MKSAP: 52-year-old man with sudden onset of erectile dysfunction
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 52-year-old man is evaluated for the sudden onset of erectile dysfunction that has persisted for 6 months. He reports having erections that are inadequate for vaginal penetration. He feels guilty about not being able to satisfy his wife’s requests for sexual intercourse, although he still has sexual desires. He has been sleeping poorly and feeling fatigued throughout the day. He reports no snoring or daytime somnolence, and his review of systems is otherwise negative. His wife does not report that the p...
Source: Kevin, M.D. - Medical Weblog - April 1, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Primary care Source Type: blogs
I Am Rebelling
Sometimes I need to let my inner rebel out and stop being such a good patient. I usually try to be a good patient (and go to my appointments, take my meds as prescribed, talk to my doctors honestly and generally do what they want me to). But not right now.Last fall I was told I have sleep apnea and my doctors want me to have a CPAP machine for sleeping. I got my CPAP machine and hate it. I can ' t stand having anything on my face while I sleep. I am on my second mask and still cannot deal with it. I wake up and want to rip it off my face. If I sleep with the mask on, I don ' t ever feel rested and have the weirdest dreams....
Source: Caroline's Breast Cancer Blog - March 23, 2017 Category: Cancer & Oncology Tags: apnea CPAP lack of sleep rebelling Source Type: blogs
5 Ways for Sleep Tracking: A Week-Long Experiment With Apps And Sensors
Sleep tracking is not an easy business. There are plenty of options on the market, while choosing and paying for a sensor, an app or both is a serious commitment. I decided to carry out a week-long experiment by testing various sleep apps, sensors and their combinations in order to help you with my own results. Check it out!
How to find the way out of the jungle of sleep trackers?
Tracking sleep is an amazing experience. You learn a lot about your habits and how they affect sleep quality. For example, what happens if you drink or eat anything before going to sleep? What if you exercise? And what about checking your social...
Source: The Medical Futurist - March 16, 2017 Category: Information Technology Authors: nora Tags: Health Sensors & Trackers gc3 Health 2.0 Personalized medicine sleep sleep as android sleep optimization sleep tracking technology wearable wearables Source Type: blogs
Sleep Tracking 2.0: My Viatom O2 Sleep Monitor Review
One of my duties as The Medical Futurist is testing new healthcare sensors. I tested the Viatom O2 which promises to closely monitor your heart rate and blood oxygen level, while you are dreaming about a holiday in Hawaii. Moreover, it offers to warn you with a smart vibration, if the SpO2 level drops too low. Here is my verdict about the device.
Sleep tracking for improving sleep quality
For me, sleep tracking and going to bed goes as naturally together as a movie-night with popcorn or Belgium with rainy weather. I have been tracking my sleep for years to be able to optimize it. So, I have quite an experience with apps, ...
Source: The Medical Futurist - March 14, 2017 Category: Information Technology Authors: nora Tags: Health Sensors & Trackers future gc3 healthy lifestyle Innovation Personalized medicine sleep optimization sleep tracking technology viatom wearables Source Type: blogs
Fight On Healthcare Reform Misses Core Problems
Politicians and policy makers are fighting over new health reform proposals.
This debate misses the core problems in US healthcare.
Look at this graph from the Our World In Data website:
From Our World In Data website
It shows that Americans pay too much for lousy health outcomes.
Fixing the problem on that graph should be the focus of reform.
I am no policy wonk but here are some obvious problems and potential solutions with our delivery system:
I – Profit-driven healthcare must go. As long as health is big business, it will be impossible to control costs.
Fee-for-service (FFS) payment models favor doing more things to ...
Source: Dr John M - March 12, 2017 Category: Cardiology Authors: Dr John Source Type: blogs
AF Ablation is Overused in the US
Conclusion:
AF ablation can be useful for highly selected and thoroughly educated patients. (Adverbs in that sentence used intentionally.)
I feel confident that I have helped people with this procedure–even when it takes multiple procedures. I do AF ablation every week. But I do it with careful vetting, lots of patient education and an unease that history may kick me in the butt.
Cardiology leadership had better wake up. I see us heading in the same direction we went with stents and ICDs.
Thus far, our attempts at policing ourselves look dubious. Soon others will police for us.
JMM
Related posts:
AF ablation still h...
Source: Dr John M - March 10, 2017 Category: Cardiology Authors: Dr John Source Type: blogs
Top 6 Bedroom Plants that Promote Better Sleep
It has long been scientifically established that proper sleep hygiene is essential for optimal brain functioning. What is up for debate however is what the precise number of hours should be where one feels the very best and that varies across the board for a variety of reasons, some mostly genetic.
Humans who do not get sufficient restorative sleep that make them feel refreshed and productive to tackle the next day suffer from a whole host of problems. These run the gamut from pronounced anxiety, chronic stress, insomnia, hypertension, and diabetes just to name a few. Research has confirmed that there is also a strong cor...
Source: World of Psychology - March 6, 2017 Category: Psychiatry & Psychology Authors: Emily Waters Tags: Alternative and Nutritional Supplements Habits LifeHelper Mental Health and Wellness Sleep Stress Insomnia Lavender Relaxation Sleep Apnea Sleep Deprivation Sleep Disorder Sleep Habits Sleep Hygiene Source Type: blogs
Weight loss that works: A true story
Many people struggle with being overweight, or even obese. It’s a common topic at office visits. As a doctor, I know that excess weight is associated with potentially serious health conditions — high blood pressure, high blood sugar, high cholesterol — not to mention sleep apnea, fatty liver disease, and back and knee problems, among other things. Patients may also worry about their appearance.
Whether a patient is at risk for medical problems due to being overweight, or if it’s a personal health goal, then it’s my job to provide counseling.
In my experience, most patients consider weight loss drugs or surger...
Source: Harvard Health Blog - March 1, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Diet and Weight Loss Exercise and Fitness Health Healthy Eating Source Type: blogs
Home sleep studies may help identify sleep apnea
What if I need a sleep study? If you are one of the approximately 35% of Americans who snore, perhaps this has crossed your mind. You have read on the internet or watched a newscast about sleep apnea, a condition associated with an increase in heart attack and stroke risk. Loud snoring, daytime sleepiness, fatigue, and observed pauses in breathing at night are the most frequent symptoms. A sleep study is necessary to make the diagnosis.
To many people, the thought of a sleep study raises visions of being restrained in a bed with wires attached everywhere and complete strangers watching you, in other words, “Big Brother o...
Source: Harvard Health Blog - February 23, 2017 Category: Consumer Health News Authors: Stuart Quan, MD Tags: Health Sleep Source Type: blogs
Snored to death: The symptoms and dangers of untreated sleep apnea
Sleep is a critically important component of human existence. On average, humans spend about 25%-35% of their lives sleeping. Sleep allows both the body and brain to rest and recover from the stress of daily life. As such, trouble sleeping can cause a range of health problems, and if left untreated dire consequences.
Longing for more sleep
There is a common misconception that there is an exact amount of sleep that the body requires. The necessary hours of sleep can vary, as some people can require as little as five hours or as much as nine hours to function optimally. In addition, too little or too much sleep can cause pro...
Source: Harvard Health Blog - February 13, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Health Prevention Sleep Source Type: blogs
My case for no-fault medical care
As a physician with a strong sense of calling, I always see myself working for each patient, regardless of who pays the bill. Following in the footsteps of role models like Hippocrates and Osler, how could I do anything else?
Ted has been my patient for decades. He can’t seem to lose weight.
John has admitted he doesn’t know how long he can keep doing the kind of work that has supported his family until now.
Ted is a long distance truck driver. He needs a DOT physical. Because of the new requirements, he will probably need a sleep study to rule out sleep apnea. If he fails, he could lose his job, because we all want to...
Source: Kevin, M.D. - Medical Weblog - February 6, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Primary care Source Type: blogs
Does Snoring Have Any Health Risks?
You're reading Does Snoring Have Any Health Risks?, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
For a long time, people have categorized snoring as simply a minor health condition that will go away on its own. However, modern research has declared that snoring is not only irritation to the ears and to peaceful sleep but an indication of a number of complaints in your body. People who are overweight, who are regular smokers or have high cholesterol are prone to snoring, obstructive sleep apnea (OSA). OSA is defined ...
Source: PickTheBrain | Motivation and Self Improvement - February 5, 2017 Category: Consumer Health News Authors: dylan_moran Tags: featured health and fitness self improvement bodyweight health warnings illness pickthebrain sleep disorder snoring stop snoring Source Type: blogs
Smartphone App Evaluates Obstructive Sleep Apnea and Sleep/Wake Activity
At the Ben-Gurion University in Israel researchers have developed a smartphone-based system for evaluating a patient’s obstructive sleep apnea, as well as sleep-wake activity, an analysis of how sleepy one feels. The hope is that this technology, which is easy and cheap to use, may one day serve as an option over traditional polysomnography in some studies.
The software uses a smartphone’s microphone to listen to the sounds generated by a sleeping person. These are processed and categorized to identify unique events, such as snoring, coughing, or wheezing.
In order to evaluate how accurate their software is,...
Source: Medgadget - January 13, 2017 Category: Medical Equipment Authors: Editors Tags: Cardiology Medicine Net News Source Type: blogs
Managing That Sleep Thing
Yesterday I got to my last craft show of the season. I got set up and then sat down in my booth to regroup before the show started. I was nice and warm and I started to fall asleep. At 9 o ' clock in the morning. In front of hundreds of people. Several times during the day, I had to get up and walk around (and steal fudge samples from the booth next to me for the caffeine) to stay awake.Why do I get so tired? One of the many reasons is the fatigue caused by my fibromyalgia (and its insomnia) and rheumatoid, to a lesser degree. It also turns out I have been diagnosed with sleep apnea which causes me not to sleep very well. ...
Source: Caroline's Breast Cancer Blog - December 4, 2016 Category: Cancer & Oncology Tags: apnea fatigue lack of sleep Source Type: blogs
Sleep deprived and exhausted? These tips will help.
I’m just coming out of two years of sleep deprivation.
Due to some sleep apnea issues (hopefully finally resolved), my now two-year-old daughter slept like a newborn until this summer. Which means, like the mom of a newborn, I was up every three hours at night for the last two years.
This has given me more experience in living with sleep deprivation than I ever wanted and plenty of time to think about how to survive when exhausted. What did I learn while functioning through two years of sleep deprivation?
Self-care matters even more when you’re not sleeping. When I’m sleep deprived, I either don’t want to eat, or ...
Source: Kevin, M.D. - Medical Weblog - December 1, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/katie-fortenberry" rel="tag" > Katie Fortenberry, PhD < /a > Tags: Conditions Psychiatry Source Type: blogs
