The freedom of the Wheat Belly lifestyle
Zeffrey posted this wonderful description of the relief he has obtained from a number of chronic conditions by removing the inflammatory, allergic, bowel-disrupting, and mind-controlling factors that come from wheat and grains: “To me wheat-free is to breathe free. No more stuffy and running nose. Relief from just these two issues alone saved me a lot of money–no more boxes of facial tissues, no more antihistamines: Dayquil, Nyquil, Benadryl and the ‘so you can sleep’ pills and all the other cold symptom remedies that I have used over the years. “To me wheat-free is to live food craving-free. ...
Source: Wheat Belly Blog - July 5, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories allergies appetite blood sugar cravings diabetes hunger IBS insomnia irritable bowel syndrome sinusitis sleep Source Type: blogs

Test your medicine knowledge: 40-year-old man with headache and epistaxis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old man is admitted to the emergency department with a 1-day history of headache and epistaxis. He has had type 1 diabetes mellitus requiring insulin for 30 years and two episodes of ketoacidosis in the past year. On physical examination, temperature is 36.0 °C (96.8 °F), blood pressure is 100/70 mm Hg, pulse rate is 120/min, and respiration rate is 22/min. There is mild proptosis of the right eye with periorbital edema and a black eschar on the inferior turbinate of the right nostril. Skin examinati...
Source: Kevin, M.D. - Medical Weblog - July 4, 2015 Category: Journals (General) Authors: Tags: Conditions Infectious disease Source Type: blogs

I encourage patients to fire me. Here’s why.
Not all relationships work out. My prescription: If a relationship isn’t working, end it. Now. Recently an insurance plan told me they were sending a nurse to my office for a chart review that would take 3 hours. After 24 years of education, state licensure, board certification, and over 50 hours of continuing medical education each year, I’m not trusted to provide Pap smears or treat sinusitis without monitoring. OMG. I’m a solo doc. No staff. I can’t spend 3 hours being micromanaged by a nurse. I’m busy treating patients — and helping suicidal doctors who are struggling with the same B.S. My solution: Ter...
Source: Kevin, M.D. - Medical Weblog - May 12, 2015 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

Jamilyn: Weight AND health transformed minus grains
Jamilyn shared her several month experience and facial photos following the Wheat Belly lifestyle: “Top left was taken January 20th, 2015. Lower left February 20th, 2015. And the right side was just taken April 26th. “I started Wheat Belly February 9th, 2015. I have lost 20 pounds in just over 2 months and 10 on my own in the 9 months prior to WB. 30 pounds difference from the first picture to the 3rd picture. “I have eliminated all of the many medications I was taking for migraines, IBS, gastroparesis, chronic sinusitis, and joint pain. Thank you so much! Words could never express the joy and freedom yo...
Source: Wheat Belly Blog - April 29, 2015 Category: Cardiology Authors: Dr. Davis Tags: News & Updates Source Type: blogs

Just how much “healthcare” do you need minus grains?
Jamilyn shared her early experience with this lifestyle: “I started Wheat Belly February 9th, 2015. I have lost 20 pounds in just over 2 months and 10 on my own in the 9 months prior to WB–30 pounds difference from the first picture to the 3rd picture. “I have eliminated all of the many medications I was taking for migraines, IBS, gastroparesis, chronic sinusitis, and joint pain. I haven’t taken Allegra or Flonase (which I have taken everyday since I was in my 20’s) since the second day of Wheat Belly. I no longer need my Protonix, Reglan, Carafate, or Zofran for my gastroparesis either. No m...
Source: Wheat Belly Blog - April 15, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories gastroparesis grains IBS joint pain sinusitis Source Type: blogs

EHRs and Ebola in the Texas Health Presbyterian Hospital ED: the ED physician finally speaks out
At my Oct. 2, 2014 post "Did Electronic Medical Record-mediated problems contribute to or cause the current Dallas Ebola scare?" (http://hcrenewal.blogspot.com/2014/10/did-electronic-medical-record-mediated.html) I had written:While I have no evidence as to any role of EHRs in this seemingly strange, cavalier and incomprehensible medical decision to send this man home, resulting in potential exposure of numerous other individuals to Ebola (and I am certainly not in a position to have such evidence), I believe this possibility [that is, an EHR-related information snafu - ed.] needs to be investigated fully.  I then ...
Source: Health Care Renewal - December 15, 2014 Category: Health Management Tags: AHRQ Ebola virus EPIC healthcare IT risk Joseph Howard Meier Silverstein EHR principle Texas Health Presbyterian Hospital Source Type: blogs

Cardiology MCQ: Giant coronary aneurysms
Giant coronary aneurysms are seen in: a) Kartagener Syndrome b) Ellis-van Creveld Syndrome c) Kawasaki disease d) None of the above c) Kawasaki disease Kawasaki disease is a rare disorder in which coronary aneurysms can occur in young children. Kawasaki disease is also known as mucocutaneous lymph node syndrome. It typically occurs as a febrile illness with involvement of the lips and tongue. There is conjunctival congestion as well as involvement of the lymph nodes, usually in the neck. Redness of palms and feet and peeling of skin may occur as the cutaneous manifestations. Suda K et al (Circulation. 2011;123:1836-1842) h...
Source: Cardiophile MD - November 28, 2014 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Attenuated influenza vaccine enhances bacterial colonization of mice
Infection with influenza virus is known to increase susceptibility to bacterial infections of the respiratory tract. In a mouse model of influenza, increased bacterial colonization was also observed after administration of an infectious, attenuated influenza virus vaccine. Primary influenza virus infection increases colonization of the human upper and lower respiratory tract with bacteria, including Streptococcus pneumoniae and Staphylococcus aureus. Such infections may lead to complications of influenza, including pneumonia, bacteria in the blood, sinusitis, and ear infections. One of the vaccines available to prevent inf...
Source: virology blog - March 12, 2014 Category: Virology Authors: Vincent Racaniello Tags: Basic virology Information attenuated vaccine bacterial colonization flumist influenza LAIV mouse model Staphylococcus aureus streptococcus pneumoniae viral virus Source Type: blogs

Studies Prove Without Doubt That Unvaccinated Children Are Far Healthier Than Their Vaccinated Peers
Conclusion I find it amazing that despite mainstream media and leading government agencies stressing repeatedly that studies comparing vaccinated children to unvaccinated children cannot take place for ethical reasons, groups around the world are taking it upon themselves to do these studies anyway. While surveys of this kind are often dismissed as being purely epidemiological and passed off as little more than stamp collecting, I believe that studies of this nature should not be dismissed out of hand. After all, many stamp collections contain just one stamp that is worth far more than its weight in gold. These studies sho...
Source: vactruth.com - February 26, 2014 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories truth about vaccines vaccinated vs. unvaccinated Vaccine Safety Source Type: blogs

UPDATED Feb. 27: All You Ever Wanted to Know about Group A Streptococcal Pharyngitis But Were Afraid to Ask
Why I Disagree with the IDSA Guidelines for GAS in Children Under 3   IDSA Statement: Diagnostic studies for GAS pharyngitis are not indicated for children under age 3 because acute rheumatic fever is rare in children under 3 and the incidence of streptococcal pharyngitis and the classic presentation of streptococcal pharyngitis are uncommon in this age group [emphasis added]. Selected children under 3 who have other risk factors, such as an older sibling with GAS infection, may be considered for testing (strong, moderate).   The prevalence of GAS pharyngitis is significantly lower for children under 3; it ranges fro...
Source: M2E Too! Mellick's Multimedia EduBlog - January 31, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

UPDATED Feb. 27: All You Ever Wanted to Know about Group A Streptococcal Pharyngitis But Were Afraid to Ask
Why I Disagree with the IDSA Guidelines for GAS in Children Under 3   IDSA Statement: Diagnostic studies for GAS pharyngitis are not indicated for children under age 3 because acute rheumatic fever is rare in children under 3 and the incidence of streptococcal pharyngitis and the classic presentation of streptococcal pharyngitis are uncommon in this age group [emphasis added]. Selected children under 3 who have other risk factors, such as an older sibling with GAS infection, may be considered for testing (strong, moderate).   The prevalence of GAS pharyngitis is significantly lower for children under 3; it ranges from 10...
Source: M2E Too! Mellick's Multimedia EduBlog - January 31, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Healthcare Update Satellite — 11-25-2013
See many more medical news stories from around the web over at my other blog at DrWhitecoat.com Nice synopsis by an Ohio State University emergency physician on how sinusitis can be mistaken for a primary dental problem … and how to use physical examination to help tell the difference between the two. Just don’t expect a sinus infection to get better with antibiotics. Why one California emergency physician weeps for the future. The patient scenarios that you read about at the link will probably frustrate you as well. Included are patients who come to the ED because they don’t want to wait for referrals or for doctor...
Source: WhiteCoat's Call Room - November 25, 2013 Category: Emergency Medicine Doctors Authors: WhiteCoat Tags: Healthcare Update Source Type: blogs

Medical Mispronunciations and Misspelled Words: The Definitive List.
Hearing medical mispronunciations and seeing misspelled words are an under appreciated  joy of working in healthcare.  Physicians often forget just how alien the language of medicine is to people who don't live it everyday.  The best part about being a physician is not helping people recover from critical illness. The best part is not  about  listening and understanding with compassion and empathy.  Nope, the best part about being a physician is hearing patients and other healthcare providers butcher the language of medicine and experiencing great entertainment in the process.   Doctors c...
Source: The Happy Hospitalist - October 2, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Sore throats and the learned professional
aka American ER Doc Gone Walkabout… 022 Let’s take a single complaint – “sore throat” – and look at a few of the ways that it can be handled. Let’s say that we’re satisfied with having a good outcome with no further intervention, say 90% of the time. And, another 9% of the time we get a second chance on a “bounceback” to get it right. To do this we might develop a very simple algorithm. Ask the patient if it hurts, and ask if he had a fever. Ask the patient to open his mouth – if he can open it, get a Rapid Antigen Test for strep. If he can’t open it, get...
Source: Life in the Fast Lane - June 21, 2013 Category: Emergency Medicine Doctors Authors: Rick Abbott Tags: American ER Doc Gone Walkabout Emergency Medicine Featured Health Pharyngitis professionalism rick abbott Sore Throat Source Type: blogs