MKSAP: 47-year-old man with hypertension, type 2 diabetes mellitus, and obstructive sleep apnea
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 47-year-old man is evaluated during a follow-up examination. He is obese and has hypertension, type 2 diabetes mellitus, and obstructive sleep apnea. He reports that he has always has been overweight, and over the years, his weight has gradually increased to 123 kg (271 lb). During the past 2 years, he has tried several commercial diets; a dietician-monitored, calorie-restricted diet; increased physical activity; orlistat; and a combination of these interventions, all without achieving sustained weight loss. M...
Source: Kevin, M.D. - Medical Weblog - May 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Primary Care Source Type: blogs
Could medications contribute to dementia?
Alzheimer’s disease and other illnesses that cause dementia are devastating, not only for those affected but also for their friends and family. For most forms of dementia, there is no highly effective treatment. For example, available treatments for Alzheimer’s disease may slow the deterioration a bit, but they don’t reverse the condition. In fact, for most people taking medications for dementia, it may be difficult to know if the treatment is working at all.
Experts predict that dementia will become much more common in the coming years. We badly need a better understanding of the cause of these conditions, as this c...
Source: Harvard Health Blog - May 23, 2018 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Alzheimer's Disease Brain and cognitive health Drugs and Supplements Memory Source Type: blogs
To Paxil, with love
In 1994, Penguin Books published what would become a national bestseller titled, Listening to Prozac written by Dr. Peter Kramer, a Clinical Professor of Psychiatry at Brown University at the time. Throughout the book, he debates the ethics of “cosmetic pharmacology” a term associated with the transformation of personality traits through medication. Kramer describes several patients as becoming “better than well” on Prozac — more socially adept, less inhibited, and more competent in their daily functioning. He also reflects on what this means for patients and for society — that a medication ca...
Source: Kevin, M.D. - Medical Weblog - May 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jennifer-l-barkin" rel="tag" > Jennifer L. Barkin, PhD < /a > Tags: Meds Medications Psychiatry Source Type: blogs
Antidepressant "Withdrawal": Why Aren't Psychiatrists Seeing this "Common" Problem?
Over onTheNew York Timeswebsite, there is an article titled, "Many People Taking Antidepressants Discover They Cannot Quit. " Benedict Carey and Robert Gebeloff write about how long-term use of antidepressants is increasing, and some people have difficulties coming off the medications with symptoms that constitute a discontinuation syndrome. I'll let you read the article rather than quote it, because there was a lot wrong with the piece. It doesn't feel like a new idea that there are people who have protracted and miserable discontinuation syndromes--distinct from a recurrence of symptoms-- after stopping ...
Source: Shrink Rap - April 11, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs
Antidepressant " Withdrawal " : Why Aren't Psychiatrists Seeing this " Common " Problem?
Over onTheNew York Timeswebsite, there is an article titled, "Many People Taking Antidepressants Discover They Cannot Quit." Benedict Carey and Robert Gebeloff write about how long-term use of antidepressants is increasing, and some people have difficulties coming off the medications with symptoms that constitute a discontinuation syndrome. I ' ll let you read the article rather than quote it, because there was a lot wrong with the piece. It doesn ' t feel like a new idea that there are people who have protracted and miserable discontinuation syndromes--distinct from a recurrence of symptoms-- after stoppi...
Source: Shrink Rap - April 11, 2018 Category: Psychiatry Authors: Unknown Source Type: blogs
How Do We Counter Health Care Disinformation Under a Disinformer-in-Chief?
DiscussionAn international organization, Cambridge Analytica/ SCL based in the UK, led by Trump confidantes including his last campaign leader and former White House strategic adviser Steve Bannon, and major Republican donors and hedge fund magnates Robert and Rebekah Mercer, worked with the Trump 2016 campaign, particularly coordinating with digital coordinator Brad Parscale. Cambridge Analytica/ SCL leveraged Facebook private data on millions of people, obtained from most without their specific permission, to create a " psyops " political disinformation campaign featuring emotional appeals to voters ' internal psyc...
Source: Health Care Renewal - March 28, 2018 Category: Health Management Tags: crime disinformation Donald Trump extortion propaganda stealth health policy advocacy stealth lobbying stealth marketing 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
Top 25 Psychiatric Medications for 2016
Most people understand that the role of psychiatric medications is to help alleviate the symptoms associated with different types of mental disorders, such as depression, bipolar disorder, ADHD, schizophrenia, anxiety, and more. Psychiatric medications are an important part of a comprehensive treatment plan for effectively treating people who have a mental health concern or mental illness.
It’s good to know what drugs are being most-often prescribed for mental disorders in the U.S. These are the top 25 psychiatric medications by number of U.S. prescriptions dispensed in 2016, according to QuintilesIMS, a global infor...
Source: World of Psychology - October 12, 2017 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: General Medications Psychiatry Treatment medications for mental illness Psychiatric Drugs Psychiatric Medications psychiatric meds top psychiatric medications Source Type: blogs
A Stealth Marketer Goes Through the Revolving Door to ... the President's Council of Economic Advisors?!
Stealthy, deceptive systematicmarketing,lobbying, andpolicy advocacy campaigns on behalf of big health care organizations, often pharmaceutical, biotechnology and medical device companies, have long been a subject of Health Care Renewal. A relatively recently revealedexample was the stealth marketing campaign used by GlaxoSmithKline to sell its antidepressant Paxil. This campaign includedmanipulating andsuppressing clinical research,bribing physicians to prescribe the drug, use ofkey opinion leaders as disguised marketers, and manipulation ofcontinuing medical education. Other notable examples included Jo...
Source: Health Care Renewal - August 24, 2017 Category: Health Management Tags: conflicts of interest deception Donald Trump revolving doors stealth health policy advocacy stealth lobbying stealth marketing Source Type: blogs
‘ Chemical imbalance ’
There’s a lot of chat around at the moment about ‘chemical imbalance’… and I’ve written a lot over the years about it and here’s a link to the collected articles.
The term Selective Serotonin Reuptake Inhibitor (SSRI) was invented by a marketing company to sell Seroxat/Paxil to the public. Along with this serious medical sounding piece of jargon, came the fairy tale of the ‘chemical imbalance’
When I started taking Seroxat in 1997, I wanted to know how this great new drug worked – the PIL (the leaflet that came with the tablets) told me “it boosts the levels of serotonin in your ...
Source: seroxat secrets... - August 3, 2017 Category: Addiction Authors: admin Tags: Anti-depressant Serotonin SSRI Source Type: blogs
Erasing the Stigma of Geriatric Anxiety and Learning to Help
View Original Article Here: Erasing the Stigma of Geriatric Anxiety and Learning to Help
The effects of anxiety disorders are becoming ever more prevalent in our society. Even with new research shining a light on how many Americans suffer from these varying disorders, we have only begun to scratch the surface. This is especially true when it comes to understanding anxiety in the elderly.
Higher rates of loss, increased pain, chronic conditions, and multiple medications can all increase the levels of anxiety in senior citizens. This makes having the discussion about geriatric anxiety a crucial factor in aiding our loved on...
Source: Shield My Senior - May 31, 2017 Category: Geriatrics Authors: Vin Tags: Senior Safety Source Type: blogs
6 tricks that pharmaceutical marketers use
Long before the Internet and direct-to-consumer advertising, the medical profession tried to reassure people about their health concerns. Remember “take two aspirins and call me in the morning?”
Flash forward to today’s online “symptom checkers.” They are quizzes to see if someone has a certain disease and exhortations to see their doctor even if they feel fine. Once drug makers discovered that health fears and even hypochondria sell drugs, there seems to be no end to the new diseases, symptoms and risks people need to worry about.
In fact, since drug ads began on TV, Americans take so many drugs it inspires ...
Source: Kevin, M.D. - Medical Weblog - May 30, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/martha-rosenberg" rel="tag" > Martha Rosenberg < /a > Tags: Meds Medications Source Type: blogs
