MedCline Reflux Relief System: A Medgadget Product Review
Conclusion: Overall, Amenity Health has created a very high quality product in their MedCline Reflux Relief System. It effectively prevents reflux and is, in my opinion, more comfortable than the more traditional wedges on the market. However, higher quality comes with a higher price tag. New users might find it somewhat challenging to adapt to the new sleeping position used with MedCline Reflux Relief System, but once acclimated, those suffering from nocturnal reflux may finally be able to enjoy a peaceful and restful night’s sleep. The MedCline Reflux Relief System is available on Amazon and through the company’...
Source: Medgadget - March 7, 2018 Category: Medical Devices Authors: Kenan Raddawi Tags: Exclusive GI Medicine Source Type: blogs

Research and Reviews in the Fastlane 191
This article has spawned a lot of controversy. It is worth reading to understand why. Recommended by: Justin Morgenstern Emergency Medicine Samuels EA, et al. “Sometimes You Feel Like the Freak Show”: A Qualitative Assessment of Emergency Care Experiences Among Transgender and Gender-Nonconforming Patients. Annals of emergency medicine. 2017. PMID: 28712604 This is a qualitative study of transgender patients who visited an ED in the US. This article is a must read as providers often lack insight into the complexities of caring for transgender patients and systemic barriers to conscientious care. This arti...
Source: Life in the Fast Lane - January 10, 2018 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Emergency Medicine Gastroenterology R&R in the FASTLANE Respiratory Resuscitation EBM Education recommendations research and reviews Source Type: blogs

One Barely Noticed Settlement by Pfizer Suggests the Futility of Polite Protests about Health Policy
A few days ago we noticed just one more marcher in theparade of legal settlements.  But it was once again a huge health care corporation, and it had aspects that demanded attention.Pfizer Makes $94 Million Settlement of Allegations of Fraud to Delay Generic CompetitionA tinyitem in Becker ' s Hospital News on November 28, 2017, stated:Pfizer will pay $94 million to resolve allegations that it used fraudulent patents to delay generic competition for its anti-inflammatory drug Celebrex.The lawsuit, brought by 32 direct purchasers of Celebrex in April and certified a class action lawsuit in August, claimed Pfizer attempt...
Source: Health Care Renewal - December 3, 2017 Category: Health Management Tags: adverse effects Celebrex deception impunity legal settlements Pfizer restraint of competition Source Type: blogs

An Open Letter to Dr. John Warner, President of the American Heart Association, on surviving a heart attack
Headlines today announce that the new President of the American Heart Association (AHA), cardiologist Dr. John Warner, has suffered a heart attack, aborted by an emergency stent placement. Typical of the ridiculous attitudes that prevail at the industry-friendly AHA, they Tweeted: “Sending all our love and support to @American_Heart president Dr. Warner as he recovers from a mild heart attack. Heart disease can strike anyone, at any time. That’s why we keep fighting.” If you ignore the nonsense that AHA policy dictates, you can absolutely gain control over cardiovascular risk. But you will NOT find the answer...
Source: Wheat Belly Blog - November 14, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle Source Type: blogs

Medgadget Visits The Medical Alley Innovation Summit in Minneapolis 2017
MedTech Strategist working together with The Medical Alley Association for the very first time brought their premier innovation summit to Minnesota, a place now considered by many to be the global epicenter of health innovation and care. Over the two-day long event more than 35 start-up and emerging medical companies presented their technologies and devices to representatives of leading venture capitalist and investment banks, and also to large medical device companies. Considering that funding is of major importance to the field of medical innovation, this event gave both investors and entrepreneurs a chance to explore fu...
Source: Medgadget - October 19, 2017 Category: Medical Devices Authors: Kenan Raddawi Tags: Exclusive Source Type: blogs

MKSAP: 54-year-old man with dysphagia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 54-year-old man is evaluated for a 4-month history of intermittent, nonprogressive solid-food dysphagia. He has a long-standing history of heartburn that has been well controlled with once-daily proton-pump inhibitor (PPI) therapy for the past 5 years. Results of a screening colonoscopy 4 years ago were normal. There is no family history of colorectal cancer. Physical examination findings are unremarkable. Upper endoscopy reveals a 3-cm hiatal hernia, an esophageal (Schatzki) ring, and approximately six polyps...
Source: Kevin, M.D. - Medical Weblog - August 12, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions GI Medications 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

MKSAP: 60-year-old woman with substernal chest pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old woman is evaluated for a 3-week history of substernal chest pain. The pain is dull, nonradiating, and unrelated to activities. Sometimes the pain is worse after eating spicy foods and can be occasionally triggered by emotional stress. She has not had shortness of breath or weakness. She is moderately active, walking a mile each day. She generally eats a “healthy heart” diet but has never had her lipid levels evaluated. She has never smoked cigarettes. There is no family history of heart disease...
Source: Kevin, M.D. - Medical Weblog - July 8, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Heart Source Type: blogs

Study shows how practicing gratitude can help train your brain and improve mental health over time
— With the rise of managed health care, which emphasizes cost-efficiency and brevity, mental health professionals have had to confront this burning question: How can they help clients derive the greatest possible benefit from treatment in the shortest amount of time? Recent evidence suggests that a promising approach is to complement psychological counseling with additional activities that are not too taxing for clients but yield high results. In our own research, we have zeroed in on one such activity: the practice of gratitude. Indeed, many studies over the past decade have found that people who consciously count their...
Source: SharpBrains - July 5, 2017 Category: Neuroscience Authors: Greater Good Magazine Tags: Cognitive Neuroscience Education & Lifelong Learning Health & Wellness anxiety college students counseling depression fMRI fMRI scanner Gratitude healthcare managed health care Mental-Health Positive-Psychology Psychotherapy Source Type: blogs

Chest Pain Diagnosed as Gastroesophageal Reflux
p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 11.0px Helvetica; background-color: #fefefe}A 50-something male presented to a clinic for one day of intermittent substernal chest and jaw pain. He had had several episodes of pain since onset; it was described as pressure-like and lasts about 5-15 minutes and resolves spontaneously. He had been pain free for about an hour.  He had some " pre-diabetes, " but no h/o hypertension, no known family history of heart disease, and he smokes about 1-2 cigarettes per day. An ECG was recorded:The computer read:Normal ECGWhat do you think?Smith Comment:Th...
Source: Dr. Smith's ECG Blog - May 29, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Memo To The President: The Pharmaceutical Monopoly Adjustment Act Of 2017
Since 1980, Congress has enacted many laws granting pharmaceutical manufacturers monopolies that no other industry enjoys. These extra monopolies were created with the expectation that monopoly profits would spur greater investment in research to find important new drugs. In fact, they have caused US consumers to pay higher prices for medicines for longer periods of time while making the pharmaceutical industry far more profitable than any other industry. I believe the next president and Congress should take several key steps, which I outline below, to roll back these costly, unnecessary monopolies. The Current Landscape C...
Source: Health Affairs Blog - September 13, 2016 Category: Health Management Authors: Alfred Engelberg Tags: Costs and Spending Drugs and Medical Technology Health Policy Lab Bayh-Dole Act Big Pharma Gilead Hatch-Waxman Act johnson & johnson pfizer Source Type: blogs

What PPIs and the Kardashians have in common
The science we conduct often reflects the society we live in. One phenomenon of current society is the rise of the reality television show. Participants are promised instant media fame without having to struggle through acting school. I worry that this has rubbed off on some of the studies we now conduct. Sir Richard Doll and Austin Hill, the architects of modern epidemiology, realized that it was hard for epidemiology to prove or disprove anything. Their studies were driven by clear hypotheses as some took five to 10 years to complete. Furthermore, their landmark paper on smoking and lung cancer devoted over a page of dis...
Source: Kevin, M.D. - Medical Weblog - August 24, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/dr-paul-moayyedi" rel="tag" > Dr. Paul Moayyedi < /a > Tags: Conditions GI Source Type: blogs

Welcome to My World: Med Wreck
By HANS DEUVEFELT, MD Part of a series on primary care challenges and their solutions. Medication reconciliation is something we do every day, in the clinic and in the hospital. It shouldn’t be as hard as it is. A patient with multiple medical problems returns for a fifteen minute quarterly visit. He saw his cardiologist three weeks ago and was told to double his metoprolol. There are two ways to catch this change: when the cardiologist’s office note comes in, or as we check the patient in for his visit. The cardiologist’s office note, generated by one of the leading EMRs, runs seven pages and contains entries a...
Source: The Health Care Blog - August 10, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Pfizer: Another Settlement Down
This article goes through the case, the settlement, and what it means for the future. Our readers may remember the “agreement in principle” reached between Pfizer, Inc. and the Department of Justice (“DOJ”) to settle the qui tam case with Wyeth, LLC. That agreement was recently made official by the parties, with the settlement being signed, sealed, and delivered on April 27, 2016.  As a refresher, allegations were made by Lauren Kieff, a former hospital sales representative for AstraZeneca Pharmaceuticals LP, and William St. John LaCorte, a physician, that Wyeth engaged in healthcare fraud from 2001 to 2006...
Source: Policy and Medicine - July 21, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Pfizer/Wyeth Settlement Finalized and Signed: States Net Millions
The Department of Justice ("DOJ") recently entered into a settlement of a quit tam lawsuit against Pfizer, Inc. and Wyeth, LLC. We previously wrote about this settlement back in February, when an "agreement in principle" was reached between Pfizer and the United States government. As a refresher, allegations were made by Lauren Kieff, a former hospital sales representative for AstraZeneca Pharmaceuticals, LP, and William St. John LaCorte, a physician, that Wyeth engaged in healthcare fraud from 2001 to 2006. These allegations covered two medications, both commonly used to treat acid reflux disease, Protonix Oral and Prot...
Source: Policy and Medicine - May 2, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs