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This family physician doesn’t like to do procedures. And she’s OK with it.
Some doctors love to do procedures. Stitching, skin biopsies, removal of ingrown toenails — you name it, they’ll do it, and then they’ll ask for more. In fact, I used to have a senior partner who actually told me he preferred doing procedures more than any other type of visit. When I asked him why he enjoyed procedures so intensely, he shrugged and said, “Because I don’t have to think too much.”Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 19, 2015 Category: Journals (General) Authors: Christine C. Chen, MD Tags: Physician Primary care Source Type: blogs

Progress in Engineering Digestive System Tissue
It is becoming ever more common these days to see news of proof of concept work for the engineering of specific tissue structures throughout the body. Here is a recent example: In developing tissue-engineered gut replacements the researchers use smooth muscle and nerve stem cells from human intestine to engineer innervated muscle sheets. The sheets are then wrapped around tubular chitosan scaffolds. The tubular structures were implanted just under the skin of rats for 14 days, a first step in assessing their performance. Researchers found that the implants developed a blood vessel supply and that the tube opening was main...
Source: Fight Aging! - May 19, 2015 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

The Low-Hanging Fruit of Cell Therapy Development
It is always going to be easier to develop treatments for non-vital organs, and in some cases work on cell therapies for those organs can be simpler and less costly for other, unrelated reasons. Thus progress is faster in these areas, and we should expect to see widespread availability of first generation, comparatively simple therapies well in advance of more ambitious goals, such as the regeneration of complex internal organs: The regenerative medicine company RepliCel Life Sciences is developing potential cures for chronic tendinosis, damaged or aging skin, and pattern baldness by reseeding affected areas with specific...
Source: Fight Aging! - April 17, 2015 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Dead babies in my skin cream?
Heather has a hunch…My neighbor asked me about this, and I didn’t really know much except what a quick google search gave me. She said her dermatologist gave her Neocutis that uses PSP. Her concern was spreading dead babies on her face and I was also interested on research regarding PSP’s effect on anti-aging or wrinkle reduction. I was hoping you’ve already looked at this and would have a quick answer. Let me know what you think! The Beauty Brains respond: Thanks for a provocative question Heather. To start with we’ll explain what PSP is. Does PSP really come from dead babies? PSP (or Processed Skin Protein...
Source: thebeautybrains.com - November 29, 2014 Category: Consumer Health News Authors: Randy Schueller Tags: Bizarre Myths Source Type: blogs

Man with Frequent CHF Readmissions Found To Be Half Sponge.
Birmingham, AL -- With seventeen readmissions for congestive heart failure in the last year, 58 year-old Kevin Spencer finally got the answer he was looking for. Doctors at Baptist Hospital diagnosed him as being half sponge after ruling out all possible explanations for his recurrent CHF exacerbations.CHFer found to be half spongeCongestive heart failure is a leading cause of hospitalization in the United States. Hospitals risk losing millions of dollars through complicated formulas when CHF patients are readmitted within 30 days of discharge. To reduce the risk of Medicare penalties, Baptist hosp...
Source: The Happy Hospitalist - November 1, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

MKSAP: 42-year-old man with severe burning and stabbing pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 42-year-old man is evaluated for a 6-day history of severe burning and stabbing pain in both feet that is worse in the toes. The pain is more severe at night, is aggravated when the bed sheets touch his skin, and is partially relieved when he walks or massages his feet. The patient has an 8-year history of poorly controlled type 1 diabetes mellitus and a 2-year history of hypertension. He was hospitalized briefly 2 weeks ago for treatment of pneumonia and diabetic ketoacidosis. His fasting blood glucose levels...
Source: Kevin, M.D. - Medical Weblog - October 25, 2014 Category: Journals (General) Authors: mksap Tags: Conditions Diabetes Endocrinology Neurology Source Type: blogs

Demonstrating Decellularized Heart Valves
Decellularization of donor organs and tissue sections has been demonstrated in laboratory animals and trialed in humans for some years now. It is clearly an improvement over straight organ donation in that it greatly reduces transplant rejection, and may even put a dent in the issue of organ availability by allowing the xenotransplantation of pig organs repopulated with human cells. Absent some bold, unexpected, and rapid advances in tissue engineering, I would expect that decellularization will become the mainstay technology for organ and tissue transplantation for the next two decades or so. The process of removing cell...
Source: Fight Aging! - September 24, 2014 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

Will dermal rolling get rid of acne scars? The Beauty Brains Show episode 45
What is dermal rolling? Does it really get rid of acne scars? And most importantly, is it safe and effective to do it to yourself at home? Click below to play Episode 45 or click “download” to save the MP3 file to your computer. Show notes The Cosmetic Categories Game Tune in as I try to stump Randy in a new game that features beauty products, beauty brands and beauty ingredients. Question of the week: Will dermal rollers get rid of acne scars? Chris asks…Does dermal rolling really work to remove acne scars and can you do it at home? How does dermal rolling/micro needling work? A dermal roller is one of the device...
Source: thebeautybrains.com - August 26, 2014 Category: Consumer Health News Authors: Perry RomanowskiThe Beauty Brains Tags: Claims Podcast Problems Safety Source Type: blogs

Anxiety
A friend posted an article trying to explain deep depression and why someone would want to take their life. It was an excellent description, but it brought up old painful memories and was hard for me to read. I haven't forgotten how very desperate severe depression has made me feel, but that is a place I rarely let my mind visit because it scares the crap out of me, the idea that I will one day be back there. I've always said that unless someone has been there, seeing suicide as the only way out, so tortured mentally that you absolutely can not take it anymore and the only way you see to to get relief from that crush...
Source: bipolar.and.me - August 13, 2014 Category: Mental Illness Source Type: blogs

AdDRESSing the Causes of Rash
Conclusion: DRESS syndrome is a rare but potentially life-threatening condition with an estimated mortality rate of 10 percent. Suspicion must be high because it may present as a spectrum of nonspecific clinical and laboratory findings.Tags: rash, tox cave, DRESS, DRESS syndrome, RegiSCAR, hepatitis, myocarditis, myositisPublished: 8/7/2014 2:50:00 PM (Source: The Tox Cave)
Source: The Tox Cave - August 7, 2014 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Which anti-aging ingredients REALLY work? The Beauty Brains Show episode 21
Have you ever wondered which anti-aging ingredients are proven to work? This week we review the science behind 5 of the top ingredients. Plus, find out why Germany wants to ban retinol! If you’re a fan of our free podcast you can show your support by buying our new book! Click here to get your copy for only $2.99 (That’s less than three songs on iTunes!) Click below to play Episode 21: “Which anti-aging ingredients REALLY work” or click “download” to save the MP3 file to your computer. SHOW NOTES Beauty Science News: Will retinol be banned from skin care? We discuss an article from...
Source: thebeautybrains.com - March 11, 2014 Category: Consumer Health News Authors: Perry RomanowskiThe Beauty Brains Tags: Best Podcast Source Type: blogs

Case of the Week 292
The following is a skin biopsy from an ulcerating lesion on the left thigh of a 70 year old woman. She is being treated with chemotherapy for diffuse large B cell lymphoma. Hematoxylin and Eosin (H&E), 20x magnification H&E, 40xH&E, 400xH&E, 400xH&E, 1000xGomori Methenamine Silver (GMS), 1000x (Source: Creepy Dreadful Wonderful Parasites)
Source: Creepy Dreadful Wonderful Parasites - February 18, 2014 Category: Pathologists Source Type: blogs

Answer to Case 292
Answer: Trophozoites and Cysts of Acanthamoeba species/Balamuthia mandrillaris A multiplex PCR for free-living amebae was also performed on this tissue, which was positive for Acanthamoeba sp. DNA. Many of you noted that the organism morphology is characteristic for Acanthamoeba/Balamuthia (it is nearly impossible to tell the 2 apart by light microscopy, so I group them together) but mentioned that the skin is an unusual location for these organisms. It is correct that we don't usually see the free-living amebae in the skin. However, if you take a look at the CDC life cycle of Acanthamoeba and B. man...
Source: Creepy Dreadful Wonderful Parasites - February 17, 2014 Category: Pathologists Source Type: blogs

Don't Call My Liver Fat!
By Amy Campbell Isn't there enough to contend with having diabetes? You need to take care of your eyes, feet, heart… Now you have to worry about your liver? Well, yes. Fatty liver disease may be something you're not all that familiar with, but if you have Type 2 diabetes, it's a good idea to know about this. Hence this week's posting! Liver 101 Let's back up for a minute and talk about your liver. The liver is one of the largest organs in the body, weighing about three pounds. It's located in the right upper abdomen, below the diaphragm. It's pretty amazing what the liver does, if you stop and think about it. Here's ...
Source: Diabetes Self-Management - December 16, 2013 Category: Diabetes Authors: Amy Campbell Source Type: blogs