idea of Maintenance of Certification is that over time knowledge changes and thus we need to update our knowledge, our diagnostic processes and our treatments. Internists often care for differing types of pa...
Source: DB's Medical Rants - February 4, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
How NOT to have HIGH TRIGLYCERIDES
High triglyceride levels are common, 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) or prescription fish oil (Lovaza). But buried in this single value is tremendous insight into diet, metabolic efficiencies, and cardiovascular risk, with control using natural, non-medication means very easy to accomplish.
Why are triglycerides important? Triglyceride levels of 60 mg/dl or higher will:
Block insu...
Source: Wheat Belly Blog - January 24, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle carbohydrates cholesterol fats fiber prebiotic resistant starch starches triglycerides Source Type: blogs
Healthier and Happier
By: Alexandra Norcott, MD, second-year internal medicine resident at Yale-New Haven Hospital and member of the West Haven Veterans Affairs Center of Excellence in Primary Care Education (CoEPCE). She plans to pursue a career in general internal medicine with subpecialization in patient safety and quality improvement.
“On average, how much alcohol do you drink?” I questioned the sixty-three year-old veteran.
“About fifty beers a week,” Nate nonchalantly retorted. I noticed his cherry cheeks, accented by the red sailboats on his Hawaiian shirt.
“OK. For about how long?”
“About as long as I’ve been married—...
Source: Academic Medicine Blog - January 22, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Trainee Perspective Center of Excellence in Primary Care Education health care teams interprofessionalism patient centered care Source Type: blogs
