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Total 89 results found since Jan 2013.

Can you see through this wide complex rhythm?
Written by Pendell MeyersA 76 year old man with history of CHF, moderate aortic stenosis, insulin-dependent diabetes, hypertension, stroke, CAD s/p stents, CKD, PVD, OSA presented to the ED with shortness of breath and chest pain off and on for 2 weeks. This afternoon his symptoms intensified so he called EMS.In the ED he appeared acutely ill, with HR 100-115, RR 20-25, BP 93/52, hypoxic to 88-92% on 5L nasal cannula, afebrile.Here is his presentation ECG, followed by his baseline ECG on file:Presentation ECG.Baseline ECG.The presentation ECG shows ventricular paced rhythm at rate of approximately 120 bpm. The J-point in V...
Source: Dr. Smith's ECG Blog - December 12, 2018 Category: Cardiology Authors: Pendell Source Type: blogs

The Best iPhone App for the Wheat Belly Lifestyle
The Wheat Belly lifestyle is powerful for not only losing weight but for healing many, many chronic health conditions. But it can sometimes be overwhelming to begin a new style of eating. Luckily, there is now an app that can help you on your journey with my Wheat Belly 10-Day Grain Detox called Suggestic. If you have struggled to adopt a grain-free lifestyle or are brand new to the Wheat Belly lifestyle, Suggestic can be a massive help in guiding you through the ups and downs of this new and healthy lifestyle. Let me explain what Suggestic is and the advantages of using it. Going Grain-Free I’ve seen many begin this ...
Source: Wheat Belly Blog - July 24, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates app Detox gluten-free grain-free grains menu recipes shopping list suggestic wheat belly Source Type: blogs

" Shark Fin " : A Deadly ECG Sign that you Must Know!
Conclusions:Shark Fin is an electrocardiographic sign of acute coronary occlusion. It is a unique ECG phenomenon consisting of complexes formed by the blurring together of QRS and T-wave as a result of extreme ST-Deviation. These complexes manifest in contiguous ECG leads corresponding with coronary anatomy, and represent transmural ischemia. Shark Fin Sign should be recognized based on its characteristic morphology, and confirmed by delineating the J-point using the technique described above. While there is a paucity of literature on the topic, the presence of this sign appears to be associated with a significant mortalit...
Source: Dr. Smith's ECG Blog - June 11, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs

Admetsys Develops Artificial Pancreas for Critical Care
Admetsys, a company headquartered in Boston, has developed a system for controlling blood glucose levels in critical care patients. Essentially an artificial pancreas, the system relies on a lab-on-a-chip that’s embedded within an intravenous c...
Source: Medgadget - May 17, 2018 Category: Medical Devices Authors: Editors Tags: Anesthesiology Cardiology Critical Care Medicine Pediatrics Source Type: blogs

A middle aged man with unwitnessed cardiac arrest
Written by Pendell Meyers, with edits by Steve SmithThanks to my attending Nic Thompson who superbly led this resuscitationWe received a call that a middle aged male in cardiac arrest was 5 minutes out. He was estimated to be in his 50s, with no known PMHx. He arrived with chest compressions ongoing, intubated, and being bagged. EMS report was that the patient had unknown down time with unwitnessed arrest, found initially in VFib arrest, defibrillated x1 followed by PEA arrest alternating with asystolic arrest during transport.He arrived in PEA arrest with a slow and wide cardiac waveform during initial rhythm check, with ...
Source: Dr. Smith's ECG Blog - April 6, 2018 Category: Cardiology Authors: Pendell Source Type: blogs

Crippling drug costs: the role of insurers
Drug costs in the U.S. are higher than in in any other industrialized country in the world. Our cost for an insulin glargine (long-acting insulin) pen is $76.80 and in Canada, so very few miles away, it costs $19.60. The latter price is reasonable. The former price can make the difference between being able to afford a life-saving drug and dying. It is illegal, however, for a U.S. citizen to buy his or her insulin, or any other drug available in the U.S., from another country. Costs of pharmaceuticals in other countries are usually regulated by the government. Not so in the U.S. This is due to the lobbying power of U.S. ph...
Source: Kevin, M.D. - Medical Weblog - March 27, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/janice-boughton" rel="tag" > Janice Boughton, MD < /a > Tags: Meds Cardiology Public Health & Policy Source Type: blogs

Medgadget Sci-Fi Contest 2017: Meet The Winning Stories
Ladies and Gentlemen, this is the moment you have all been waiting for – the day that the winners of the Medgadget Medical Sci-Fi Competition are announced and their fantastic stories are published! First, we would like to thank Eko Devices, th...
Source: Medgadget - December 15, 2017 Category: Medical Devices Authors: Editors Tags: Exclusive 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

The Pharmaceuticalization of Americans: Blood Pressure
News headlines are filled with the new advice from the American Heart Association, the American College of Cardiology, and other health organizations: 50% of all Americans now have hypertension, given the new target blood pressure of 130/80 or lower, and more Americans therefore require treatment of their blood pressure. CNN reports, for instance: “One in three Americans had previously been diagnosed with the condition, but now 14% more Americans will be diagnosed with high blood pressure. The new guidelines will classify 103.3 million people as having high blood pressure, while the previous guidelines placed only 72...
Source: Wheat Belly Blog - November 14, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat-Free Lifestyle gluten gluten-free grain-free grains hypertension Inflammation low-carb undoctored Weight Loss wheat belly Source Type: blogs

Friedewald equation for calculating VLDL and LDL
Friedewald equation Brief Review The Friedewald equation is used to calculate VLDL-c (very low density lipoprotein cholesterol) and LDL-c (low density lipoprotein cholesterol) levels in a lipoprotein estimation test. In this method, total cholesterol, triglycerides and HDL-c (high density lipoprotein cholesterol) are directly estimated using reagents. The formula published by Friedewald WT et al in 19721 was validated by Warnick GR and colleagues in 1990.2 VLDL-c = Triglycerides/5 LDL-c = Total cholesterol – (HDL-c + VLDL-c) Limitation of Friedewald equation This method of indirect LDL-c estimation becomes unr...
Source: Cardiophile MD - November 4, 2017 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Friedewald equation Friedewald's equation HDL LDL metabolic syndrome TG Total cholesterol triglyceride VLDL Source Type: blogs

Fight Aging! Newsletter, September 18th 2017
In this study, researchers put some numbers to the correlation, and improve on previous attempts to rule out wealth and other effects as significant contributing causes. A study finds that a Chinese policy is unintentionally causing people in northern China to live 3.1 years less than people in the south, due to air pollution concentrations that are 46 percent higher. These findings imply that every additional 10 micrograms per cubic meter of particulate matter pollution reduces life expectancy by 0.6 years. The elevated mortality is entirely due to an increase in cardiorespiratory deaths, indicating that air poll...
Source: Fight Aging! - September 17, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Administrators who don ’t see patients often make the most important decisions
I was browsing the latest issue of the Journal of the American Medical Association, as I often do, and an article by one Andy Slavitt, MBA, and Gail Wilensky, PhD, titled “Reforming Medicaid,” caught my eye. From 2015 to 2017, Mr. Slavitt served as the Acting Administrator for the Centers for Medicare & Medicaid Services (CMS). In that role, he oversaw the government’s awful Meaningful Use EHR program, and helped to shape the new even more awful MACRA value-based pay program which is being implemented this year. In the article, there are a number of policy recommendations, the first one being “making Medicaid a...
Source: Kevin, M.D. - Medical Weblog - August 27, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/matthew-hahn" rel="tag" > Matthew Hahn, MD < /a > Tags: Policy Cardiology Diabetes Endocrinology Medicare Public Health & Washington Watch Source Type: blogs

Fight Aging! Newsletter, July 10th 2017
This article covers some of the advances of recent years in understanding the effects of varied forms of calorie restriction in humans. Efforts to quantify the results and find a good 80/20 point, at which most of the effects of longer and more stringent reductions in calorie intake are still evident, have resulted in practical outcomes. A number of quite interesting discoveries have been made along the way, such as the ability of longer fasting periods to clear out and replace damaged immune cells to some degree. The second phase of the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (C...
Source: Fight Aging! - July 9, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Pittsburgh Post-Gazette: " Medication errors in hospitals don ’t disappear with new technology " . Government: " It ' s the doctors ' fault. " I am cited.
In conclusion:While I wish the Pittsburgh Post-Gazette article was longer, in its limited space its author did touch upon the major relevant issues well regarding the PA Patient Safety Authority study and its implications towards national Health IT policy.ONC ' s Dr. Andrew Gettinger ' s responses, however, seems to reflect an unwillingness of he and the government to acknowledge Bad Health IT.  His repsonses also appear to show a lack of appreciation of the complaints about EMRs from nearly 40 medical societies.  " It ' s the doctors fault " for not training enough.He does acknowledge that better IT would be a g...
Source: Health Care Renewal - April 10, 2017 Category: Health Management Tags: Andrew Gettinger MD Donald Rucker Healthcare IT experiment healthcare IT risk ONC Pennsylvania Patient Safety Authority Pittsburgh Post-Gazette Siemens Healthcare Steve Twedt Source Type: blogs

More about Virtue Sweetener
Because I wanted a benign and healthy way for followers of the Wheat Belly lifestyle to recreate dishes such as chocolate chip cookies, cheesecake, and pies with none of the health problems of grains or sugars, I helped Wheat-Free Market develop its Virtue Sweetener  product. Yes, you could do without such sweeteners. But I learned long ago when I introduced Wheat Belly concepts to patients in my cardiology practice that having options while entertaining friends, during holidays, and pleasing kids was important for staying on course on this lifestyle. Before I understood how to use such natural sweeteners, patients would ...
Source: Wheat Belly Blog - March 10, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle diabetes erythritol gluten grains Inflammation insulin keto low-carb monk fruit natural virtue sweetener Source Type: blogs